Back pain is one of the most common problems people face today, whether it’s due to long working hours, poor posture, or lifestyle habits. While medications, exercise, and physical therapy help, many people overlook one of the most effective natural remedies: sleeping in the right position. The way you sleep directly impacts your spine alignment, muscle relaxation, and overall recovery.
If you often wake up with stiffness or discomfort in your back, adjusting your sleeping position can make a huge difference. Here are the top sleeping positions that can reduce back pain overnight.
1. Sleeping on Your Back with a Pillow Under the Knees

This is considered one of the healthiest sleeping positions for back pain. Lying flat on your back keeps your weight evenly distributed across the body. Adding a pillow under the knees helps maintain the natural curve of your spine.
Why it works:
- Reduces pressure on your lower back
- Supports spinal alignment
- Relaxes muscles overnight
2. Side Sleeping with a Pillow Between the Knees

If you’re not comfortable sleeping on your back, side sleeping is the next best option. Place a firm pillow between your knees to keep your hips, pelvis, and spine aligned.
Why it works:
- Prevents the spine from twisting
- Reduces lower back and hip pressure
- Improves overall sleep comfort
3. The Fetal Position (for Herniated Discs)
Curling up on your side with your knees tucked toward your chest—like a baby—can be very effective if you suffer from herniated discs or spinal problems.
Why it works:
- Opens up space between spinal discs
- Reduces strain on the lower back
- Provides comfort for people with disc issues
4. Sleeping on the Stomach with a Pillow Under the Abdomen

Normally, stomach sleeping is not recommended because it strains the neck and back. However, if it’s your preferred position, placing a pillow under your abdomen can help reduce the pressure on your spine.
Why it works:
- Supports the lower back
- Reduces stress caused by stomach sleeping
- Can relieve mild disc pressure
5. Reclined Sleeping Position (Using an Adjustable Bed or Recliner)

Some people with isthmic spondylolisthesis or chronic lower back pain find sleeping in a reclined position more comfortable.
Why it works:
- Creates an angle between the thighs and trunk
- Reduces pressure on the spine
- Encourages natural spinal support
Extra Tips for Pain-Free Sleep
- Use a medium-firm mattress for proper support.
- Choose a supportive pillow that keeps your neck aligned with your spine.
- Avoid using too many soft pillows that bend your neck unnaturally.
- Stretch lightly before bed to relax muscles.
Final Thoughts
Back pain can make sleep miserable, but the right sleeping position can help you wake up refreshed and pain-free. Whether you prefer sleeping on your back, side, or stomach, small adjustments like adding a pillow under your knees or between your legs can make a big difference.