Are you searching for the best sleeping position for neck pain? Do you wake up feeling stiff and sore with excruciating neck pain? Is it a constant struggle to get good sleep in general? Do you start your day with headaches? Your sleeping position could be the culprit. Many people underestimate the impact of their sleeping position on their overall health and well-being. But the truth is, how you sleep can significantly affect the condition of your neck.
In this article, we will explore how choosing the best sleeping position for neck pain can not only alleviate neck pain, it will improve sleep quality and help you wake up feeling refreshed. Whether you are a back, side, or stomach sleeper, you can use specific strategies and adjustments to ensure optimal neck support and alignment.
We will explain the pros and cons of each sleeping position and discuss the potential benefits and drawbacks for neck pain sufferers. Additionally, we will provide some practical tips and recommendations on pillows, mattress firmness, and sleep accessories to improve your sleep quality and help alleviate your neck pain.
Say “Goodbye” to restless nights and “Hello” to restorative sleep. By adopting the best sleeping position, you can enjoy a pain-free and refreshed start to each day. So, let’s dive in and discover how finding the best sleeping position for neck pain and affordable Chiropractic care can help you wake up feeling your best self.
Table of Contents
ToggleCommon Causes of Neck Pain
Neck pain is a widespread problem that affects millions of people worldwide. It can be caused by various factors, including poor posture, muscle strain, injuries, and underlying medical conditions. One of the most overlooked causes of neck pain is the sleeping position.
When you sleep, your neck should rest in a neutral position, properly aligned with the rest of your spine. However, certain sleeping positions strain neck muscles and ligaments, causing pain and discomfort upon waking.
The Best Sleeping Position for Neck Pain
Sleeping positions play a crucial role in determining the health of your neck. The three main sleeping positions – back, side, and stomach – each have plusses and minuses regarding neck pain. Actually, sleeping on your stomach is all minuses, but we’ll get to that later.
Sleeping on your back allows for proper alignment of the thoracic and cervical spine, provided you have the right mattress and pillow combination. This position supports your body weight evenly, reducing pressure on the neck and preventing strain. However, it may not be suitable for everyone, especially those who snore or suffer from sleep apnea.
Sleeping on your side is another popular position for relieving neck pain. Placing a pillow between your knees and ensuring proper head and neck support can maintain neutral spinal alignment and reduce the risk of waking up with a stiff neck.
On the other hand, sleeping on your stomach is not recommended for anyone. This position can strain the neck excessively and lead to discomfort and soreness. There are only two types of stomach sleepers: people with neck pain now and those who will have neck pain soon. If you prefer sleeping on your stomach, there are alternative positions that can provide better support for your neck.
Now that we understand the impact of sleeping positions on neck pain, let’s delve into the specifics of each position and how they can be optimized for maximum comfort and pain relief.
Sleeping on Your Back: Benefits and Proper Alignment Techniques
Sleeping on your back, also known as the supine position, is often considered the best position for overall spinal alignment. Maintaining a neutral position minimizes neck strain and reduces the risk of waking up in pain.
Here are the four keys to optimizing your back sleeping position:
- Start by choosing a pillow that prevents neck pain and provides adequate support for your neck.
- Look for pillows specifically designed for back and side sleeping. Their shape keeps the cervical spine in a neutral and supported position.
- Avoid using too thick or thin pillows, as these will increase the stress on your cervical spine.
Another technique to consider is placing a small rolled-up towel or a cervical roll under your neck for additional support. This helps maintain your neck’s natural curve (Lordosis) and prevents it from flattening or reversing at night.
Sleeping on Your Side: Benefits and Proper Pillow Placement
Sleeping on your side is a popular position to alleviate neck pain and the best. By adopting this position, you can keep your spine in a relatively neutral alignment and reduce the risk of developing discomfort in your neck.
To optimize your side sleeping position, choosing the right pillow is crucial. You must find a pillow that fits the space between your ear and shoulder, providing proper support for your neck. Our office suggests the Therapeutica pillow, which can be used for both side and back sleepers. It comes in 6 sizes to ensure a near-custom fit for your needs and is an ideal orthopedic pillow for neck pain.
Additionally, consider placing a pillow between your knees to help maintain proper hip alignment and further reduce strain on your lower back and pelvis. This will contribute to more comfortable sleep and minimize the risk of waking up in the morning in pain.
Best Sleeping Position for Neck Pain? NOT on Your Stomach!
Sleeping on your stomach, also known as the prone position, is generally not recommended for those with neck pain. This position increases strain on the neck, leading to pain and stiffness upon waking.
If you find sleeping difficult in any other position, alternative positions can provide better support for your neck. One option is to try sleeping in a semi-prone position, where you place a pillow under your chest and shoulder, allowing your head to rest on its side. Place another pillow between your knees to prevent you from rolling completely onto your stomach. This helps reduce the strain on your neck while allowing you to sleep on your stomach.
Alternatively, you can gradually transition to a side or back sleeping position. This may take some time and patience, but it will reduce your risk of waking up with neck pain. Please don’t get discouraged when training yourself to sleep in a new position; it can take some time.
Choose The Right Chiropractic Pillow for Neck Pain Relief
Regardless of your preferred sleeping position, picking the right Chiropractic pillow is crucial for alleviating neck pain and promoting restful sleep.
For back sleepers, consider using a pillow with a medium loft and good support for the neck’s natural curve. Memory foam pillows or those with adjustable firmness are often recommended for their ability to contour to your neck and provide customized support.
Side sleepers should opt for a pillow that fits the space between the ear and shoulder, keeping the cervical spine in alignment. Look for pillows with a higher loft and good contouring properties to ensure proper support and pressure relief.
Stomach sleepers should choose a thin, soft pillow or consider sleeping without one. This helps minimize neck strain and reduces neck pain and discomfort. However, the best advice for stomach sleepers is to do everything you can to break this bad habit.
Proper Pillow Placement and Best Sleeping Position for Neck Pain
One of the most overlooked factors contributing to neck pain is the position of your pillow during sleep. As a medical specialist in cervical spine disorders, I want to share some insights on the best pillow positions to alleviate neck pain and promote a restful night’s sleep.
Why Pillow Position is Important
The cervical spine, or neck, consists of seven vertebrae and is crucial in supporting the head and allowing a range of motion. Proper cervical spine alignment during sleep is essential to prevent and relieve neck pain. An incorrectly positioned pillow can lead to misalignment, causing strain on the muscles, ligaments, and nerves.
The Ideal Pillow Position
- The Best Sleeping Position for Back Sleepers
- Pillow Height: The pillow should support the neck’s natural curve without pushing the head too far forward for those who sleep on their back. A medium-firm pillow that cradles the head and neck can help maintain proper alignment.
- Pillow Type: Memory foam or cervical pillows are excellent choices as they conform to the shape of your neck and provide consistent support.
- Positioning Tip: If you cannot use a Therapeutica orthopedic pillow, place a small, rolled towel inside the pillowcase at the bottom edge to support the neck’s natural curve (lordosis).
- The Best Sleeping Position for Neck Pain – Side Sleepers
- Pillow Height: Side sleepers need a thicker pillow to fill the space between the mattress and the ear, ensuring the neck remains in line with the spine. The pillow should keep the head level, not tilted up or down.
- Pillow Type: Firm pillows, such as those filled with memory foam, latex, or buckwheat, offer the necessary support for side sleeping.
- Positioning Tip: Consider using a pillow with a contoured shape to support the neck while keeping the spine straight.
- The Best Sleeping Position for Neck Pain – Stomach Sleepers
- Pillow Height: Sleeping on the stomach is generally not recommended for those with neck pain, as it forces the neck into an unnatural position. However, if this is the only way you can sleep, use a skinny pillow or none to minimize the strain on your neck.
- Pillow Type: A soft, flat pillow or a specialty pillow designed for stomach sleepers can reduce neck strain.
- Positioning Tip: Place a pillow under your stomach to help maintain the spine’s natural alignment and reduce pressure on the neck.
What Chiropractic Pillow Do Denver Chiropractors Choose for Their Patients?
In addition to finding the best sleeping position for neck pain, it is vital that you choose a pillow that correctly supports your sleeping position. If your pillow is too soft, it won’t support the cervical spine. If your pillow is too firm, it can put pressure on your neck and shoulders, preventing your neck from resting in a supported, neutral position. The best way to find the right balance is to consult an Integrative Health and Rehabilitation chiropractor. Patients frequently ask us for the best type of pillow for their specific condition, and we are always more than happy to help them find a “perfect” fit.
As experienced neck specialists, the 5-Star Denver Chiropractors at Integrative Health and Rehabilitation exclusively recommend Therapeutica orthopedic pillows. To find the right size pillow, follow these simple steps:
1. Have someone assist in measuring you. If you don’t have anyone to help measure you for your pillow, contact us and have an experienced Denver Chiropractor measure you.
2. If you wear a shirt with a collar, ensure it doesn’t interfere with the measurement.
3. Stand facing the person measuring you, with arms relaxed and at your side.
4. The person measuring you should hold the ruler level and measure from the base of the neck to the outside tip of the bony prominence at the shoulder.
For the best fit, ignore any muscle mass beyond the bony prominence. If you measure between two sizes, choose one size smaller or sleep on a softer surface like memory foam or pillow-top mattress.

Pillow Size and Shoulder Width (Follow links to purchase through Amazon)
- Petite (or Child): 4¼” – 5¼”
- Average: 5¼” – 6¼”
- Large: 6¼” – 7¼”
- Extra Large: 7¼” – Plus
Additional Tips to Find the Best Sleeping Position for Neck Pain and Improve Sleep
In addition to choosing the best sleeping position for neck pain and choosing the right pillow, you can implement several other strategies to improve your sleep quality and reduce neck pain.
Maintaining good sleep hygiene is essential. This includes creating good “Sleep Habits” that include:
- Keeping a regular sleep schedule
- Creating a pre-bedtime routine or ritual
- Make sure you are in the best sleeping position for neck pain avoidance
- Make your bedroom a comfortable and conducive environment for sleep.
Choosing the best sleeping position for neck pain is equally important to investing in a supportive mattress is also essential for neck pain sufferers. Look for a mattress that provides adequate support for your spine because it promotes proper alignment. Medium-firm mattresses offer a balance of comfort and support. If you have a mattress that you feel is too firm, a simple and inexpensive memory foam topper can turn it into an ideal sleeping surface.
Finally, consider incorporating relaxation techniques such as deep breathing, meditation, or gentle stretching into your bedtime routine. Relaxation or simple meditation practices (“box breathing” is easy and effective) help relax your muscles and promote a more restful sleep.
Best Sleeping Position for Neck Pain FAQ
1. What is the best sleeping position to reduce neck pain?
Sleeping on your side or back with a supportive pillow is ideal for reducing neck pain. These positions help maintain proper cervical alignment and reduce stress on the joints and muscles. Stomach sleeping should be avoided because it forces the neck into rotation for hours at a time. Improving your sleeping position and following our simple neck stretching routine can help to significantly improve neck mobility and reduce neck pain.
2. How long does it take to see improvement from changing my sleeping position?
Most people notice improvement within 1–2 weeks as their muscles and joints adapt to the new position. Consistency matters—try to maintain good positioning throughout the night. Pairing sleep adjustments with chiropractic care often accelerates results.
3. Do I need a special pillow or mattress to help with neck pain?
A medium-firm mattress and a pillow that supports your neck’s natural curve can significantly reduce symptoms. Cervical pillows or memory foam supports work well for most people. Our Denver, Arvada, and Wheat Ridge patients often benefit from a pillow fitting evaluation during chiropractic visits.
4. Can sleeping position alone fix chronic neck pain?
Sleeping position helps, but chronic neck pain often involves joint restrictions, muscle tension, or posture issues that need professional care. Chiropractic adjustments, acupuncture, dry needling, and exercises offer more complete and lasting relief.
5. When should I seek treatment for neck pain that affects sleep?
If pain lasts more than 1–2 weeks, wakes you frequently, or causes headaches, tingling, or arm pain, it’s time to schedule an evaluation. Early treatment prevents chronic patterns from developing and reduces recovery time.
Find the Best Sleeping Position for Neck Pain and Headache Relief
Finding the best sleeping position for neck pain is crucial in alleviating neck pain and ensuring a refreshed start each day. By understanding the pros and cons of each sleeping position and making the necessary adjustments, you can optimize the quality of your sleep, waking up pain-free and well-rested.
Remember to choose the right Chiropractic pillow based on your sleeping position, invest in the correct type of mattress, and incorporate relaxation techniques into your bedtime routine. By taking these steps, you can find the best sleeping position for neck pain and say goodbye to groggy mornings and hello to restorative sleep. So, start paying attention to your sleeping position and make the necessary changes to begin adopting the best sleeping position for neck pain. Of course, don’t forget additional tactics like developing a consistent sleep schedule, nutritional supplements, and avoiding caffeine later in the day so you can wake up refreshed and ready to take on the day ahead!
Looking for a Chiropractor in Denver? Still have questions about best sleeping position for neck pain? Contact us! Still not sure? Please read some of our 5-Star Google reviews to see why we are the chiropractor Denver seeks for fast, effective, and lasting pain relief. Our integrative Chiropractors have been helping patients in Arvada, Denver, and Wheat Ridge, Colorado, for over 20 years. Lastly, learn more about the conditions we treat and the benefits of the many types of treatment we provide on our Health Articles page. Ready to start feeling better? Don’t resort to potentially dangerous medications like Diclofenac (Voltaren), or just wait and hope to start feeling better. Book an appointment online at our affordable Chiropractic clinic.


Clinic Director, Board Certified, Licensed Colorado Chiropractor
Integrative Health and Rehabilitation – Denver, CO
Dr. James Doran is a licensed Doctor of Chiropractic with over 25 years of clinical experience treating musculoskeletal and neuromuscular conditions. His clinical focus includes mechanical back pain, neck pain, headache disorders, sports injuries, and post–auto accident injuries.
Dr. Doran utilizes evidence-based approaches including chiropractic adjustments, acupuncture, dry needling, low-level laser therapy, and rehabilitative care. He holds a bachelor’s degree in human nutrition and integrates functional, biomechanical, and whole-person principles into patient care. Dr. Doran is licensed to practice chiropractic in the State of Colorado and treats patients daily in private practice.
About Integrative Health and Rehabilitation
Integrative Health and Rehabilitation provides integrative chiropractic and physical medicine services for patients in Denver, Arvada, and Wheat Ridge, Colorado. The clinic focuses on evidence-based, non-surgical care for both acute and chronic conditions, with an emphasis on restoring function, reducing pain, and supporting long-term health. 📍 Office Location: Denver, CO 🔗 View the clinic on Google Maps






