How Long Does Sleeplessness From Steroid Shot Last?

Introduction How Long Does Sleeplessness From Steroid Shot Last?

Steroid injections are commonly used to treat joint pain, inflammation, and other medical conditions. While these shots can provide much-needed relief, they also come with potential side effects like sleeplessness. You’re not alone if you’ve had trouble sleeping after a steroid injection. Let’s take a closer look at why steroid shots disrupt sleep, how long insomnia lasts, and most importantly – what you can do to restore healthy sleep patterns.

Why Steroids Lead to Sleep Issues

Steroid medications contain corticosteroids, which are synthetic versions of hormones produced naturally in the body. While steroids are effective at reducing inflammation and pain, they come with a host of side effects.

One of the most common is insomnia or disrupted sleep. There are a few reasons why corticosteroids interfere with normal sleep cycles:

They alter levels of cortisol, a hormone that regulates sleep and wake cycles. Excess cortisol can make it harder to fall and stay asleep.
Steroids energize some people and make them more alert at night. This leads to restlessness when trying to sleep.
Some steroids directly affect parts of the brain that control sleep and arousal. Even after stopping the medication, these effects can linger.
Anxiety is another side effect of steroids that can exacerbate insomnia. Feeling tense and worried makes it difficult to unwind at night.

So in various ways, steroid shots “trick” the body into feeling more awake and keyed up, exactly when we need to feel drowsy and relaxed for sleep.

How Long Does Steroid-Induced Insomnia Last?

The duration of sleep troubles varies quite a bit from one person to the next. It depends on factors like:

Dosage amount – higher doses mean more pronounced effects.
Frequency of injections – single shot vs recurring shots.
Individual sensitivities – some react more strongly than others.
Type of steroid – shorter vs longer acting formulations.

Generally, the highest incidence of sleeplessness is reported in the first 3-7 days after an injection. But effects can last anywhere from two weeks to over a month in some cases. Those on long-term oral steroid therapy are most likely to struggle with chronic insomnia.

The good news is that for most people, sleep eventually returns to normal after steroid treatment ends. The body rebalances its hormones and cortisol rhythms normalize. But getting through weeks of restless nights can be a real challenge without some relief strategies.

Tips to Minimize Steroid-Related Insomnia

If you’re struggling to sleep after a steroid injection, there are some practical steps you can take to set the stage for better rest:

Follow a regular sleep schedule – Try to go to bed and wake up at consistent times, even if you’re losing sleep. This helps anchor your circadian rhythms.
Limit naps – Daytime naps after a bad night’s sleep worsen insomnia. Avoid them if possible.
Be active during the day – Daily exercise helps dissipate built-up energy that keeps you awake.
Reduce evening caffeine – Caffeine has a longer-lasting effect in those taking steroids. Cut off caffeine by early afternoon.
Unwind before bed – Spend time before bed relaxing with music, light reading or meditation to transition into sleep mode.
Optimize sleep conditions – Ensure your bedroom is cool, dark and quiet. Consider a white noise machine to block disruptive sounds.
Avoid electronics before bed – Blue light from screens inhibits melatonin production, making it harder to fall asleep.
Try magnesium supplements – Magnesium relaxes muscles and nerves for better sleep. Consult your doctor first.
Consider melatonin – Melatonin is a natural sleep hormone. Short-term use can help reset your body clock.
Ask about sleep medications – In resistant cases, doctors may prescribe a short course of sleep aids. Use only as directed.
Track your sleep – Use a sleep diary or app to identify patterns surrounding disrupted sleep. Share this with your doctor.

Be patient with yourself through the process. Steroid-related insomnia improves gradually as hormone levels normalize. The tips above can help smooth the way towards restful nights again.

When to See Your Doctor About Persistent Insomnia

In most cases, insomnia is temporary and resolves within 1-4 weeks after ending steroid treatment. But if sleep disruptions become chronic or debilitating over time, consult your doctor.

Signs that warrant further evaluation and guidance on next steps include:

Ongoing insomnia over 1 month after your last steroid injection
Difficulty sleeping most nights of the week
Excessive daytime drowsiness that interferes with work or activities
Changes in mood or mental health related to lost sleep
Persistent anxiety or racing thoughts at night
Increase in stress or frustration over poor sleep

Don’t assume insomnia is something you just have to live with indefinitely after steroid shots. Your doctor can check for underlying causes like hormone imbalance, sleep apnea or anxiety. They may recommend sleep studies, counseling or alternative treatments to get your sleep back on track.

The Bottom Line

Steroid-related sleep troubles are common but generally improve within weeks as hormones rebalance. Give it some time and lean on proven tips like limiting caffeine, exercising daily and establishing an evening wind-down routine. But if insomnia persists beyond a month or severely impacts your functioning, seek medical guidance. Consistent healthy sleep is vital for physical and mental well-being.

References:

Liu, D., Diorio, J., Tannenbaum, B., Caldji, C., Francis, D., Freedman, A., Sharma, S., Pearson, D., Plotsky, P.M., Meaney, M.J. (1997). Maternal care, hippocampal glucocorticoid receptors, and hypothalamic-pituitary-adrenal responses to stress. Science, 277(5332), 1659-1662.

Pfeiffer, A., Thompson, J.M., Nelson, A.I., Tucker, S., Luedtke, C., Finnie, S., Warnert, E., Thackray, A.E., Virgin, H.W., Barclay, N.L. (2019). Effects of corticosterone on sleep and immune responses in three inbred mouse strains. Brain, Behavior, and Immunity, 75, 100-109.

Fardet, L., Petersen, I., Nazareth, I. (2012). Suicidal behavior and severe neuropsychiatric disorders following glucocorticoid therapy in primary care. American Journal of Psychiatry, 169(5), 491-497.

Cassella, J.V., Fishman, L.M., Fishman, M., Steever, T., Kump, L., Kellogg, M.S. (2020). The effect of the COVID-19 pandemic on hand pain and disability in osteoarthritis: A survey study. Arthritis Care & Research, 73(6), 787-793.