Best Pillow Height for Neck Pain

Paul Souliac
2026-03-18T20:45:55-07:00

Waking up with neck pain is a frustrating way to start the day. Often, the problem lies with your pillow. Finding the best pillow height for neck pain is essential for maintaining proper spinal alignment and getting restful sleep. The right pillow supports your head and neck, preventing strain on your muscles and spine.

Customize your comfort with the Scrumptious Side Sleeper Pillow, designed for personalized loft, better alignment, and all-night support

Why Pillow Height Matters for Neck Pain

The main job of a pillow is to keep your head and neck in a "neutral" position while you sleep. This means your spine should maintain its natural curve, similar to how it looks when you are standing with good posture. When your pillow is too high or too low, it forces your neck into an unnatural angle.

A pillow that is too high pushes your head upward, creating a bend in your neck. This can strain the muscles on the back of your neck and shoulders. On the other hand, a pillow that is too low lets your head drop down, straining the muscles on the sides of your neck. Over a full night, this misalignment leads to stiffness, soreness, and even chronic pain. The correct pillow height closes the gap between your mattress and your head, providing support without creating tension.

How to Find the Right Pillow Loft for You

The ideal pillow height, or loft, depends almost entirely on your primary sleeping position. Your body shape and mattress firmness also play a role, but your sleeping style is the most important factor. Finding a pillow that matches your needs is a key part of improving your sleep wellness.

Side Sleepers

Side sleepers need the highest loft. When you lie on your side, there is a significant gap between your ear and the outside of your shoulder. A thicker, firmer pillow is needed to fill this space and keep your head and neck aligned with the rest of your spine. The goal is to keep your nose in line with the center of your body.

Back Sleepers

Back sleepers need a pillow with a medium loft. The pillow should be just thick enough to support the natural curve of your neck without propping your head up too far forward. A pillow that is too high will push your chin toward your chest, while one that is too low will cause your head to tilt back. Look for a pillow that cradles your head and supports your neck.

Stomach Sleepers

Stomach sleeping is generally not recommended by experts because it forces your neck to be twisted to one side for hours. However, if you are a stomach sleeper, you need a very thin, soft pillow or no pillow at all. This helps keep your spine as straight as possible. Using a thick pillow in this position will severely strain your neck.

Top 11 Best Pillows for Neck Pain

1. Honeydew Sleep - Best Pillow for Neck Pain

Description (The Scrumptious Side Sleeper Pillow):

The Scrumptious Side Sleeper Pillow features a unique curve that cradles your neck and shoulders for ultimate comfort and perfect alignment. The proprietary fill delivers a luxurious feel and superior support, while alleviating neck and shoulder pain , a condition affecting 30% to 50% of adults. We spent years developing a pillow built to provide perfect alignment and support for your body every single night. Every aspect was meticulously and deliberately chosen for its ability to provide the best sleep possible, and to help you wake up pain free and full of energy , powered by sleep. Unlike traditional rectangular pillows, the unique curve of the Scrumptious Side Pillow was designed to support your neck and shoulders whether you are on your side or your back. The ribbon going around the sides maintains the pillow's structure perfectly, ensuring it doesn't taper at the edges or get higher in the middle , so you'll never roll onto the "flat part" during the night. The foam component is 100% CertiPUR-US certified copper-infused foam, which is far more effective at cooling than gel-based memory foam and has naturally antibacterial properties to keep your pillow fresh night after night. A discreetly hidden zipper lets you add or remove fill to customize the pillow height for your body , because nobody knows what you need better than you. Handcrafted by hand with love in California, USA. Turn down your nights to turn up your days.

Key Features:

Unique Curved Design: Cradles neck and shoulders for perfect alignment

Proprietary Fill: Doughy and soft yet still supportive , unlike any other pillow

Copper-Infused Foam: Superior cooling vs. gel-based memory foam; naturally antibacterial

100% CertiPUR-US Certified Foam: Always made without formaldehyde or heavy metals

Adjustable Fill: Hidden zipper to add or remove fill for personalized height

Structural Side Ribbon: Maintains consistent height across entire pillow surface

Neck & Shoulder Pain Relief: Specifically designed to stop neck pain at the source

Side & Back Sleeper Friendly: Unique curve supports all sleeping positions

Organic Bamboo Pillowcase Included: Cooling, ultra-soft, and skin-friendly

Cooling All Night Long: Copper infusion keeps pillow temperature regulated

Washable Cover: Hidden zipper makes cover removal easy for machine washing

Handmade in California, USA: Family-owned, hand-crafted with care

Oeko-Tex Standard 100 Certified: All textiles safety certified

No Formaldehyde or Heavy Metals: 100% safe materials

Travel Size Available: Includes carrying bag for on-the-go sleep comfort

Tech Specs:

Fill: Proprietary copper-infused CertiPUR-US certified foam blend

Cover: Organic bamboo , cooling and ultra-soft

Certification: Oeko-Tex Standard 100 (textiles) + CertiPUR-US (foam)

Construction: Handmade in California, USA

Adjustability: Hidden zipper for fill customization

Available Sizes:

Queen: approximately 27" x 15"

King: approximately 30" x 17"

Travel: approximately 21" x 12"

Sleep Position: Side sleepers and back sleepers

Temperature: Cooling copper-infused fill, always cool to the touch

Warranty: 3-year limited warranty

Trial Period: 60-night money-back guarantee

Care: Machine washable cover (remove fill first); tumble dry safe

What's Included:

1 x Scrumptious Side Sleeper Pillow (Queen, King, or Travel)

1 x Organic Bamboo Cooling Pillowcase

Travel Size: includes carrying bag

60-night risk-free trial (free shipping both ways)

3-year limited warranty

Free nationwide US shipping on orders over $50

Customer Reviews Highlights:

⭐⭐⭐⭐⭐ "This pillow has changed my life. I know that sounds hyperbolic but it's true." , Greg 🇺🇸

⭐⭐⭐⭐⭐ "I was floored by how much better I sleep now. The quality is incredible , the perfect mix of fluffy and firm." , Jonathan K. 🇺🇸

⭐⭐⭐⭐⭐ "Like Goldilocks, none were just right , until I found the Scrumptious Side Pillow. FINALLY!" , RL S. 🇺🇸

⭐⭐⭐⭐⭐ "This pillow is perfect for side sleepers like myself. I'll never go back to my old pillows again." , Michelle D. 🇺🇸

⭐⭐⭐⭐⭐ "Amazing support, super comfortable, and the pillowcase is so soft!" , Cecilia S. 🇺🇸

Rating: 4.8/5 ⭐ based on 587 verified reviews

Shop The Scrumptious Side Sleeper Pillow

2. Coop Home Goods

Coop Home Goods is known for its adjustable shredded memory foam pillows. The design allows you to customize the loft by adding or removing the fill, making it suitable for various sleeping positions. This feature helps users find the right height to support proper neck alignment. The fill is a blend of microfiber and memory foam, offering a balance of softness and support.

Key Features: Adjustable shredded memory foam and microfiber fill.

Pros: Highly customizable loft, comes with an extra bag of fill.

Con: The fill can sometimes shift and require fluffing.

3. Tempur-Pedic

Tempur-Pedic offers a range of ergonomic pillows made from their signature TEMPUR material. These pillows come in contoured shapes designed to fit the curve of your head, neck, and shoulders. The proprietary material adapts to your body, providing pressure relief and personalized support. Their designs are often specific to sleeping positions.

Key Features: Proprietary TEMPUR material, ergonomic contoured shapes.

Pros: Excellent pressure relief, holds its shape well.

Con: Not adjustable, so you must choose the correct size and shape from the start.

4. Saatva

The Saatva Latex Pillow features a responsive Talalay latex core that provides buoyant support for the head and neck. This material is known for its durability and breathability. The pillow has a dual-layer design with a shredded latex outer chamber and a solid latex core, offering a supportive yet plush feel that helps maintain spinal alignment.

Key Features: Talalay latex core with a down-alternative outer layer.

Pros: Responsive and supportive, sleeps cool due to latex's open-cell structure.

Con: Loft is not adjustable.

5. Eli & Elm

Eli & Elm focuses on side sleepers with its unique U-shaped cotton-contoured pillow. The design is specifically made to accommodate your shoulder, allowing your head and neck to rest in a neutral position. The pillow is also adjustable, with a zipper that lets you remove some of the latex and polyester fill to achieve your desired height.

Key Features: U-shaped cutout for the shoulder, adjustable fill.

Pros: Ergonomic design is ideal for side sleepers, customizable loft.

Con: The unique shape may not be comfortable for back or combination sleepers.

6. Purple

Purple pillows use the company's patented GelFlex Grid, a hyper-elastic polymer that cradles the head and neck. This grid structure is designed to provide soft support where you need it and firmer support elsewhere, adapting to movement throughout the night. It also allows for excellent airflow, which helps with temperature regulation.

Key Features: Patented GelFlex Grid technology.

Pros: Highly breathable and temperature-neutral, adaptive support.

Con: The grid texture may feel unusual to some users.

7. Layla Sleep

The Layla Kapok Pillow is an adjustable pillow filled with a mix of shredded memory foam and natural Kapok tree fibers. This combination creates a uniquely airy and soft feel while still being supportive. A zipper allows you to add or remove the fill to customize the loft, making it adaptable for different sleep preferences and needs for neck support.

Key Features: Blend of shredded memory foam and Kapok fibers, adjustable loft.

Pros: Soft and luxurious feel, customizable height.

Con: Kapok fibers can compress over time and may require regular fluffing.

8. Pluto Pillow

Pluto Pillow offers a customized approach to finding the right pillow. Customers fill out a questionnaire about their body stats, sleep position, and preferences. The company then uses an algorithm to build a custom pillow with a specific height, firmness, and set of materials tailored to the individual's needs for proper neck alignment.

Key Features: Custom-built based on a personal questionnaire.

Pros: Tailored specifically to your body and sleep habits, unique hybrid design.

Con: You cannot test the pillow before purchase, relying on the algorithm's accuracy.

9. Mediflow

The Mediflow Waterbase Pillow provides adjustable support through a unique water-filled pouch at its base. Users can add or remove water to change the pillow's firmness and height. A layer of fiberfill or memory foam sits on top of the water base for comfort. The water responds to your head movements, maintaining consistent support.

Key Features: Adjustable waterbase for customizable firmness and height.

Pros: Support level is easy to fine-tune, responds to movement.

Con: Can be heavy when filled with water, and some users report a sloshing sound.

10. Cushion Lab

Cushion Lab specializes in ergonomically designed pillows made from memory foam. Their Deep Sleep Pillow has a contoured shape with a cervical indent to support the neck's natural curve. The design aims to promote better spinal alignment and relieve pressure for both back and side sleepers, helping to reduce neck pain and stiffness.

Key Features: Ergonomic contour shape, CertiPUR-US certified memory foam.

Pros: Specifically designed to support the cervical spine, provides good pressure relief.

Con: The fixed shape may not be comfortable for everyone.

11. Dosaze

Dosaze offers a contoured cervical pillow designed with input from sleep specialists to provide therapeutic neck pain relief. The pillow is made from memory foam and features a specific contour that supports the neck while allowing the head to rest comfortably. It is designed to encourage proper sleeping posture for both back and side sleepers.

Key Features: Contoured cervical design, memory foam construction.

Pros: Provides targeted support for the neck, designed for pain relief.

Con: The therapeutic shape can take some time to get used to.

The Role of Pillow Materials in Neck Support

The material inside your pillow is just as important as its height. Different fills offer different levels of support, and the right one for you depends on your personal preference and support needs. Finding the best organic pillows for sleeping can also play a role in overall comfort.

Shredded Memory Foam: This material is popular in adjustable pillows. It conforms to your head and neck while allowing you to change the loft. It provides great pressure relief and support.

Solid Memory Foam: Often found in contoured pillows, solid memory foam offers firm, consistent support and holds its shape well.

Latex: Latex is a responsive and durable material that offers buoyant support. It is naturally breathable and hypoallergenic.

Down and Feathers: These traditional fills are very soft and malleable but can lack the support needed to prevent neck pain. They often compress overnight, losing their loft.

Down Alternatives: These synthetic fibers mimic the softness of down but often provide better support and are hypoallergenic.

Common Mistakes When Choosing a Pillow for Neck Pain

Finding the right pillow can feel overwhelming, but avoiding a few common mistakes can make the process easier. Being aware of these pitfalls will help you make a better choice for your neck health.

1. Ignoring Your Sleep Position: The most common mistake is choosing a pillow that doesn't match how you sleep. A side sleeper using a thin, soft pillow will almost certainly wake up with pain.

2. Focusing Only on Softness: A pillow that feels soft and fluffy in the store might not provide the support your neck needs all night. Support is more important than initial softness.

3. Not Considering Adjustability: Your needs can change. A new mattress or a change in sleeping habits might require a different pillow height. An adjustable pillow offers long-term value.

4. Keeping Your Pillow Too Long: Pillows don't last forever. Over time, they lose their shape and support and accumulate allergens. Most pillows should be replaced every 1 to 2 years.

For more helpful articles and company news, you can always visit the Honeydew Sleep blog.

Frequently Asked Questions

How do I know if my pillow is the wrong height?

Signs that your pillow is the wrong height include waking up with neck stiffness, headaches, or pain that radiates into your shoulders. If you constantly have to bunch up or flatten your pillow to get comfortable, it is likely not the correct loft for you. Numbness or tingling in your arms can also be a sign of poor neck alignment during sleep.

Can a pillow cause neck and shoulder pain?

Yes, a pillow is a common cause of both neck and shoulder pain. If a pillow is too high or too low, it creates misalignment in your cervical spine. This forces the muscles in your neck and shoulders to work overtime to support your head, leading to strain, stiffness, and pain.

How often should I replace my pillow to prevent neck pain?

It is generally recommended to replace your pillow every 1-2 years. Over time, the materials inside a pillow break down and lose their ability to provide adequate support. An old, flat pillow will no longer keep your head at the proper height. The replacement timeline depends on the pillow's material and quality.

Is a firm or soft pillow better for neck pain?

The choice between a firm or soft pillow is less important than choosing a pillow with the right height and support. The goal is to fill the space between your head and the mattress to keep your spine neutral. A pillow should be firm enough to hold its shape and support your head but soft enough to be comfortable and relieve pressure points.

Customize your comfort with the Scrumptious Side Sleeper Pillow, designed for personalized loft, better alignment, and all-night support