A restful night's sleep is also a struggle for me. I devised a routine with my counselor:
1. No screens after 8 pm. My bedtime is somewhere between 9:30-10:00.
2. Prepare a cup of chamomile& lavender. Place at bedside.
3. Take 500 mg magnesium.
4. Urinate. Fully empty your bladder.
5. Read paper-based texts - no screens. Choose material carefully. No overly stimulating pageturner. Sip tea while reading.
6. Consider urinating again before totally settling down for the night
7. Listen to music or audiobook. Most apps allow you to set a timer. Again, no overstimulation. You can find playlists for calming music. Audiobooks might include comedians, biographies, inspirational works, etc.
8. I have taken Ativan occasionally in the past to help induce sleep. Since it is an addictive benzo I tried cannabis. My rheumatologist explained that cannabis is not an anti-inflammatory. It simply stops the PAIN message from registering in the brain. Most effective strain for me is 1:1, CBD: THC. One inhalation (gummies need to be taken an hour or more before bedtime) and I'm down for the count.
* I truly hope you find a routine especially suited to your needs. Sleep is an important component for pain management. May you be well.