Structural Diagnosis Can Also Help Determine Sleeping Position
There are a few clinical conditions to consider when it comes to structural deformation and problems that influence sleep quality and position.
A few common clinical conditions that have strong influences on sleeping position include:
- Spondylosis (vertebral arthritis and degeneration)
- Osteoporotic Compression Fractures
- Maigne Syndrome
- Uneven Hips
- Pregnancy-related Low Back Pain
Spondylosis is an umbrella term for different forms of age-related degeneration of the spine. The bones of the spine are called the vertebrae. Between each pair of vertebrae, there are three joints. There is a joint in the front of the spine that is called an intervertebral disc. Spondylosis is when any of these structures wear down and no longer provide they support they're intended to provide.
The term “spondylolisthesis” is derived from the Greek roots, spondylo, meaning spine, and listhesis, meaning to slide. Spondylolisthesis describes a forward slip of a vertebral body with respect to the vertebra below.
For both spondylosis and spondylolisthesis, you should avoid stomach sleeping.
Osteoporosis affects more than 10 million people in the United States – making it the most common metabolic disorder of bone. Osteoporosis is responsible for more than half a million vertebral compression fractures each year. Compression injuries occur when axial loads, usually combined with flexion, exceed a bone's capacity to support that load.
Patients with severe osteoporosis or compression fractures may not be able to sleep on your their back and should consider side sleeping.
Maigne syndrome, aka thoracolumbar junction syndrome, lumbodorsal syndrome, and posterior ramus syndrome is a commonly overlooked cause of pain in the lumbosacral region, iliac crest, and buttock. Maigne syndrome typically results from irritation of a thoracolumbar posterior ramus between T9 and L2. Facet joint dysfunction and degeneration are common culprits. Maigne syndrome is particularly elusive because the anatomical site of origin is often asymptomatic.
Asymmetrical side-sleeping can aggravate this condition.