I have trouble falling asleep. I wake up too early and cannot get back to sleep. My sleep is interrupted many times during the night. I have a hard time turning over and moving in bed. I get stiff at night. I get muscle cramps at night. Tremors interrupt my sleep. Other spasms or unintentional movements (not tremors) interrupt my sleep. I have vivid dreams. I have nightmares. I sleepwalk. I sleepwalk. I wake up three or more times each night I consistenly get less than five hours of sleep per night
Take this checklist to your doctor and ask him or her how you might improve your sleep.
How Do I Improve My Sleep?
"Sleep hygiene" is simply a set of rules that will make your sleep better. Many of these guidelines are obvious. Hints for improving sleep with Parkinson's include the following elements of sleep hygiene:
- Spend as much time in bright daylight as you can. Avoid daytime naps. Stay as active as possible during the day.
- Avoid stimulants such as caffeine and tobacco close to bedtime. (Remember there are a few Parkinson's medications that have a stimulant effect.)
- Avoid alcohol before bedtime.
- Avoid drinking a lot of fluid before you go to bed. This will reduce trips to the bathroom.
- Avoid heavy late-night meals.
- Do things that help you relax before you go to bed.
- Maintain a regular sleep routine.
- Create a routine for going to sleep at night and stick with it.
- Don't stay in bed after you wake up. Use the bed for sleeping. If you like to watch TV in bed, consider watching from a different location. That way your mind knows the bed is for sleeping.
- Use your bedroom for sleeping. Use other rooms in your house for reading, watching TV, working, exercising, etc.

