How To Relieve Menopause Neck Pain

Waking up stiff or achy? Menopause neck pain is extremely common, and very real.
More than 70% of women experience musculoskeletal symptoms during menopause because shifting hormone levels, especially estrogen, affect how muscles, joints, and connective tissues function (Wright et al., 2024).
Neck pain during menopause often feels worse in the morning or at night, disrupting sleep and making daily movement uncomfortable.
Here’s a simple guide to help you understand neck pain and menopause, and the steps you can take to feel better.
Can Menopause Cause Neck Pain?
Yes. Menopause can directly trigger neck pain. If you feel chronic tightness, stiffness, or tension around the neck and shoulders, hormonal changes may be responsible.
Hormonal shifts affect the tissues that keep the neck stable:
Higher muscle tension — Neck and shoulder muscles tighten more easily.
Reduced collagen & elasticity — Connective tissues become less resilient and more prone to strain.
Lower joint lubrication — Cervical joints experience more friction.
Disrupted sleep — Hot flashes and night sweats worsen morning stiffness.
Many women also experience menopause headaches, upper-back tension, and shoulder tightness, all of which tie back to estrogen decline.
Hormones aren’t the only factor, though. Lifestyle, aging, and stress can also amplify symptoms (Santoro, Epperson & Mathews, 2015).
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How To Reduce Menopause Neck Pain (Step-By-Step Relief Plan)
Let’s walk through the changes that typically make the biggest difference.
1. Adjust Your Pillow Height To Fit Your Shoulder Width
Women often need a different pillow loft than men because shoulder width and neck curvature differ.
If your pillow is too high or too flat, your neck will sit out of alignment and morning stiffness becomes inevitable.
The Groove Adjustable Pillow includes multiple layers so you can tailor the height to your body’s structure.
Groove Adjustable Pillow2. Support The Natural Cervical Curve
Your neck has an inward curve (a C-shape) that needs support while lying down.
When the neck drops forward or tilts back too far, tension builds across the muscles and joints.
A supportive pillow helps maintain that natural curve and can significantly reduce stiff neck menopause symptoms.
3. Keep Your Side-Sleeping Alignment Even
Side sleepers are especially prone to misalignment, which can trigger perimenopause neck pain, headaches, shoulder discomfort, and even hip pain.
An ergonomic memory foam design helps keep the head, neck, and shoulders level, minimizing compression and easing pressure throughout the night.
4. Improve Alignment While Back Sleeping
Back sleeping naturally supports the spine, but only when the chin is neutral.
If the chin is lifted too high or tucked, cervical strain increases.
The right pillow should fill the space beneath the neck and support the natural curve while keeping the head level.
5. Avoid Stomach Sleeping Entirely
Stomach sleeping forces the neck into rotation and extension — both of which aggravate menopause neck pain.
Switching positions can dramatically reduce daily stiffness.
Lifestyle Tips That Help Reduce Menopause Neck Pain
An adjustable pillow is a great foundation, but pairing it with these habits can speed up relief:
- Gentle stretching for the neck, upper back, and shoulders
- Light strength training for better muscular support
- Hydration to help maintain tissue elasticity
- Reducing inflammatory foods
- Better sleep hygiene (cool room, earlier wind-down)
- Stress management, such as yoga or breathwork
Research shows there’s no universal menopause pain strategy (Strand et al., 2024).
Experiment until you find what works for your body.
Your Sleep Setup Matters: Mattress & Environment
Even the best pillow can’t overcome a mattress that’s too soft or sagging.
A lack of support increases pressure points and worsens neck pain during menopause.
A medium-firm mattress is typically best for maintaining spinal alignment without sacrificing comfort.
For optimal results, combine:
- A supportive adjustable pillow
- A medium-support mattress
- A cool, calm sleep environment
Together, these reduce strain on the cervical spine and improve morning comfort.
When You Should Seek Professional Help
Speak with a doctor, physical therapist, or menopause specialist if:
- Pain is severe or persistent
- You notice numbness, tingling, or nerve-like symptoms
- Mobility becomes limited
- Headaches worsen or become chronic
- Early evaluation can prevent long-term issues — don’t wait if symptoms are escalating.
Final Words
Menopause neck pain is incredibly common, but the right adjustments can make a meaningful difference.
Fine-tuning your pillow height, supporting your cervical curve, and improving overall sleep posture are some of the most effective ways to ease discomfort.
Pair these changes with supportive lifestyle habits, and you’re far more likely to experience better sleep and less daily stiffness.
Start your relief journey with the Groove Adjustable Pillow.
Shop The Groove Adjustable PillowReferences
- Santoro, N., Epperson, C.N. and Mathews, S.B. (2015). Menopausal Symptoms and Their Management. Endocrinology and Metabolism Clinics of North America, [online] 44(3), pp.497–515. doi:https://doi.org/10.1016/j.ecl.2015.05.001.
- Strand, N.H., D'Souza, R.S., Gomez, D.A., Whitney, M.A., Attanti, S., Anderson, M.A., Moeschler, S.M., Chadwick, A.L. and Maloney, J.A. (2024). Pain during menopause. Maturitas, [online] 191, p.108135. doi:https://doi.org/10.1016/j.maturitas.2024.108135.
- Wright, V.J., Schwartzman, J.D., Itinoche, R. and Wittstein, J. (2024). The musculoskeletal syndrome of menopause. Climacteric: The Journal of the International Menopause Society, [online] 27(5), pp.1–7. doi:https://doi.org/10.1080/13697137.2024.2380363.