Best Sleeping Position

The purpose of this post is to answer the question of: “What is the best sleeping position to promote good posture?”

What to expect in this post:

Importance of having Good sleeping posture

Your sleeping posture is more important than you may think…

Not only does your posture matter when you’re upright, it is equallyย as important when you’re lying flat.

Don’t let your poor sleeping position contribute to your bad posture!

Tell me something… Have you ever woken up with pain in the neck, shoulder or lower back?

Yes?… I am willing to bet that it could be related to your sleeping posture!

best position to sleep for good posture

The goal is to encourage symmetry and alignment of the body.

I recommend sleeping on the back or side.

1. Sleep On Your Back

best position to sleep for good posture

Pros

  • Promotes greatest amount of symmetry
  • Equal distribution of load throughout the body
  • Optimal position for posture
  • Less likely to compress joints/muscles

Cons

  • May encourage snoring and sleep apnea for those predisposed
  • May place more stress on the lower back
  • May be uncomfortable for people with bad posture
  • May aggravate reflux symptoms
  • Uncomfortable during pregnancy

Points To Consider

Place a pillow underneath your knees

knee support while sleeping

This will cause a slight bend in your hips and knees and allow your lower back to flatten against the bed.

This position can help alleviate any tension throughout the lower back region (especially in those with an Anterior Pelvic Tilt and/or tight hip flexor muscles).

Note: Depending on your level of comfort, you may need to experiment with different heights of pillows under your knees until you find the most supporting and comfortable position. Some people may even feel more comfortable without the pillow.

Support Your Arms

arm support sleep

Place a pillow on either side of your body to help support the weight of your arms.

This is particularly helpful if you have rounded shoulders as the shoulders tend stick forward when lying down.

(Keep in mind – If you already have reasonably good posture, you may not need to support your arms.)

Support Your Head

Place a pillow underneath your head and neck.

The aim is to use a thin as possible pillow that adequately supports the weight of your head.

pillow too high

Avoid using overly thick pillows as it can push your head forwards. (See above)

“Stretch Lying”

I am a fan of the Gokhale’s Method of “stretch lying” to de-compress the spine whilst lying down.

Think about elongatingย yourย spine as you lie down!

[See Video]

Instructions:

  • Lie down on the back.
  • Bend both knees and place feet hip width apart on bed.
  • Prop the upper body onto your elbows.
  • Slowly peel onto the bed one vertebra at a time.
  • Place hands behind the head and slowly elongate the back of the neck.
  • Set shoulder blades down towards the feet.
  • Straighten out and relax the legs to the side.

โ€ฆ Still uncomfortable sleeping on your back?

If for whatever reason you can’t lie on your back (breathing difficulties, snoring, reflux, back pain etc.), you can try sleeping on a bit of a slight incline.

(I tend to adopt this position when I have a flu and can’t lie on my back without my nose blocking up.)

You may need to stack a bunch of pillows until the desired angle of inclination is reached. Make sure that you are bending from the hip and not the upper torso.

2. Sleep On The Side

The alternative to sleeping on your back is to sleep on your side.

side sleep position

Generally speaking – People with bad posture will prefer to sleep on their side.

If you think about it, the position resembles the posture you may have whilst sitting (โ€ฆ I call it “horizontal slouching”).

If you are used to sleeping on your side, there is no need fret. (There is a more ideal way of doing it!)

The main thing to consider is keeping the spine alignment in a neutral position.

Pros

  • Reduces snoring
  • More comfortable for people with bad posture
  • Good for pregnancy

Cons

  • Increases stress on one side of the body
  • Higher risk of misalignment (especially if you have big shoulders and/or hips)
  • Alignment is largely dependent on support from mattress

Correct Way To Sleep On The Side

side sleep position

Tuck a pillow into the small of the neck

This will help support the weight of the head and prevent the neck from tilting towards one side.

Place a pillow between your legs

This will support the weight of the upper leg and prevent the lower back from rotating.

Place pillow under upper arm

This will support the weight of the upper arm and reduce load on the shoulder.

Do not assume the fetal position

Avoid rounding your body to the extent where you are curled up into a ball.

This may compress your body and promote bad posture.

Remain lengthened throughout the spine

Imagine someone is pulling your head to making your entire spine longer.

Adequate support from mattress

When sleeping on your side, it is important that your mattress is supporting you in this position.

If the mattress is either too soft or too firm, side sleeping will be uncomfortable.

(Check out this part of the blog post to determine if a mattress is suitable for you.)

Note: If you suffer from any shoulder issues, do NOT sleep on the painful side! Either sleep on the other side or on your back.

Avoid Sleeping on Stomach

sleeping on stomach

In my opinion: You should not habitually sleep on your stomach.

In this position, your neck tends to be rotated all the way towards one side which can result in a sore and stiff neck upon waking up.

It will also encourage the rounding of the upper back region (Hunchback Posture) and promote a Sway Back Posture.

Pillow Tips

How Many Pillows Should You Use To Support Your Head?

What is the magical number of pillows? 1, 2, 3 or even 4?

The trick is using the pillow as a means of supporting and promoting neutral alignment of your spine.

It really depends on your posture and sleeping position.

When To Change Pillow

How old is your pillow? Have you even changed it before? Do you need one new one?

Do the pillow scrunch test: Scrunch up your pillow.ย Let go.

If it doesn’t spring back to the original shape immediately, you may need to consider purchasing a new one.

Is It Good To Sleep Without A Pillow?

It certainly can be!

The only issue is that many people who have a forward head posture will likely require some amount of support from a pillow.

If you feel comfortably without a pillow, go for it!

How to determine if a mattress is suitableย for you

Are you looking for a mattress? Not sure how to test if a mattress is good for you?

The general rule of thumb when buying a new mattress is to aim for as firm as you can comfortably tolerate.

How do I test the amount of firmness? โ€ฆ Do the 2 minute test!

Here is how to do it:

  1. Pick a mattress that you are wanting to test.
  2. Lie down on your preferred sleeping position.
  3. Maintain this position without moving for at least 2 minutes.
    • (Longer duration would be even better!)
  4. If you feel that you need to fidget or change positions before the 2 minutes is over, the bed is likely not suitable for you.

Ultimately – You will likely need to address any issues in your body (including your posture!) that may be predisposing you to being uncomfortable in bed. Here are 101 tips to help you get started on your posture.

Other tips

You Are Going To Move Around

Accept it. Chances are that you will not stay in the same position throughout the night.

(And that’s completely normal!)

My Advice: Start in a good position, support this position with the use of pillows, get comfortable and hope that you wake up in the same spot.

It is not a significant issue if you move into a “not so good” position, but at the very least, it is important to start in the ideal position.

Set yourself for success (โ€ฆ even when you’re sleeping)!

You may actually find the more comfortable you are whilst lying down, the less you will likely move around.

As your body becomes accustomed to your new sleeping position, it becomes easier to remain in position.

Get Up Slowly

When you wake up, make sure that you take your time rising from your bed.

If you move too quickly after the body has been in the lying down position for a long period of time, this can result in an injury.

Someone Else In The Bed?

If you have someone else sleeping next to you, it may be a common practice to snuggle next to them.

There’s no problem with this… But, exercise caution when you are about to sleep.

If you are entangled with your sleep buddy in an awkward position, this may compromise the ideal sleeping posture.

My Recommendation:ย After you have finished with your hugs, separate and assume your ideal sleeping position.

It Takes Time

You have been sleeping a certain way for many years now.

It is going to take some time to wean into your new ideal sleeping posture.


Follow the steps and recommendations made in this blog post to help promote your best possible posture whilst sleeping.

Please feel free to leave me a comment down below.

I’d love to hear from you!


What to do next

  1. Any questions?… (Leave me a comment down below.)
  2. Join me:  facebookpicture | instagram picture
  3. Start doing the exercises!

Disclaimer:ย The content presented on this blog post is not medical advice and should not be treated as such. It is not intended to be used as a substitute for professional advice, diagnosis or treatment. Use of the content provided on this blog post is at your sole risk. Seek guidance from a healthcare professional before starting any exercise and/or implementing any recommendation.ย For more information:ย Medical Disclaimer.

53 thoughts on “Best Sleeping Position”

  1. I like to sleep on my side. If I have a tight and painful QL muscle on the right, should I sleep on my left side with a pillow at my waist? Or vice-versa? Thanks for your tips on sleeping positions and on stretches for my QL muscle!!

    Reply
    • Hi Pam,

      If you would like to encourage a more lengthened position of your right QL whilst side sleeping, I would suggest that you sleep either:

      1. With the right side down. In this position, the upper side (that is – the left side), will generally side bend to the left (especially if your mattress is on the soft side). However, if you are slightly wider hips or shoulders, this can influence the position.

      2. With the left side down. If you want to sleep on the left side down, all you need to do is place a rolled up towel or pillow underneath the left waist region.

      Either is fine! Just make sure that you are comfortable and are able to have a good sleep.

      Additionally – Keep working on stretching the Right QL and addressing exactly why it is tight. Once you fix the root cause of your tightness, the sleeping position does not matter as much.

      Hope this answers your question. Have a great day!

      Mark

      Reply
  2. Hi Mark !

    I have a high arched back
    I am pregnant and I need relief while sleeping, every position is soo uncomfortable!
    Any thoughts

    Reply
    • Hi Megan,

      Sounds like you have Hyperlordosis.

      If you have tried all of the usual things such as changing the firmness of the mattress and trying different sleeping positions, here are some quick suggestions:

      – In the side lie position: Place pillow between knees, small pillow underneath the waist crease, hug a pillow with arms, small pillow underneath belly bump.
      – Use a SIJ belt (if you have ligament laxity). Also depends how big your belly is at the moment.
      – Gentle strengthening exercises for the hips and lower back. (best to be guided by a trained professional)
      – Consider using a pregnancy sleeping pillow

      All the best.

      Mark

      Reply
  3. I sleep on my back and use a very flat pillow. My neck does not touch the pillow at all. If I ensure my shoulders are not touching the pillow at all and kinda scrunch up the bottom of the pillow to fill the void under my neck, I end up with a very sore, stiff neck the next day. So I don’t do that and I just leave the gap and there might be an inch of pillow covered by my shoulders. Is this bad? Will I eventually get used to the neck support? Or do I need to address my forward head/rounded shoulders first?

    Reply
  4. Hi Mark,

    Very helpful stuff.
    Just one question,
    if i have only ONE rounded shoulder, will propping that one arm up help as well?

    Best Regards Buddy

    Reply
    • Hi Bryan,

      I’m not sure what position you are referring to when you say propping one arm up. Do you mean supported the rounded shoulder when you are on the side?

      Mark

      Ps. With only one rounded shoulder, this could be due to a twisted spine.

      Reply
  5. Thank you so much for all the information on this site! I can’t imagine how much trouble it’s saved me down the line. I had horrific posture and fortunately managed to catch it early.

    I really want to sleep on my back, but every time I try, I just… don’t sleep, despite the fact that I fall asleep in 5 seconds flat on my side. I have no idea how long I could lie there awake; I always give up and turn onto my side and fall asleep immediately.

    I have no pain, no sleep problems, my mattress is fine, and I’m nowhere near overweight. My best guess is that it feels too much like standing, and my brain just doesn’t get the message to sleep, but I have no idea if that’s true! Weirdly, I actually find lying on my back more comfortable than my side because everything is aligned (I don’t even need a pillow) and my (very bony) knees and ankles aren’t pressed together, but I still can’t sleep.

    Any ideas on how to fix that?

    Reply
    • Hey there,

      It sounds like it could just be a matter of giving it some time to allow the body to get used to it.

      Don’t be afraid of sleeping on your side though! It is not inherently bad!

      Mark

      Reply
  6. Hi Mark, I have a question. You mentioned that putting a pillow under the knees will help flatten out the lower back. However, will this not lead to having a postural flat back on the long run?
    I decided to sleep on the floor a few nights ago because my back and neck pain were becoming unbearable and I woke up feeling better than ever.
    My posture has improved so much by sleeping on the floor for a week. However I have a slight knee varus that seems to be geeting worst.
    According to you, would the pillow under my knee help my knee varus?

    Reply
    • Hey Shaun,

      Pillows under the knees will help take some pressure off the lower back. If you have no issues with your back, you can skip using the pillow altogether.

      You mention the knee valgus getting worse. It is not likely that the sleeping position is making it worse. Any other potential activities that might be contributing?-
      Mark

      Reply
  7. Hi Mark,

    Thank you so much for the clear explanation of ideal pillow support for different sleeping positions to maintain or improve our posture. I have been looking into cervical support pillows and have read that these can support both back and side sleepers. Back sleepers can place their head in the center where there is neck support and a dip in the center for the back of the head, and if you turn to either side, the pillow is thicker to support the side of your head. Would you share your thoughts on the benefits or downsides of using this type of pillow?

    Thank you,
    Marisa

    Reply
    • Hey Marisa,

      I haven’t come across these types of pillows before actually! I’ll need to research it a bit!

      But by what you have told me – it sounds like it can be used by both back and side sleepers.

      You will still need to make sure there is an adequate amount of support for the neck and head (of course- everyone has different sized heads/neck/shoulder)

      Mark

      Reply
  8. It’s currently 1:37 AM and I’ve been trying to find a good sleeping position for rounded shoulders. I am now going to sleep without pillow and my hands on my stomach with me elbows rotated out a little bit, this is the first time I feel really comfortable, thank you so much!

    Reply

Leave a Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.