Pillow Reviews: SpineAlign vs. Bear

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Upon first glance, the SpineAlign pillow and Bear pillow seem very different– and you’re right. They’ve got different shapes, fillings and design features that each make them stand out. However, when it comes to sleep comfortably, they do have one big thing in common. Read on for my full comparison.

Key Similarities

  • Foam-filled
  • Cooling/breathable materials featured in outer cover fabric
  • Hypoallergenic
  • Made in the USA
  • On the more firm/supportive side – could be good fit for back and side sleepers
  • Trial period offers

Key Differences


  • Shape: Contour pillow
  • Two outer chambers for side sleeping and a middle chamber for back sleeping
  • Customizable to fit your correct posture in both the back and side sleeping positions
  • Cover: Soft Tencel blended fabric with strips of mesh built in the sides (37% Lyocell – also called Tencel, 61% Polyester and 2% spandex)
  • Filling: blend of shredded internal fill (foam and fiber) accessible through zippers on the back
  • Has “one size fits most” design
  • Fits in a queen size pillowcase
  • Approximately 23” x 17” x 6”
  • Do not wash the pillow; spot clean only
  • 90-night trial period
  • Price: $129 (One Size)

SpineAlign Pillow Review

Check out the complete Dr. Loth’s SpineAlign pillow review, here. 


  • Shape: Traditional
  • Cover: Double Ice Fabric: a special fabric that feels cool to the touch; made up of 40% “cool yarn” and 60% polyester
  • Core filling is made with LOFT-X FOAM: a hybrid foam that combines memory foam and latex foam to contour to your spine and neck (100% polyurethane)
  • Dual mesh side panels for continuous airflow throughout your sleep
  • Only available in Queen and King size
  • Cover is removable and machine washable and dryer friendly
  • 2-year warranty and 100 night trial (from the time you receive the pillow)
  • Price: $95 (Queen)

Bear Pillow Review

Read the full Bear pillow review, here. 

You Might Choose

SpineAlign If…

  • You want something designed by a medical expert. The SpineAlign pillow is officially called Dr. Loth’s SpineAlign pillow because it was created by a chiropractor, Dr. Jason Loth, who has more than 17 years of experience in the field. He designed the pillow with many features to help you find your ideal neutral spinal alignment.
  • You want to adjust your pillow. Each compartment/chamber within the pillow has a zipper that allows you to add or remove as much of the foam/fiber filling as you’d like. If you are a back sleeper you’ll want to adjust the middle section and side sleepers will want to adjust the edges (or both if you sleep in both positions).

Bear If…

  • You sleep hot. Bear’s pillow is made to breathe and keep you cool at night. It offers ventilated LOFT-X foam and Double Ice Fabric on the cover that feels cool to the touch when you put your face on it.
  • You want a pillow that is easy to care for. To keep the pillow clean all you need to do is wash and dry the cover (and spot clean the foam is necessary). The foam won’t lose its shape or go flat, so there is no need to throw it in the dryer to fluff it.

Either If…

  • You sleep on your back or your side. Based on my experience with these pillows, they are both great for back and side sleepers. Their foam fillings provide a good amount of structure and support but their loft isn’t too high. Stomach sleepers may need something a little less firm.

Related: Best pillow for side sleepers


Both the SpineAlign and the Bear pillow are good for back and side sleepers. Those on a budget may want to look to Bear, whose Queen pillow is under $100. If contour-shaped pillows are your thing, the adjustable nature of the SpineAlign is hard to beat. Luckily, cach pillow has a trial offer period so you can test it yourself!

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Katie Golde

Katie manages the day to day operations of the Mattress Clarity news site and reviews sleep products in addition to writing and editing sleep news.She hails from Austin, where she lives with her growing family. She is a Certified Sleep Science Coach and has a master’s degree in Journalism from Northwestern University and has a background in health and science content. Her work can be found in print and online publications like Discover Magazine, USA Today and The Huffington Post.