Frequently Asked Questions


The pillow comes in one size, measurements and dimensions below. We refer to this as a one-size-fits-most pillow because of its ability to be perfectly customized to fit your specific head and neck.

• Approximately 24"x17"x5" (Width x Length x Height)

• 100% Polyester cover w/ mesh strips
• 100% CertiPUR-US® shredded polyurethane foam fill
• 3 zippered chambers on back of pillow to adjust or remove fill

Our pillow is designed with 3 zippered chambers, one of the left side, one on the center, and one of the right side. All zippers are on the back of the pillow. Simply unzip each chamber and maneuver or remove fill as necessary. It may take a few tries to get the perfect fit, but this is typical. Try adjusting for a few nights if necessary, then remove fill as needed or desired. We highly recommend that you watch this video showing how to adjust your pillow correctly by clicking here. If after watching the video you still have questions, we're here for you to answer any questions you might have.

Yes, all of our foams are CertiPUR-US® certified, which means they are non-toxic and have gone through rigorous 3rd party testing to ensure safety for consumers.

The short answer is no and here's why. Your head, neck and spine are not in a neutral position when you sleep on your stomach, which means proper spinal alignment is impossible to maintain. The SpineAlign Pillow was designed for back and side sleepers -- which we consider the healthiest way to sleep.

Yes. However, we do ask that you sleep on your pillow for a minimum of 30 nights before requesting a return. Any returns before the 30-night trial is over will result in a 25% re-stocking fee. The 30-night trial allows your body ample time to adjust to the feel of sleeping in correct posture, something that most people have never experienced and can take a little time to get used to. This is similar to going to the gym for the first time. Your muscles are sore for a little while until they are used on a regular basis. Your body also may need time to adapt to your new pillow. If after sleeping on the pillow for 30 nights you decide the pillow isn't right for you, just email us at with your order number so we can start the return process. Any damage to the pillow would automatically void the return policy.

If your SpineAlign pillow was purchased through Amazon, you must return it through Amazon. You would not be eligible for a return of your Amazon-bought pillow at We appreciate your understanding.

The short answer is that we don't recommend it. Most pillows that are machine washable and dryable are made with very inexpensive materials and we wanted to make sure that we used the finest materials available for the finest pillow available. We recommend that you use a King size pillowcase to protect your pillow and wash the pillowcase on a regular basis. If you happen to spill something on your pillow, you can spot treat those areas with soap and water. 

We recommend using a King size pillowcase. If you use a pillowcase that's too small and fits the pillow too tight, the pillow will not function as it's designed to which means that you won't get the desired effect.

In the rare event that you would like extra foam for your pillow, we do offer this as an option. You can email us at and request this. Each extra bag of fill is $32.00 which includes all shipping costs. The foam allocation crisis has made the price of foam rise rapidly. We highly recommend sleeping on your pillow for at least a couple of weeks before requesting more fill. Most people don't need it but if you're someone who just wants more, we are happy to help. Please note that all purchases of extra fill are non-refundable.


SpineAlign provides a unique sleep system consisting of a mattress and pillow that helps you sleep in your most natural state, with proper spinal alignment. Our in-house chiropractor has spent years fine tuning our designs with his patients and has real world results that have helped people feel better, sleep better, and as a result, live a happier life.

Use the guide above to help you determine if the medium or firm is right for you. Feel free to chat with a sleep specialist for expert advice.


The medium firmness option is a bit softer than you might be used to. This firmness is recommended for a total body weight under 200 lbs. Preferred by sleepers who need to balance contour with support. Great for both side and back sleepers.


Perfect for sleepers who don't need as much contour and prefer not to sink into their mattress as much. The firm option is more of a "plush" firm so it offers more of a cradling experience than typical firm mattresses, but still less than the medium. Typical firm mattresses can make it feel like you're sleeping on a concrete slab. Our firm mattress offers the comfort and postural support of a firm mattress that you would expect, but with just a little extra cushion. This is a great option for back and side sleepers with a total body weight over 200 lbs.

Your mattress will be compressed into a box, (bed-in-a-box), and shipped via FedEx Ground. We build your mattress when you order (built-to-order), so they are never compressed for long periods of time. After a mattress has shipped, it normally takes about 3-5 business days to receive it. Our mattresses ship from the west coast.

We offer a generous 100-night trial. If the mattress does not work for you, we will exchange or let you return it for your money back. Hassle-free, no bad attitudes here.

Yes, it's manufactured right here in the USA!

We offer a 10-year limited warranty to cover any defects in materials or craftsmanship. For full warranty information, please visit our warranty policy here.

We recommend replacing your mattress foundation each time you purchase a new mattress. This way you are guaranteed that your new mattress will perform as designed. We suggest either a platform, box spring or an adjustable base. Make sure all slatted foundations have a maximum of a four inch gap between each non-flexible slat to properly support the mattress and achieve the intended comfort level.

Once you open the box and remove your new mattress, it looks like it will be days before you can sleep on it. Your mattress will be completely flat because it's roll-packed in order to fit inside the box. The good news is that it won't take days, or even hours, before you can start sleeping on your new mattress. You will be pleasantly surprised to learn that it only takes about 15-20 minutes before you can take your mattress for a test drive!

All new foam products, regardless of quality or construction, will have an initial odor. SpineAlign mattresses are constructed using CertiPUR-US® certified foams and that go through strict third-party testing to make sure you and your family are safe. Any odor associated with your new SpineAlign mattress will disappear quickly.

If your return request has been approved, you will have 30 days from the approval date to complete the return process. If the return has not been completed in that time frame, the return will be void and you will no longer be eligible for a refund.

Right now there is a foam allocation challenge that all mattress manufacturers, including SpineAlign, are having to deal with. What this means is that from the time you order a mattress to the time it gets delivered has been extended. The current average timeframe is approximately 12-20 business days to ship a mattress. Although it could be sooner than this, we can't make any promises. We do apologize for these delays but please know we are working as hard as we can to get every order out the door as quickly as possible. We hope that these extended timeframes are temporary and we will update our website when anything changes. Thank you and please feel free to contact us with any questions regarding this.

Our mattress return policy can be seen here...


Foundations are not eligible for return.

All SpineAlign® sheet sets and mattress protectors may be returned in the original packaging within 30 days of receipt. In order to start the return process, please email us and once approved for a return, we'll supply you with return instructions. Any damage to the product would automatically void the return policy.


Read all about this important certification here.

Our headquarters is in Phoenix, AZ.

I'm glad you asked! Yes, we do have an affiliate program you can participate in. We are currently with IMPACT, you can find more information here.

Yes! We offer a variety of financing options through our partner Klarna Financing. Please see our product pages for details. 

There was a time when we did but we have since deviated to all electronic communication. We found that using the Amazon model of using electronic communication works better. But rest assured, you can always contact us at day or night or by using the chat feature at the bottom right of our website during normal business hours. We do our best to respond quickly, (most cases is less than 24 hours M-F). If you have any questions or concerns, please reach out because as always, we are here to help!

Yes! All SpineAlign products include free shipping.

As a way to keep costs down for our customers, SpineAlign does not have any retail showrooms. The overhead costs from retail space would cause us to raise our prices and we do our best to offer the best products at the best prices. The good news is that we do have generous trial periods, (100 nights for our mattress and 60 nights for our pillow).

If you purchase a product during a "buy x get y" sale, all products would need to be returned to be eligible for a full refund.

Example of this type of sale: Purchase a mattress and get a free set of sheets. If you wanted to return the mattress, you would also need to return the sheets. If you returned the mattress without the sheets, you would be charged the full price of the sheets. The same would be true for any "buy x get y" sale.

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