The Best Firm Pillows

Those of us who sit down to perform our work or position our necks at unruly angles for long hours of the day will want to be on the lookout for a firm pillow that provides good back support.

Supporting your back also supports your neck, shoulders, and hips and helps to remedy pain in these regions.

Firm Pillows Give Support

If a pillow is not firm enough, your back will assume any posture you use frequently. Since most of us have bad posture most of the time, your spine will take on this position if not given something to hold straight.

Orthopedic firm pillows are specially designed to give your back the firm support it needs to sleep in the correct posture at night.

The best of these firm pillows can also provide an irresistible comfort level to enhance your working or sleeping experience.

Firm pillows are often made from a latex foam base or a gel base, allowing one just to fall right into maximum comfort.

A firm pillow also tends to have in common is voluminous or tall enough to hold your weight and accommodate your shoulder length as a side sleeper. That extra volume also ensures that the spine is maintained in the right alignment.

Firmer Pillow to Alleviate Neck & Back Pain

If you take a look at each sleeping position, you will see how a firm pillow can help alleviate neck and back pain in each instance.

Whether you are a stomach sleeper, back sleeper, or side sleeper, you may well need a firm pillow to provide your back with adequate support.

The best firm pillows will lift the neck away from the bed for side sleepers gently, holding it so that the spine and back are straight.

There is no more pressure on the spine, making for a night of pain-free sleep.

Blood is also then allowed to move freely, treating and preventing probable neck and shoulder pain. For stomach sleepers, much the same thing applies with regards to firm therapeutic pillows.

For back sleepers or side sleepers that change positions in the night, an adjustable pillow that can hold your head so that your chin is in alignment with your forehead is required.

You can check to see if this is the case and if your spine is straight by balancing a pen across these areas of your head. If the pen doesn’t fall off, you may have found the orthopedic firm pillow to take the pressure off your back and neck.

Materials Used in Good Firm Pillow

The best types of firm sleeping pillows that are the most rest-conducive are filled with or made from a latex foam base. The reason is that foam is naturally heat resistant, taking longer to absorb heat, and often the foam is often perforated, allowing for the escape and even distribution of heat.

The best type of foam is memory foam, which responds to your body’s heat to form the perfect shape to hold it straight. A “3D contour” of your unique shape is adjustable as you change sleeping positions in the night.

Foam is also naturally hypo-allergenic, unlike feathers, which can trigger allergic reactions and sometimes neck and back pains on their own.

You can also find shredded memory foam and shredded foam-filled firm pillows, which are great because usually, you can adjust the amount of foam inside these pillows.

Reviews: The Best Firm Pillows

You can surely trust any one of these fantastic options in firm pillows to give you the best back and neck support as well as support in other areas of the body, keeping you well-rested and pain-free.
Here are some of the top choices of firm pillows that will support your back and neck and reduce pain in these areas;


The Mainstays Extra-Firm Pillows provide firm support that ideal for side sleepers and allow for changing positions during the night.

  • This hypoallergenic pillow is perfect for people who suffer from allergies that cause back discomforts or neck pains, ensuring a good night’s sleep.
  • Filled with a micro-fiber polyester, the pillow is designed for durability, support, and comfort.
  • It benefits from a great night’s sleep on top of these pillows that support your spine and helps you breathe, improving night-time circulation.
  • Comes in a set of two for extra elevation for snorers or one each for partners.


The LinenSpa Shredded Gel Memory Foam Pillow is made from luxuriously comfortable shredded gel memory foam, which stays cooler for the entire night while you sleep.

  • This firm pillow can mold around your shape, supporting your spine and remedying all pain resulting from spinal stress or pressure.
  • You can take the cover off the pillow for ease of cleaning convenience; just wash in the washing machine as required.
  • The shredded memory foam adds extra breathability to the pillow, allowing more air to circulate and distribute evenly.
  • Sleep without back pain – suitable for side sleepers and back sleepers.


The Beauty Rest Extra Firm Pillow is filled with a fiber fill packed for extra firmness; this pillow will give the support and elevation required for side sleepers especially.

  • These pillows are made from a superior-quality 400-thread count 100% Pima cotton material, making them a treat to sleep upon.
  • 2 inches high to accommodate shoulder span and ease neck and back pain by aligning the spine and cervical regions.
  • Made and finished in the USA and comes in standard and queen sizes.
  • Easy to keep washed and dry, this comfortable pillow is suitable for washing machines and tumble drier.
  • Indulge in a lifetime of comfortable sleep on these extra firm luxurious pillows.


The ViscoSoft Memory Foam Gel Pillow is imbued with a cooling gel memory foam specially designed to respond to your body temperature by optimizing airflow.

  • Make it easier to sleep at night if you suffer from hot sweats with this firm, comfortable and durable neck pillow.
  • Perfect for hypoallergenic individuals who are seeking a down feather alternative.
  • Anti-microbial and Anti-bacterial.
  • Memory foam contours itself into your exact outline, cradling your exact shape and maintaining perfect posture during sleep.
  • Ideal for side sleepers, back sleepers, and pregnant women.


The Firm Pillow For Back and Stomach Sleepers is incredibly soft and comfortable; this pillow has enough density to support your neck and back still with the firmness it needs.

  • This hotel-quality firm pillow is made with a pure cotton cover and a polyester fiber gel fill.
  • Enjoy a great sleep and wake up feeling rejuvenated with better circulation and more energy!
  • It is our best choice of a firm sleeping pillow for stomach sleepers and back sleepers.
  • You can wash it in the washing machine without a fuss.
  • 100% hypoallergenic and the perfect pillow for the very sensitive individual.


From Plixio, we have the luxuriously plush and comfortable queen-sized memory foam pillow with a firm loft.

  • Filled with premium shredded memory foam with an adjustable loft so you can select the level of firmness.
  • Covered in a cooling technology Bamboo cover that is also hypoallergenic.
  • The cover is machine washable and quick drying.
  • Shredded memory foam is much more resilient and breathable than solid foam and is likewise dust mite and allergen resistant.


Enjoy the dual comfort layers in the Lofe sandwich Pillow for the firm and soft support where you need it the most.

  • Ergonomically shaped with a contoured and supportive design.
  • Features three foam layers for cushioning and support.
  • Covered in a hypoallergenic Bamboo Cover.
  • The cover is washable and removable with zipper closure.
  • It stays firm but never becomes hard.


The JL Home Collection memory foam-filled pillow is highly adjustable, which allows you to choose between a firm or soft loft.

  • It comes filled with shredded memory foam that is dust mite resistant and hypoallergenic, as well as offering you complete adjustability.
  • The Bamboo cover has a zipper closure; it is removable and washable, allowing you to remove or add fill.
  • Completely odor-free and features some superb cooling technologies.


A firm and healthy pillow from sensorPEDIC.

  • Filled with firm copper-infused memory foam.
  • Ventilated iCOOL technology to keep you cool and comfortable.
  • Retains its shape.
  • Breathable and washable cover.


One of the firmest options you will find is a latex fill which also offers a much higher loft and is much more durable.

  • Very high-quality, long-lasting latex fill.
  • Firm support and a high profile.
  • Covered with a washable and breathable cover.
  • Hypoallergenic and non-toxic.


From Utopia Bedding, we have this luxury medium firm fill pillow that comes in two sizes in a two-set.

  • Comes in a pack of two pillows in two size options.
  • Microfiber gusset with blue piping and double stitching for durability.
  • Filled with a blend of medium to firm foams and materials.
  • Good choice for back and stomach sleepers.

Index Table: Top-Rated Firm Pillows

1Mainstays Extra-Firm - Hypoalergenic Firm Pillow
  • Hypoalergenic
  • Extra Firm
  • Durable
2LinenSpa Shredded Gel Memory Foam - Firm Pillow
  • Memory Foam
  • Removable Cover
3Beauty Rest Queen Size - Extra Firm Pillow
  • Extra Firm
  • Machine Washable
  • standard and Queen Size Available
Beauty Rest95
4ViscoSoft Seasonsense - Firm Memory Foam Gel Pillow
  • Hypoalergenic
  • Memory Foam
  • Cooling Gel
5Sahara Nights Premium Cotton - Firm Pillow For Back and Stomach Sleepers
  • Firm
  • Hypoalergenic
  • Machine Washable
Sahara Nights95
6Plixio Cooling - FirmBed Pillows
  • Memory Foam
  • Hypoallergenic
  • Washable
7Lofe Sandwhich Pillow - Orthopedic Design Firm Pillow
  • Ergonomic Shape
  • Layered Design
8JL Home Collection - Firm Bamboo Pillow
  • Memory Foam
  • Cooling
  • Bamboo Cover
9SensorPEDIC Contoured - Firm Pillow
  • Memory Foam
  • Copper Infused
10RejuveNite Original - Firm Latex Pillow
  • Latex Fill
  • Firm
  • High Profile
11Utopia Bedding Luxury - Firm Pillow Set
  • Set
  • Firm Blend Fill
Utopia Bedding97

About the Author

Daniel Max

Interior Designer, Living in New York City. My sole work is to make indoor spaces functional, safe, and beautiful. It is achieved, by determining space requirements and selecting essential and decorative items, such as colors, lighting, and materials. Work always starts with a drawing, reading, and editing blueprints!