Sleeping with Neck Pain: How to Find the Right Pillow and Sleep Position

Neck pain is a common issue that many people experience, and surprisingly, one of the biggest culprits is poor sleep posture.

If you’ve ever woken up with a stiff neck or found yourself tossing and turning during the night due to discomfort, you're not alone. The good news is that by making a few simple adjustments to your sleep position and choosing the right pillow, you can significantly reduce neck pain and improve your quality of sleep. In this blog, we’ll dive into the best practices for sleeping with neck pain, helping you wake up feeling refreshed and pain-free.


Why Does Neck Pain Happen When Sleeping?

Before we get into tips, let’s quickly look at why neck pain often occurs during sleep. The most common causes include:

  • Incorrect Pillow Support: A pillow that’s too high or too flat can force your neck into an unnatural position, leading to discomfort or stiffness.

  • Poor Sleep Posture: Sleeping with your head craned at an awkward angle (suc h as sleeping on your stomach) can strain the muscles and ligaments in your neck.

  • Muscle Imbalance: Tightness in your neck, shoulders, or upper back muscles can lead to pain while sleeping, especially if your muscles are fatigued from poor posture during the day.

Now that we know why neck pain happens during sleep, let’s explore how to prevent it.

1. Choose the Right Pillow

The first step in preventing neck pain during sleep is selecting the right pillow. It’s important to choose one that keeps your head and neck aligned with your spine. Here are a few tips for finding the right pillow:

  • A pillow should support the natural curve of your neck, keeping your head level with your body. If your pillow is too high, it forces your neck into an awkward position, causing strain. If it’s too low, your head may dip forward, putting pressure on your neck. A medium loft (height) pillow is often ideal for most people.

  • Memory foam pillows are great for neck support because they mold to the shape of your head and neck. This helps provide even support and minimizes pressure points.

  • If you have chronic neck pain, you may benefit from a cervical pillow designed specifically to support the natural curvature of your neck. These pillows have a unique shape to help relieve pressure on the cervical spine, making them ideal for individuals with neck issues.

2. Optimal Sleeping Positions

Your sleep position plays a huge role in preventing neck pain. Let’s go over the best and worst positions for neck health.

Best Positions:

  • This is generally the best position for your neck. When sleeping on your back, make sure your pillow supports your neck’s natural curve, allowing your head to remain aligned with your spine. A small pillow under your neck may help support the cervical curve, while a flatter pillow under your head can maintain a neutral position.

  • If you prefer sleeping on your side, it’s important to use a pillow that fills the gap between your neck and the mattress, ensuring your head is aligned with your spine. A thicker pillow is usually needed to prevent your neck from bending downward, which can lead to discomfort. Avoid tucking your chin too far into your chest, as this can strain the neck muscles.

Positions to Avoid:

  • Sleeping on your stomach is one of the worst positions for your neck, as it forces your head to turn to one side for extended periods, putting strain on your neck muscles. This can lead to muscle imbalances, stiffness, and even nerve compression over time. If possible, try to transition to a back or side-sleeping position.

  • Even if you're in a back or side-sleeping position, using the wrong pillow can throw your neck out of alignment, causing pain. It’s important to ensure that your pillow supports your head in a neutral position.

3. Sleep Hygiene Tips for Neck Pain Relief

In addition to adjusting your pillow and sleep position, here are a few other tips to improve your neck health while you sleep:

  • If you spend a lot of time on your phone or tablet before bed, try to hold it at eye level to avoid straining your neck.

  • Applying a warm compress to your neck before bed can help loosen tight muscles. Alternatively, a cold compress can help reduce inflammation if you're dealing with neck pain caused by an injury.

  • Gentle stretching of the neck, shoulders, and upper back before bedtime can help relax tight muscles and improve circulation, allowing for a more restful sleep.

4. Our Approach at Field Work Health: A Personalized Solution to Neck Pain

At Field Work Health, we understand that neck pain can be disruptive to your daily life and quality of sleep. Our approach to physiotherapy and remedial massage is holistic and personalized, focusing on not just treating symptoms, but addressing the root causes of your discomfort to provide long-term relief.

Understanding Physiotherapy vs. Remedial Massage Therapy (RMT) for Neck Pain

Physiotherapy for Neck Pain:

  • Focus: Physiotherapy is best suited for addressing the functional aspects of neck pain, such as muscle imbalances, poor posture, and movement restrictions.

  • Treatment Methods: A physiotherapist will conduct a thorough assessment and focus on restoring mobility, strength, and posture. They may use manual therapy, stretching, strengthening exercises, and posture correction techniques.

  • When to Choose Physio: If your neck pain is caused by poor posture, muscle weakness, or movement dysfunction (such as a limited range of motion), physiotherapy is the right choice. A physiotherapist can also help with improving your posture during sleep and recommend specific pillow types that support neck alignment.

Remedial Massage Therapy (RMT) for Neck Pain:

  • Focus: RMT focuses on releasing tension in the muscles and soft tissues, helping to relieve pain and stiffness caused by muscle tightness or spasms.

  • Treatment Methods: RMT involves hands-on techniques such as deep tissue massage, myofascial release, and trigger point therapy to break down muscle knots, increase circulation, and promote relaxation.

  • When to Choose RMT: If your neck pain is primarily caused by muscle tightness or stress (like after a long day at the computer or sleeping in a poor position), RMT can help relieve tension and reduce pain. It’s particularly helpful for temporary, localized pain and stiffness.

Here’s how we help:

  1. Comprehensive Assessment – Our physiotherapists and remedial massage therapists conduct a thorough evaluation of your posture, movement, muscle strength, and underlying conditions to create a tailored treatment plan.

  2. Hands-On Therapy – We use manual therapy, soft tissue massage, and mobilization techniques to relieve tight muscles, improve joint mobility, and reduce pain, offering immediate relief.

  3. Posture Correction and Education – We teach you how to improve your posture during daily activities and optimize your work and home environments to prevent neck strain.

  4. Strengthening and Stretching Exercises – We provide simple exercises to strengthen the muscles around your neck, improve stability, and increase flexibility to prevent future injury.

  5. Ongoing Support and Progress Monitoring – We monitor your progress and adjust your treatment plan as needed, ensuring long-term relief and a pain-free neck.

If neck pain persists, our physiotherapists and remedial massage therapists can provide expert guidance, hands-on therapy, and personalized exercises to help you recover and maintain a healthy neck.


Final Thoughts

Neck pain doesn’t have to be a nightly struggle. By choosing the right pillow, adjusting your sleep position, and following good sleep hygiene practices, you can significantly reduce neck discomfort and wake up feeling refreshed. If your pain persists, don’t hesitate to consult a physiotherapist or remedial massage therapist to help you find a long-term solution. Remember, the right pillow and sleep position can make a world of difference for your neck health.

Sweet dreams, and here's to a pain-free neck tomorrow! 🌙


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