Causes of Vertigo. Vertigo is often caused by an inner ear problem. Some of the most common causes include: BPPV. These initials stand for benign paroxysmal positional vertigo. BPPV occurs when tiny calcium particles (canaliths) clump up in canals of the inner ear.
I think the pain is worse at night because of the activity during the day. I do experience pain at night (and throughout the day off & on). It makes it hard to go to sleep at night plus in the middle of the night the pain wakes me up.
The majority of people with back pain are able to adjust how they sleep to get relief from the pain they experience during the day. But with nighttime back pain -- also called nocturnal back pain -- the hurting doesn't stop when a person lies down, no matter what adjustments he or she makes.