Welcome Believer,
Do you sleep on a regular mattress or do you have a pillow top or use other additions? My reason for asking is that I cannot sleep on a flat mattress. The fibro pain, joint pain, etc, prevent my body from relaxing enough to get rest. I also have lung damage and find I need two pillows to keep my breathing easier. If I try to lay flat with just 1 pillow, I end up with an asthma attack. I use 4 inches of pads: 3 egg crate and 1 memory foam. This depth keeps pressure off the tender spots in my body. The added side bonus to this is that my animals LOVE my soft, cushy bed. They find benefit with relief from pressure too.
I used to take ambien, but just take my "regular" meds now. If I find I need extra help, 1/2 of a xanax works well for me. This isn't usual tho.
Are you able to exercise regularly? If not a full hour, can you break it down into activity of 10 minutes at a time? When it was hard for me to be active, I found that if I broke my activity down into 10 minute segments, 6 times to equal an hour, I could handle it. Then I worked up to longer stretches.
When I travel, I take the 3" foam pad for a single cot I have. If I find the motel bed is too hard, I am able to put that under the sheet and get a good night rest. That gives my body the relief from the pressure points enough to sleep well.
Also I wonder if you are staying warm enough thru the night. Do you go to bed with cold feet? Do you use the sleep socks now in the stores? On the other hand, if I get too warm during the night, I don't sleep well. I have always slept cold, and winter used to be hard. This fall I bought a set of fleece sheets. For the first time, I am warm without a lot of additives-socks, heavy nighties, etc.
What has your doctor said about this? Have you discussed it with him? When I was on high pred, I could only sleep 3to 4 hours a night. I needed up to 3 hour nap in the afternoon to try to make up for what I was not getting at night. This is one of the side effects of prednisone. If you haven't brought this up, it would be a good idea to discuss it with him/her.
Hopefully this will help you to identify some of the issues which may affect your night rest.
Sally