Spine Align Pillow Reviews

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Quick Overview

Dr. Loft, a former sports chiropractor, started Spine Align after witnessing first hand the harm caused by poor sleep posture. As with sitting or standing, sleeping in certain positions can make you vulnerable to neck and back pain upon waking.

The uniquely shaped Spine Align Pillow retrains you to adopt what Dr. Loft considers a healthy sleep posture. The pillow’s outer layer is made of a gentle Tencel-blended fabric and mesh strips that are breathable and remain cool. Inside, the Spine Align Pillow is filled with a CertiPUR-US certified foam blend. To let users adjust just how much loft and firmness the pillow has, it contains a pair of strategically positioned zippers that lets you remove or add foam filling. In addition, the pillow is easy to fold or roll up.

The Spine Align Pillow is available in standard (21″ x 17″) and queen (24″ x 17″) sizes.

This review will discuss the Spine Align Pillow in detail, in addition to some important considerations for buying one.

  • The Spine Align Pillow helps side and back sleepers greatly improve their sleep posture.
  • There are zippers that allow you to remove and add foam filling to help you meet your preferred loft and support level.
  • It’s easy to roll up and put in suitcases for long trips.
  • The pillow sleeps cool, which helps you to stay comfortable instead of feeling the need to constantly flip it.
  • It’s free of harmful chemicals and toxins.
  • Some side sleepers might feel it takes too much adjustment to make the pillow comfortable.
  • A potentially long adjustment period as the pillow may take several weeks to break in.
  • The side portions might feel too small depending on your head size.
  • It’s not machine washable; instead, it’s “spot clean only.”

Informing Our Review

306 verified customer experiences — 12 hours of testing — 2 expert consultations


You should always choose a pillow based on factors such as your preferred sleep position and weight. By understanding your individual needs, you’ll be better informed about whether the Spine Align Pillow is right for you.

Below we share how a sleeper might feel about the Spine Align Pillow based on these type of considerations.

Spine Align Pillow Sleep Position Lightweight Sleeper (less than 130 lbs) Average Weight Sleeper Rating (130 to 230 lbs) Heavyweight Sleeper Rating (More than 230 lbs)
Firm (can change depending on the amount of filling) Side Good Good Good
Back Good Good Good
Stomach Fair Fair Fair

Because the Spine Align Pillow was designed by a chiropractor, it shouldn’t be too surprising that the pillow is aimed at both back and side sleepers with little to no emphasis placed on stomach sleepers.

Although a fully filled Spine Align Pillow can feel a bit firm, the foam can be removed, letting sleepers find a firmness level that better suits their needs. Overall, the pillow works for a variety of sleepers.


Members of our testing team evaluated the Spine Align pillow and analyzed customer review from across the web. Their findings are listed below.

Although many Spine Align Pillow users appreciated how the product improved their sleep postures, there is a long break-in period. Dr. Loft’s website recommends giving the pillow thirty days when to adjust the pillow, emphasizing that poor sleep posture isn’t easy to fix. It’s worth noting that many of these complaints were from people who hadn’t used the pillow for the recommended window of time.

Category Criteria Spine Align Rating What Spine Align Users Say



The average pillow will perform for two to three years before a replacement is needed. A pillow’s expected lifespan is typically tied to its material composition.



What Buyers Say

We didn’t find any complaints from customers about how long their Spine Align Pillow lasted.


Firmness Options


Pillows sold with one firmness option can be limiting for customers whose preferences fall outside that setting, but many pillows sold today are available in multiple firmness designs.



What Buyers Say

The Spine Align Pillow’s firmness can be adjusted, though some users found it took a long time to adjust the pillow.


Shape Retention


Some pillows flatten quickly and require frequent fluffing in order to retain a full shape, while other models maintain a full shape with minimal maintenance.



What Buyers Say

The Spine Align Pillow’s design prevents the pillow from going flat.




Pillows that are relatively moldable are optimal for sleepers who like to snuggle with a pillow during the night, as well as those who like to place support pillows beneath their legs or between their knees.


Very Good

What Buyers Say

The Spine Align Pillow is very easy for sleepers to fold and roll.




Pillows that conform closely to the sleeper’s head, neck, and shoulders typically alleviate more aches and pains than those that conform less.


Very Good

What Buyers Say

Specifically designed to offer optimal support to the head and neck, many users agreed that the Spine Align conformed very well.


Temperature Neutrality


Some pillows feature breathable cover materials and good airflow throughout the interior, which allow them to sleep cooler than others.


Very Good

What Buyers Say

Customers appreciated how breathable and cool the Spine Align Pillow slept.


Odor Potential


In addition to off-gassing odors, which often occur when pillows are new, some models are filled with materials that emit strong smells.



What Buyers Say

Although some reported an unpleasant odor at first, it does go away.




Most pillows are relatively light, but heavier models can be difficult to lift and adjust during the night.



What Buyers Say

The Spine Align Pillow is lightweight and most users found comfortable to rest on.


Ease of Cleaning


Many pillows sold today can be washed or dried in machines, but others require more expensive and/or time-consuming care measures such as spot cleaning or dry cleaning.



What Buyers Say

The Spine Align Pillow is not machine washable. Stains must be carefully spot-cleaned.

What You Need to Know about the Spine Align Pillow

Product Construction & Firmness

The Spine Align Pillow looks very different from a standard pillow. It has wider edges to accommodate side sleepers and the middle area dips to encase the head and neck area of a back sleeper.

The pillow has a Tencel-blended fabric as a sleep surface. Tencel is a sustainable material that’s derived from wood cellulose. It is an environmentally friendly fabric. As well as possessing an eco-friendly outer layer, the pillow is also filled with CertiPUR-US certified foam, meaning that it’s free of harmful chemicals and toxins sometimes found in synthetic products.

In addition to the soft Tencel surface, there’s a mesh design that improves airflow and breathability, letting you sleep cool. Because the goal is to let sleepers stay in the same position all night, you don’t want a pillow that has to be routinely flipped for comfort. The Spine Align Pillow neutralizes excessive heat, allowing you to rest comfortably through the evening.

The Spine Align Pillow is quite firm when filled to full capacity with its foam blend. But if you’re someone who prefers less loft and firmness, unzip the pillow’s two zippers and remove some of the foam blend. The Spine Align Pillow is also very easy to fold and can be rolled up for storing in a suitcase.

Pricing & Sizing

The Spine Align Pillow is available in standard and queen sizes. A queen-size Spine Align Pillow is suitable for a king-size pillowcase. The following table offers more specific information about sizing and pricing.

Size Dimensions Loft Price
Standard 21” x 17” Adjustable $139.00
Queen 24” x 17” Adjustable $149.00

Delivery & Product Care

Delivery Spine Align ships free throughout the US, including Hawaii and Alaska.
Product Care Spot clean only; do not machine wash.
Full delivery and product care details


Where Can The Pillow Be Shipped?: Dr. Loft’s Spine Align Pillow can be shipped anywhere in the US. Shipping is not currently available outside of the US.

Delivery Fee: There’s no fee for the standard shipping option, although your order can be expedited for an additional charge.

Delivery Policy: Spine Align’s delivery policy is as follows:

  1. Spine Align Pillows ships from the West Coast of the United States, typically within one to two days of placing an order.
  2. It can take up to five days to receive your package.
  3. Orders are usually shipped via FedEx, but this can change without prior notice.

Caring for Your Spine Align Pillow

Instructions For First Time Use: There are no special instructions for the first-time usage of a Spine Align Pillow.

Cleaning Instructions:

  1. The Spine Align Pillow is not machine washable.
  2. Instead, it’s recommended that you use a pillowcase to avoid dirtying the product.
  3. If you do get a stain on the pillow, it’s best to carefully spot clean it.

Sleep Trial & Warranty

Sleep trial 90-night trial
Warranty There’s no warranty available for pillows.
Full trial period and warranty details

Trial Period and Guarantee

The Spine Align Pillow comes with a 90-night trial.

It’s highly recommended that customers try the pillow for a minimum of 30 days before seeking a refund. As explained on the website’s Return Policy page, the pillow is designed to correct poor sleep posture, a condition that can’t be treated overnight.

If you do decide within the available 90-day window that you’re unhappy with the pillow, you can send it back for a full refund.


The pillow has a three-month trial period, but it does not come with a warranty.

Similar Pillow Options

In the table below we compare and contrast the Spine Align Pillow with similar pillows currently available for purchase.

SpineAlign Tempur-Pedic Tuft & Needle


Spine Align Pillow

TEMPUR-Neck Pillow

Tuft & Needle Pillow

Pillow Type

A proprietary blend of foam filling

Memory foam (TEMPUR-Material

Polyfoam (Adaptive Foam)


Tencel-blended fabric with strips of mesh

Quilted, removable polyester knit cover

Polyester blend

Price Range (est.)

$139 (Standard)
$149 (Queen)

$89 (Small)
$99 (Medium)
$129 (Large)

$75 (Standard)
$100 (King)

Loft Range

2” to 6”

3.5” to 4.5”


Firmness Options

‘Firm’ (somewhat adjustable)





Online & in-store

Online & in-store

Sleep Trial

90 nights

No return policy available

100 nights

Warranty Length

No warranty

5 years

3 years

Company Information

Customer Service

9 out of 10 customers have had a positive experience with the Spine Align Pillow, with pillow users speaking highly of the website’s customer service representatives

Company History

Dr. Loft, who previously spent 17 years working as a sports chiropractor, founded his Spine Align brand in 2012.

Physical Stores

Dr. Loft’s sleep products are only available through his website or on Amazon.

Contact Dr. Loft

Email | 888-796-0073 | spinealign.com

Find Dr. Loft on Social Media

YouTube | Facebook  | Twitter