Have Sleep Apnea Or Suspect You Do? Certain Pillows Might Help
Sleep apnea — a disorder in which one's breathing is interrupted for seconds or minutes at a time during sleep — affects people of all ages, genders, and body types, according to Dr. Indira Gurubhagavatula, a sleep medicine physician and spokesperson for the American Academy of Sleep Medicine (AASM). Yet more than 80% of sleep apnea cases remain undiagnosed, she said.
'The most common symptom of sleep apnea is loud, persistent snoring,' Gurubhagavatula noted. However, because of the unconscious nature of sleep, it can be tricky to determine whether you snore, much less experience sleep apnea episodes, unless a family member, roommate or partner notices. However, if you notice yourself waking up gasping or choking, or even frequently using the bathroom at night, these can all constitute sleep apnea symptoms, too.
The interruptions in breathing that occur with sleep apnea 'lead to frequent drops in blood oxygen levels, severely disrupting sleep quality,' explained Chelsie Rohrscheib, a neuroscientist and head sleep expert at Wesper. The consequences of such diminished sleep quality can be dire, affecting daytime hours and the broader constitution of one's life emphasized Gurubhagavatula.
'For about half of those with sleep apnea, symptoms worsen when sleeping on their back,' explained Rohrscheib. This is called positional sleep apnea, she noted, and occurs because sleeping on your back can actually block your airway. Specifically, gravity can cause your tongue to fall into the throat during sleep, obscuring the airway, both experts said.
The good news is that sleep apnea is treatable.
'Patients with positional sleep apnea often benefit from sleeping on their side or elevating their head,' added Rohrscheib. 'For people with mild sleep apnea, sleeping with a firm, elevated pillow might improve their respiration, as softer pillows that are thinner tend to promote airway blockage.'
If you suspect you may have sleep apnea, seek evaluation by your doctor or a specialist from an AASM-accredited sleep center. A healthcare professional can order you a sleep study, which often can be done right at home.
'Those with positional sleep apnea may still experience breathing disruptions, though typically to a lesser degree than when sleeping on their back,' Rohrscheib noted, and 'not everyone with sleep apnea will see improvements by changing their sleep position.' It's best to consult with a sleep specialist about whether positional therapy makes sense for you.
If your doctor agrees that swapping out your pillow might help, you can check out some pillow aids informed by expert insight ahead.
1.
Tempurpedic
Switching to a side sleeping position with an appropriate pillow can be helpful if you have mild or positional sleep apnea, in which the disorder worsens during back sleeping.
'Typically, someone with positional sleep apnea will benefit more from a pillow that allows them to sleep comfortably on their sides, such as a medium firm memory foam pillow," said Rohrscheib.
Based on Rohrscheib's advice, we selected Tempurpedic's beloved memory foam pillow, which is designed to comfortably support your head and neck during side sleeping.
Get the large pillow from Amazon for $63.
2. An adjustable memory foam pillow for personalized support
Amazon
This popular contoured side sleeping pillow is another solid option based on Rohrscheib's recommendation. It's so important for any good side pillow to support the space between your shoulder and head as closely as possible, yet that distance is unique to each person depending on their particular physical makeup, according to sleep brands like Tempurpedic. After all, shorter folks may have different head-to-shoulder widths than taller people.
As a result, it can be advantageous to choose an adjustable pillow, like this one. Oeko-Tex-certified and made out of memory foam, the pillow provides four different heights for you to choose from to help achieve optimal profile support while helping minimize neck strain.
Another plus is that this option comes in a travel size for easy portability.
3.
Amazon
For folks with positional sleep apnea, "The simple practice of sleeping on their side or stomach can help keep the airway open throughout the night," noted Gurubhagavatula.
A concave contoured pillow, like this bestselling one that we selected, may help side sleeping feel comfier by providing additional support. Made with memory foam, the pillow is designed to ergonomically cradle the head at a 15-degree angle while supporting the natural curve of the neck and shoulders. This option features convenient removable inserts, too, so you can adjust it to your ideal side profile width. If you'd like the pillow to be even taller than the available inserts allow, the company says you can even contact them for an additional insert.
Get it from Amazon for $35.98 (available in three colors).
4. A wedge pillow to comfortably elevate your upper body
Amazon
Both Gurubhagavatula and Rohrscheib recommended wedge pillows for folks with mild or positional sleep apnea, since this kind of pillow helps encourage sleeping with the upper body elevated. "A wedge pillow that allows [patients] to sleep at a 45-degree angle ... reduces the risk of soft tissue blockage in the back of the throat" and thus helps improve respiration, explained Rohrscheib.
Based on the experts' input, we think this bestselling memory foam wedge pillow is a great option. Available in tons of different sizes, including options that span your whole headboard, the adjustable pillow is plenty versatile (and surprisingly chic thanks to its Jacquard pillow cover). It's designed to help with snoring and encourage more comfortable sleep, but can also be used for back support while reading or watching TV or for elevating your feet or legs after a long day.
Get it from Amazon for $29.88+ (available in various sizes).
5.
Amazon
If you already know you have sleep apnea and use a CPAP machine to assist with nighttime breathing, you might benefit from a pillow that's designed specifically with CPAPs in mind. "There are ... pillows made for sleep apnea patients that use other therapies, like CPAP," noted Rohrscheib.
This Contour CPAP Max pillow, which we selected, is one such option. The adjustable, orthopedic pillow sports side cutouts to help minimize leaks from your mask and prevent your mask from moving around. Its concave center cradles your head while providing facial support to help facilitate comfortable airflow and side positioning. With the pillow's three removable layers, you can add and subtract inserts to achieve an ideal height for your side profile. Available in original and cooling versions, the pillow even has a tether for attaching your machine's hose to further minimize shifting of your mask.
6. A especially firm pillow made for CPAP machine wearers
Amazon
This popular, firm Lunderg memory foam pillow, which we also chose, is also designed for folks with sleep apnea who use CPAP machines. Designed to reduce mask air leaks, the pillow's two sides offer different thickness levels to accommodate differing side profiles; the pillow also comes with an additional removable insert for further customization. The piece also includes two pillowcases (one of which is cooling)!
Get it from Amazon for $79.
7. A full body pillow for increased comfort and support while side sleeping
Amazon
In previous reporting, a sleep medicine physician recommended using a full-body pillow to make side and stomach sleeping easier while providing additional pressure-relieving support.
Based on this advice, we selected this popular adjustable full-body pillow from Pharmedoc. The piece is customizable, so you can opt for its full U-shaped style, or detach one of its legs for a C-shape, and use the removed part for additional support between your legs or behind your head. It also comes with a heat-absorbing cooling cover.
Get it from Amazon for $29.71+ (available in five colors).
8. A contoured knee pillow to encourage side sleeping in comfort
Amazon
A sleep medicine physician also previously told us that a small pillow in between the knees can help align the spine for more comfortable side sleeping.
Based on this suggestion, we think this orthopedic knee pillow from Luna is a solid option. Contoured into an hourglass shape and made with memory foam, the knee pillow is designed to support your body while adapting to your particular shape and maintaining breathability with its cooling fabric. Designed to help align the spine, the sleep tool helps reduce pressure in the neck and shoulders while distributing your weight more evenly in the side sleeping position.
Get it from Amazon for $22.79+ (available in two sizes).
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Nighttime itself was a risk. Slumber left people vulnerable to crime or death from fire or other natural disasters. Some prayers throughout history sought God's protection from the litany of threats adherents encountered in the dark, says Ekirch. Vox Culture Culture reflects society. Get our best explainers on everything from money to entertainment to what everyone is talking about online. Email (required) Sign Up By submitting your email, you agree to our Terms and Privacy Notice . This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. For those who are lucky enough to have access, modern marvels like central heating and air conditioning, comfortable beds, and even Tylenol have all but eliminated many of these barriers to sleep. 'We don't have to worry about the myriad perils to sound slumber and our physical well-being that people did 300, 400 years ago,' Ekirch says. 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Try as we might to have it all, optimizing our waking hours might come at the detriment of our sleep. 'We're trying to have our cake and eat it, too,' Ekirch says. 'The less time we accord to sleep, the more perfect we want it to be for when we do nod off.' Ironically, a population of people with no notable sleep issues has turned sleep into a competitive sport, leveraging mouth tape, expensive mattresses, and sleep trackers like the Oura Ring in pursuit of the perfect night's sleep. This fixation on enhancing sleep may actually do more to promote insomnia than peaceful slumber, experts say. Most disruptions to sleep cannot be blamed on personal choices, though. Parents and other caregivers are among the most sleep-deprived, often contending with their children's inconsistent sleep schedules. And the sleep patterns of shift workers — which account for 20 percent of the US workforce — are dictated by their employers. The ill effects of poor sleep can negatively impact mental health. The opposite is true, too: Mental distress has consequences for sleep. 'Stress, anxiety, weird work schedules,' says Jessi Pettigrew, a clinical social worker who focuses on sleep disorders, 'can lead to the development of sleep disorders like insomnia or circadian rhythm disorders, which basically means being misaligned with your biological sleep schedule because of social reasons.' Environmental and systemic barriers can disrupt sleep Outside of individual behavior, where we live has a role in sleep. Not having the ability to control the temperature in your bedroom because you lack effective heating or air conditioning can be a barrier to sleep, Pettigrew says. If you feel unsafe in your environment, you're less likely to get restful slumber, too, she adds. This tends to impact people with housing insecurity, refugees, and those who are incarcerated. Beyond the bedroom, noise and light pollution from bright street lights and traffic have been shown to interrupt sleep and contribute to insomnia — and those in low-income neighborhoods are more susceptible to these conditions. 'People who live in places with good natural light, green spaces, the ability to control the temperature and light and noise in their environment,' Pettigrew says, 'helps them to sleep better and better regulate their circadian rhythm during the day and sleep at night.' The knock-on effects of altered sleep-wake schedules are profound, ranging from cardiovascular disease and obesity to mood and immune disorders. 'Sleep health disparities disproportionately affect the same populations who suffer from overall health disparities,' Shelgikar says. Those in rural or low-income areas who generally lack access to healthcare, let alone specialized sleep medicine, may continue to suffer from poor sleep, in addition to any number of physical and mental health conditions. 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