January is often a time when the body catches up
After busy holidays and disrupted routines, aches, stiffness, fatigue, and unsettled sleep can feel more noticeable. Not because something new is necessarily wrong, but because the body is asking for support.
Over the holidays, this became especially personal for us. Andrew underwent a C6–7 total disc replacement after months of ongoing pain and disrupted sleep. Sleep had become fragmented well before surgery and recovery highlighted just how closely sleep, pain and healing are connected.
That experience prompted us to revisit the research we’d written previously on sleep and chronic pain. This time to look more closely at how sleep quality influences pain sensitivity, inflammation and recovery, particularly at this time of year, when routines are resetting.
Sleep is often the first habit to unravel over the holidays. It’s also one of the most important foundations to restore.
This article explores why sleep matters so much for recovery and musculoskeletal health, and why supporting better sleep can be a calm, practical reset for 2026.
Why sleep and pain are connected
Disrupted sleep doesn’t just make you tired the next day, it can also make your body more sensitive to pain. Studies consistently show that poor or disrupted sleep is associated with increased pain sensitivity and lower pain thresholds. Discomfort can feel stronger and be harder to manage, even in otherwise healthy people.
Research published in Sleep Medicine and Sleep Medicine Reviews found that people who experience sleep disruption tend to have heightened pain responses and reduced pain tolerance. This relationship appears strongest in the direction of sleep affecting pain rather than the other way around, which is why clinicians often explore sleep habits when pain lingers or flares.
Sleep, inflammation and the body’s response
Even modest disruptions to sleep can be linked with low-grade systemic inflammation. This doesn’t mean illness, but it helps explain why ongoing poor or inconsistent sleep can leave you feeling more fatigued and more sensitive to pain.
Recent research, including a systematic review in Biological Psychiatry and analyses published in Psychoneuroendocrinology, suggests that repeated nights of shorter or irregular sleep are more strongly associated with small increases in inflammatory markers such as CRP and IL-6 than an occasional bad night’s sleep.
So while one restless night won’t change everything, sleep consistency matters, and that’s something most of us can influence in January.
Sleep as a foundation for recovery
Sleep supports the environment the body uses to repair itself.
During deeper stages of sleep, the body coordinates hormonal release, immune activity, and cellular processes that support normal tissue recovery. Clinical evidence (see recent findings in the Journal of Clinical Sleep Medicine), shows that people who sleep better after surgery tend to heal more efficiently than those with poorer sleep quality.
Additional research in the Journal of Applied Physiology shows that repeated sleep restriction can slow recovery processes such as skin barrier repair. This highlights again how sleep supports the body’s natural healing mechanisms.
Sleep quality and musculoskeletal pain outcomes
Sleep and musculoskeletal pain often go hand in hand.
A large meta-analysis published in Pain found that adults with baseline sleep problems were more likely to go on to experience persistent musculoskeletal pain over time. This doesn’t mean sleep causes pain, but that disrupted sleep often precedes longer-term discomfort.
In clinical settings, people whose sleep quality improves during treatment are more likely to report better pain relief and quality of life over time. This suggests that improving sleep supports recovery outcomes rather than simply being a by-product of feeling better.
A calm reset for 2026
January doesn’t need dramatic resolutions or complete overhauls. For many people, the most effective reset begins with a return to consistency.
This might look like:
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a consistent sleep routine (bedtime + wake time)
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bedding and pillows that support restful alignment
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simple evening wind-down habits
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returning to regular movement, which also supports sleep
Sleep is the foundation to energy, recovery, and resilience. Strengthening your sleep foundation early in the year can create momentum for everything that follows.
References
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The Association of Sleep and Pain: An Update and a Path Forward – Journal of Pain
https://pmc.ncbi.nlm.nih.gov/articles/PMC4046588/ -
The Effect of Sleep Deprivation on Pain Perception in Healthy Subjects: a Meta-Analysis – Sleep Medicine
https://www.sciencedirect.com/science/article/abs/pii/S1389945715008965 -
The Differential Effects of Sleep Deprivation on Pain: a Systematic Review and Meta-Analysis – Sleep Medicine Reviews
https://pubmed.ncbi.nlm.nih.gov/36334461/ -
Sleep Disturbance, Sleep Duration, and Inflammation: a Systematic Review and Meta-Analysis – Biological Psychiatry
https://www.sciencedirect.com/science/article/pii/S0006322316000020 -
Effects of Experimental Sleep Deprivation on Peripheral Inflammation – Psychoneuroendocrinology
https://pubmed.ncbi.nlm.nih.gov/39300754/ -
Effect of Sleep Quality on Wound Healing Among Patients Undergoing Emergency Laparotomy – Journal of Clinical Sleep Medicine
https://jcsm.aasm.org/doi/10.5664/jcsm.11052 -
Impact of Sleep Restriction on Local Immune Response and Skin Barrier Recovery – Journal of Applied Physiology
https://journals.physiology.org/doi/full/10.1152/japplphysiol.00024.2018 -
The Bidirectional Relationship Between Sleep Problems and Chronic Musculoskeletal Pain – Pain
https://journals.lww.com/pain/fulltext/2024/01000/the_bidirectional_relationship_between_sleep.6.aspx -
Changes in Sleep Quality and Treatment Outcomes in Individuals with Musculoskeletal Pain – Journal of Pain Research
https://www.dovepress.com/changes-in-sleep-quality-and-treatment-outcomes-in-individuals-with-mu-peer-reviewed-fulltext-article-JPR

