19th June 2025

When most of us take into consideration how you can get the right night time’s sleep, we think about issues like how agency our mattress is, how cool or darkish our room is, and what time we go to mattress. One issue we generally fail to contemplate? Our pillow setup.

“I believe pillows are sometimes extremely neglected,” says Dr. W. Christopher Winter, a neurologist, sleep specialist, and writer of The Sleep Resolution.

Winter says he all the time asks sufferers what sort of pillow they’ve and the place they purchased it. “It’s actually shocking how few individuals can truly reply the query,” he says. “It’s like they only all the time had the pillow or it simply confirmed up of their mattress in some unspecified time in the future they usually by no means actually questioned it.”

Discovering the right pillow is a chance for individuals to enhance their sleep with out shopping for a brand new mattress, which may be time-consuming and dear, says Winter, who additionally hosts the “Sleep Unplugged” podcast. 

The next recommendation may also help guarantee your pillow setup will get you the very best sleep attainable. 

Not too low, not too excessive

Essentially the most snug sleeping place is very private. Some individuals will really feel most snug sleeping on their abdomen, whereas others will get the very best sleep on their aspect or again. (Typically talking, aspect and again sleeping are greatest for the alignment of the backbone.)

Pillow top is very private, too; there’s no scientific consensus but on the best pillow top. However a very good rule of thumb is to make use of a pillow that fills the hole between your shoulder and ear, as this helps align your neck and backbone, says Craig Hensley, affiliate professor of bodily remedy and human motion sciences at Northwestern College Feinberg College of Drugs.

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“If the pillow is just too thick, it should bend and put stress in your neck,” he says. “If it’s not thick sufficient, it’ll bend your neck the opposite manner, which might compress a few of your joints.”

Discover the best firmness and materials 

Most individuals sleep higher with a firmer pillow, Hensley says. Agency pillows assist the pinnacle and neck higher than smooth ones. Simply watch out for a pillow that’s too agency, as this will trigger stiffness from hyperextension of the neck, says Dr. Rachel Salas, a sleep neurologist on the Johns Hopkins Middle for Sleep and Wellness. 

The composition of pillows issues, too. One examine in contrast 5 completely different pillow sorts: polyester, foam, contour foam with a groove for the neck, feather, and latex (which is bouncy and moldable). The examine checked out whether or not every pillow kind contributed to members waking up with a stiff backbone, headache, or arm ache. The researchers discovered that feather pillows carried out the worst, whereas latex pillows carried out the very best.

An added advantage of latex pillows is that they will defend towards mud mites, Winter says. Sure supplies, like goose down, are porous, and subsequently extra prone to entice mud mites than latex pillows.  

Substitute your pillows and wash your pillowcases recurrently 

In the event you get up congested or with a post-nasal drip, it could possibly be because of allergens in your pillow. One examine discovered that 10% of a two-year-old pillow’s weight is because of mud mites and their excrement. Pillows also can comprise useless pores and skin, mould, and pet dander. 

“If pillows are outdated, they will entice a whole lot of mud mites and human pores and skin, and that may intrude with sleep high quality,” Salas says.

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The Bronchial asthma and Allergy Basis of America suggests changing your pillow each two years. Hypoallergenic covers may be helpful if you happen to’re significantly vulnerable to allergy symptoms.

You must also wash your pillowcases at the least as soon as per week. One examine discovered pillowcases that hadn’t been cleaned in per week contained 17,000 instances extra micro organism than a rest room seat. This micro organism may be significantly rampant if you happen to drool, sleep with make-up on, or sweat rather a lot. 

Attempt for a cooling impact

In case your head will get too scorching when you sleep, your sympathetic nervous system can grow to be activated, in response to one 2015 examine. This will forestall you from reaching deep sleep, which is important for well being. Utilizing a pillow with a cooling impact may also help you sleep higher, particularly if you happen to’re vulnerable to overheating at night time. 

In the event you’re on the lookout for a pillowcase that can hold you cool, keep away from artificial supplies like polyester, since they will retain warmth, says Dr. Sudha Tallavajhula, medical director of the Neurological Sleep Drugs Middle at TIRR Memorial Hermann in Houston. As an alternative, go for pillowcases made out of pure materials like cotton, silk, and bamboo. 

Pillows aren’t simply to your head

Once you image the right pillow setup, it’s vital to suppose past simply the pillows below your head, Winter says. 

Pregnant ladies, for instance, may profit from pillows that assist their stomach or legs. Individuals with again ache also can profit from utilizing assist pillows on their physique. Hensley typically recommends individuals with again ache who sleep on their again put a pillow below their knees, as this will lower stress on the lumbar backbone. Individuals with again ache or sciatica who sleep on their aspect, he says, ought to put a pillow between their thighs, as this will decrease the stress on the sciatic nerve.

Learn Extra: The best way to Share a Mattress Whereas Getting the Greatest Evening’s Sleep

For these with shoulder ache, Hensley recommends sleeping on the other aspect of the harm, and inserting a pillow below the injured shoulder. For instance, when you have right-sided shoulder ache, sleep in your left aspect and place a pillow below your proper shoulder. 

Many individuals prefer to sleep with their arm below their pillow. However doing so can put an excessive amount of weight in your arm, particularly when you have a shoulder harm. In the event you really feel probably the most snug sleeping together with your arm below your pillow, think about a specialty pillow that comes with a slot to your arm, Winter says. 

Some individuals will profit from added top

Most individuals ought to solely sleep with one or two pillows, Salas says. However there are exceptions to this rule. For instance, sleeping barely extra elevated may also help pregnant ladies coping with shortness of breath and heartburn. 

When you’ve got gastroesophageal reflux illness (GERD), your sleep high quality can even seemingly enhance in case your pillow setup is slightly bit increased, Winter says. Once you sleep barely elevated, the contents of your abdomen can circulate downward extra simply. “After we lie flat, they’re extra prone to regurgitate by the esophageal sphincter,” he says. “Once you’re extra upright, gravity holds issues down higher.” (Tallavajhula provides that sleeping on the left aspect is best for individuals with acid reflux disease as a result of place of the abdomen.)

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Loud night breathing also can enhance if you happen to use a pillow that’s slightly bit increased. Loud night breathing is usually an indication of obstructive sleep apnea, a situation through which the airway turns into blocked and our respiratory pauses. Sleep apnea needs to be handled with a CPAP machine. (Firms now make pillows that accommodate CPAP machines.) Allergy symptoms, weight problems, and sleeping in your again also can trigger loud night breathing. No matter why you snore, sleeping with extra pillows or a barely increased pillow may also help open your airway and scale back loud night breathing.

“One thing so simple as propping your head up can enhance loud night breathing, enhance sleep apnea, after which it additionally tends to make parts of GERD significantly better,” Winter says.

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