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Proper Pillow Placement for Any Sleeping Position

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By Maddie Ruud



Sleep is one of the most elemental of human needs. Good sleep refreshes and rejuvanates the body and soul; bad sleep can make for a miserable day, week, month, or even year!*

Getting enough sleep can be difficult, and it certainly doesn't help if you can't seem to find a comfortable position. When you wake up in the morning with a cramp, what are the first words out of your mouth? "I must have slept wrong." Avoid tossing and turning (and prevent cricks in the neck!) by using proper pillow placement to align the spine and muscles for optimal relaxation.

*Trivia: There is a family in Italy for whom insomnia runs in the genetics. Upon reaching adulthood, carriers of the gene gradually get less and less rest, in spite of all attempts at treatment, until they eventually pass away from sleep deprivation.

Pillow Placement for Good Sleep

The natural curvature of the spine is illustrated here.
The natural curvature of the spine is illustrated here.

Did your parents ever tell you to "stand up straight?" As it turns out, they were giving you bad advice. The spine, when in proper alignment, possesses a natural S-curve, which pillows should support during sleep, so that your muscles don't have to. Misalignment causes your muscles to seize up, causing the cramps that wake you up in the middle of the night or the sore shoulder that bothers you for days after a bad sleep.

Proper pillow placement varies for different sleeping positions, but the principles are the same. Your body is probably used to sleeping one way, but you may want to try all the positions anyway, as pillow placement can make quite a change. It may feel unnatural at first, but when your body adjusts, it will end up thanking you.

Pillow Placement for Stomach Sleepers

Place the pillow under the hips and/or lower stomach.
Place the pillow under the hips and/or lower stomach.

You've heard that stomach sleepers shouldn't use a pillow, or worse, that you should never sleep on your stomach at all. The fact is, sleeping face down is a natural human instinct, and with proper pillow placement, there is nothing wrong with it at all.

Place a pillow under the hips to take stress off of your lower back and neck. If you have a hard mattress, or otherwise find it too uncomfortable not to have cushioning for your face, try shifting the other pillow from your hips to under your ankles.

Pillow Placement for Side Sleepers

Place a pillow under the head and neck, and one between the knees.
Place a pillow under the head and neck, and one between the knees.

Sleeping on your side comes highly recommended by chiropractors, and, if you snore, your spouse as well. Also called the fetal position, this is the position God or Nature chose for us for the duration of our 9-month stay in the womb.

Place one or two pillows under the head and neck, depending on their thickness, to ensure that your cervical spine (see first illustration) is straight and elongated. An extra pillow between the knees opens your hips and prevents knees from knocking together or legs from chafing.

Another option is to buy a body pillow, which provides a "partner" to throw your limbs over... and best of all, it doesn't move just when you're getting comfortable.

Pillow Placement for Back Sleepers

Place one pillow under your head and one beneath the knees.
Place one pillow under your head and one beneath the knees.

Knee Pillows

Duro-Med Knee-Ease Pillow with White Polyester/Cotton Cover Duro-Med Knee-Ease Pillow with White Polyester/Cotton Cover
Price: $8.45
List Price: $16.00
Knee Ease Pillow DMI # 7980 Knee Ease Pillow DMI # 7980
Price: $12.00
List Price: $20.99

Sleeping on your back opens the lungs... and, unfortunately, can sometimes result in the worst snoring, for those prone to it. If you're not one of those (or if you sleep alone), put a pillow under the head, and another under the knees to relieve pressure on the lower back.

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gaussmarkov  says:
2 years ago

interesting ... i did not know that stomach sleepers had a special pillow position. i thought it was just bad for your back to sleep on your stomach. i guess that pillow fixes that.

Lela Davidson profile image

Lela Davidson  says:
2 years ago

I LOVE my buckwheat pillow. You just squish it around until it's in the perfect position and it stays like that. Great neck support for back or side sleeping.

cgull8m profile image

cgull8m  says:
2 years ago

Thanks for the lovely blog, very informative, useful. I am going to bookmark it. Thanks a lot.

cdosrun  says:
2 years ago

wouldnt placing a pillow in that area (for stomach sleepers) have effects on parts of the body?

Maddie Ruud profile image

Maddie Ruud  says:
2 years ago

cdosrun:

I'm not sure what you mean. Pillow placement under the hips/lower stomach is designed to align your spine, and therefore increase circulation and facilitate uninhibited communication between your brain and different parts of the body. Sleep is, after all, primarily for restoration, neurally, physically, and psychologically.

VickeyK profile image

VickeyK  says:
2 years ago

Haven't dared to sleep on my stomach for years (lower back pain results). I'll try the pillow technique--thanks!

MrMarmalade profile image

MrMarmalade  says:
2 years ago

Great news and most of it new to me. will be trying it.

I enjoy fours of sleep per night

Thank you

vishnu  says:
2 years ago

i have been sleeping in a uncomfortable bed,,,,. i always wake up in the middle of the night,..,.,

The Phantom Blot profile image

The Phantom Blot  says:
2 years ago

Thanks for the hub, I have a memory foam myself, but I'm not sure if its doing me good, bad, or the same. I guess that makes it no better than the others.

aprilkerr profile image

aprilkerr  says:
2 years ago

Although I don't have back problems myself I still think it's good to prevent pain in the first place. My Dad has had to suffer from back pain for years so trying out these techniques sounds like solid advice. I tend to sleep in my front so will try sleeping with a pillow as indicated in the diagram.

ripplemaker profile image

ripplemaker  says:
2 years ago

Hi Maddie, great info on this hub. I am putting this link in my hub about getting a good nights sleep. :-) Thanks so much.

Lela Bryan profile image

Lela Bryan  says:
2 years ago

I am so glad to know that sleeping on my stomach is ok. I always sleep on my stomach and my brother in law, who is a chiropractor says that only snakes sleep on their stomachs.... oh well.... guess what I am....I think it is time to go to bed....zzzzzz

WeddingConsultant profile image

WeddingConsultant  says:
2 years ago

Maddie, great hub on sleeping/pillow positions. Being 6'4" I've always struggled to keep my back in good shape and sleeping incorrectly in the past has really lessened that effort. This hub will help me sleep in a more constructive manner.

2patricias profile image

2patricias  says:
2 years ago

Thanks Maddie, I will mention this hub to clients who have difficulty sleeping,

DJ Funktual profile image

DJ Funktual  says:
2 years ago

WHAT USEFUL INFO! I'm gonna try your suggestions and I'll get back to you.

2patricias profile image

2patricias  says:
2 years ago

Now all I need to know is how to sleep on my back (bliss!) and NOT snore. Unless everybody else is away, I always try to stay on my side.

ArtCantHurtU profile image

ArtCantHurtU  says:
2 years ago

Hmmmmmm, I am already sleepy

great post- I really liked the diagrams and the different types of sleepers, thank you for this hub

MarcNorris profile image

MarcNorris  says:
2 years ago

I didn't realize that you would use a pillow if you were sleeping on your stomach, but I will have to try it out.

Is there any magic place to place a pillow to stop snoring?

johnr54 profile image

johnr54  says:
2 years ago

This is the sort of information that is becoming more important as I grow older. It seems that I am becoming more attached to one pillow, and things like sleeping in a hotel room are torture without the old standby.

Amber Arendsen profile image

Amber Arendsen  says:
18 months ago

does the material of the pillow affect how well you are properly aligned, for instance in the head and neck area? I have used tempurpedic pillows, but they don't keep there shape. But cheap regular pillows, don't seem to do it for my head neck area either....... I would ne a fetal position sleeper, with an occasional back sleep. maybe it is the 3 year old hogging my bed and pushing me off the edge, that prevents a comfortable nights sleep.

Marisa Wright profile image

Marisa Wright  says:
17 months ago

Amber, the problem with tempurpedic pillows is they mould to where you put your head - so if you lie down in a bad position, you're more likely to stay there. I have an old neck injury and found a tempurpedic pillow, even though it was specially moulded, made it worse. I now use an ordinary latex pillow and find it great.

Die'Dre' profile image

Die'Dre'  says:
17 months ago

I am a restless sleeper. I think it's time to invest in a few good pillows. Thanks for the illustrations for various positions.

koncling profile image

koncling  says:
16 months ago

I don't know there alot of positions using pillows....

thanks

success08 profile image

success08  says:
16 months ago

Thanks for creating this info. I'm always looking for tips on pillows and how to get the best sleep. This was very useful.

Christine Blowes

Jeff Watters profile image

Jeff Watters  says:
13 months ago

Very good article and let's not forget the material in the pillow can also affect your sleep as well.

Anamika S profile image

Anamika S  says:
11 months ago

Very informative Hub! I am more of a back sleeper. And for ages i have been using one pillow under my head and one beneath my knees without even knowing that is the correct way of sleeping.

Andromeda10 profile image

Andromeda10  says:
8 months ago

Haha I only snore when I'm visiting a friend or my in-laws are over.

Laughing Mom profile image

Laughing Mom  says:
8 months ago

I'd be adjusting my pillows all night!!!! I can't sleep in any one position for more than a few minutes. Of course, maybe if I just had the pillow right.......

I'll have to try it out.

iwannasex  says:
6 months ago

..thats very nice.... thank you...

yerr  says:
6 months ago

yerr

samanthagardner profile image

samanthagardner  says:
4 months ago

Thank you for the tips.

david stillwagon  says:
4 months ago

Good hub and informative hub! I just joined hubpages and this is my first comment

Phoibos  says:
4 months ago

for the back sleeper, won't it make more sense to place a pillow under the neck(not head) and under the back not(knees)? Because that's where the curves are(neck and back)? umm I think there are 3 curves I read, where is the other one?

Phoibos  says:
4 months ago

Oh, by sleeping these ways, it will help you gain a proper standing postion right or they called ("striaght back")? not really straight but looks you are standing straight.

jamesmspacey profile image

jamesmspacey  says:
4 months ago

That's really interesting. I'm a dyed in the wool stomach sleeper, but always wake up on my side! I'm going to give some of these tips a try!!

Nixie  says:
2 months ago

Any sleeping position seems to work for me, but I always seem to sleep better when I have my Teddy Bear to hold on to or at least a big, fluffy pillow.

Sarah and Donnie profile image

Sarah and Donnie  says:
3 days ago

Nice hub.. very usefull

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