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Which sleep position is best?

Do you need to change your sleep position? The short-and-sweet answer: Choose whichever keeps you most rested.

graphic of girl changing sleep positions“If you don’t frequently wake up tired or sore, your sleep position is likely just fine,” said Rebecca VanErp, Marshfield Clinic Health System sleep medicine nurse practitioner. “It’s only a problem when it affects your daily life.”

Nearly one-third of your life is spent sleeping so the sleep position you choose can affect your overall health. When we have good sleep it helps with our bodies healing abilities, and aids in our immune system recovery. When we have healthy sleep it can also improve your mood. “Imagine someone poking you awake all night!” VanErp said. “You would not feel happy the next day. We need sleep to recover our muscles and discus from the days continuous work load. Quality of sleep affects every part of our lives.”

A breakdown of sleep positions

Back pain, snoring and headaches can be attributed to sleep position.

I sleep on my back.

Back sleep is okay if you’re comfortable. It can prevent wrinkles and fight acid reflux. However, body frame and curve can make it difficult to keep your spine neutral, causing back pain.  Try a pillow under your knees to relieve pressure on your body and help reduce soreness.

“An important thing to remember is if you are sleeping on your back and heavily snoring or feel like you cannot breathe without sitting in your recliner or upright position, this would be a good time to speak to your sleep provider as snoring is a warning sign that you may have sleep apnea,” VanErp said.

I prefer my stomach.

Do you choose this sleep position because you’re comfortable and wake up refreshed? Or is it actually because you’re unknowingly treating a sleep condition?

“Many people I see who sleep on their stomachs are inadvertently treating sleep apnea,” she said. A sleep medicine specialist can help you with this sleep disorder.

Others may find stomach sleep brings body pain. This position puts pressure on joints and muscles. Additionally, the awkward stretch of the neck can cause back pain.

In these cases, it’s better to try sleeping on your back or side.

I turn to my side.

This is a common sleep position, VanErp said.

If you curl into a ball, or the fetal position on your side with legs curled in toward your body you can decrease back pain or help during pregnancy.

If you like sleeping on your side but often wake up stiff, place a pillow between your knees. This can make a comfortable difference.

How to change sleep position with a tennis ball

Though sleeping on the back is good for the spine, it can be painful for those with back pain and arthritis. It can worsen sleep apnea episodes.

Here’s a trick to help change your sleep position: Sew a tennis ball into the tail of a t-shirt.

“When you roll onto your back, the tennis ball prompts you to turn back to your side,” VanErp said. “It’s an inexpensive, simple trick for back sleepers who could improve their overall health by sleeping on their side.”

And don’t forget the pillow

If changing sleep positions doesn’t improve your physical or emotional health, look to your pillow.

We tend to keep a pillow much longer than we should.

“Replace your pillow every one to two years,” she said. “They do change over time and you want something that keeps your spine aligned.”

Learn how to choose the right pillow for good support. And, if you’re still not sleeping well, make an appointment with a sleep specialist.

Schedule an appointment with a Marshfield Clinic Health System primary care provider.

Schedule appointment Learn more about Primary Care

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Can’t sleep? Blame your cellphone.

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Ask the expert: Sleep & heart health

Seasonal affective disorder (SAD): Everything you need to know

Adjusting to time change: Daylight saving time and travel

7 responses to “Which sleep position is best?”

  1. Cheryl A Von Ruden

    My mouth opens and I snore when sleeping on my back. Is that what normally happens?

    1. Kirsten Shakal

      Hi, Cheryl. We cannot provide individualized medical advice on this forum, but Jessica was able to provide some general information on snoring. "Snoring is somewhat concerning for possible sleep apnea. While not everyone who snores has sleep apnea, it is a risk factor. Sleeping with the mouth open or slack is also concerning as the throat may be closing during sleep. I would recommend evaluation for snoring questions and concerns."

      Here is some more information on sleep apnea:
      https://shine365.marshfieldclinic.org/heart-care/sleep-heart-health/

      I hope this helps. If you're interested, you can make appointments online: https://www.marshfieldclinic.org/appointments -Kirstie

  2. Melissa Easker

    I have some sciatic nerve pain in my lower back. Sometimes I find that when I sleep on my stomach, it makes this pain worse. Is that normal? Can you recommend anything to improve this issue when I sleep?

    1. Wendy M Moynihan

      I have the same problem but what I do is put a thin pillow under my pelvis. Hope this helps you too.

      1. Kirsten Shakal

        Thanks for sharing your solution, Wendy. I've also reached out to Jessica to see if she has any further ideas. -Kirstie

    2. Melissa Easker

      Thanks Wendy! I'll try that.

      1. Kirsten Shakal

        Hey, Melissa. Jessica was able to provide some insight into sciatic nerve pain as well. She also suggested using a pillow: "Laying on the back with a firm pillow or two under the knees can help most people with this problem. A person can experiment with different degrees of leg elevation to find what works for them." -Kirstie

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