SpineAlign vs Leesa Pillow Comparison

We receive free products to review and participate in affiliate programs, where we are compensated for items purchased through links from our site. See our disclosure page for more information.

Neither the SpineAlign pillow nor the Leesa pillow are typical run of the mill foam pillows. In reality, both offer unique foam components that bring enhance the performance of each in subtle ways. Yes, they have several features in common but their differences help them to stand apart from the crowd.

To learn more about what these similarities and differences are, plus who will truly enjoy these pillows, read on for my full SpineAlign vs Leesa Pillow comparison.

SpineAlign vs Leesa Pillow: Video Overview

Top Similarities

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

SpineAlign vs Leesa Pillow construction

Key Differences

SpineAlign

  • 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. 

Leesa

  • 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

Leesa Pillow Review Pillow 2

Read the full Leesa pillow review, here. 

Who Might Choose SpineAlign…

  • Prefer something created by a medical professionalThe full name of this particular pillow is Dr. Loth’s SpineAlign pillow because it was designed by Dr. Jason Loth, a sports chiropractor, with more than 17 years of experience in the field.  He reportedly designed the pillow with features intended to help sleepers find their ideal neutral spinal alignment.
  • Those who want to adjust the pillow. Each compartment/chamber within the pillow has a zipper that allows sleepers to add or remove as much of the foam/fiber filling as desired. Back sleepers will want to adjust the middle section and side sleepers will want to adjust the edges (or both if you sleep in both positions).

Who Might Choose Leesa…

  • Those who want size options. The Leesa pillow comes in both Standard and King sizes, while the SpineAlign comes in only one size at the time of this comparison.
  • People who prefer the feel of latex foamThe proprietary Avena foam inside the Leesa pillow has similar characteristics to a traditional latex foam pillow. In particular, its quick response overall bouncier/resilient feel, especially compared to a classic memory foam or a down alternative. It also won’t fall flat or change shape overnight.

Check out the latest deals on the Leesa Pillow, here!

SpineAlign vs Leesa Pillow comparison

Who Could Choose Either Pillow…

  • Side sleepers. Based on my experience with these pillows, both are excellent and appealing options for side sleepers. The outer chambers of the  SpineAlign are designed specifically for side sleepers and I thought the support and firmness of the Leesa pillow particularly matched the needs of a side sleeper well.

SpineAlign vs Leesa Pillow material

RELATED: Best Pillow for Side Sleepers

Overall

Side sleepers will be equally happy with either the SpineAlign or the Leesa pillow. Those who favor adjustability and like the idea of a foam and fiber filling combination should look to the SpineAlign (as should some back sleepers). Meanwhile, the latex foam-like feel of the Leesa will appeal to side sleepers who want the support of foam but oppose the classic sinking feel of memory foam.

Both pillows come with generous trial periods – 90 and 100-nights – giving sleepers ample opportunity to discover which one is the best fit.

Subscribe to Mattress Clarity!

Get special coupons, discounts, and giveaways!

Katie Golde

Katie Golde

Senior Digital Content Manager/Managing Editor​

About Author

Katie Golde is a Certified Sleep Science Coach and previously served Managing Editor and Head of Sleep Research for Mattress Clarity. She handled the daily operations of the site and you’ll still see her in plenty of reviews, from mattresses to travel pillow and bed pillow reviews – plus the occasional How-To video. In addition, Katie reported, writed, and edited sleep health and sleep industry news for the site.

Since joining the Mattress Clarity team in 2016, she has reviewed hundreds of sleep products, like bed pillows and mattresses and written over 200 sleep-related stories for the site. She probably knows more about bamboo sheets and bed pillows than any one person should.

Katie has been writing about wellness-related topics, including sleep, for the last eight years. The first sleep story she wrote covered the best and worst foods to eat before bed. Her previous work can be found in print and online publications like Discover Magazine, USA Today, Bustle and The Huffington Post.

She has a bachelor’s degree in Sociology from Northwestern University and a master’s degree in Journalism with a focus on Interactive Publishing from Northwestern’s Medill School of Journalism as well. During her graduate studies, Katie focused on health and science reporting and she received the G.D. Crain Award for demonstrating leadership, management, and entrepreneurial excellence during her final innovation project.

Education & Credentials