Have you ever been so tired that the moment you hit the bed, you feel like you are sinking in your mattress? Or did you ever feel your leg twitch in middle of your sleep? Did you feel like you moved your leg to prevent yourself from falling down? If yes, then you are in for a great read!

Why does this happen?

You are not alone, this happens to around 70% of the total population in some way or another. Although these are signs of sleep disorders, it can also happen to people who are otherwise healthy. Sleep disorder specialists believe that there are certain common triggers that leads to such a sensation.

Our brain is exceptional and sometimes when we dream, it makes us believe that we our part of the dream. And if you are falling from somewhere in your dream, chances are, you would feel like you are falling in real life. This experience is known as hypnic jerk, the movement of your muscle that helps you be safe from that fall, or the imaginary one.

What causes it? When we sleep, our bodies become paralyzed, but that does not mean that our muscle control is not totally off. Rather, a slow, dimmer switch. When the dim switch randomly is turned on, we get jerky movements in our sleep.

This involuntary muscle movement is also called myoclonus or hypnic myoclonus, that transitions as you shift from one sleep phase into another.

ALSO SEE: What is sleep paralysis?

What Could Cause It?

There are many theories on what might be causing it. One of them is that when you are at this stage of sleep, you are still not in deep sleep and your brain misinterprets it as wakefulness, however, at the same time your brain does not recognize your muscles to be moving. This is what leads your brain to send a message to your muscles to check-in. It is a way your brain tries to protect you.

Another theory is of course that of stress. When you are stressed, your mind might be racing, while your body is in stationary. This can also affect your sleep cycle and your sleep can be disrupted.

If you are on stimulant drugs or alcohol, it too can prevent you from achieving a good night sleep. If you have consumed too much caffeine then too your muscles can twitch to make you stay awake.

Furthermore, lack of sleep could also be the reason why your mind is used to staying awake even if your body really needs the rest.

Periodic Limb Movement Disorder

While the falling sensation in sleep is quite common, and happens to healthy people, a severe form is the Periodic Limb Movement Disorder (PLMD). PLMD is a repetitive cramping or jerking of legs during sleep. It is a movement disorder that happens only during sleep. It is called "periodic" because the movements are repetitive and rhythmic, which means it occurs in every 20 to 40 seconds. It is also often linked with restless legs syndrome, however, the two are not the same thing.

Restless leg syndrome on the other hand is a condition that involves strange sensations in the legs and arms while awake and an irresistible urge to move the limbs to relive the sensations.

What causes PLMD may be more severe things, including diabetes, iron deficiency, spinal cord tumor, spinal cord injury, sleep apnea, uremia, anemia, narcolepsy, or certain medications.

A fall at home might look small, but for women older than 65, a broken hip can be a big and serious health problem. In real medical terms, this condition has a 20 to 30 percent chance of being deadly within the first year.

As people get older, their bones get weaker because of osteoporosis, which makes them more likely to break even from small falls. However, the bigger problem starts once the injury happens.

According to World Health organization (WHO), around 60 per cent of people living with osteoarthritis are women, yet awareness remains limited until symptoms begin to interfere with mobility and daily function.

Loss Of Muscles

Reports show that 70 per cent of women will get arthritis and osteoporosis. Most of them had no idea it was coming. HealthandMe spoke to experts to understand the reasons behind the trend.

Dr Gurdeep Avinash Ratra, Consultant - Orthopedics and Joint Replacement, Manipal Hospitals, Gurugram said that the development of these disorders is gradual and closely tied to physiological changes.

“After the age of 30, there is a steady decline in muscle mass, accompanied by a more rapid reduction in strength and power. With menopause, the significant fall in estrogen levels removes natural protection for bone density and joint health. Over time, this leads to increased bone fragility, reduced muscular support, and stress on joints, thereby elevating the risk of fractures and chronic joint conditions,” Ratra told HealthandMe.

Health Coach Prashant Desai in a post on social media platform X, noted that after the age of 30:

• muscle mass starts declining by 1 per cent every year.
• muscle strength declines three times faster.
• muscle power declines eight times faster.

Treatment

Experts said a hip fracture needs to be treated right away as a serious medical problem that requires care from many different medical specialists, not just a doctor who focuses on bones.

Dr Rajesh Kumar Verma, Director – Orthopedics & Joint Replacement, Max Super Speciality Hospital, Vaishali explained that limited movement can cause blood clots, chest infections, pressure sores, and loss of muscle quickly. Many patients also face a quick drop in their ability to take care of themselves, which can impact both their body and mind.

Also read: Suffering From Mid-back Pain? Doctors Say It May Be Spinal TB

“Delayed treatment further increases risk. Early surgery and prompt recovery treatment help increase the chances of surviving and recovering better,” Verma told HealthandMe.

How to Prevent

• Maintaining a healthy waist circumference as an early indicator of metabolic health.
• Engaging in regular strength training to preserve bone density and muscle mass.
• Ensuring adequate protein intake to support muscle maintenance.
• Incorporating sufficient calcium and Vitamin D into the diet.
• Remaining physically active, with exercise beyond low impact activities alone.
• Get medical help right away if you fall or think you might have a broken bone.
• Have surgery as soon as your doctor suggests it, because it can help you recover better.
• Begin physiotherapy as soon as possible after the surgery to help restore movement and avoid any serious issues.
• Make sure to eat well, paying special attention to getting enough protein, calcium, and vitamin D.
• Check for fall risks at home by looking at things like lighting, floor surfaces, and handrails.

What to avoid

• Do not wait to go to the hospital, even if the hip fracture pain feels okay.
• Avoid staying in bed for long because a hip fracture can lead to infections, pressure sores, and blood clots.
• Do not skip osteoporosis treatment for hip fractures because it is very important to stop broken bones from happening again.
• Avoid skipping follow-ups or rehabilitation sessions for hip fractures after the surgery.

World Health Day serves as a reminder that regular preventive health check-ups stand as mandatory health assessments that all women need to undergo for their long-term health.

Many serious conditions, such as breast cancer, cervical cancer, thyroid disorders, diabetes, and cardiovascular diseases, often remain silent in their early stages, making regular screening the most effective way to detect them early, when treatment is simpler, less invasive, and more successful.

How Preventive Healthcare Can Help Women

Preventive healthcare enables women to take a proactive role in managing their health rather than responding to illness at an advanced stage. Early detection not only improves clinical outcomes but also effectively decreases treatment difficulties, emotional distress and financial costs while providing superior long-term life quality.

This also helps in identifying risk factors early, allowing timely lifestyle modifications that can prevent disease onset altogether.

Despite this, women often deprioritize their own health due to the multiple roles they juggle, balancing careers, caregiving responsibilities, and family needs. There is also a continued hesitation around discussing reproductive and intimate health concerns, along with a lack of awareness, fear of diagnosis, and social stigma, all of which contribute to delays in seeking timely care.

In many cases, women assume that the absence of symptoms indicates good health, which is a common but risky misconception.

Importance Of Routine Screening

Routine screenings such as Pap smears for cervical health, regular breast examinations, mammography where indicated, thyroid function tests, and basic metabolic screenings like blood sugar and cholesterol levels are critical tools in preventive care.

Periodic health check-ups also provide an opportunity for counselling on nutrition, mental well-being, hormonal health, and lifestyle management, areas that are often overlooked but equally important.

World Health Day serves as a reminder to shift from a reactive to a preventive approach. Prioritizing regular health check-ups, normalizing conversations around women’s health, and encouraging a culture of self-care can significantly improve outcomes. Investing in preventive healthcare is one of the most powerful steps women can take towards leading healthier, longer, and more empowered lives.

The root of many health issues stems from the sleep pattern we imbibe in our daily lives. Beyond that, sleep can also act as a mirror to your mental and emotional state. When stress builds up, it rarely switches off at bedtime; instead, it shows up through vivid dreams, frequent night waking, or a sense of anxiety in the early hours of the morning. Dr. Shiva Kumar R, Head and Senior Consultant—Neurology, Manipal Hospital, Sarjapur Road, decoded the link between stress dreams and early morning anxiety.

What are stress dreams?

One of the most common signs is having stress dreams. These dreams are often very strong, repetitive, or emotionally charged, like being chased, not being ready for an exam, or losing control of a situation. Your brain uses them to work through thoughts and feelings that aren't fully formed. When you don't fully deal with your stress, your mind keeps working on it while you sleep.

Waking up at night is another sign you should pay attention to. If you wake up several times without a clear physical reason, it could be because you are more alert. Stress keeps your nervous system in a semi-active state, which makes it harder for your body to get the deep, restorative sleep it needs. Because of this, even small noises can wake you up.

Is there a solution?

Early morning anxiety, where you wake up with a sense of dread or racing thoughts, is also closely tied to stress. Cortisol, the body’s stress hormone, naturally rises in the early morning. However, when you’re overwhelmed, this spike can feel more intense, triggering anxious thoughts before your day even begins.

These patterns are more than just interruptions; they are signs. Your sleep needs attention, balance, and care. Keeping a regular sleep schedule, limiting screen time before bed, using relaxation techniques, or writing down your thoughts can all help lighten your mental load.

If these feelings don't go away, it might be a good idea to look into what is causing them or get help from a professional. The first step toward better mental and emotional health may be to pay attention to what your sleep is trying to tell you.