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The Importance of Good Sleep

Most people know they should sleep more. What most people do not know is how specifically sleep deprivation is affecting them, or why the problem tends to get worse rather than better once it takes hold. This page covers what the research says, what Dr Kara Martelle sees clinically, and what actually helps.

Sleep is when your body repairs itself

During sleep, your brain clears waste products that accumulate during the day, including beta-amyloid proteins associated with Alzheimer’s disease. Your muscles repair micro-tears from activity. Your immune system produces cytokines, the proteins it needs to fight infection and inflammation. Your hormonal system resets. None of this happens adequately without sufficient sleep, and none of it can be made up by sleeping longer at the weekend.

Adults generally need seven to nine hours for these processes to complete. The variation within that range is genuine. Some people function well on seven, others need closer to nine. What is not genuine is the widespread belief that you can train yourself to need less. The research on this is consistent: people who chronically undersleep do not adapt. They get worse at judging how impaired they are, which compounds the problem.

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What poor sleep is actually doing to you

The health consequences of chronic poor sleep extend well beyond feeling tired. Short sleep duration (consistently fewer than six hours) is independently associated with the following:

 

  • Increased risk of type 2 diabetes, partly because poor sleep disrupts insulin sensitivity
  • Higher rates of cardiovascular disease and raised blood pressure
  • Greater susceptibility to viral infection: sleep-deprived people are significantly more likely to develop a cold after exposure
  • Accelerated cognitive decline and higher risk of Alzheimer’s disease in later life
  • Weight gain, because the hormones that regulate hunger (ghrelin and leptin) are directly affected by sleep duration
  • Worse mental health outcomes, including higher rates of depression and anxiety

 

The relationship runs both ways. Poor sleep worsens most chronic health conditions, and most chronic health conditions worsen sleep. Breaking the cycle requires addressing both ends of it.

A note on too much sleep: Consistently sleeping more than nine hours is also associated with poorer health outcomes, including higher rates of cardiovascular disease. This is not because long sleep causes these conditions. It is more likely a sign that underlying health problems are driving both. If you find yourself regularly sleeping ten or more hours and still feeling unrefreshed, it is worth discussing with your GP.

"Getting the right amount of sleep can improve your cognitive and memory performance by up to 40%. It is a restorative process that is essential for the health of both body and mind, and yet most of us are walking around with a deficit we have learned to ignore."

Dr Kara Martelle, Principal Chiropractor — McLaren Vale Chiropractic Centre

The connection between your nervous system and your sleep

Your nervous system governs both your waking state and your transition into sleep. The autonomic nervous system has two modes: sympathetic (alert, responsive, the fight-or-flight state) and parasympathetic (calm, restorative, the rest-and-digest state). Sleep requires the parasympathetic system to predominate. For many people, particularly those carrying chronic pain, stress, or poor posture, the nervous system is stuck in a low-level sympathetic state that makes genuine rest difficult to reach.

 

Chiropractic care works with the nervous system through its relationship to the spine. Spinal misalignments (called subluxations) create interference in the nerve pathways running through the vertebral column. This interference can contribute to a nervous system that is running hotter than it should be, less able to downshift into the parasympathetic state that quality sleep requires. Addressing those subluxations removes the physical source of that interference.

 

This is why patients who come in for back pain or neck pain often report better sleep as an unexpected benefit of their care. The pain relief helps, but the nervous system regulation is the deeper mechanism. Patients managing stress overload syndrome in particular tend to notice the change in sleep quality early in their care, sometimes within the first few weeks.

Your sleep environment and your pillow

The physical environment you sleep in directly affects both sleep quality and spinal health. The two most important variables are your mattress and your pillow, and of the two, the pillow is the one most people get wrong.

 

The job of a pillow is to keep your head and neck in a neutral position relative to your spine. What neutral looks like depends entirely on how you sleep. Back sleepers need less support under the head, specifically a low-profile pillow that keeps the cervical spine in its natural curve. Side sleepers need considerably more height to fill the gap between the shoulder and the ear, otherwise the neck sags laterally for hours at a time and wakes up stiff.

Custom pillow fitting at the clinic: Our clinic offers natural latex pillow fitting as part of our product range. The pillow is custom-fitted to your measurements at the appointment, and the fitting service is included in the purchase price. This is worth doing If you wake up regularly with neck stiffness or headaches, the pillow is often the entire problem. Ask at reception when you next call.

If you sleep on your stomach, your neck is rotated for the entire duration, a position that puts sustained rotational stress on the cervical vertebrae and is genuinely poor for spinal health. Transitioning away from stomach sleeping takes time and habit adjustment, but it is one of the most impactful changes you can make for both sleep quality and neck health.

Pre-sleep habits that actually matter

Sleep hygiene advice tends to range from obvious to unhelpful. The habits listed below are the ones with the clearest research backing and the most consistent clinical effect.

 

Caffeine timing. Caffeine has a half-life of approximately five to six hours, which means that a coffee at 3pm still has half its caffeine active at 8pm or 9pm. Most people underestimate this. The standard advice to avoid caffeine after 2pm is not arbitrary; it reflects the pharmacology. If you are having sleep trouble, moving your last caffeinated drink to before midday is one of the most effective interventions available without any prescription.

 

Screen light in the evening. The blue-spectrum light emitted by phones, tablets, and computer screens suppresses melatonin production. Melatonin is the hormone that signals to the body that it is time to sleep. Suppressing it for two hours before bed delays your natural sleep onset. Turning off screens an hour before bed is the simple intervention. Using night mode or blue-light filtering is better than nothing but is not equivalent to removing the screen.

 

Temperature. Your core body temperature needs to drop by one to two degrees Celsius to initiate sleep. A bedroom that is too warm actively inhibits this. The research-supported target for bedroom temperature is 18–20°C. If your bedroom runs warm in summer, this single environmental factor may be explaining more of your sleep difficulty than anything else.

 

Consistency. Your circadian rhythm is a biological clock. Like any clock, it works best when it runs at consistent times. Going to bed and waking up at the same time every day (including weekends) is the single most impactful habit for sleep quality. The weekend sleep-in feels restorative but actually shifts your clock later, making Monday night harder.

Infrared sauna and sleep quality

One mechanism worth understanding is the core temperature drop that follows sauna use. After spending 30–45 minutes in the heat, your body actively works to cool down. This post-sauna temperature drop closely mirrors the biological process your body uses to initiate sleep, and there is good evidence that timed sauna use in the late afternoon or early evening can meaningfully improve both sleep onset and sleep depth.

The infrared sauna at McLaren Vale Chiropractic Centre is available at $20 per session and can be booked alongside a chiropractic appointment or on its own. If you are managing poor sleep alongside muscular tension or stress, the combination addresses both the physiological and the nervous-system dimensions simultaneously. See the infrared sauna page for full details.

Summar

Key points from this article

1

Sleep is not passive recovery: it is when your brain clears waste products, your immune system activates, and your body repairs itself. Seven to nine hours is not optional for most adults.

2

Chronic poor sleep is independently associated with type 2 diabetes, cardiovascular disease, Alzheimer’s, and impaired immune function. Feeling okay is not the same as not being affected.

3

Spinal subluxations can keep the nervous system in a low-level alert state that makes it harder to reach deep sleep. Many chiropractic patients report improved sleep as an early benefit of care.

4

Your pillow is a common, underappreciated factor in both sleep quality and neck pain. We offer custom latex pillow fitting at the clinic. Ask at reception when you next call.

5

The highest-impact habits are: cut caffeine before midday if you have sleep trouble, remove screens an hour before bed, keep your bedroom cool, and go to bed and wake at the same time every day.

6

Infrared sauna in the early evening triggers the same core temperature drop the body uses to initiate sleep. Available at the clinic for $20 per session.

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Sleep affecting your health or your pain?

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