In a meta-analysis of 24 randomised trials, established sleep interventions such as cognitive behavioural therapy improved both sleep and pain in people with low back pain, cutting pain scores by 12.77 points on a 100-point scale. In osteoarthritis they improved sleep but not pain.
What it shows: Fairly convincing for back pain: results pooled from 24 trials, and the pain benefit was consistent across the studies. The trials varied a lot in what they tested, and the authors themselves call for more rigorous work before treating this as settled.Meta-analysis · Osteoarthritis Cartilage