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Sleep is the one time your body has during the day to repair and maintain its cells and systems.

It’s also essential for flushing out toxins and clearing away dead cells. Experts recommend between 7-9 hours of sleep a night.

Because sleep is so important, if there’s something that’s keeping you from getting comfortable and sleeping through the night, it helps to know what adjustments you can make to get the rest you need.

Following are some recommendations to help you find the best sleeping position to deal with your common aches and pains.

Finding Your Best Sleeping Position

These sleeping positions will make you feel like a brand new person every morning!

1. Best Sleeping Position for Lower Back Pain

Many people suffer from back pain. It’s often difficult to find a comfortable sleeping position when your back hurts. What you may need is a little support. The best sleeping position for back pain is lying on your back. Place a pillow under your knees and a rolled-up towel at the base of your back where it curves. This will relieve pressure on your lower back while adding support (1).

For those with back pain, alignment of the ear, shoulder, and hip is the most important part of sleep posture, so make sure to keep your spine aligned.

The University of Rochester Medical Center offers the following suggestions for a solid sleep without back pain, whatever the position (2):

  1. Sleeping on your stomach can create stress on the back because the spine can be put out of position. Placing a flat pillow under the stomach and pelvis area can help to keep the spine in better alignment. If you sleep on your stomach, a pillow for your head should be flat, or sleep without a pillow.
  2. If you sleep on your side, a firm pillow between your knees will prevent your upper leg from pulling your spine out of alignment and reduce stress on your hips and lower back. 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.
  3. Insert pillows into gaps between your body and the mattress.
  4. When turning in bed, remember not to twist or bend at the waist but to move your entire body as one unit. Keep your belly pulled in and tightened, and bend your knees toward the chest when you roll.

2. For Shoulder Pain

It may seem obvious but if one of your shoulders hurt, don’t add pressure by lying on it. Lie on your other side with your knees and arms bent. Place one pillow between your knees and another between your elbows so it touches your chest.

If both shoulders hurt, lie on your back with your arms by your sides.

3. For Sinus Issuesbest sleeping position

Congestion from a cold or allergies can get worse when you sleep, as gravity is working against you when you’re lying down. Prop up your head and shoulders with pillows while lying on your back so your sinuses can drain more easily into the back of your throat (3).

4. For Headachesbest sleeping position

Sometimes a bad sleeping position can actually cause a headache by constricting muscles and nerves while you sleep. To keep your head in a neutral position, lie on your back and put a pillow or rolled-up towel on both sides of your head to keep it from wrenching during the night (4).

5. For Menstrual Pain

best sleeping position

Cramps and bloating can make sleep difficult before and during your period. The best sleeping position for cramps is to lie on your back and place a pillow under your knees to take pressure off your abdomen and back. You can try applying a hot water bottle or heating pad to your abdomen and/or back when you go to bed to ease cramps and make you comfortable enough to fall asleep. (5)

6. For High Blood Pressure

best sleeping position

There is a correlation between sleep and hypertension: sleep deprivation and disrupted sleep exacerbates the problem. The autonomous nervous system changes during sleep and that can affect blood pressure. (6) The worst position for sleep if you have high blood pressure is on your back. (7)

A Japanese study on the effect of sleep position found that blood pressure was reduced significantly when lying in the prone position (face down) as compared to lying on the back. (8) Lying on your stomach, however, can lead to back, neck, and joint pain and difficulty breathing, so you should alternate between positions every few nights. (9) Sleeping on your right side can ease pressure on the heart (which is on your left), lowering blood pressure. (10)

7. For Heartburnbest sleeping position

If you have GERD (gastroesophageal reflux disease), indigestion, or heartburn, sleeping on your left side may help. This is the best sleeping position to take pressure off the stomach and esophagus (12).

8. For Poor Digestion

best sleeping position

If you have digestive issues, placing a pillow between your legs while sleeping on your left side will take a further strain off your digestive system to allow things to flow freely while you sleep. It’s also important to wait a few hours after your last meal before hitting the hay to make sure you don’t get indigestion.

9. For Neck Pain

best sleeping position

Supporting the neck is key, whatever position you sleep in. On your back or side are easiest on your neck. (11) If you sleep on your back, roll up a small towel (or neck roll) and stick it inside your pillowcase with your pillow, adjusting the towel so it’s just under the curve of your neck. Your head should rest comfortably on your pillow. There are also special funny-looking pillows designed specifically for neck support.

Harvard Medical School has the following additional suggestions for getting rid of that pain in the neck (12):

  1. Try using a feather pillow, which easily conforms to the shape of the neck. Feather pillows will collapse over time, however, and should be replaced every year or so.
  2. Another option is a traditionally shaped pillow with “memory foam” that conforms to the contour of your head and neck. Some cervical pillows are also made with memory foam. Manufacturers of memory-foam pillows claim they help foster proper spinal alignment.
  3. Avoid using too high or stiff a pillow, which keeps the neck flexed overnight and can result in morning pain and stiffness.
  4. If you sleep on your side, keep your spine straight by using a pillow that is higher under your neck than your head.
  5. When you are riding on a plane, train, or car, or even just reclining to watch TV, a horseshoe-shaped pillow can support your neck and prevent your head from dropping to one side if you doze. If the pillow is too large behind the neck, however, it will force your head forward.
  6. For Your Brain

Parting Thoughts

While we sleep, our brains are as active as when we’re awake—and it’s not just conjuring dreams, it’s cleaning house. Brain waste is processed and eliminated during sleep.

Most animals (humans included) sleep on their sides. A study published in the Journal of Neuroscience looked into why this might be. Researchers observed activities in the brain for prone (stomach), supine (back), and lateral (side) sleep positions. They found that cerebrospinal fluid that gets flushed around the brain to clear toxins is more efficient when in a lateral sleeping position. (13) The brain is, therefore, better able to eliminate waste and prevent the plaque build-up that can lead to neurodegenerative diseases like Alzheimer’s.

The best advice is to sleep however is most comfortable for you. Regular adequate sleep is crucial for all the body’s functions. Dreams are a bonus.

Professional Scope of Practice *

The information herein on "Best Sleeping Position" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.

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Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

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Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*


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Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
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