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I've had chronic low back pain for 10 months now. My doctor has referred me to a pain management clinic. I think if I could just get a decent night's sleep, I would feel better. Can they do anything to help me sleep better?

Poor sleep quality and disrupted sleep have been linked with pain-related disability and depression. The consequences of poor sleep (fatigue, sleepiness during the day) can affect work and daily activities.

Pain management programs vary from clinic to clinic. Most provide a multidisciplinary approach. You may be taught energy conservation and pacing skills. Setting the right goals is important to avoid overdoing. Pacing your activities for the entire day, week, or even month is part of the management process.

Exercise including stretching, aerobics, and resistance training are usually a key feature of every pain management program. Exercise combined with medication (when needed) and counseling often work together to help improve sleep patterns and sleep quality.

Let your team manager know of your concerns about sleep problems and your desire to improve your overall sleep pattern. Sometimes making simple changes is all that's needed. Each member of the pain management team may have something to offer.

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