Circadian biology is playing an increasingly vital role as a biomechanical driver for gene regulation in musculoskeletal diseases, including osteoarthritis. Osteoarthritis is a rising challenge in New Zealand with one in eleven adults affected. Enhancing restorative sleep to aid healthy ageing through innovations such as AI-enabled Smart Beds in combination with Neurotechnology holds significant promise. Neurotechnology refers to technologies that connect with the nervous system and improve deep sleep, health, brain performance, etc. Research shows that Neurotechnology combined with AI- Smart Beds can lead to deeper restorative sleep due to greater circadian entrainment and synchronization of slow-wave sleep. Although most studies are being performed in laboratory conditions, there should be a paradigm shift and success in home-based applications with AI smart beds integrating Neurotechnology in future. Intersecting the boundary between Chronobiology and Neurophysiology of deep sleep may be the way forward by introducing cutting-edge, user-friendly, AI sleep technology innovations that can be used within homes that stimulate prolonged non-REM/slow-wave sleep. The Smart Tek AI dynamic mattress recently launched could be used to restore musculoskeletal health by enhancing sleep quality and circadian alignment. The goal of this position paper is to review osteoarthritis as a disease and scientifically postulate how Neurotechnology and AI Smart Bed integration could enhance slow-wave sleep to mitigate health risks arising from osteoarthritis to minimize the need for Arthroplasty surgeries worldwide, which are increasing as a public health burden in New Zealand.