Best Sleeping Positions for a Healthy Spine – Stop Waking Up with Back Pain Best Sleeping Positions for a Healthy Spine – Stop Waking Up with Back Pain Introduction Do you wake up with neck stiffness or lower back pain? Your sleeping position could be hurting your vertebral column. Maintaining neutral spine alignment while sleeping is one of the easiest ways to reduce pain and improve recovery. Here are the two best positions backed by experts, with clear illustrations and practical tips. "How to sleep on your back"> Back sleeping position with pillow under knees"> 1. Sleeping on Your Back (Supine Position) – The Best Overall This position keeps your spine in its natural curves and distributes weight evenly. How to do it correctly: Place a supportive pillow under your head (keep neck neutral). Put a pillow or rolled towel under your knees. Relax your ...