Placing a pillow between your knees when lying on your side helps with back pain because it can help align your spine, hips, and pelvis, reducing strain on your lower back. When you sleep on your side without support, your top leg tends to fall forward or down, which can cause your spine to twist and your lower back to rotate just a little bit! This creates tension in your lumbar spine and surrounding muscles. A pillow between the knees keeps your legs parallel, preventing that rotation and prom

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