Proper Pillow Placement for Any Sleeping Position

Updated on November 21, 2017
Maddie Ruud profile image

Maddie is a freelance writer and is certified in massage, aromatherapy, and health education.


Sleep is one of the most elemental human needs. Good sleep refreshes and rejuvenates the body and soul, while 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 find a comfortable position. When you wake up in the morning tired or with a cramp, what are the first words out of your mouth? Usually, "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.

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 your muscles don't have to.

Misalignment causes your muscles to seize up, resulting in cramps that wake you up in the middle of the night or sore body parts that will bother you days after a bad night's sleep.

Proper pillow placement varies for different sleeping positions, but the principles are the same. Your body is likely used to sleeping one way, but you should still try all the positions. Pillow placement can make quite a change and you may discover a knew, more comfortable way to sleep. It may feel unnatural at first, but when your body adjusts, it will thank 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 may have heard that stomach sleepers shouldn't use a pillow, or, worse, that one should never sleep on their stomach in the first place. The fact is, sleeping face down is natural, and with proper pillow placement, there is nothing wrong with it at all.

Stomach sleepers should place their pillow under their hips to take stress off of the lower back and neck. If you have a hard mattress or find it too uncomfortable to go without a cushion for your head, use a second pillow and place it under 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 is highly recommended by chiropractors, and, if you snore, your spouse or sleeping partner. Sometimes called the fetal position, this sleeping position is the one God or Nature chose for us during our nine-month stay in the womb.

Place one or two pillows under the head and neck, depending on the 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 your knees from knocking together and your legs from chafing.

Another option is to buy a body pillow, which provides a pseudo partner to throw your limbs over. Best of all ... it doesn't move just when you're starting to get 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.

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 your head and another under your knees to relieve pressure on your lower back.

This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.


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    • profile image


      23 months ago

      I tried a pillow and loved it so much I started making them myself: Most people who use buckwheat pillows are very enthusiastic about them.

    • profile image


      2 years ago

      Great Article. Getting the right pillow for under your neck makes the best possible sleep.It's helpful for me.For more info Refer the blog :

    • profile image


      5 years ago

      I can only sleep on my side, but had terrible knee and back pain. I tried a pillow between my knees, but the big one woke me up when I tried to turn over, and I lost the small pillow when I turned over.

      So, I developed Sleepy Kneez, an ultra comfortable knee pillow that stays put all night, and doesn't negatively impact the kneecap. Now, I sleep like a baby!

    • Arc4life profile image


      6 years ago from Florida

      Great Article. Getting the right pillow for under your neck makes the best possible sleep. I think its especially hard when you have neck pain and are trying to sleep:

    • profile image


      6 years ago

      An ultimate guide to find the best pillow for side sleepers. We help you choose the best pillow for side sleepers through our detailed and honest reviews.

      http://findbestpillowforsidesleepers.comBest pillow for side sleepers

    • profile image

      Hullo Buckwheat Pillow 

      7 years ago

      I tried a buckwheat pillow and loved it so much I started making them myself: Most people who use buckwheat pillows are very enthusiastic about them.

    • howtoguides2learn profile image

      Vidhya L 

      7 years ago from Chennai, India

      Thanks for the useful hub. I came here through Google and got info on what I searched for.

    • profile image


      7 years ago

      Is it better to have feather pillows, water pillows, or air pillows?

    • B. Leekley profile image

      Brian Leekley 

      7 years ago from Bainbridge Island, Washington, USA

      Up, Useful, Interesting, and shared. I'll give these suggestions a try.

    • louromano profile image


      8 years ago

      owe Nie information ! It's helpful for me.

    • profile image


      8 years ago

      Maddie I have been sleeping with a pillow under my knees for years and even in my sleep now as I turn to the side position my pillow just seems to move with me between my knees. I also have a problem which has surfaced in the past 6 months with a dull aching in the top of my ankle when my toes point so I have been sleeping with a pillow at the bottom of the bed to keep my feet/ankles in a natural standing position. Strange one but it helps.

    • profile image


      8 years ago

      Nice one,i am a stomach sleeper n ma back really hurts.i use one pillow gettin another one now.c u in the mornin..chao

    • Maddie Ruud profile imageAUTHOR

      Maddie Ruud 

      8 years ago from Oakland, CA

      Hi Rajiv,

      That doesn't sound like a problem of sleeping position. Try doing something calming before bed, and doing some meditations as you fall asleep to try to stay relaxed.

    • profile image

      rajiv chenavila 

      8 years ago

      I am having trouble sleeping properly. I have used several types of beds, pillows etc. I start with sleeping on my back and then toss from side to side troughout the nights. Most morining I get up more tired than ever. Any suggestions how to improve my sleep?

    • profile image

      Tony, Feltham, Middlesex, UK. 

      8 years ago

      Awesome hub page. I sleep on my tummy and I've suffered with back pain for many years. I will try these tips. Thanks for the great advice.

    • profile image


      8 years ago

      I sleep on my stomach, too.

      My doctor told me to put a body pillow under me to see if it tricks my body into thinking im on my stomach.

      It seems to work, but once I fall asleep I move around and when I wake up the pillow is on the floor, Im on my stomach and my back hurts again :/

    • profile image


      8 years ago

      great advise!

    • profile image

      kyra warialani 

      8 years ago

      what if i sleep without a pillow???

    • greenshellmussel profile image


      8 years ago

      Thank You, I'm a stomach sleeper and I always thought it was something wrong with me. Now I know the proper way to use my pillow. I've been tossing and turning recently so hopefully this will help.

      Thanks Again Maddie.

    • profile image

      Karlie Philpott 

      8 years ago

      I sleep on my back and tried putting a pillow under my knees as suggested for extra support. At first it was hard getting use to, but I have found that it really helps. Thanks!

    • sholland10 profile image

      Susan Holland 

      8 years ago from Southwest Missouri

      Great hub! I have sleep disorders and am constantly looking for the perfect pillow. I am a side sleeper so it can't be too soft or too firm. Your hub provides great information. :-)

    • profile image


      8 years ago

      thanks for this article. but my real problem now is my sleeping position, i don't even know if i'm a stomach sleeper or a side sleeper. im having trouble sleeping lately.

    • profile image


      8 years ago

      I'm 6'4" I have a big frame and I find sleeping on my stomach the only way I can fall asleep. I find in the morning that my lower back seems to hurt when I wake up. I have tried the pillow under the hips but find it very hard to get used to...

    • The Bucket Lister profile image

      The Bucket Lister 

      9 years ago

      Would you recommend a body pillow over simply putting a pillow between your knees for side sleepers?

    • profile image


      9 years ago

      I know that my pains came from my stomach sleeping habit, but it was to hard to break. So I bought a body pillow and it keeps me on my side.

    • profile image

      stacey C 

      9 years ago

      wow!!! now i can sleep on my stomach more comfortably....

    • RichERich1175 profile image


      9 years ago

      Very informative stuff. I am a back sleeper that has sleep apnea, so it is fascinating, reading about the proper pillow placement. Thank you muchly!

    • profile image


      9 years ago

      Still could not found right position of pillow. :(

    • profile image


      9 years ago

      I like the simple pictures on pillow placement, the stomach sleeper setup, would have not thought of that one.

    • profile image

      9 years ago

      interesting my toddler pulls her knees up under her when she sleeps on her stomach.... similar to the pillow position. I find watching what she naturally does provides excellent examples of proper posture.

    • John B Badd profile image

      John B Badd 

      9 years ago from Saint Louis, MO

      Great advice, I will try this very soon.

    • AutumnLockwood profile image


      9 years ago from Northern California

      I'm a stomach sleeper. Thanks for the tips. This hub is really informative.

    • gr82bme profile image


      9 years ago from USA

      Thank you for the tips. I never sleep right through. Now I can try some of your tips

    • profile image


      9 years ago

      I have found that it depends on your own body; I sleep the best on my stomach with my left arm straight and below my stomach / body which supports the idea of a pillow below to support your body. This is the only way it seems for me to sleep well and not wake up with a neck ache. So, I just think it depends on your body type. So glad to hear it is okay to sleep on one's stomach, thank you.

    • Silva Hayes profile image

      Silva Hayes 

      9 years ago from Spicewood, Texas

      Nice informative hub.

    • profile image


      9 years ago

      Great hub. I think i need to try all the sleep positions.

      I don't really like to sleep I just want to lay my head on the bed.

    • brakel2 profile image

      Audrey Selig 

      9 years ago from Oklahoma City, Oklahoma

      Great hub. I need to sleep better and also be more ergonomic on the computer. I have sleep apnea so really need help with sleep position. I guess I am a sloucher. I will follow your hubs and follow you.

    • Daniel J. Neumann profile image

      Daniel J. Neumann 

      9 years ago from Harrisburg, Pa

      Great hub. Chiropracters seem to agree with your conclusions as well.

    • profile image


      10 years ago

      I sleep on my side, and no matter what kind of pillow I use under head, or between legs...I ALWAYS wake up with neck pain. any suggestions? ( I have had 4 back surgeries in the past few years,have sleep apnea, so never get a good nights sleep.)

    • adorababy profile image


      10 years ago from Syracuse, NY

      I could not agree more with you on this post. Having a good night sleep can really spell the difference to make or break your day or even worst your week.

    • profile image


      10 years ago

      Good info on pillow placement. I've never knew such position can affect sleeping. I have a tealeaf pillow which release smell that makes people relax and feeling sleepy.

    • KKalmes profile image


      10 years ago from Chicago, Illinois

      Hello Maddie, how timely to read your hub, I sleep on my side and back and I just started using a 2nd pillow to sleep because my hips and back were giving me so much pain. The pillow has made a world of difference.

    • Pure Chiropractic profile image

      Pure Chiropractic 

      10 years ago from Nanaimo

      Awesome hub! I wish more people were aware of proper sleeping positions. It would save a lot of pain. I usually recomment that people sleep in the side laying position exactly as laid out above. But some people are unable (arthritic hip, uncomfortable, habit, etc.) so it's good that alternatives are laid out.

      Thanks again!

    • profile image

      Selvam, Sivagangai 

      10 years ago

      My problem is with my upper limbs. I don't know the comfortable position for my arms. I sleep either sideways or facing up. When sleeping facing up, I tend to stretch my hands behind my head and soon find that uncomfortable. No matter how I place my hands, I find it uncomfortable after sometime. I wish I could remove my hands when I go to bed, and put them back on when I am up.

    • profile image


      10 years ago

      Is there a 101 ways of sleeping positions? I can't even know how my sleeping positions after I fall on sleep and snoring. Well, have to show to my wife and ask her to monitor my sleeping posture from now onwards.

    • profile image

      Andy Johnston 

      10 years ago

      Interesting hub. A chiropractor suggested to me once to place a pillow between my knees to eliminate my back pain from sleeping. I hadn't seen the use of a pillow under the tummy for stomach sleepers. Interesting.

    • profile image


      10 years ago

      This is a truly informative and well-written article. Thank you for the great information!

    • profile image


      10 years ago

      Good hub. Sleeping position is very important.

    • Sarah and Donnie profile image

      Sarah and Donnie 

      10 years ago from Destin FL

      Nice hub.. very useful

    • profile image


      10 years 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.

    • jamesmspacey profile image


      10 years ago from Hobart, Australia

      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!!

    • profile image


      10 years 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.

    • profile image

      david stillwagon 

      10 years ago

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

    • samanthagardner profile image


      10 years ago from Palm Beach Gardens, FL

      Thank you for the tips.

    • profile image


      11 years ago


    • profile image


      11 years ago

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

    • Laughing Mom profile image

      Laughing Mom 

      11 years 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.

    • Andromeda10 profile image


      11 years ago from Chicago

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

    • Anamika S profile image

      Anamika S Jain 

      11 years ago from Mumbai - Maharashtra, India

      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.

    • Jeff Watters profile image

      Jeffrey Watters 

      11 years ago from Frankford, DE

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

    • profile image


      11 years 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

    • koncling profile image


      11 years ago from Nice Winding Room

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


    • Die'Dre' profile image


      11 years ago from The Great Pacific Northwest

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

    • Marisa Wright profile image

      Kate Swanson 

      12 years ago from Sydney

      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.

    • Amber Arendsen profile image

      Amber Arendsen 

      12 years ago from Solana Beach, Ca

      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.

    • johnr54 profile image

      Joanie Ruppel 

      12 years ago from Texas

      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.

    • MarcNorris profile image


      12 years ago from Canada

      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?

    • ArtCantHurtU profile image


      12 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

    • 2patricias profile image


      12 years ago from Sussex by the Sea

      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.

    • DJ Funktual profile image

      DJ Funktual 

      12 years ago from One Nation Under a Groove

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

    • 2patricias profile image


      12 years ago from Sussex by the Sea

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

    • WeddingConsultant profile image


      12 years ago from DC Metro Area

      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.

    • Lela Bryan profile image

      Lela Bryan 

      12 years ago from Alameda, CA

      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

    • ripplemaker profile image

      Michelle Simtoco 

      12 years ago from Cebu, Philippines

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

    • aprilkerr profile image


      12 years ago from UK

      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.

    • The Phantom Blot profile image

      The Phantom Blot 

      12 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.

    • profile image


      12 years ago

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

    • MrMarmalade profile image


      12 years ago from Sydney

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

      I enjoy fours of sleep per night

      Thank you

    • VickeyK profile image


      12 years ago

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

    • Maddie Ruud profile imageAUTHOR

      Maddie Ruud 

      13 years ago from Oakland, CA


      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.

    • profile image


      13 years ago

      wouldn't placing a pillow in that area (for stomach sleepers) have effects on parts of the body?

    • cgull8m profile image


      13 years ago from North Carolina

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

    • Lela Davidson profile image

      Lela Davidson 

      13 years ago from Bentonville, Arkansas

      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.

    • profile image


      13 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.


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