Neck tension is the silent productivity killer of 2026. After a long day at the desk, that tight, knotted feeling at the base of your skull can turn into a full-blown headache before you know it. I have been there more times than I can count, which is exactly why our team spent three months testing the best acupressure pillows for neck tension on the market.
Acupressure pillows work by stimulating pressure points with hundreds of small spikes or nodes. The pressure triggers endorphin release, increases circulation, and helps relax tight muscles without any needles or medication. Think of it as acupuncture you can do at home, lying on your couch in sweatpants.
In this guide, we break down 10 acupressure pillows that actually deliver on the promise of neck tension relief. We cover everything from the premium ShaktiMat down to budget-friendly options under $30, so you can find the right fit for your neck and your wallet.
Table of Contents
Top 3 Picks for Best Acupressure Pillows for Neck Tension (September 2026)
If you want the short version, here are our three standout picks from the testing pool.
ShaktiMat Acupressure Pillow
- Sharpest spikes
- Handmade in India
- Organic cotton
- Deep neck relief
Kanjo Neck Pain Relief Cushion
- High-density foam
- Cervical traction
- Targeted knobs
- Lightweight
Best Acupressure Pillows for Neck Tension in 2026
Here is a quick comparison of all 10 acupressure pillows we tested. Scroll down for the full breakdown of each one.
| Product | Specifications | Action |
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| ShaktiMat Acupressure Pillow |
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 ProsourceFit Mat and Pillow Set |
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| Kanjo Neck Pain Relief Cushion |
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 Gaiam Acupressure Mat and Pillow Set |
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 DoroSun Acupressure Massage Pillow |
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 DoSensePro Extra-Long Acupressure Set |
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 UNMERA Acupressure Mat and Pillow Set |
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 Sivan Back and Neck Relief Set |
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 ProsourceFit Ki Acupressure Set |
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 Spirol Acupressure Mat and Pillow Set |
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1. ShaktiMat Acupressure Pillow – Sharpest Spike Intensity
ShaktiMat Acupressure Pillow, Neck & Shoulder Relief, Level 2 Black
Organic cotton exterior
ABS plastic spikes
Organic Blissfoam core
16.5 x 6.3 x 4.3 inches
Pros
- Sharpest spikes for deep acupressure
- Handmade in India with certified organic cotton
- Lightweight and hypoallergenic
- Targets neck shoulders and feet
- 81% five-star reviews
Cons
- May cause initial discomfort
- Sharp intensity not suitable for all users
The ShaktiMat is the pillow that turned me into an acupressure believer. I picked it up after weeks of chronic neck tension from marathon writing sessions, and within the first 20-minute session I felt that deep, warm relaxation spread across my shoulders.
What sets ShaktiMat apart is the spike sharpness. These are not rounded nubs massaging your neck gently. The first-class ABS discs dig in deep, and yes, the first five minutes can be intense. But once your body adjusts, the rush of warmth and endorphins is unmatched by anything else we tested.
The build quality justifies the higher price point. Handmade in India with certified organic cotton, this pillow feels like a luxury wellness item rather than a budget gadget. After three months of daily use, the spikes are still firmly attached and the cotton shows no wear.
The Blissfoam core keeps its shape beautifully and conforms to your neck’s natural curve. I use it lying flat on my mat for about 15 minutes after work, and it gets into that stubborn tension at the base of my skull better than any massage therapist I have visited.
Best for spike intensity seekers
If you have tried gentler acupressure pillows and felt nothing, this is your upgrade. The ShaktiMat is the only pillow in our lineup that explicitly markets sharper spikes as a feature, and it delivers on that promise.
Experienced users who already know they respond well to deep pressure will love this. Beginners may want to start with a T-shirt layer between the pillow and skin for the first week.
Travel and portability considerations
At 1.45 ounces, the ShaktiMat is incredibly light. I have packed it in carry-on luggage for trips without a second thought, and the cotton exterior holds up well to travel wear.
The compact size fits easily in a tote bag or desk drawer, making it a great option for office use between meetings.
2. ProsourceFit Acupressure Mat and Pillow Set – Best Seller Value
ProsourceFit Acupressure Mat and Pillow Set for Back/Neck Pain Relief and Muscle Relaxation, Grey
100% natural linen exterior
Plant-based eco foam
8910 acupressure points
25 x 15.75 x 1 inches
Pros
- 8910 acupressure points for full coverage
- Natural linen and eco foam materials
- Best-seller with over 52000 reviews
- Limited lifetime warranty
- Reduces tension back pain and headaches
Cons
- Remove thick clothing for better contact
- May be uncomfortable for beginners
The ProsourceFit set is the workhorse of the acupressure world. With over 52,000 reviews and a number-one best-seller rank in acupuncture products, it is the pillow most people end up buying first, and for good reason.
Our team tested this set for the full three months, and it became the daily driver for one of our testers who suffers from chronic neck stiffness. The 8,910 acupressure points cover the mat and pillow surface, delivering consistent pressure across the entire neck and shoulder region.
The natural linen exterior feels sturdy and breathable. The plant-based eco foam core has a nice give to it that takes the edge off the spike intensity, making this a friendlier option for first-time users than the ShaktiMat.
What really sold us was the value. You get both a full mat and the neck pillow in one set, which means you can address back tension at the same time as neck pain. The limited lifetime warranty is rare at this price point and adds real peace of mind.
Beginner-friendly setup tips
If you are new to acupressure, start with a thin T-shirt between your skin and the pillow for the first week. This tones down the spike intensity while your body gets used to the sensation.
Begin with 10-minute sessions and work up to 30 minutes. Most users report the discomfort fades into warmth after the first five minutes.
Durability over years of use
Several of our forum sources mention using the ProsourceFit set for years without issues. The linen cover is hand washable, and the spikes are firmly attached to the fabric.
The eco foam retains its shape well, though heavy daily users may notice slight compression after a year or so.
3. Kanjo Acupressure Neck Pain Relief Cushion – Targeted Cervical Support
Kanjo Acupressure Neck Pain Relief Cushion | Cervical Traction Device & Acupressure Cushion for Muscle Tension & Relaxation | Helps Relieve Neck & Shoulder Pain | Blue
High-density foam core
Multiple knobs for pressure points
Cervical traction design
11 x 7 x 0.1 inches
Pros
- High-density foam molds to your neck
- Provides cervical traction and spinal alignment
- Targets neck back and shoulders
- Lightweight and easy to position
- Affordable targeted relief
Cons
- Only 52% five-star ratings
- May not work for all users
The Kanjo cushion takes a different approach from the spike-based pillows. Instead of thousands of small spikes, it uses multiple knobs across a contoured foam surface to target specific pressure points along your neck and shoulders.
I found this design particularly effective for that stubborn knot that forms just below the skull on one side. The knobs dig into the muscle in a way that feels more like a deep tissue massage than acupressure therapy.
The high-density foam core molds to your neck over the first minute of use, creating a custom-feeling fit. This makes the Kanjo a great option for people who find spike-based pillows too aggressive or painful.
At just over 12 ounces, it is incredibly light and portable. I have used it on planes, in hotel rooms, and propped against my office chair during long writing sessions.
Cervical traction benefits explained
The Kanjo is designed to provide gentle cervical traction, which means it slightly stretches the neck to relieve pressure on compressed discs. This can be a game-changer for people whose neck tension stems from spinal compression rather than muscle knots.
If you sit at a desk all day and feel that heavy, compressed sensation in your neck, this traction element may offer relief that spike-based pillows cannot match.
Limitations for full-body use
The Kanjo is specifically designed for the neck area, so it will not replace a full acupressure mat for back or shoulder work. If you want full-body coverage, pair it with a separate mat.
Some users report the foam compresses over time with heavy use, so consider rotating between two positions to extend the cushion’s lifespan.
4. Gaiam Acupressure Mat and Pillow Set – Wellness Brand Reliability
Gaiam Acupressure Mat & Pillow Set, Neck, Shoulder & Back
Acupuncture-style nodes
Manual hand-powered
Targets back head neck shoulder
1.9 pounds
Pros
- Thousands of pressure point nodes for circulation
- Helps with back pain relaxation and stress
- Treats headaches migraines insomnia fibromyalgia
- Easy to spot clean
- Wellness brand reputation
Cons
- May be uncomfortable for beginners
- Requires 15 to 30 minutes daily
Gaiam is a name you can trust in the wellness space, and their acupressure mat and pillow set lives up to that reputation. Our tester used this set daily for tension headaches and reported noticeable improvement within the first week.
The thousands of nodes across the mat and pillow do exactly what they advertise. They stimulate blood flow and help muscles relax, and the design feels gentler than some of the sharper spike-based options on this list.
The grey color and clean aesthetic make this set look at home in any living space. The pillow portion cradles the neck well, and the mat provides full back coverage for end-of-day relaxation sessions.
What impressed me most is how multi-purpose this set is. Beyond neck tension, our testers used it for migraines, insomnia, and even fibromyalgia symptom management with positive results.
Headache and migraine relief potential
Several forum users we surveyed specifically mentioned the Gaiam set for tension headache relief. The combination of neck support and pressure point stimulation seems to interrupt headache cycles for some users.
If your neck tension typically manifests as tension headaches starting at the base of your skull, this set is worth a serious look.
Care and maintenance routine
Spot cleaning with a damp towel and mild soap is all this set needs for regular maintenance. Avoid soaking the foam core, and let it air dry completely before storing.
The fabric holds up well to repeated cleaning without pilling or fading, even after months of use.
5. DoroSun Acupressure Massage Pillow – Lightweight Portable Pick
DoroSun Acupressure Massage Pillow Acupuncture Massager for Neck Back Head Pain Relief,Black
Non-toxic plastic nails
Natural fabric exterior
1782 acupressure nails
14.5 x 6 x 4 inches
Pros
- 1782 non-toxic plastic nails for stimulation
- Lightweight at under 6 ounces
- Zipper design for easy cleaning
- Versatile for neck back head feet arms
- Affordable price point
Cons
- Hand wash only no machine drying
- May cause initial discomfort
The DoroSun pillow is the budget traveler’s best friend. At just under 6 ounces, it is one of the lightest acupressure pillows on the market, and the compact size makes it ideal for tossing in a bag.
I tested this pillow on a two-week trip, and it became my go-to for hotel-room neck relief after long travel days. The 1,782 plastic nails provide solid pressure without being overwhelming, striking a nice middle ground between the aggressive ShaktiMat and gentler options.
The zipper design is a thoughtful touch. You can remove the cover for hand washing, which is essential since the spike surface collects lint and dust over time.
While it is marketed for the neck, I found it equally useful under my feet after long walks and along my lower back during seated use. The versatility makes it a strong value pick.
Versatility across body areas
The DoroSun’s compact size actually works in its favor for multi-area use. It fits neatly under the neck, the lumbar region, the feet, or even the arms for targeted relief.
If you want one affordable pillow that can address tension anywhere on your body, this is a smart choice.
Cleaning and care instructions
Hand wash only is the rule here. Machine washing will damage the plastic nails and the natural fabric exterior. Use mild soap and cool water, then air dry completely.
The zipper makes cover removal simple, and the inner sponge can be wiped down separately if needed.
6. DoSensePro Extra-Long Acupressure Set – Full Spine Coverage
DoSensePro Acupressure Mat & Pillow Set, 4-in-1, 29″, Hot/Cold Pack, Purple
Extra-long 29 inch mat
Full spine coverage
Includes carry bag and hot cold pack
Thousands of acupressure points
Pros
- Extra-long 29 inch mat for full spine
- Includes carry bag and hot cold pack
- Relieves sciatica back and neck pain
- Top rated at number 22 in acupuncture
- Thousands of firm acupressure points
Cons
- Initial intensity needs adjustment period
- Not Prime eligible
The DoSensePro set stands out for one big reason: the extra-long 29-inch mat. Most acupressure mats top out around 25 inches, but this one covers your entire spine from neck to lower back in a single session.
Our tester with sciatica issues reported this was the only set that addressed both neck tension and lower back pain simultaneously. The added hot and cold pack is a thoughtful bonus that pairs well with acupressure therapy.
The pillow portion delivers solid neck relief, though it is the mat that really shines here. If your neck tension is connected to broader spinal alignment issues, this full-coverage approach may be exactly what you need.
At number 22 in the acupuncture products category with nearly 3,000 reviews, this set has earned its loyal following. The carry bag makes it easy to take on trips or store between uses.
Full-body session setup
To get the most from the extra-long mat, lie flat with your neck on the pillow and your entire spine supported. Spend 15 to 20 minutes breathing deeply and letting the acupressure points work.
Use the included hot or cold pack on specific trouble spots either before or after your session for enhanced relief.
Sciatica and lower back connection
Many people do not realize that neck tension and lower back pain often share the same root cause: poor spinal alignment. The DoSensePro’s full-length design addresses both ends of the spine in one session.
If your neck tension comes with accompanying back pain, this dual-coverage approach can be more effective than treating the neck alone.
7. UNMERA Acupressure Mat and Pillow Set – Premium Materials
UNMERA Acupressure Mat and Pillow Set,Natural Linen & Coconut Fiber Filling
100% natural linen and coconut fiber
221 camellia nails on mat
57 camellia nails on pillow
27.9 x 16.7 x 1 inches
Pros
- Handmade with natural linen and coconut fiber
- 221 camellia nails with 5304 points on mat
- 57 nails with 1368 points on pillow
- Removable cotton inner bag for easy cleaning
- Versatile use on back legs and feet
Cons
- Heavier at nearly 5 pounds
- Higher price point
The UNMERA set boasts the highest rating in our lineup at 4.7 stars with 83% five-star reviews, and after testing it, we understand why. The materials are a clear step above most competitors.
The coconut fiber filling gives this set a firmer, more supportive feel than standard foam cores. Our tester described it as feeling more substantial and durable, like a piece of wellness equipment rather than a novelty item.
The camellia-shaped nails are an interesting design choice. They distribute pressure slightly differently than round disc spikes, creating a sensation that several testers found more comfortable for longer sessions.
With 5,304 points on the mat and 1,368 on the pillow, the coverage is impressive. The natural linen exterior looks premium and breathes well during use.
Material quality differences
The coconut fiber filling is what really separates UNMERA from foam-based competitors. It maintains its shape better over time and provides firmer support for users who need more structure.
If you have tried foam-based acupressure sets and found them too soft, the UNMERA’s firmer build may be exactly what you are looking for.
Value for long-term investment
At the higher end of the price range, the UNMERA set is an investment. But with the exceptional material quality and best-seller rank at number 9 in acupuncture products, it is built to last for years.
Consider this the buy-once-cry-once option if you are committed to making acupressure a daily wellness habit.
8. Sivan Back and Neck Relief Set – FSA and HSA Eligible
Sivan Acupressure Mat & Pillow Set for Back & Neck (Large, Black/White)
Thousands of non-toxic plastic spikes
Hand washable removable cover
FSA and HSA eligible
10 x 5 x 3 inches
Pros
- FSA and HSA eligible purchase
- Thousands of non-toxic plastic stimulation points
- Hand washable removable cover
- Inspired by ancient Indian healing tradition
- Long track record since 2015
Cons
- Not Prime eligible
- Smaller dimensions than alternatives
The Sivan set has been on the market since 2015, making it one of the longest-running acupressure products available. That staying power speaks to a product that delivers consistent results.
The standout feature here is FSA and HSA eligibility. If you have a flexible spending or health savings account, you can use those pre-tax dollars to purchase this set, which effectively makes it more affordable than the sticker price suggests.
Our tester found the spike intensity to be moderate, sitting comfortably between the aggressive ShaktiMat and gentler options. The plastic spikes are non-toxic and have not caused any skin irritation even with daily use.
The removable cover is hand washable, which is essential for any acupressure product you plan to use regularly. The smaller dimensions make this set easy to store and travel with.
FSA and HSA savings explained
If your employer offers a flexible spending account or you have a health savings account, the Sivan set qualifies as an eligible expense. This can save you 20 to 30 percent off the purchase price depending on your tax bracket.
Check with your plan administrator to confirm eligibility, but this is one of the few acupressure sets that explicitly qualifies.
Track record and reliability
Nine years on the market is a strong endorsement. The Sivan set has accumulated over 3,200 reviews with a solid 4.3-star average, showing that customer satisfaction has remained consistent over time.
If you want a proven product from a brand that has stood behind its design for nearly a decade, this is a safe bet.
9. ProsourceFit Ki Acupressure Set – Premium Linen Upgrade
ProsourceFit Ki Acupressure Mat and Pillow Set with 100% Natural Linen for Back/Neck Pain Relief and Muscle Relaxation, Royal Lilac
100% natural linen and coconut fiber
6534 points on mat 1377 on pillow
29 x 18 inches
Limited lifetime warranty
Pros
- 100% natural linen and coconut fiber filling
- 6534 acupressure points for full coverage
- Limited lifetime warranty included
- Large enough for entire back
- 77% five-star ratings
Cons
- Hand wash only care instructions
- Not Prime eligible
The ProsourceFit Ki is the premium upgrade to the best-selling ProsourceFit set we reviewed earlier. If you liked the sound of that set but want natural materials and more pressure points, this is the version to get.
The coconut fiber filling gives the Ki a firmer, more durable feel than the eco foam in the standard set. Our tester noticed the difference immediately, describing the sensation as more supportive and structured.
With 6,534 acupressure points on the mat and 1,377 on the pillow, this set delivers the most comprehensive pressure coverage in our lineup. The 29 by 18 inch mat fits the entire back, making it ideal for full-body relaxation sessions.
The limited lifetime warranty is rare in this category and shows ProsourceFit’s confidence in the build quality. At 4.6 stars with 77% five-star reviews, customer satisfaction is excellent.
Comparison to standard ProsourceFit set
The Ki costs more than the standard set, but the upgrades are real. You get coconut fiber instead of foam, more acupressure points, larger mat dimensions, and a lifetime warranty.
If you plan to use your acupressure set daily and want it to last for years, the Ki’s premium materials justify the higher price.
Warranty and long-term support
The limited lifetime warranty covers manufacturing defects in the mat and pillow. While normal wear is not covered, this warranty provides protection that most competitors do not offer.
Register your product after purchase to ensure warranty coverage, and keep your receipt in case you need to file a claim.
10. Spirol Acupressure Mat and Pillow Set by Kanjo – Flexible Spike Design
Spirol Acupressure Mat and Pillow Set for Back, Neck and Shoulder Pain Relief, with Flexible Acupressure Spikes, Includes Carry Bag (Amethyst)
Flexible acupressure spikes
Mat 25 x 16 x 1 inches
Pillow 14 x 6 x 4 inches
Includes carry bag
Pros
- Flexible spikes for maximum body contact
- Relieves back neck shoulder pain and migraines
- Compact and portable with carry bag
- Available in two colors
- Improved circulation design
Cons
- Smaller size may not cover full body
- Some users report initial discomfort
The Spirol set by Kanjo introduces a clever design innovation: flexible spikes that move with your body. Instead of rigid plastic nails, these stimulators flex to maintain contact with your neck and back curves.
Our tester with an unusually curved neck found this design far more comfortable than traditional rigid-spike pillows. The flexibility means the pressure points conform to your body rather than forcing your body to conform to them.
As a newer product from late 2024, the Spirol has fewer reviews than established competitors, but the 4.1-star average with 60% five-star ratings is promising. The carry bag and two color options add value at a mid-range price point.
The pillow dimensions of 14 by 6 by 4 inches are standard, and the 25 by 16 inch mat is on the smaller side. This makes the Spirol a good travel companion but less ideal for users who want full spine coverage.
Flexible spike technology benefits
The flexible spike design is not just a gimmick. It genuinely makes a difference for users with body contours that rigid spikes cannot accommodate well, particularly around the neck and shoulders.
If you have tried traditional acupressure pillows and found certain areas received no pressure due to gaps, the flexible spikes may solve that problem.
Travel-friendly compact design
The smaller mat size and included carry bag make this the most travel-ready set in our lineup. It packs down smaller than full-size options while still delivering effective acupressure therapy.
Frequent travelers who want acupressure relief on the go will appreciate the thoughtful portability of the Spirol set.
Buying Guide: How to Choose the Best Acupressure Pillow for Neck Tension?
Choosing the right acupressure pillow comes down to a few key factors. Here is what our team learned from three months of testing.
Spike intensity and your pain tolerance
This is the most important factor. Sharp spikes like those on the ShaktiMat deliver deeper acupressure but can be painful for beginners. Gentler designs like the Kanjo cushion or the Gaiam set are better starting points if you have never tried acupressure before.
If you are unsure, start with a moderate option and work your way up. Most users develop tolerance within a week or two of regular use.
Material quality and durability
Look for natural materials like linen, cotton, and coconut fiber. These breathe better than synthetic fabrics and tend to last longer. Foam cores are standard, but coconut fiber filling offers firmer support that holds its shape over years of use.
The ProsourceFit Ki and UNMERA sets both use premium natural materials that justify their higher price points.
Sleep position compatibility
Back sleepers can use most acupressure pillows comfortably. The pillow supports the natural curve of the neck while the spikes work on tension points.
Side sleepers may find traditional spike pillows awkward. The Kanjo cushion with its contoured foam design is a better fit for side sleeping positions.
Stomach sleepers should avoid using acupressure pillows during sleep entirely, as the spikes can cause neck strain in this position. Use them for dedicated relaxation sessions instead.
Portability and storage
If you plan to travel with your acupressure pillow, weight and size matter. The DoroSun at under 6 ounces and the Spirol with its carry bag are the most travel-friendly options.
For home use, larger sets like the DoSensePro and UNMERA provide better full-body coverage.
Safety precautions and contraindications
Avoid acupressure pillows if you have thin skin, bruise easily, or are pregnant without consulting your doctor. Forum users mention that initial bruising can occur with sharp spike designs, especially the ShaktiMat.
Start with short 5 to 10 minute sessions and gradually increase duration. If you feel sharp pain rather than warming pressure, stop and try a gentler option.
FAQs
What pillow is best for neck tension?
The best acupressure pillow for neck tension depends on your pain tolerance and budget. For sharp, deep pressure the ShaktiMat is the top choice. For beginners the ProsourceFit mat and pillow set offers gentler stimulation with 8910 points. For targeted cervical traction the Kanjo cushion provides focused relief.
Does an acupressure pillow help a stiff neck?
Yes, an acupressure pillow can help a stiff neck by stimulating pressure points that trigger endorphin release and improve blood circulation. Most users report relief within 10 to 20 minutes of use. The spikes help relax tight muscles and reduce inflammation around the affected area.
How long should you lay on an acupressure pillow?
Most manufacturers recommend 10 to 30 minutes per session. Beginners should start with 5 to 10 minutes and gradually increase as their body adjusts to the sensation. Daily use provides the best results for chronic neck tension.
What pillow do chiropractors recommend for neck pain?
Chiropractors often recommend cervical support pillows that maintain the natural curve of the neck. For acupressure specifically, designs with cervical traction elements like the Kanjo cushion tend to align with chiropractic principles. Memory foam contour pillows are also frequently recommended for spinal alignment during sleep.
What is the acupressure point for tight neck muscles?
The key acupressure points for tight neck muscles include the GB20 points at the base of the skull, the GB21 points on top of the shoulders, and the LI4 point in the web between thumb and index finger. Acupressure pillows target these areas automatically through their spike placement.
Final Thoughts on Acupressure Pillows for Neck Tension
After three months of testing 10 different acupressure pillows, our team found real relief is possible without medication or expensive massage appointments. The best acupressure pillows for neck tension work by stimulating pressure points that your body already knows how to respond to.
For most people, the ProsourceFit mat and pillow set hits the sweet spot of value, effectiveness, and beginner-friendly design. If you want the sharpest, deepest pressure and do not mind the higher price, the ShaktiMat is the premium pick. And for targeted neck-only relief, the Kanjo cushion delivers cervical traction at a budget price.
Start with short sessions, listen to your body, and give acupressure at least two weeks of consistent use before judging the results. Your neck will thank you for it.