If you’re a back sleeper, you’re already sleeping in one of the healthiest positions for spinal alignment and breathing. However, there’s a catch—your pillow can significantly impact your sleep quality. An unsuitable pillow might misalign your neck, create stiffness, or even result in back pain. Conversely, the right pillow will support your natural curve, keep your airways clear, and help you wake up feeling refreshed.
Why Back Sleepers Need a Specific Pillow
Not all pillows are the same. If you sleep on your back, you need to choose pillows carefully:
- Spine alignment: A pillow that’s too high pushes your chin toward your chest; if it’s too low, your head tilts back. Both situations can cause neck strain.
- Neck support: The pillow should support the natural curve of your neck to avoid stiffness.
- Breathing and snoring: The right height keeps your airway clear, reducing the risk of snoring and sleep apnea.
- Pressure relief: A good pillow provides support to prevent discomfort in your shoulders and lower back.
Key Features to Look for in a Pillow for Back Sleepers
When choosing your next pillow, consider these key factors:
- Height: Medium height (3-5 inches) is ideal for most back sleepers.
- Firmness: Choose a pillow with a medium or medium-firmness to find a good balance of comfort and support.
- Materials:
Memory foam – molds to the shape of your neck and head.
Latex – provides cooling, support and a bouncy feel.
Down & Down Alternative – Soft and lightweight. - Cooling technology: If you tend to feel hot, choose a gel-infused foam or ventilated cover.
- Adjustability: Choose pillows with cut-out fillers that allow you to add or remove fillers as needed.
- Washable covers: Make sure they are hypoallergenic and easy to maintain.
Best Pillows for Back Sleepers
1. Tempur-Pedic TEMPUR-Neck Pillow – Best Overall
- Its ergonomic design adapts to the natural curve of your neck.
- Memory foam adapts to your head and shoulders.
- Recommended by chiropractors for neck pain relief.
Suitable for: Individuals suffering from chronic neck pain or stiffness.

2. Coop Home Goods Adjustable Loft Pillow – Best Cooling & Adjustable
- Shredded memory foam lets you change the loft.
- Bamboo ventilated cover keeps you cool.
- CertiPUR-US certified for safety.
Ideal for: Hot sleepers and those who like adjustable comfort.

3. Amazon Basics Down Alternative Pillow – Best Budget Option
- Inexpensive and easy to handle.
- Hypoallergenic microfibre stuffing.
- Available in a pair.
Perfect for: Economical buyers or those with a spare bedroom.

4. EPABO Contour Memory Foam Pillow – Best for Neck Pain Relief
- The orthopedic contour design provides support for the head, neck, and shoulders.
- It improves spine alignment.
- Washable pillow cover also included.
Suitable for: People who experience stiffness or migraines upon waking up.

5. Avocado Green Pillow – Best Eco-Friendly Option
- Made from natural latex and organic cotton.
- Customizable fill for personal loft.
- GOTS-certified organic cotton cover.
Perfect for: Eco-conscious consumers who prefer natural materials.

Pillow Materials Explained
Here is a brief overview of the most popular pillows in the US:
- Memory Foam: Excellent for contouring and alleviating pressure, though it can trap heat.
- Latex: Naturally cooling, long-lasting and supportive.
- Down: Offers luxurious softness, but can be expensive and offers less support.
- Down alternatives: Budget-friendly, hypoallergenic and easy to care for.
- Hybrid pillows: A blend of foam and fibers to provide balanced comfort.
How to Choose the Best Pillow as a Back Sleeper
- Body shape matters: Heavier people may want to opt for firmer and thicker pillows, while lighter people may need softer and shallower pillows.
- Firmness vs. softness: Choose contouring (memory foam) or bounce (latex) depending on your preference.
- Trial offers and guarantees: Many US pillow brands offer trial periods of 30 to 100 nights. Be sure to use it before making any decisions.
- Budget Range: Expect to spend anywhere from $30 (budget) to $150+ (luxury)
Final Thoughts
Choosing the ideal pillow for back sleepers isn’t just about choosing the softest option—it’s about finding one that supports your natural alignment, minimizing discomfort, and ensuring a comfortable night.
As a great, all-around option, the Tempur-Pedic Tempur-Neck Pillow offers exceptional support. If you need an adjustable pillow, the Coop Home Goods is a great choice. If budget is your priority, Amazon Basics Down Alternative is best choice