If your choice turns out to be a cotton filled pillow you should replace it when needed rather than washing it. Because over time cotton pillows will become very dense because of the body weight that is constantly put on them. And remember cotton pillows are very affordable so replacing them when needed is worth the cost to avoid health problems that can be directly related to breathing in mold.
A pillows thickness is also something to keep in mind, you should choose thickness based on the position you sleep in. If you sleep mostly on your side you will want a thicker pillow to get the neck support you need. If you sleep on your back than a thin pillow would be your best choice, a thin pillow will give you enough neck support but won`t cause neck strain. A feather pillow can also be made flat so would also be a good choice if you sleep on your back. Choosing the right pillow is very important in achieving restful sleep. A good pillow will support the head and neck without applying excessive pressure, as it conforms to the exact shape of the bed, thus spreading the weight evenly and uniformly along the vertebrae.
Pillows are a constant source of frustration for many. In addition to aggravating the neck, lots of pillows can also affect the shoulder. The shoulder should not be placed at 90 degrees to the mattress, because it can cause spasms in the trapezius muscles.Trapezius muscles perform a variety of actions, including acting as a platform to raise the skull, which is very important to relax during sleep completely. If the shoulder is positioned slightly forward on the mattress in front of the bed, assuming that the mattress can hold this position, the risk of putting pressure on the trapezius and forcing the scapula (shoulder blade) to the column is reduced. By contrast, when in the 90 degree position, sleepers can wake up with neck pain and upper arm and altered sensitivity to little and ring fingers.
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