Good posture in bed

Baby sleeping - very relaxed unlike adults who sleep with tension
Baby sleeping - very relaxed unlike adults who sleep with tension


Let’s look at sleeping positions. Do you wake up with neck pain or back pain and feel stiff and achy in the morning? What is a good pillow height? Do you sleep on your back, front or side? Here are some ideas to experiment with.

Pillow Height

The height of the pillow makes a difference. You need to find a height where your neck is in neutral. Your neck needs to be aligned with your spine rather than bent down or up.

If you sleep on your back, you many need a different height pillow than if you sleep on your side or front. Below are ideas for each position:

Sleeping on your back

Have the pillow height so your neck is comfortably aligned. If the pillow is too low, your chin will poke up in the air and the back of your neck will be shortened. If the pillow is too high, your throat may be constricted and your neck may be pushed up at the back.

Some people like their neck to be supported but others prefer just their head on the pillow. See what works best for you.

Experiment with a pillow under your knees and see what effect this has on your lower back pain.

Sleeping on your side

Find a pillow height so the neck is in neutral. It’s not advisable to tuck the chin into the body, as this can cause neck strain.  You may need a slightly more pillow height on your side than when you are on your back.

Try a pillow between your knees. This opens the hips up and doesn’t pull on the back so much.

If you have a longer pillow or a V-shaped pillow, you could also have one end of the pillow between your ankles.

If your arms feel bunched, hug a pillow (or a person!) to open up more in the chest.

Lying on your front

Depending on your body, you may not need a pillow at all – experiment to see how the pillow affects your neck.

Sleeping on your front can cause back strain for some. If it causes low back pain but is the only way you can sleep, try putting a slim pillow under your pelvis and/or lower abdomen.

Pillows – normal, V-shaped and small

Pillows are a personal choice and it is hard to gauge the pillow’s height as they sink and move under the head weight. Some shops have beds that you can lie on to test out pillows so this can help avoid an expensive mistake.

For pillows between the knees, you can use a normal pillow. A smaller pillow or a cushion can be easier to manage, especially when you turn over. Another option is a V-shaped pillow, where the point of the V goes between the knees and the long lines sit between the ankles and thighs. This is very comfortable. Breastfeeding pillows that have a curved shape work well too.

Computer Monitors – Screen Height.

Correct computer monitor height  to avoid neck pain

To avoid neck strain, the top of your computer monitor should be at eye level, about an arm’s length away. Our eyes naturally look about 15 degrees down and so will then naturally look onto the screen.

There are various bits of equipment that you can buy to raise the screen but a cheap and cheerful option is to prop it up on some large books.

For laptops, it’s a different scenario as the screen is invariably too low and may even be a little close. This is fine if only using the laptops for short periods of time. If you are using a laptop a lot and don’t need it to be too portable, you can buy a separate keyboard and mouse. Ideally, the keyboard should be a “low profile” keyboard – one that is fairly flat. You can then prop the laptop up, an arm’s length away, with the top of the monitor at eye level. There are different types of kit available for this including ones that are like cookery book holders and others that are like bean bags. But, once again, you can always prop the laptop up on some large books.

Posturally, it is not good to push your head and neck forward to read the screen. This can cause neck pain, back and shoulder strain. It’s worth getting your eyes tested regularly to ensure you can see clearly.  You can also look at getting a larger screen or adjusting the print size on screen. But also trust your eyes as pushing the head forward may just be an unnecessary habit.

So as well as thinking about your computer set up, think about your body and how you use it.

Posture at the keyboard

Man at typewriter with a long back, not slouching, sitting on low wall

Offices come in all shapes and sizes.  This one was outside the courts in Mumbai, India where men were typing affidavits. I was struck by how upright this man’s back was. Despite him being very tall and sitting on a low wall, he manages to not slouch. His head is a bit down and forward but, given his office environment, his back is in pretty good order.

Let’s contrast him with the man sat next to him:

One man with a long back and good posture typing, one man slouching whilst writing
Here we can see the difference in posture. It’s so easy to curve the back when writing or typing.  The man on the right has brought his head right down, has a rounded back and is collapsed in the front.

Our posture can deteriorate from a very early age. Here’s another typist:
Man slouching and slumping when typing.
This man has a more rounded back when he types and he is slumping a bit. Note how his neck has pulled forward and how his shoulders have come forward.

In fact, considering where he is typing, his posture is not as bad as many westerners would be in similar circumstances. I just haven’t had the opportunity to go into a British office to take photos.  If there are any willing volunteers, I’d love to do so!

The more I look at these photos, the more I am struck by the back length of the first man.   It’s particularly impressive considering his typewriter is on a low box, not even on a table.