Pillow Reviews: SpineAlign vs. Leesa

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The SpineAlign pillow and the Leesa pillow both offer unique foam components that bring a little something extra to the pillows. They have many things in common but their differences help them stand apart. Read on for my full comparison.

Key Similarities

  • Foam-filled (or partially filled)
  • Hypoallergenic
  • Trial periods available
  • Made in the USA (some with imported materials)
  • Both could be good fit for side sleepers

Key Differences


  • Shape: Contour pillow
  • Size approximately 23” x 17” x 6”
  • 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
  • Do not wash the pillow; spot clean only
  • Made in the USA (with imported materials)
  • 90-night trial period
  • Price: $129 (One Size)

SpineAlign Pillow Review

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


  • Traditional Shape
  • Standard size: 18” x 26” x 5” and King size: 18” x 33” x 5”
  • Filling: 100% Polyurethane Foam (ventilated)
  • Cover: 70% Polyester, 17% Viscose, 13% Nylon
  • Removable cover that is washable and dryer friendly
  • Designed for all styles of sleeper and all body types
  • Price: $75 for Standard size, $95 for King size
  • Made in the USA
  • 100-night trial period
  • Included in Leesa’s One-Ten Program, one pillow will be donated for every ten sold

Read the full Leesa pillow review, here. 

You Might Choose

SpineAlign If…

  • You want something designed by a medical professional. The full name of the pillow is Dr. Loth’s SpineAlign pillow because it created by Dr. Jason Loth, a sports chiropractor, with 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).

Leesa If…

  • You want size options. The Leesa pillow comes in both Standard and King sizes, while the SpineAlign comes in one size.
  • You prefer the feel of latex foamThe Avena foam inside the Leesa pillow has similar characteristics to a traditional latex foam pillow. It’s got a quick response and is on the bouncier side (especially compared to down alternative). It also won’t fall flat or change shape overnight.

Either If…

  • You sleep on your side. Based on my experience with these pillows, they are both great for side sleepers. The outer chambers of the  SpineAlign are designed just for side sleepers with their extra height and I thought the support and firmness of the Leesa pillow worked well for side sleepers, too.

Related: Best pillow for side sleepers


Both of these pillows have a lot to offer side sleepers (and back sleepers if you like the SpineAlign). The SpineAlign offers adjustability and a unique shape while the Leesa pillow has a soft removable outer cover and a quick responsive feel of latex.

Both pillows come with generous trial periods – 90 and 100-nights – so you can see which one might be the best fit for you.

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Gravatar for Katie Golde

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.