The Best Sleeping Positions for Older Adults

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Did you know that your sleeping position could be causing those morning aches? With small adjustments to how you lie down, you can significantly improve your sleep quality and wake up with fewer discomforts. This is especially critical for older adults, who tend to experience more posture-related discomforts.

To find the ideal position, you need to consider four key factors: your personal preferences, your breathing during the night, your current pain issues, and any health problems such as sleep apnea. All this while maintaining proper spine alignment, which is fundamental for restorative rest.

Side sleeping: Benefits and correct technique

Sleeping on your left side offers multiple health benefits. This position reduces pressure on the vena cava, the largest vein in the body, responsible for transporting blood from the lower body to the heart. This improves cardiac pumping efficiency and prevents blood accumulation that causes varicose veins.

Additionally, this posture:

  • Keeps airways open, reducing snoring and mild apnea
  • Relieves heartburn and acid reflux
  • In people over 50, helps eliminate harmful brain proteins linked to Alzheimer's

However, if not done correctly, you can worsen pain in your neck, shoulders, hips, and lower back. For optimal alignment:

  1. Use a pillow that is neither too high nor too low, keeping your neck and spine in perfect alignment
  2. Place a pillow between your knees to avoid pressure on the hip joint and reduce tension in the lower back

Back sleeping: The recommended position

This is the position most recommended by specialists. It provides natural support to your muscles and reduces the likelihood of neck tension during sleep. It also distributes body weight more evenly throughout the skeleton compared to side sleeping, which helps decrease points of excessive pressure.

However, back sleeping has some disadvantages, such as:

  • Increased risk of snoring and sleep apnea
  • Possible increase in gastroesophageal reflux
  • Discomfort for people with existing back pain

For proper alignment in this position:

  1. Use a pillow that keeps your neck in a uniform plane with your spine (generally lower than for side sleeping)
  2. Place one or two pillows under your knees to release hip flexion and allow your back to adopt a more neutral position
  3. Consider using an adjustable bed, especially useful for older adults, as it makes getting up easier and reduces snoring

Positions to avoid

Many older adults develop the habit of falling asleep in recliners or on the couch, positions that weren't designed for prolonged sleep. These postures cause considerable tension in the neck and surrounding muscles.

Some people instinctively adopt these positions to breathe better, unconsciously modifying their posture to reduce the effects of sleep apnea. However, in the long term, this can cause chronic pain and worsen the quality of rest.

Additional tips for improving rest

Adjustable beds offer multiple benefits for older adults:

  • They allow you to elevate the headboard, which reduces gravity and decreases snoring
  • They make getting in and out of bed easier: you just need to turn your legs to get up
  • They offer customizable positions for maximum comfort

If an adjustable bed is not an option, consider getting a wedge-shaped (triangular) pillow. These economical accessories serve a similar function, elevating the upper body during sleep.

Remember that every body is different. If you experience persistent pain or sleep problems, consult with a specialist who can evaluate your particular case and recommend specific adjustments for your situation.


Implementing these tips can significantly improve your sleep quality starting tonight. Try different positions and supports until you find the combination that works best for you, paying attention to how you feel when waking up each morning.

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