Unusual exercise-induced insomnia

TL;DR: I have exercise-induced insomnia for which no one has been able to explain or provide a solution.

I used to exercise regularly. I would wake up every weekday at 6am, bike to the gym, and exercise for about an hour before work. I would usually jog or do some other cardio for 20-30 minutes, then do weight training for the rest of the hour. I had help from a personal trainer, so I knew what I was doing.

I felt great, and I was in the best shape of my life. I kept this up for about 3 years, before something strange happened: I would wake up around 2 or 3am, unable to fall back asleep. I was 33 at the time, and I know sleep patterns can begin to change around this age.

At first, I noticed that I slept much deeper on days I didn't exercise (e.g. weekends). Then I began waking up in the middle of the night, but would usually go right back to sleep. It got worse. Eventually, I would wake about 4 hours after falling asleep with a feeling like an intense adrenaline rush or panic. It would last about an hour, and I would have poor, restless sleep the rest of the night.

I did not have trouble falling asleep. I was in bed at 9:30pm every night, then would read a bit with lights out by 10pm. I would fall asleep within 10 minutes.

When this started happening, I adjusted my routine. I worked out during lunch, or in the evening. No change.

I tried doing more or less cardio vs weight training. No change.

Today, if I exercise at any point during the day, I will only get four hours of good quality sleep.

I've been to several doctors, sleep specialists, and neurologists. I've had multiple take home sleep studies, as well as one on-site at a medical institution. The only thing they've been able to confirm is that I do indeed wake after 4 hours if I have exercised, but no one can tell me why. Many doctors don't even believe my story -- they think it must be psychological stress that I insist on tying to a physical cause.

I have found that walking, low-intensity biking, and hiking are all acceptable forms of exercise that do not trigger my insomnia. I can hike 10 miles and be fine. But if the hike is over very steep terrain, or if I were to jog for 10 minutes, then I have insomnia. So the intensity is definitely a factor.

The sleep studies did reveal that I have very mild sleep apnea. My doctors have told me that normally it would not warrant treatment, but it could be related. However, the usual recommendation for such a mild form is simlply "get more exercise".

My current pet theory is this: following a day of excerise, one's muscles will repair themselves during sleep, usually around 3 or 4 hours into the night. This process requires oxygen from the blood, so if my sleep apnea lowers my blood oxygen levels, then the repair process might cause it to dip below some threshold; my body panics, sending adrenaline through my body to wake me up to address whatever is happening. However, my sleep studies showed my blood oxygenation stayed over 90% the entire night.

I'm currently trying out a CPAP treatment. I'm still adjusting to it, but so far it hasn't made any difference. There's no real reason to think that it will, but I'm willing to try anything at this point.

When I tell this story, most doctors look at me like I have three heads, so I thought I would seek the collective wisdom of the Internet.

Cheers!

Wow, that's an interesting story.  I have heard of intense exercise making insomnia worse, the explanation being that strenuous physical activity increases cortisol (the stress hormone) in your body and it can stay at an elevated level well after the workout. Even if you aren't stressed due to life factors, your brain may be having a similar response to how it would if you were actually stressed, i.e. waking you up in the middle of the night. 

I've heard that too, though I would expect that to make it difficult to fall asleep, not stay asleep. How would one treat? Are there cortisol inhibitors, for example?

Insomnia is a funny thing, some people have a problem going to sleep and others have a problem staying asleep.  I've been dealing with insomnia for a few years, though I mostly have it under control now. It was stress induced, leading to chronically high levels of cortisol and norepinephrine myself, but I never had any problem going to sleep. I have always been able to go to sleep at 9PM dead tired, but when it was at it's worst I'd wake up after 2-3 hours and never be able to go back to sleep. 

My thoughts on treating it are not to overdo it with the workouts. I don't know of anything that inhibits cortisol production or that you'd want to suppress it anyway because it does have its place in getting us to take action when we are legitimately stressed. Your body may just not be great at recovering after a workout from a hormonal standpoint.  I know one thing for sure from my experience with insomnia: there is literally nothing I would do (working out strenuously, career, anything) to interfere with getting consistent sleep. 

You might try going back to the super early workouts, then make sure you wind down really well late in the day. Meditation or even extended periods of deep breathing are good ways to reduce those stress hormones. People swear by yoga as a way to get relaxed. Also, try to think of anything that might have you psychologically stressed every day.  I know you said that it is solely caused by the exercise, but if something else has you chronically worrying, those workouts may be just enough added stress to throw you into a pattern of insomnia. 

This is definitely very strange. Don't understand how a positive thing like exercise could suddenly cause issues. But I definitely get the doctor part about them not understanding. I've been struggling with getting into a deep sleep for about 3 months now and it's destroying my life. I can't function. Did you have your heart checked. Just a suggestion. Not that there are issues but worth a look.

I really feel for you -- I fought it for a long time and kept working out. I was chronically fatigued and couldn't function.

Why do you suggest getting my heart checked? A friend had also mentioned it, but I'm not sure what to ask for.

> I have always been able to go to sleep at 9PM dead tired, but when it was at it's worst I'd wake up after 2-3 hours and never be able to go back to sleep. 

That sounds very familiar. Don't know what it is about that magic 3 hour mark.

I haven't done much yoga; maybe I should experiment with that, or even as a replacement for my regular exercise routine. Meditation and breathing exercises are good suggestions too. Thanks!

I would ask for echocardiogram which is basically sonagram of heart to make sure all valves and everything is ok. I want to have one too just to rule out.

Dear Mekin, I was surfing down the internet and found your story. I couldn’t sleep, and was looking for an answer to my sleeping/insomnia problem. Your story is exactly mine. My docter here in Holland said I had to go and see the neurologist. I had an mri, but they couldn’t find anything. I told them that when i work-out, but also work in the garden, and even after having intercourse I noticed my insomnia got worse and worse. The sleeping specialist in the hospital and neurologist thought that that couldn’t be the problem... I would like to know if you have any solutions yet? I read you maybe would have a anchiogram. Can you please tell me how you are doing now?

No solution yet. My sleep doctor is a neurologist, but she's never heard of anything like this. I've been using the prescribed CPAP machine for a couple months now, but if anything I've only slept worse.

I have not had an angiogram; I asked my doctor about having my heart looked at, but she didn't seem to think it was necessary. Have you tried this?

Hi Mekin,

Sorry to hear you are suffering with this. I understand. I have exactly the same condition; I've tested it in every conceivable combination and the results are always the same: If I exercise more than moderately, I can predict that I will barely sleep and my body will be warmer than usual through the night. It makes no difference if I eat or don't eat, take magnesium or not, take cold showers or not. The fact is that my body doesn't appreciate more than moderate exercise. I'm interested in your story because you mention having previously been a heavy exerciser. I was too, for years. I ran, cycled, swam or some combination of them, nearly everyday. I found it hard to be relaxed unless I had over extended myself. I'm 54 now. This issue with exercise-induced insomnia began around the year I turned 46. I've been dealing with it for years. Doctors never listen to me and always told me it was psychological. I've maintained otherwise. All I know is if I exercise - which I love to do more than anything else on the planet - I will be deprived of a night of sleep and always followed by a day when I am a total mess. I've begun simple tai chi (taijiquan) and I hope that I will be able to do this and sleep. I've tried to investigate if my condition is a symptom of something else. For example, if I exercise for too long not only will I not sleep but I will tremor. I've had this since my forties also and almost never lift weights or use weight machines and I can predict this symptom too. I've had tests for neurological damage and they showed nothing. I'd be interested if anyone here understands what I am talking about, apart from Mekin, who obviously knows well how exercise can adversely affect you. Still, I will exercise. Yesterday, I went to my local 50-meter pool and spent a hour gently paddling up and down, knowing I would be an unwelcome visitor in my bed that night. Hence, my presence here today, a jangled, messed up day following a night of no sleep. C'est ca!

also, I thought this was interesting about dehydration and body temperature, even though it pertains to endurance athletes; my issue being connected with a much warmer body:

"There isn’t too much you can do to change your hormonal response to exercise (although, being more fit and less stressed out will help), but you can absolutely influence your hydration status and its impact on your core temperature. Your body temperature dips slightly during restful sleep and starts to increase again as you awaken. People also sleep better in cooler environments compared to hot ones. When your body temperature remains elevated you are very likely to have trouble sleeping. Exercise elevates body temperature, and cooling the body becomes increasingly difficult when you are inadequately hydrated. Some level of dehydration is highly likely following long endurance events lasting more than 4-5 hours. It is essentially inevitable after ultraendurance events like Western States, the Dirty Kanza 200, or an Ironman. Dehydration also leads to an elevated heart rate, even hours after your workout or race. When these factors combine, athletes report feeling like they are radiating heat while lying in bed listening to their heart rate in their ears."

https://trainright.com/cant-sleep-hard-workout-race/

Sorry to hear your story, but I find it comforting there are others out there with the same issue. Maybe we can compare notes. What diagnostic tests have you had? You mentioned neurology -- what were they looking for?

I've had sleep tests, which didn't find much but resulted in a CPAP treatment. I'm currently having my heart looked (EKG, chest X-ray, Holter monitor) at to rule out cardiac problems.

Glad I found this and glad to see you are still here. 

I've been going through EXACTLY the same thing for years. Last night I was up at 2:30am after a day back at the gym since more than a year off. I really did not exert myself at all, but yet that old friend keeps coming back even if I do something moderately physical. 

Ive been to see about a dozen different doctors or more. So many different medications, supplements, meditation, etc etc. I was even on rohypnol for a short time as well- even that did not work! 

I also have been on CPAP for a condition known as (mild) UARS. Started in 2012 and adhered to the treatment 100% of the time since then. There has been NO change. 

Have any of you gotten bloodwork? 

I am starting to suspect his condition could be hormonal. When I was 22 I had a few tests, and my doctor declared me as "healthy, normal." I did not take the report, but I asked the Dr. what the level was and trusted him. At the time my total testosterone was something like 330ng/dl, which, for a young, otherwise "healthy" man is completely atrocious as I understand it now. Two years ago I took the plunge and went on testosterone replacement therapy, even though my testosterone was still technically "normal" although still in the low 300's despite being active and taking care of myself.

On TRT the problems seemed to start to go away, however I was forced to stop the treatments as I now live in a country which is exceptionally strict with it's TRT guidelines. 

Another recurring theme on my tests are a low iron count (again, within normal range, however just barely). It hangs there, just one or two points at the bottom of the normal range- no matter how much iron rich food or even iron supplements I take. 

Anyway, this is an absurd condition that seems to be limited to a VERY few people and doesnt seem to be understood by doctors just yet. 

I suggest you get bloodwork done and make sure to take the results for yourself to see them! 

 

Yes, indeed. Very cool to have people to talk with about this for me too. I had simple doctor examinations for Parkinson's and for MS and because I experienced tremor, I had tests for essential tremor. I also had a brain scan but it was not a CAT scan though. Every test I had came up very clean. In fact, I seem to be healthy for my age. I did something yesterday that I have never tried before and you might be interested in the results. I thought: why not try and exercise very early in the morning to give my body enough time to recover, rehydrate or whatever the issue is. In this spirit I have been getting up at 5am and doing very simple Taichi since last Sunday. So, over a week. No problems with sleep. Yesterday, I got up at the same time and did my Taichi then went to the swimming pool. Now normally any swimming screws with my sleep cycle but I was out of the pool by 8am and low-and-behold no problems sleeping last night! This is a breakthrough for me. Next weekend I am going to push it and climb a mountain for 2 hours total at 6am and see what happens. I'll be done by 8am. Usually that kind of exercise knocks my sleep completely. I may not have found the cause but I really hope this is a solution, even if it means getting up at 4am to exercise, I'll do it. Its prompted me to learn more Taichi which I'm very happy about too.

Hey Joe,

I'm certain you are on the right track with hormones. I'm 54 and since I turned 46, thereabouts, my sleep disturbance has never disappeared. I had my testosterone checked by never thoroughly, not my cortisol or seratonin/dopamine levels. It all began after a panic attack  and my inability to sleep (suddenly) for seven days. I was put on medication to calm me down and sleeping tablets but that just made everything much worse. My way to counteract all of it was to exercise like a lunatic because it made me feel better even though I could only sleep in patches with ambien, maybe, and something else. Today, I still take an antidepressant for sleep but my exercising will keep me awake no matter what I take, although these days I never go near traditional sleep treatments. I take herbal remedies like Sleep Optimiser and Tranquil Sleep as well - I know, my body is wide awake and without all these additional inducements god knows. Anyway, I'm okay and at least have enough energy to exercise as much as I want if I can guarantee not disturbing my sleep. I never  took TRT because I have seen men take it and become dependent on high levels of it and watched their mood rocket and drop; it looked dangerous. Maybe at a later stage of its decline when I am older I may consider it on doctors advice.

I have exactly the same problem. I've been having sleep difficulties when I've been exercising for as long as i can remember. I'm 30 now.

Have been using almost every sleeping pill, anti-depressant and even anti-psychotic to try to solve this. Also tried every natural remedies, but none (really) works...

I've also visited every sleep clinic here in Holland and visited several neurologists, psychologists and tried different types cognitive behavior training (also for insomnia).

No one (of medical profession) seems to know of heard of this problem. They all think "It's between the ears", ergo psychosomatic.

Since 7 years i finally tapered of sleep meds (trying to find the right one, but there's none!) because i have to many adverse effects. I'm to sensitive to meds. Even though the on the lowest dose and cut my pills in 1/2 or 1/4.

The problem i have is that (moderate to heavy) exercise induces insomnia. Whenever i do a heavy or intense workout i get extreme difficulties with sleeping. Even though I'm sleepy as hell, my sleep onset is delayed for several hours. I get frequent awakenings and sleep really 'light'. So i get hardly 4 hours of light sleep after an intense workout. Even though i worked out in the late afternoon... It's definitely exercise related because it only happens on training days. 

What i do notice is that my body temperature (on training days) is way higher and nighttime sweats are common. I also have 'physical agitated feeling' which keeps my body awake... Maybe cortisol rush?

You might think, if you read this, that i must be overweight or not in generally good health. But doctors say I'm extremely fit. I've done several medical check-ups and they even ask if I'm using ergogenic aids and had 'something' offered in the gym, because they don't see many that fit.

After testing my cardiologist told my i almost had the same endurance as a professional racing cyclist! This makes it extra irritating since i love working out, but i can't...

I do have some recommendations which do help me ease the symptoms:

Magnesium bisglycinate, which is one of the best forms of magnesium because it's chelated with glycine.

Both magnesium and glycine have sleep inducing properties because they are mildly sedative and relax muscles.

Another great thing about glycine is that it's able to improve sleep quality and reduce sleep latency and appears to give you the benefit of subjective good night's sleep.

This happens because of the decline in the core body temperature which might be the underlying mechanism 

I drink about 0.5L coffee, and 2-2.5L green tea per day. Ergo, i drink a lot. Still i have these symptoms...

I do however notice a slight headache after exercising really hard.

Ik heb precies hetzelfde probleem...

English: I got exactly the same problem...

How did your sleep go when you went mountain climbing?