Best Pillows for Sleep Apnea

Sleep apnea is a common sleep disorder that may affect as many as one in four adults. For individuals suffering from obstructive sleep apnea, continuous positive airway pressure (CPAP) therapy can be an effective treatment.

When it comes to pillows, the best models for sleep apnea can improve both comfort and CPAP performance, often resulting in better quality sleep. Some pillow designs feature indents for CPAP masks and hoses, helping reduce the risk of face mask air leaks, while others are made to keep sleepers comfortable on their backs.

A pillow for sleep apnea may be beneficial, but it should always act as a complement to your existing care plan — not as a substitution for treatment. Here are our picks for the best pillows for people with sleep apnea.

Product Details

Many pillows accommodate people with sleep apnea, but the CPAPMax Pillow 2.0 from Contour is specifically designed for those who treat this condition with CPAP therapy. Cutouts on each side allow more room for the hose linking your CPAP machine and face mask, and a tether attachment loops around your hose to ensure a secure connection throughout the night. 

The pillow’s core contains three layers of solid memory foam, creating a plush and adaptive feel for close contouring around the head and neck. With all three layers intact, the pillow measures roughly 6 inches thick — an ideal loft for many side sleepers. If the pillow feels too tall, you can remove one or two of the layers and lower the profile. The cover is made of quilted mesh fabric that promotes airflow and helps the pillow stay cool. You may remove and machine wash the cover whenever it needs to be cleaned.

The CPAPMax Pillow 2.0 is reasonably priced and Contour offers free ground shipping for all orders within the contiguous U.S. You may return the pillow within 45 nights if you aren’t satisfied. If you decide to keep it, you’ll receive a 2-year warranty against structural and material defects.

The Helix Wedge Pillow uses a classic triangular wedge design with a gradual slope. It is designed for a variety of applications, including reading in bed, reducing back pain, and reducing snoring. Some individuals find that using a wedge pillow for sleep apnea helps them get more restful sleep. Others simply enjoy the wedge shape for relaxing in bed. By lifting the upper body, wedge pillows may help to reduce airway compression caused by gravity.

Polyfoam and memory foam make up the body of the Helix Wedge Pillow to provide support while subtly contouring to the sleeper’s body. A gel infusion within the memory foam is designed to limit heat buildup. The cover is made of a polyester/rayon blend and is removable and machine washable.

The wedge shape of this pillow is well suited to back sleepers, although some side sleepers also enjoy this design. The medium-firm composition of the pillow also means that it holds its shape well and is appropriate for most individuals who weigh over 130 pounds.

The Helix Wedge Pillow is available in one size, measuring 24 inches by 24 inches by 10 inches. It comes with a 100-night sleep trial and is protected by a 1-year limited warranty.

If you’ve been diagnosed with sleep apnea, switching from sleeping on your back to the side position can alleviate some of the heavy snoring associated with this medical condition. In doing so, you may need a new pillow. Side sleepers require more pillow loft to fill the space between their head and downward-facing shoulder — otherwise poor alignment can occur and pain often follows.

The Bicor Products CPAP Pillow for Side Sleeping features a cutout design that specifically caters to this position. The deep cutouts on either side of the pillow create a space for your connective tubing, which helps prevent air leaks that can occur when conventionally shaped pillows bump against the hose. The pillow is also thick enough to fill the space between your head and downward-facing shoulder, with a dimple in the pillow’s center to cradle your head. This design minimizes potential for neck and shoulder pain.

The fill is made from 100% polyester down alternative fiber, which feels soft and fluffy. This material retains minimal heat, so hot sleepers should not experience any noticeable overheating. A shell composed of 50% cotton and 50% polyester encases the fill. 

The CPAP Pillow for Side Sleeping carries a reasonable price-point. If you order on The Sleep Doctor, purchases under $99 incur a small shipping fee. The pillow ships anywhere in the contiguous U.S.

How to Choose a Pillow for Sleep Apnea

The pillow you choose will affect your comfort and quality of rest. For CPAP users, a quality model can reduce the frequency of mask air leaks and uncomfortable pressure on the face. Factors such as support, pressure relief, loft, and firmness all affect the overall performance of a pillow, so shoppers should carefully consider them. For those with sleep apnea, aspects such as contouring, pillow shape, and CPAP-specific design features should also be kept in mind.

What to Consider When Purchasing a Sleep Apnea Pillow

The following criteria can influence the performance, comfort, and quality of a pillow, so they’re worth assessing when shopping for new pillows. There are many pillow options on the market, but sleepers can easily narrow down their options by focusing on the factors that are most important for those with sleep apnea.

Sleeping Position
Sleeping position has a substantial effect on pillow performance, particularly for CPAP users. Side and stomach sleepers often experience pressure from their mask pushing into the pillow, which can cause both discomfort and air leaks. Those who sleep on their side or stomach may benefit from a CPAP pillow with indents or cutouts to accommodate their mask, while back sleepers can also utilize cervical and wedge pillow designs.

Shape
The shape of a pillow and how well it retains its shape are important considerations for those with sleep apnea. Side sleepers often prefer contoured designs, which can comfortably accommodate the shoulders and neck. Specialty shapes, such as wedge pillows and CPAP pillows, are also worth considering for certain sleepers. CPAP pillows allow space for the mask and hose, making them popular with side and stomach sleepers, while wedge pillows elevate the upper body, which may appeal to back sleepers.

Mask Accommodation
Many of the best pillows for CPAP users feature design elements intended to accommodate CPAP masks and hoses. Generally, this includes indented areas of the pillow which give extra room for face masks. It may also include grooves that the tubing can rest in. This factor is most important for side and stomach sleepers and for any CPAP user who has experienced trouble with mask seal or comfort in the past.

Loft
Loft refers to the height of the pillow. It influences the angle of the head and neck, which can affect spinal alignment, ease of breathing, comfort, and more. Some pillows have an adjustable loft, allowing sleepers to add or remove material to achieve their desired comfort level. Stomach sleepers tend to prefer low-loft pillows, back sleepers medium-loft, and side sleepers high-loft.

Support
Support measures how well the pillow holds up the neck and head and keeps the spine aligned. Some materials, like polyfoam and memory foam, tend to be more supportive than others.

Firmness Level
Firmness is measured on a scale of very soft to very firm. Personal comfort preferences, sleeping position, and bodyweight can all influence the desired firmness level for each sleeper. The best firmness for a sleeper typically balances support and contouring to promote spinal alignment while providing comfort.

Pressure Relief
Depending on their designs, pillows can either relieve pressure or create pressure points. A pillow’s loft, materials, and firmness level, combined with sleeping position, all contribute to a pillow’s pressure relief performance. Some specialty designs have specific features intended to relieve pressure on the neck. In the case of cervical pillows, a small indent is found in the center of the pillow, cradling the head and reducing pressure on the neck.

Price
Pillows can be found in a range of price-points. Quality pillows for sleep apnea will generally be found in the $50 to $150 range. The best values are often competitively priced models with high-quality materials and design features since they balance quality and affordability.

Quality Materials
Pillows can be made with a variety of materials, although most for sleep apnea use memory foam. There are varying levels of quality within each category of materials. Regardless of the type of material, high-quality components typically enhance the pillow’s comfort, performance, and durability.

Temperature Regulation
Some pillows trap warmth more than others. For sleepers who tend to overheat at night, a pillow’s temperature-regulating properties are an important consideration. Memory foam tends to sleep warmer than many materials. However, these models often contain cooling design features intended to combat heat retention, like gel infusions or perforations for better airflow.

What Types of Pillows Are Best for Sleep Apnea?

There are many different pillow styles, each with distinct pros and cons. Pillows can differ in shape, style, materials, and firmness levels. Finding the option that works best for you depends on your personal preference and sleep position. As for sleep apnea pillows, there are a few categories that are generally best.

CPAP Pillow: CPAP pillows are specifically designed to accommodate CPAP masks. They generally feature indented areas on both edges of the pillow, which leave space for bulky full-face masks and/or tubes. These pillows are well suited to side and stomach sleepers who need the extra space to accommodate their mask, although back sleepers may find that they are too lofty.

Wedge Pillow: Wedge pillows feature a sloped design that helps to elevate the upper body in bed. They are commonly used for lounging in bed while reading or watching TV, but some sleepers also find them useful for sleeping. Their elevation can reduce airway compression and may also help to minimize snoring.

Cervical Pillow: Cervical pillows are ergonomically designed and primarily intended for back sleepers. They are engineered to relieve pressure on the neck, often featuring an indent in the center of the pillow intended to cradle the head. Sleep apnea patients who are combination sleepers or back sleepers may benefit from cervical pillows.

Standard Pillow: Standard pillows are generally filled with down, feathers, down alternative, or foam. They have a standard rectangular shape, are widely available, and are generally inexpensive. However, they do not offer any features specifically designed for the needs of those with sleep apnea.

Tips for Getting Better Rest with Sleep Apnea

Choosing the right pillow can help those with sleep apnea get better rest, but there are many other factors worth exploring. In addition to practicing good sleep hygiene and finding the best mattress to meet their individual needs, there are some practices that those with sleep apnea should pay close attention to.

Using a CPAP Properly
For those who have been prescribed CPAP therapy, using the machine nightly is very important. Various small steps can help improve the efficacy of the machine, including ensuring the mask fits properly and washing your face before putting on the mask.

Cleaning CPAP Components
Ensuring that the CPAP components are cleaned frequently is important for safety, sleep quality, and general hygiene. CPAP masks, in particular, require frequent cleaning in order to reduce the buildup of body oils. A clean CPAP mask will provide a tighter seal, reducing the risk of air leaks.

Working With a Doctor
Sleep apnea is a long-term condition for many sleepers, and its severity can change over time. Family doctors and sleep specialists can tailor recommendations to each patient. For example, they may customize pressure settings on CPAP units based on your needs. Patients should make appointments with a sleep specialist every few years, particularly if sleep issues arise.

Maintaining a Healthy Weight
Bodyweight can have a substantial impact on the severity of sleep apnea symptoms. Excess weight, particularly near the throat, can cause airway restriction and other breathing issues.

Adding Humidification
Many modern CPAP units have built-in humidification. For those who do not use a heated humidifier, it may be worth trying. Humidifiers help keep the nasal passage moist, potentially reducing irritation and congestion and improving CPAP performance.

Altering Sleeping Positions
Trying out different sleep positions may be worthwhile for those struggling with sleep apnea. Some individuals experience reduced sleep apnea symptoms while on their sides. Others prefer back sleeping, as it allows for the most comfortable fit for CPAP masks.

Lifestyle Changes
Various lifestyle changes, including reducing alcohol consumption, increasing aerobic exercise, and cutting back on smoking can all have an effect on sleep quality for those with sleep apnea.