How can I sleep with Vertigo?

enVy Pillow
5 min readFeb 13, 2021


Over the last few years we have had a number of patients who have reached out to ask us how they can deal with vertigo (dizziness) while they sleep. One would be hard pressed to find someone who has not experienced the feeling of spinning, dizziness, nausea or imbalance/ unsteadiness at some time in their lives… thankfully temporarily. This picture is but a snippet of what it feels like….

For those of you who are suffering with this as a chronic affliction we are beyond empathetic! Vertigo as a constant companion must be a horrible experience and can be very serious.

How Do I Sleep with my enVy Pillow now that I have Vertigo?

We received a call from “Evelyn” who was instructed by her doctor to elevate her head while sleeping and was wondering if she could continue to use her favourite enVy pillow while doing so? We had some advice for her. But first to explain Vertigo.

According to our research there are 4 common conditions, beyond too much red wine at a dinner party, that can cause “dizziness” aka Vertigo…

Causes of Vertigo

Vertigo is often caused by an inner ear condition that can be caused by:

Benign Paroxysmal Positional Vertigo

(BPPV) can occur out of the blue and for no particular reason. Generally caused by debris (calcium particles) which have collected in the inner ear. Activities which bring on symptoms will vary but symptoms are almost always precipitated by a change of position of the head with respect to gravity such as getting out of bed.

Meniere’s Disease

This is an inner ear disorder believed to be caused by fluid buildup in the compartments of the inner ear (Labyrinth). The Labyrinth contains the organs of balance and hearing. The receptors send confusing signals to the brain which causes the episodes of vertigo and tinnitus (ringing in the ears) and hearing loss.

Infections /Labyrinthitis.

Labyrinthitis can happen after a viral infection or, more rarely, after an infection caused by bacteria. It can triggered by an upper respiratory infection, the flu or even the common cold. It may start after a middle ear infection.

These infection inflames the vestibular nerve and results in the nerve sending incorrect signals to the brain that the body is moving. But your other visual signals (eyes) don’t detect the same movement. The confusion in signals can make you feel “the spins” or that you have lost your balance.

Other Causes of Vertigo

There are causes of vertigo such as head or neck injuries, stokes, tumours, medication and migraine headaches. And many people experience it at least once in their lifetime.

Our Advice to Evelyn

Treatment is as varied as what is causing your vertigo. For Evelyn, the advice from her doctor to elevate her head on a wedge while sleeping may give some relieve. We strongly discourage elevating her head on two or more pillows… this is a very bad sleep posture and creates too much forward lean on the C-Spine. In addition, she should have a great neck support pillow that will stabilize her neck and head and discourage a side to side or up and down movement which many chronic Vertigo sufferers report to aggravate the condition. We told her that the enVy Pillow is ideal for stabilizing her head and neck and can certainly can be used while she elevates her upper body with a wedge… BUT . . Instead of a wedge or stacked pillows we strongly suggest Incline Bed Therapy with the enVy™ Pillow.

Incline Bed Therapy and its Benefits

Instead of sleeping on a flat surface, the bed is at a slight incline of 3.5 to 5 degrees. Not only does Inclined Bed Therapy help you sleep better, it also improves circulation of blood, lymph and cerebral spinal fluid simply by using gravity. During sleep, your brain is busy spring cleaning and detoxifying itself through the glymphatic system. Adding a lift to the top feet of your bed of 4–6 inches (ideally 5 degrees) can help the glymphatic system drain “downhill” to the gut so toxins such as heavy metals, pathogens (germs) and other harmful substances, can be removed from the brain and excreted.

In addition to helping improve brain health, IBT has been shown to help relieve migraines, straighten your spine, strengthen muscles, fascia and ligaments, improve digestion, reduce acid reflux (GERD), reduce water retention (ie puffy eyes), lower blood pressure, improve varicose veins AND we can’t help but wonder if this would also help with Vertigo as it helps reduce pressure in the inner ear.

*NOTE: Lifting just the head of the bed with an adjustable bed frame will not work; the entire bed has to be on a slope. This could be done by adding about 4–6 inches of height to the head of the bed. I purchased by 6 inch risers online for approximately $18 or you can use books or wooden blocks. To make sure you are on the correct angle there is a phone app called TiltMeter that can be used to measure the incline of your bed.

How to use the enVy™ Pillow with a Wedge Pillow

If IBT is not for you, we would suggest the second best idea. Placing the foam wedge either directly on top of your mattress or insert a wedge pillow between your mattress and box spring to elevate your body from the waist up so as to reduce any strain on your neck. We would recommend a 32” wedge in length, 24″ width with a 7” height at the top. Then simply place the enVy pillow on top. The advantage of the enVy Pillow when supporting one’s sleep is the design helps keep your head and neck “cradled” which as we stated above, discourages any side to side rotation or up and down movement of the head that can exacerbate vertigo.

Some additional advice for Evelyn: Make sure you get up slowly from your bed in the morning, drink plenty of water throughout your day and get 8 to 9 hours of quality sleep.

We wish Evelyn the best and hope the vertigo goes away soon!