Agree
Thanks
Physiotherapist
No one should need to take sleeping tablets apart from for a day or two in a crisis. They are addictive and you can develop a tolerance (where you need to take more and more).
It would be best for your boyfriend to make an long consultation with his general practitioner to discuss ALL his pains and problems so that someone can assist him to work out if he needs investigations or to see a specialist about his pain or reasons for insomnia.
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Chiropractor
As Helen indicates, pain is a natural warning system and continuing pain must be investigated. I might suggest that if back and head pain is the primary symptom and this is preventing sleep, the issue may be related to poor bedding and pillow support, spinal and neck strain and a thorough postural and biomechanical examination with a chiropractor, osteopath, physiotherapist or myotherapist may be able to highlight if this is the case.
The history, which we do not know, is all important in helping determine whether real insomnia or just difficulty sleeping due to musculoskeletal pain, exists and if medical care is indicated. While pain at night without any other history is always taken seriously and cannot be ignored, it may still be a simple and straight forward issue related to lack of support of the spine, occupational strain, nerve pressure and muscles adapting to the injury.
Diagnosis starts with a comprehensive history and examination and I would find a practitioner, GP or other, who will listen with interest and start the examination process.
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Rheumatologist
From what you have written, it's hard to know.
But, if he can fall asleep reasonably easily then wakes up in the early hours of the morning with spinal pain (ie lower back, neck or mid back), that's a worrying symptom.
If he has buttock pain and/or wakes with lot of stiffness, tending to improve in the course of the morning, he really will need to be assessed for inflammatory spinal disorders, such as Ankylosing Spondylitis.
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