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Sleep After Burn Injury

Sleep problems are common after a burn injury, especially early in recovery.

Trouble falling asleep, staying asleep, or feeling restless can continue long after healing. Understanding what contributes to disrupted sleep and trying different strategies may help restore better rest. 


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Why Sleep Gets Disrupted

Many people experience changes in sleep after a burn injury. It might be hard to fall asleep, stay asleep, or sleep without nightmares.

Sleep issues may come and go, and the causes can shift as recovery progresses. 

Common reasons include:

  • Pain, itching, or physical discomfort 

  • Anxiety, depression, or PTSD 

  • Medications that affect rest 

  • Changes to breathing or hormone levels 

  • Stress or racing thoughts 

  • Scarring that limits comfortable movement 

  • Changes to body's perception of hot or cold

Why Sleep Matters

Sleep plays a major role in recovery. Without enough rest, it can be harder to: 

What Can Help

Start with Healthy Habits 

  • Keep a regular sleep and wake schedule 

  • Avoid caffeine, heavy meals, or alcohol before bed 

  • Limit screen time at night—blue light affects melatonin 

  • Make the bedroom calm, quiet, and cool 

  • Keep naps short and early in the day 

Train the Body and Mind for Sleep 

  • Go to bed only when tired 

  • Get out of bed if you can’t sleep after 15–20 minutes 

  • Use the bed only for rest or relaxing activities 

  • Avoid late-night screen time or stressful tasks 

Try Relaxation Techniques 

  • Deep breathing or meditation 

  • Muscle relaxation 

  • Guided imagery or calming sounds 

  • Yoga, light stretching, or sleep-focused apps 

Consider Behavioral Therapy

Cognitive Behavioral Therapy for Insomnia (CBTi) teaches how to change unhelpful thoughts and behaviors around sleep. It’s been shown to help many people improve sleep long-term without relying on medication. 

Look into Light Therapy

Using natural daylight or light therapy boxes can help reset sleep rhythms—especially if your internal clock feels off. Morning walks, bright light in the morning, or gradual sunrise simulators may help. 

Talk to a Doctor if Needed

Medications may be an option for some. Always check with your health care provider before starting sleep aids, whether prescription or over-the-counter. 

Disclaimer 

This information is not a substitute for medical advice. Talk to your health care provider about sleep concerns and what strategies may work best for you. 

Attribution 

Adapted from the MSKTC factsheet: Sleep Problems After Burn Injury, developed in collaboration with medical professionals and burn survivors.