I have ongoing neck and back problems. Some nights I am lucky to sleep more than 3 hours without being woken up. I average about 4 hours. I can't remember the last time I slept more than 4 hours without my back pain waking me up. It only bothers me when I am sleeping. When I am awake, my neck is the issue. I mostly use ice, heat, and a TENS unit to manage the pain. I don't take pain killers, I don't want to. I should be doing more stretches and exercises though. How do you typically manage pain?