Top 5 Pillows for Occipital Neuralgia Relief Now

Imagine a sharp, stabbing pain shooting from the base of your skull up to your scalp. That burning, relentless ache is the reality for many suffering from occipital neuralgia. Finding comfortable sleep can feel like an impossible dream when every turn of your head sends jolts of agony. You’ve tried everything, but the pain just won’t quit, especially when you lie down.

Choosing the right pillow for this specific type of nerve pain is crucial, yet confusing. Standard pillows often push your neck into awkward positions, increasing pressure on those sensitive occipital nerves. Wrong support means more pain, less sleep, and a lower quality of life. You need a pillow that cradles your head just right, relieving that constant pressure.

This guide cuts through the confusion. We will break down exactly what features matter most in a pillow designed to soothe occipital neuralgia. By the end of this post, you will know precisely what to look for to finally achieve restful, pain-free nights. Let’s explore how the right pillow can bring relief back to your mornings.

Top Pillow For Occipital Neuralgia Recommendations

No. 1

Ultra Pain Relief Cooling Pillow for Neck Support, Adjustable Cervical Pillow Cozy Sleeping, Odorless Ergonomic Contour Memory Foam Pillows, Orthopedic Bed Pillow for Side Back Stomach Sleeper

REVOLUTIONIZE YOUR SLEEP WITH THE INNOVATIVE HOLLOW CONCAVE DESIGN - Tired of waking up with neck pain and discomfort? Look no further! By combining the benefits of a traditional bed pillow and a contour pillow, Our ergonomic hollow contour pillow is here to transform your sleep experience. The hollow concave surface, tilted at a 15-degree angle, skillfully cradles your head, while maintaining the natural curve of your neck and aligning your spine flawlessly. Wake up feeling refreshed!
EXPERIENCE UNINTERRUPTED, BLISSFUL SLEEP WITH OUR VERSATILE PILLOW - Engineered with meticulous precision, this innovative neck pillow features six unique contour zones specifically designed to embrace the natural curvature of your body. Each contour zone works harmoniously to address targeted pressure points, it provides full support to your neck, shoulders, and arms, effectively alleviating your neck pain and muscle stiffness. No longer will you have to compromise on the quality of your rest.
EMBRACE HEALTHY SLEEP WITH PREMIUM MEMORY FOAM & COOLING PILLOWCASE - Unlike 90% of support pillows, Cozyplayer utilizes the Q-Max 0.4 Arc-Chill cooling pillowcase, which instantly reduces skin temperature by 5℃! Additionally, the pillowcase fabric utilizes a highly dense 3D mesh design, offering excellent breathability. Our pillow core is made of 98% breathable memory foam, which is non-toxic, odorless, and it enhances airflow so you stay comfortably cool, just enjoy deep, truly restful sleep. Sleep soundly and stay dry all night!
CUSTOMIZABLE SLEEP HEIGHT! EXPERIENCE TRUE LIBERATION! According to the latest research, maintaining a 15° golden ratio of ARC neck traction during sleep is pivotal in restoring the body's natural curves and enhancing deep sleep by an astounding 45 minutes! Cozyplayer offers enhanced freedom in this regard, allowing you to achieve greater contouring by rotating the cooling pillow 180 degrees or removing the bottom insert. You'll always find the perfect sleep height on our bed pillow!
NO-WORRY AFTER-SALE SUPPORT, YOUR SATISFACTION GUARANTEED! - we are dedicated to delivering top-notch products that enhance your shopping journey. To exemplify our commitment, we proudly offer you a risk-free 100-night trial period for this remarkable contour pillow. Moreover, it doubles as an excellent gift for your parents, friends, long-term usage will greatly improve the quality of sleep. Note: Memory foam may have a slight odor, please air it out for 48 hours before use!

No. 2

Osteo Cervical Pillow for Neck Pain Relief, Hollow Design Odorless Memory Foam Pillows with Cooling Case, Adjustable Orthopedic Bed Pillow for Sleeping, Support for Side Back Sleepers

【STOP! THE NECK PAIN & SLEEPLESS NIGHTS ARE OVER!】After years of discomfort, you've found salvation at last! Meet the game-changer in the pillow industry, all-new ergonomic pillow with US patent – Osteo! The unique design of the hollow center is what sets it apart! The special hollow center cradles the head, helps maintain the natural cervical curve and alignment of the vertebrae in your neck, aims to maintain good blood flow to your neck and head, relieve pressure and remove muscles tension.
【THE BEST INVESTMENT OF YOUR REST & HEALTH!】 Did you toss and turn all night? Did you wake up with neck cramps or back soreness? The wrong pillow may worsen headaches, neck pain, shoulder and arm numbness, notes surgeon Andrew Hecht, MD. Osteo neck pillow provides all of the curves, divots and angles needed to help to relieve pressure which has a more refined thoughtful design than others, fits side, back, and stomach sleepers. Choose us, choose better sleep and a healthier future!
【HOT SLEEPERS & ALLERGY SUFFERERS, REJOICE!】Osteo neck support pillow uses 3D mesh fiber pillowcase that allows heat to escape and fresh air to cycle in. You can rest assured that you will own a cooling and sweet dream! If you're sensitive to smell and want a natural and odorless pillow, Ostoe sutera pillow is the answer! We didn't take any shortcuts on the quality of our materials. All of our memory foam pillows are CertiPUR-US certified and Oeko-Tex approved, without any harmful substance!
【ADJUSTABLE! ENJOY PERSONALIZED COMFORT FOR YOUR SLEEP STYLE!】 You tried numerous types of pillows to find the right height. You always need to get a new pillow while your sleep needs happen to change. Stop! You can control your pillow height now! Osteo uses two different thicknesses for a custom feel. Simply rotate your bed pillow 180 degrees to enjoy a higher or lower ! The removable insert at the bottom also provides more height liberty. Make your pillow just right for every night!
【HASSLE FREE AFTER-SALE SUPPORT - NO NEED TO RETURN! 】 It's expensive to do cervical rehabilitation by a physical therapist, but it's easy to enjoy pain-relief sleep every night with Osteo contour pillow! Tip: Air the pillow for 48 hours before use to allow full expansion and natural odor to dissipate. Please note that comfort varies by individual and may be affected by factors like body shape, sleep position, and neck curve. We're committed to excellent service—Don't like it? Just contact us.

No. 3

Purify Life Occipital Release Tool for Pivotal Therapy & TMJ – Cervical Traction Pillow for Neck, Shoulder, and Back Pain Relief

[Treats Multiple Symptoms] Our suboccipital release tool is great for various conditions such as; Temporomandibular joint dysfunction (TMJ), tension headaches, myofascial release, lumbar dysfunctions, neck & back pain, shoulder pain, cordus ciatica, curve, and posture.
[Instant Results] While following instructions online or in the pamphlet, using our neck wedge for just 3-10 minutes per day will offer instant results to your ailments (start at 1-2 minutes per day and work your way up). This device is safe to use for all ages and conditions. Treat multiple spinal and head issues with zero effort, just lay down in comfort!
[Instructions Inside] Start with just 1-2 minutes per day to assess your tolerance, as head-rush or pain is possible for tighter/cramped muscles. Work up to 10-15 minute sessions per day to slowly ease your ailments. The neck wedge comes with instructions on how to use the occipivot tool to best manage your neck & back pain relief needs. Message us for further support! We'd love to release your tension headaches.
[Chiropractor Recommended - HSA and FSA Eligible Products] Chiropractors and physical therapists around the USA are recommending various occipital to their patients to treat these common conditions as it is very affordable, easy, and can be done in the comfort of your own home. You may use your HSA and FSA to pay for this product on Amazon.
[Hypoallergenic & Washable] Our memory foam blocks are covered in a safe finish that will not result in any allergic reactions or discomfort. The lining allows for safe and easy washing after use, and will last a lifetime.

No. 4

Ultra Pain Relief Cooling Pillow for Neck Support, Adjustable Cervical Pillow Cozy Sleeping, Odorless Ergonomic Contour Memory Foam Pillows, Orthopedic Bed Pillow for Side Back Stomach Sleeper

REVOLUTIONIZE YOUR SLEEP WITH THE INNOVATIVE HOLLOW CONCAVE DESIGN - Tired of waking up with neck pain and discomfort? Look no further! By combining the benefits of a traditional bed pillow and a contour pillow, Our ergonomic hollow contour pillow is here to transform your sleep experience. The hollow concave surface, tilted at a 15-degree angle, skillfully cradles your head, while maintaining the natural curve of your neck and aligning your spine flawlessly. Wake up feeling refreshed!
EXPERIENCE UNINTERRUPTED, BLISSFUL SLEEP WITH OUR VERSATILE PILLOW - Engineered with meticulous precision, this innovative neck pillow features six unique contour zones specifically designed to embrace the natural curvature of your body. Each contour zone works harmoniously to address targeted pressure points, it provides full support to your neck, shoulders, and arms, effectively alleviating your neck pain and muscle stiffness. No longer will you have to compromise on the quality of your rest.
EMBRACE HEALTHY SLEEP WITH PREMIUM MEMORY FOAM & COOLING PILLOWCASE - Unlike 90% of support pillows, Cozyplayer utilizes the Q-Max 0.4 Arc-Chill cooling pillowcase, which instantly reduces skin temperature by 5℃! Additionally, the pillowcase fabric utilizes a highly dense 3D mesh design, offering excellent breathability. Our pillow core is made of 98% breathable memory foam, which is non-toxic, odorless, and it enhances airflow so you stay comfortably cool, just enjoy deep, truly restful sleep. Sleep soundly and stay dry all night!
CUSTOMIZABLE SLEEP HEIGHT! EXPERIENCE TRUE LIBERATION! According to the latest research, maintaining a 15° golden ratio of ARC neck traction during sleep is pivotal in restoring the body's natural curves and enhancing deep sleep by an astounding 45 minutes! Cozyplayer offers enhanced freedom in this regard, allowing you to achieve greater contouring by rotating the cooling pillow 180 degrees or removing the bottom insert. You'll always find the perfect sleep height on our bed pillow!
NO-WORRY AFTER-SALE SUPPORT, YOUR SATISFACTION GUARANTEED! - we are dedicated to delivering top-notch products that enhance your shopping journey. To exemplify our commitment, we proudly offer you a risk-free 100-night trial period for this remarkable contour pillow. Moreover, it doubles as an excellent gift for your parents, friends, long-term usage will greatly improve the quality of sleep. Note: Memory foam may have a slight odor, please air it out for 48 hours before use!

No. 5

Cervical Neck Pillow for Pain Relief, Bed Pillows for Sleeping, Ergonomic Cooling Pillow, Orthopedic Contour Pillow for Side Back Stomach Sleepers,Neck Support Memory Foam Pillows with Pillow Covers

【BIOMECHANICAL ARCHITECTURE CERVICAL NECK PILLOW】Tired of waking up tired with pain? Take Action Tonight: Begin your sleep revolution with HAMYODO neck pillows to stop starting your day with stiffness. Engineered with proprietary contoured geometry validated through orthopedic simulations for spinal neutrality, this ergonomic pillow provides calibrated elevation for side sleepers,cervical cradle for back sleepers, & reduced profile for stomach sleepers-clinically shown to reduce cervical pressure by 72% versus standard pillows. Delivering targeted support exactly where your head and neck need it most, promoting neutral spine alignment to help eliminate morning aches.
【PREMIUM SAFE BED PILLOW WITH ECO-CERTIFICATION】Breathe easy and sleep safely - HAMYODO neck pillow utilizes CertiPUR-US & Oeko-Tex certified memory foam for dynamic adaptation, which is non-toxic and odorless- 0% VOC emissions, safe for pregnancy and sensitive allergy sufferers. It’s the clean, gentle support your skin and health deserve. Our high-density, resilient memory foam pillow is engineered to resist sagging and permanently hold its shape after long term use. Invest in years of cloud-like comfort and consistent support—your future well-rested self will thank you.
【ADVANCED THERMOREGULATION & DRY PILLOWCASE 】Our neck support pillow comes with a skin-friendly silky pillowcase that allows heat to escape and fresh air to cycle in. Side sleeper pillow cover achieves continuous convective comfort and maintains optimal microclimate below 33°C throughout sleep cycles.No more flipping the pillow for cooling side. Cooling pillow and pillowcase keep you comfortable all night long for truly restorative sleep. Made of breathable fiber fabric that fits perfectly with our skin, keeping you refreshed during your sleeping time. Give you the health and comfort you want! The soft and skin-friendly pillowcase is removable, has a zipper and is machine washable.
【BETTER SLEEP ENHANCEMENT WITH SIDE SLEEPER PILLOW】Innovation Fishtailed shape sleeping technology for better & healthier sleeping time with 2 height(5.1/4.3”). Cervical neck pillow for sleeping with personalized design for customized comfort while sleeping.Your Perfect Fit in One Contour Pillow: One size does NOT fit all. That's why we offer a versatile dual-height design. Simply flip the pillow to choose between a medium-low or medium-high loft, giving you two pillows in one to perfectly match your sleep position and body type.
【PERFECT GIFT CHOICE WITH CUSTOMER SERVICE】Tired of generic gifts? Give the thoughtful present that truly cares for their well-being. Our neck pillow for pain relief isn't just about comfort—it's a complete sleep solution backed by exceptional support. This ergonomic pillow is a great gift for your parents, friends and colleagues for long-term use . We strive for the quality of our products and promise top-quality products and customer service that assist with any questions, ensuring a seamless experience from unboxing to every night's sleep. Gifting has never been easier or more reassuring. Backed by our 100% Satisfaction industry-leading Support, your gift is protected.

No. 6

Cervical Neck Pillow for Pain Relief, Contour Memory Foam Pillows Ergonomic Pillow Orthopedic Cooling Pillow Bed Pillow Neck Support for Side Back Stomach Sleepers

【Pain-Relief Cervical Neck Pillow】Do you suffer from insomnia all night? Do you wake up with neck cramps or back pain? Say goodbye to restless nights with Polovo memory foam pillows. Our ergonomically neck pillow combines traditional bed pillow follows the natural curve of the body, easing fatigue and discomfort during sleep. It supports your back, head and neck correctly, makes you feel sleepy soon after lying down and quickly get into sleep. Choose us, choose better sleep and better life!
【Safe & Odorless-Premium Memory Foam Pillows】Polovo cervical pillow is made of CertiPUR-US and Oeko-Tex certified memory foam, which provides amazing comfort and soft yet sturdy support for sleep. When lying on this neck Pillow, it feels like floating on water or clouds, without any pressure on your skin. Special fast rebound memory foam won't change its shape and firmness due to season. Unleash your best sleep with our ergonomic pillow- the ultimate blend of comfort, style, and quality!
【Cooling Skin-friendly & Washable Pillowcase】Don't let stuffy pillows ruin your sleep. Our side sleeper pillow comes with a skin-friendly ice silk pillowcase that reduces heat and wicks away moisture, keeping you cool and refreshed during the night. The cooling pillow cases are made of breathable fiber fabric that fits perfectly with our skin, allowing you to fall asleep faster and deeper. The skin-friendly pillowcase is removable and machine washable,it is recommended to clean it once a month.
【2 Personalized Height in A pillow for Any Sleep Style】Do you often toss and turn because you can't find the height that suits you? Polovo cervical pillow helps you to fix this trouble. Our memory foam pillows comes two height options with size 25.2*15*5.1/3.5 inch ( L x W x H). The ergonomic and supportive pillow for neck pain is designed for multiple sleeping positions, such as side sleeping, supine, stomach sleeping, back sleeping and low pillow sleepers etc.
【Perfect Gift Choice】Polovo cervical pillow for neck and shoulder pain provides good solution for the elderly, office workers, students and all ages people. Memory foam will have a very slight smell after passing through a high temperature and airtight transportation environment. This is a normal phenomenon. After receiving it, pls place pillow in a cool and ventilated place for 3-5 days. If for any reason you're not satisfied with our orthopedic pillow, just contact us if any issues arise!

No. 7

Emircey Clinical-Level Relief Cervical Neck Pillow for Sleeping, Orthopedic Contour Memory Foam Pillow for Side Sleepers, Cooling Reading Pillow for Neck Relief, Ergonomic for Back Stomach Sleepers

FIND YOUR PERFECT SLEEPING POSTURE! Tired of constantly fluffing or flipping your pillow? The Emircey Adaptive Pillow is your all-in-one solution. Its intelligent dual-curve design (3.5” and 3.1”) offers two distinct support levels in one pillow. Effortlessly switch between heights to discover the ideal fit for your unique body and preferred sleeping style, achieving sublime comfort all night long.
THE COOLING EMBRACE YOU'VE DREAMED OF! Say goodbye to restless, overheated nights. Our 2.0 generation pillow is engineered with a next-to-skin cooling cover that actively works to dissipate excess body heat. Infused with a natural plant-based cooling agent, the fabric enhances breathability and wicks moisture away, ensuring you remain in the comfort zone from dusk till dawn.
ERGONOMIC PILLOW MEETS ALL-DAY COMFORT! True support should feel effortless, whether you're sleeping or enjoying leisure time in bed. Emircey butterfly contour is precision-engineered to create a gentle cradle for your head and provide crucial support under your neck. This promotes healthy spinal alignment without pressure points, allowing your muscles to truly relax. Experience effortless comfort that adapts to your every moment of rest.
DEEP REST, WITH A LIGHTER FOOTPRINT! Indulge in comfort that cares for the planet. We are committed to sustainable innovation, which is why our luxuriously soft cover is crafted from renewable plant-based fibers. Even our core memory foam incorporates bio-based materials, making the Emircey pillow a responsible choice for your home and our environment.
YOUR JOURNEY TO BETTER SLEEP STARTS HERE! Your body may need some time to get to know your new pillow. This short adjustment leads to long-term comfort and perfect support. We are confident that the Emircey pillow will transform your sleep experience. Our dedicated customer support team is ready to assist you with any questions. Embrace the promise of waking up feeling truly rejuvenated. Add to Cart today and feel the Emircey difference for yourself!

No. 8

DONAMA Cervical Pillow for Neck and Shoulder,Contour Memory Foam Pillow,Ergonomic Neck Support Pillow for Side Back Stomach Sleepers with Pillowcase

【QUALITY SLEEP STARTS WITH A GOOD PILLOW】Are you always waking up with neck cramps or back pain? Our proven ergonomically designed, contoured memory foam pillow supports your head, neck, shoulders and back perfectly. The innovative design allows our pillows to naturally fit your curved spine perfectly, providing proper support for spinal alignment,makes you to shift between positions comfortably.So you will wake up relaxed and start a more energetic day.
【2 HEIGHTS AND ARMREST DESIGNS】When you are still troubled about not finding the right height pillow, our cervical pillows have 2 different heights on both sides for you to choose（Lower Side-3.54",Higher Side 5.51"）, so you can choose the right one which is more suitable for your sleeping posture. And there are specific grooves that allows your arms to go under for comfortable sleep.The entire pillow size is 24.8"Lx14.96"Wx5.51"H, and it can keep your head smoothly on the pillow even you roll when you sleep.
【SLOW REBOUND HIGH QUALITY MEMORY FOAM】The neck support pillow is made of high quality CertiPUR-US certified rebound memory foam. Premium quality firm and not too soft for maximum comfort and great relaxation of your head, neck, shoulders and back muscles when you lie on your back or side.When you get the memory foam pillow for the first time, it is recommended to unpack and place it for more than 24 hours. After the pillow core rebounds completely and restores support, it will have a better sleep effect.
【BREATHABLE AND REMOVABLE PILLOWCASE】The DONAMA side sleeping pillow has a double-layer high-quality pillowcase, which is soft and stretches and contracts well with the pillow core. It is removable, has a zipper and is machine washable. Made from cotton and polyester, the pillowcase fits perfectly against the skin, and its soft, breathable fabric keeps you cool all night - keeps you from night sweats in comfortable climates, give you the comfortable sleep you've always wanted!
【A SLEEP SAVIOR REALLY HELP】Pick out a great cervical neck pillows,you may find your sleeping quality improves unexpectedly. DONAMA brand pillows have been proven in the market for many years, and the pillows developed have helped many people sleep comfortably throughout the night. If you are looking for a pillow that fits better, welcome to try our pillows. Note: DONAMA pillows are not for medical use. If you have sleep disorders, please consult your doctor.

Choosing the Right Pillow for Occipital Neuralgia: A Buying Guide

Occipital neuralgia can cause sharp, throbbing pain at the base of your skull. Finding the right pillow is a big step toward getting relief. This guide helps you pick the best pillow to support your neck and reduce that annoying pain.

Key Features to Look For

When shopping for a pillow to help with occipital neuralgia, certain features matter most. You need a pillow that supports your natural neck curve.

Cervical Contour: Look for a pillow with a dip or curve in the middle. This shape cradles your head and keeps your neck in a neutral alignment. A neutral spine reduces pressure on the occipital nerves.
Adjustable Loft (Height): The pillow’s height (loft) must match your sleeping position. Side sleepers need a thicker pillow. Back sleepers need a medium loft. Stomach sleepers need the thinnest pillow possible, or perhaps none at all.
Firmness Level: The pillow shouldn’t let your head sink too far down. It needs to be supportive but not rock hard. Medium to medium-firm is usually best for consistent support throughout the night.

Important Materials Matter

The material inside the pillow affects how well it supports you and how cool it keeps you. The right material can make sleeping much more comfortable.

Supportive Fillings:

Memory Foam: This foam molds perfectly to the shape of your head and neck. It offers excellent, personalized support. Look for high-density foam that keeps its shape over time.
Shredded Latex: Latex is bouncy and supportive. Shredded latex allows air to flow better than solid foam, which keeps the pillow cooler. It offers resilient support that bounces back quickly.

Cover Fabrics:

The pillow cover should be breathable. Materials like bamboo or Tencel wick away moisture and keep you cool. Heat can sometimes make nerve pain feel worse, so staying cool is important.

Factors That Improve or Reduce Quality

Good pillows last longer and support better. Cheap pillows often flatten quickly, making your pain return.

What Improves Quality:

Density: Higher density foam or latex means the pillow will hold its shape longer. This consistent support is crucial for managing nerve pain.
Ergonomic Design: Pillows specifically designed for neck pain often have two distinct rolls or contours. These specialized designs offer targeted support right where the occipital nerves are located.

What Reduces Quality:

Off-Gassing: Some new foam pillows release a chemical smell. While usually harmless, strong odors can irritate sensitive sleepers.
Poor Resilience: If you press down on the pillow and it stays flat for a long time, the quality is low. It will not provide the necessary support when you need it most.

User Experience and Use Cases

How you sleep directly affects which pillow works best for you. A pillow that feels great for a side sleeper will likely cause pain for a back sleeper.

Sleeping Positions:

Side Sleepers: You need a thicker pillow that fills the gap between your ear and the outside of your shoulder. This keeps your head level with your spine.
Back Sleepers: You need a pillow that supports the natural curve of your neck without pushing your head too far forward. The center should be slightly lower than the edges.

Many people with occipital neuralgia find relief by using a specialized pillow that supports the neck while allowing the head to rest gently. Some users also find relief using a small rolled-up towel placed under the neck if the main pillow is too bulky. Always give a new pillow a few weeks to adjust. Your body needs time to adapt to the new alignment.

10 FAQs About Occipital Neuralgia Pillows

Q: What is the main goal of using a special pillow for this condition?

A: The main goal is to keep your neck and head perfectly aligned while you sleep. This alignment reduces pressure on the sensitive occipital nerves.

Q: Can any pillow help with occipital neuralgia?

A: No, regular soft pillows often do not offer enough support. You need a pillow with specific contours or firm support to maintain proper neck posture.

Q: Should I choose memory foam or latex?

A: Both are good, but memory foam molds closely to your head, offering deep cushioning. Latex is more resilient and often sleeps cooler.

Q: How do I know if the pillow loft (height) is correct?

A: When lying down, your nose should line up roughly with the center of your chest. If your head tilts up or down significantly, the loft is wrong for you.

Q: Is it okay if the pillow feels too firm at first?

A: Yes, it is common. If you are used to a very soft pillow, a supportive pillow will feel firm initially. Give your neck about two weeks to adjust to the new, correct support.

Q: Do pillow covers make a difference?

A: Yes, breathable covers help manage temperature. Cooler temperatures often mean less irritation for sensitive nerves.

Q: Are expensive pillows always better for nerve pain?

A: Not always, but pillows with high-quality, dense materials tend to last longer and provide more consistent support, which is very important for chronic pain.

Q: What if I wake up with a stiff neck even with the new pillow?

A: If stiffness persists, check your sleeping position. Side sleepers often need a thicker pillow than they think. You might need to adjust your sleeping style or try a different loft.

Q: Should I use a pillow designed specifically for side sleepers if I sleep on my back?

A: No. You must match the pillow to your primary sleeping position. Using a side-sleeper pillow on your back will likely push your head too far forward.

Q: How often should I replace my occipital neuralgia pillow?

A: Most high-quality support pillows should be replaced every three to five years, or sooner if you notice it no longer springs back or seems flatter than before.