Sleeping Positions for Back and Neck Pain – Edison Spine Center (2024)

Getting a good night’s sleep can be tough with back or neck pain. It’s avicious cycle. You need sleep to heal, but your back hurts so you can’t sleep,so you can’t heal, so your back still hurts and you can’t sleep.

The non-restorative sleep that is typical when you’re in pain preventsthe relaxation of your muscles and impedes the healing that normally occursduring sleep. During restful sleep, the heart and blood pressure slow, thebrain is able to release the hormones that stimulate tissue growth and repairblood vessels, the body makes more white blood cells and the immune system isboosted.

If sleeping well is that important to healing back pain and neck pain, how do you do it? Here’s how to sleep when your back hurts.

Sleeping Positions

While it is best to choose recommended sleeping positions, that can bedifficult for those who find an unaccustomed sleeping position just asstressful as the pain they are experiencing. So, if a sleep position is notcomfortable, it may not be right for you.

Sleeping Positions for Back and Neck Pain – Edison Spine Center (1)

Keep in mind the bottom line: You should sleep in whatever position helps you to rest, but also allow for modifications. The key to good sleep posture is alignment—keeping your ears, shoulders and hips in a straight line (more or less). There will naturally be gaps between spaces on your body and the mattress. These spaces can strain your back or neck muscles, so you should use pillows to fill in these gaps and reduce the stress.

Secondly, people often move around when they sleep. So, it doesn’t pay to worry and add more stress about keeping one sleep position. In the event you do move, keep more pillows around you that can use to help support vulnerable areas in various sleep positions.

Best Sleeping Positions for Back Pain

The best sleeping position for lower back pain is widely considered to be on your back. This position distributes the weight along the entire spine. Placing a pillow under your knees will help to maintain the natural curve of the spine.

For those who sleep on their side, placing a firm pillow between the knees helps to maintain the natural alignment of the hips, pelvis and spine. However, if you are a side sleeper, try to alternate sides. This will help to avoid muscle imbalance and perhaps even scoliosis. In addition, side sleeping in a curled-up fetal position may help those with herniated disc pain.

Lying on your stomach is considered the worst sleeping position for back pain. However, if it is difficult to change sleeping positions, place a thin pillow underneath your hips and stomach to improve the alignment of the spine.

Best Sleeping Positions for Neck Pain

Sleeping Positions for Back and Neck Pain – Edison Spine Center (2)

The best sleeping positions for the neck are on your back or your side. The back in particular is recommended; just make sure to use a pillow that supports the curvature of your neck and a flatter pillow to cushion your head.

If you sleep on your side, use a taller pillow under your neck so your neck aligns with your head. This will relieve any strain on your neck and keep your spine straight.

The trouble with sleeping on your stomach is that you have to twist your neck to keep your head on its side, which puts pressure on the nerves. You can try to retrain yourself to adopt another position, using pillows to coax yourself and to support you in a side or back-lying position. If you must sleep on your stomach, use a thin pillow or no pillow, trying to keep awkward angles at a minimum.

For all sleep positions with neck pain, you should use a pillow under your neck that provides support, such as a rolled towel or cervical pillow.

There is also such a thing as neck pain from sleeping wrong. Sometimes you wake up with neck pain. Sleeping at an awkward angle, sudden head or neck movements during sleep or neck strain from injury may cause neck pain. In addition to utilizing treatments to relieve this neck pain, make sure that future sleep includes a good pillow for neck support.

Sleeping Upright

Many people find relief for both back and neck pain by sleeping in an upright position or in a recliner. This is common among pregnant women, for example, for their back pain. If you choose this position, the best accompaniment is a horseshoe shaped pillow to support the neck, such as the kind often used on airplane flights. Lower back pillows are also a good idea.

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Pain-free Sleep Extras

In addition to sleep positions, take the time to determine the best equipment and environment for your optimal sleep. Creative use of pillows can really help dial in a comfortable sleeping position. If your pillows are old and inappropriate, replace them. Also, you may need to test a variety of models to know what is best for you.

The same is true for a mattress. Is it time to get a new one? Like pillows, there is no universal best choice for a mattress. Despite recommendations, what’s good for one person is not necessarily right for another. Again, try to test a mattress by sleeping on it: a friend’s guest bed, a hotel, or however possible.

Finally, create a restful environment. Room temperature, where you place your bed, how you darken the room, how you organize your sleep space and how you treat screen time—all can help contribute to a restful, pain-free sleep.

If you are experiencing back or neck pain, request an appointment at Edison Spine Center. We can tell you what’s wrong and give you the tools you need to fix it.

Sleeping Positions for Back and Neck Pain – Edison Spine Center (2024)

FAQs

Sleeping Positions for Back and Neck Pain – Edison Spine Center? ›

The back in particular is recommended; just make sure to use a pillow that supports the curvature of your neck and a flatter pillow to cushion your head. If you sleep on your side, use a taller pillow under your neck so your neck aligns with your head.

How should you sleep with neck and spine pain? ›

What is the best sleeping position for neck pain? Two sleeping positions are easiest on the neck: on your side or on your back. If you sleep on your back, choose a rounded pillow to support the natural curve of your neck, with a flatter pillow cushioning your head.

What position should I sleep for spine alignment? ›

Sleeping on your side

If you sleep on your side, draw your legs up slightly toward your chest and put a pillow between your legs. Flexing your knees and having a pillow between your legs can help align your spine, pelvis and hips. This position takes pressure off your spine. Use a full-length body pillow if you prefer.

How to sleep with spondylolisthesis? ›

Sleeping in a comfortable position on a medium mattress is recommended. People who sleep on their back can place a pillow under their knees. People who sleep on their side should use a pillow to support their head in a neutral position (not tilted down toward the bed or up toward the ceiling).

What position should you sleep in for your spinal cord? ›

The best sleep position to keep your spine neutral is on the back. When you sleep on your back, place a pillow under your knees and a little roll underneath the small of your neck. The pillows will help you maintain the natural curves of the spine.

How do you sleep with an inflamed spine? ›

Try sleeping with a pillow between or underneath your legs for extra support. If you sleep on your side, put the pillow between your knees and draw them up slightly toward your chest. If you like to sleep on your back, try the pillow under your knees, or roll up a small towel and place it under the small of your back.

What is the best painkiller for neck pain? ›

Pain Relief Medications

Some neck pain may be due to inflammation in the discs of the spine and the surrounding nerves and joints. Nonsteroidal anti-inflammatory drugs (NSAIDs) alleviate pain by reducing inflammation. NSAIDs include ibuprofen, naproxen, and aspirin, all of which are available over-the-counter.

What position should you sleep in if you have curvature of the spine? ›

Lying on your back is typically the best scoliosis sleeping position because it helps your entire spine remain elongated, preventing twisting and bending.

What bed position is best for spine? ›

The ideal sleep position: On your back

The best position to avoid back pain is lying flat on your back. Even so, many people find it the hardest way to enjoy deep sleep. For optimal spine alignment, place one pillow underneath your head or neck and another underneath your knees.

What is the best position to sleep in with degenerative disc disease? ›

Sleep on your stomach with a pillow under your abdomen

This position is typically recommended for people who have degenerative disc disease. It can relieve stress that lingers between your discs.

How should I sleep with L5 S1 pain? ›

Sleeping with your knees elevated may alleviate your painful symptoms by minimizing the pressure your lumbar discs place on your nerve roots. Lie flat on your back—keep your heels and buttocks in contact with the bed and bend your knees slightly towards the ceiling.

Are muscle relaxers good for spondylolisthesis? ›

Our doctors may prescribe anti-inflammatory medications, muscle relaxants, or pain medication along with physical therapy. After several weeks, physical therapy may provide long-term pain relief and improve flexibility and restore function without the need for additional treatment.

How do you fix L5 S1 spondylolisthesis? ›

Nonsurgical Treatment for Spondylolisthesis
  1. Activity Modification and Bracing. If certain sports or activities increase lower back pain, your doctor may recommend taking a break from them until the pain subsides. ...
  2. Physical Therapy. ...
  3. Pain Relief Medication. ...
  4. Corticosteroid Injection.

How do you align your spine when sleeping? ›

Pull your knees up slightly toward your chest. The pillow for your head should keep your spine straight. A rolled towel or small pillow under your waist may also help support your spine. Insert pillows into gaps between your body and the mattress.

What kind of pillow is best for degenerative disc disease? ›

For example, doctors report anecdotal evidence that buckwheat hull pillows seem to be a well tolerated pillow for those with moderate to severe disc degeneration, osteoarthritis, and spinal stenosis, and tend to work well for both back and side sleepers.

What is the best position to sleep in to avoid nerve compression? ›

The best positions for pinched nerves in the neck and back are on your side or your back. Even with additional support, you should always avoid sleeping on your stomach. The same goes for when you're having trouble sleeping because of a herniated disc.

How do you sleep with a pinched nerve in your spine? ›

Avoid sleeping on your stomach if you have a pinched nerve in your neck or back. Sleeping on your stomach puts extreme pressure on your spine which can exacerbate the pain you experience from a pinched nerve. Sleep on your side if you can as it can help reduce the unwanted symptoms from a pinched nerve.

Should I sleep without a pillow if my neck hurts? ›

Sleeping without a pillow may help some people who sleep on their front. It can help keep the spine and the neck in alignment during sleep, easing neck and back pain. It is not a good idea for everyone, though. People who sleep on their back or side might find that sleeping without a pillow causes neck or back pain.

What is the best position to sleep in with cervical radiculopathy? ›

Common approaches include medications like nonsteroidal anti-inflammatory drugs, corticosteroids, and muscle relaxants to reduce pain and inflammation. To improve sleep quality, you might need to change sleep positions. Sleeping on your back is often considered the best position for those with cervical radiculopathy.

How many pillows should you sleep with neck pain? ›

You should sleep with one pillow for an optimal night's sleep. This is because one pillow keeps your head level with your spine and doesn't push it too high or out of alignment. If your spine comes out of alignment, you're more likely to experience neck pain, back pain, or interrupted sleep.

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