Wedge Pillow for Prolapse – How to Sleep With a Prolapsed Bladder or Disc

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In this article, we have reviewed the wedge pillow for prolapse. If you are in a hurry, the table below gives a quick snapshot or you can scroll down for detailed reviews.

A wedge pillow is a recommended tool for patients suffering from prolapse, be it pelvic organ prolapse or disc prolapse. In both cases, it helps align the spine with hips and waist giving temporary relief to the patient.

A wedge pillow, as the name suggests, is a wedge or triangular-shaped pillow. It can be placed under the pelvis and legs or under the head and neck.

It is usually made of memory foam but can also be made of latex foam or polyester fibers. Wedge pillows come in different sizes. The selection of size depends on one’s comfort, weight, and height. Wedge pillows are easily available online.

The use of a wedge pillow has been an efficient tool to relieve painful symptoms and support the organs. It elevates the head and neck. Wedge pillows are known to help in the conditions of sleep apnea, neck pain, sinus problems. It can be used during pregnancy for elevating legs and hips. It can help patients suffering from deep vein thrombosis.

There are two kinds of prolapse. Pelvic organ muscles prolapse and disc prolapse. In this article, we will discuss how a wedge pillow can help in both cases.

Wedge Pillow and Pelvic Organ Prolapse

Female pelvic organ prolapse (POP) is a condition that can affect the health of around 50% of elderly women1 who gave birth. The most common symptoms are protrusion of a lump through the vagina or anus, bladder or fecal incontinence, abdominal pain. It can negatively affect the quality of life.

However, it is possible to treat the symptoms and improve your overall health.

Bladder prolapse is determined by different clinical stages from 0 to IV depending on severity. These stages determine the line of treatment for the patients. Up to one in 5 women suffering from pelvic organ prolapse will need surgery.

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Don’t Ignore Your Pelvic Floor

The pelvic floor is a group of muscles, connective tissues, and nerves that act as the base for your abdominal wall. It’s important to be mindful of these important muscles because not only do they play an integral role in supporting our bladder, uterus, and rectum, but they also provide support for our spine.

The health of your pelvic floor can affect many aspects of your health, including sexual function, work performance, and quality of living. They can be strengthened by engaging in exercise. Kegel exercises or doing pelvic floor strengthening exercises will help with urinary incontinence or vaginal prolapse in women.

Pelvic Floor Infographic

How Does Lying Down Help With Pelvic Organ Prolapse?

Women suffering from pelvic organ prolapse complain of increased pain when in the upright position for a prolonged period of time. This is due to gravity pulling the loosened organs downwards.

Bodyweight acts as an additional force, contributing to the contractility of pelvic muscles, affecting the pelvic floor while standing. Prolonged standing causes the displacement of pelvic organs and their muscles.

Hence lying in a supine position is advised for patients suffering from pelvic organ prolapse. When in the upright position, the bladder is at its lowest position compared to when standing. Studies have shown up to a 5-millimeter difference between standing and sleeping position1.

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Best Way to Sleep With a Prolapsed Bladder?

Lying down also helps in the case of prolapse because the bladder fills up when lying down. A full bladder causes less displacement of the pelvic organs as compared to an empty bladder. This helps in reducing the symptoms of pelvic organ prolapse.

The best sleeping position is to lie on the back as it uses gravitational forces to reposition the organs to their position. Patients should avoid sleeping on the stomach as it exerts pressure on the pelvic floor muscles.

Pessaries and prolapse support garments are also great tools for prolapse. In our opinion, the best support pessary is Femicushion.

Does a Wedge Pillow Help With Pelvic Organs Prolapse?

Lying straight on the back with a wedge pillow placed under the hips and legs is a suitable position to sleep for women suffering from pelvic organ prolapse. The reasons behind it are:

  • A wedge pillow provides good support for pelvic floor muscles and thereby prevents downwards descent of the organs.
  • A wedge pillow also ensures that the pessaries (a surgical device used in the case of prolapse to support the vagina) are placed in the proper position as it inverts the pelvic region and prevents pessary displacement.
  • It ensures that the spine, pelvis, and hips are in good alignment. If the back is curled up, it puts pressure on pelvic muscles, causing descend of the organs. If it is arched, it overstretches the pelvic muscle and causes more loosening of the organs for its wall. Hence maintaining a normal spinal position is effective in a way to support organs.

The video below shows symptoms of pelvic prolapse.

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Wedge Pillow and Disc Prolapse

Disc prolapse is a condition associated with the spine that causes the spine’s inner portion to prolapse outwards, causing pain and discomfort in the back.

It is also called a herniated disc or a slipped disc. The soft rubbery cushion in the inner portion of the spinal disc tears out from the tougher exterior (annulus) and sits between individual vertebrae.

Disc prolapse or herniated disc can occur in any part of the spine, and it impinges the nerve in that region. This can cause pain and soreness around the nerve pathway, usually arms or legs. Many people are asymptomatic, and no treatment is required for them.

The majority of the prolapsed discs occur in the lower back, although few are seen in the cervical (neck) region. The signs and symptoms depend on which nerve is affected. It usually affects one side of the body.


Legs are most typically affected when disc prolapse has occurred on the lower back, feeling pain in the back, hips, thighs all the way down to the foot and sole.

This is called sciatica, as the sciatica nerve is affected in this region. When prolapse occurs in the cervical area, pain occurs in the arms and shoulder. The pain is elevated on sneezing or coughing. This pain is often described as a sharp or burning sensation.


Patients have radiated tingling sensation or numbness in the affected area of the nerve pathway.

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Muscle spasm

Muscles in that area tend to get tensed and can cause spasms.


Bones and muscles in the affected area tend to get weak, causing patients to stumble or difficulty lifting objects.

Redness or swelling

In some cases, swelling is also seen in the back area due to protruded disc.

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What Is the Best Position to Sleep With Disc Prolapse?

Patients with disc prolapse are usually advised bed rest. They are recommended to sleep on their back or on the side position – whichever they are most comfortable with. There are three typical sleep positions :

On the Back

This is considered to be the best position to eliminate the stress on the back. It aligns the spine with the hips and pelvis and relieves the spinal gaps and, thereby, the nerves.

The use of a firm mattress is usually recommended, and the use of a wedge pillow under the thighs or lower back can be supportive. If the patient has cervical disc prolapse, avoid the use of a neck pillow.

On the Stomach

This is not a recommended sleeping position as it may risk making a back or neck problem worse. It causes a reduction in spinal gaps, causing more pain to the impinged nerve and its area.

Some patients with an excess protrusion from the backbone may prefer to sleep on the stomach to avoid pressure on the prolapsed disc. Positioning pillows under the lower abdomen would be preferred if chosen to sleep in this position.

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On the Side

This is the most commonly preferred position of most people. The positioning of the pillow between the knees is advised in these cases. But avoid sleeping on the side affected side or the side with protrusion.

Use of Wedge Pillow for Disc Propalse or Slip Disc

The use of a wedge pillow is a useful tool to support and relieve back pain. Most comfort is achieved when knees are slightly elevated and the spine is properly integrated, causing relief to the spinal gaps, thus avoiding pinching of the nerves. This can be achieved by placing a wedge pillow under the knees for patients sleeping on their backs.

A wedge pillow does not have much impact on the healing process for prolapse patients; it does provide temporary relief and helps them sleep comfortably. It also helps with proper blood circulation preventing soreness of the back.

Your physician will point you in the right direction regarding treatment and how to care of a prolapsed bladder or back. But they will usually suggest resting, avoiding straining when sitting on the toilet, or putting physical pressure on the body by lifting heavy objects. Pelvic floor exercises can help as well as losing weight if needed.


  1. Marwa Abdulaziz, Lynn Stothers and Andrew Macnab, 2018