Reviews · 7 min read
I Tried Six Pillows, Two Prescriptions And A Massage Gun. Ten Minutes Of Neck Training Did What None Of Them Could.
Two years, $1,045.98 in receipts before the pharmacy, and a neck that still woke me at four in the morning. The thing that finally moved it cost less than the pillows did and takes ten minutes, three mornings a week.
Two Years Of Buying Things For My Neck
It started the way it starts for most people who sit at a desk. A stiff morning here and there, then a stiff morning every day, then the one where I could not check my blind spot without turning my whole chest. By the second winter I was waking at four with my right hand already on the back of my neck.
So I bought things. First a pillow, because a pillow is the obvious answer and the ad said so. When that one did nothing I bought a better one. Then a firmer one, then a softer one, then the expensive one. Then a massage gun, because a physio friend had one on her desk. Somewhere in there a doctor wrote me two prescriptions.
Here is what the pillows and the gun cost, in the order I paid for them:
The two prescriptions are not in the table because my copay is not yours. One was a muscle relaxant that made me useless by eight in the evening. The other was an anti-inflammatory that worked for exactly as long as the bottle lasted.
Why None Of It Could Have Worked
Every one of those things is good at one job. None of that job was my problem.
The Derila is cheap and the ad is the best thing about it. It is a contoured foam block, and a contoured foam block is what most "neck pillows" are. The Casper is the best plain pillow I have owned, for a back sleeper who does not hurt. The Coop wins on adjustability: you pull fill out of it until your head sits where you want, and it is the one I still sleep on. The Tempur is the best contour of the bunch, dense and slow, and it took me three weeks to stop noticing it. The Brooklinen is the softest and, it turns out, the wrong material. The Purple is the coolest to sleep on and the most expensive, and it is the one I returned.
Someone did test this properly. In 2009 an Australian group put 106 side sleepers on five different pillows, a week on each, plus their own pillow as the control. Rubber (latex) came out best for waking neck pain and sleep quality. Feather came out worst, so badly the authors wrote that it "should not be recommended". The contour foam pillow, the shape most neck pillows copy, showed no advantage over a regular shaped one. I had bought one feather pillow and three foam ones and zero rubber ones.
But even the winner in that trial only meant fewer people waking sore on a good week. Nobody in it stopped hurting because of a pillow, and that is the point. A pillow decides where your neck sits for eight hours. It does nothing about what your neck can hold up for the other sixteen.
The massage gun wins on the twenty minutes after you use it. It works on the surface, and the surface was not the problem. By the afternoon my neck was back where it started. The prescriptions turn the signal down. That is what they are for, and mine did it. They do not make the muscle underneath any more able to carry a head around all day, which is a five kilogram job that nothing else in the house was doing.
What A Neck Actually Needs, According To Three Trials
What finally changed my mind was reading the trials that had been sitting in the open the whole time. Three of them, all on people with the kind of neck I had.
In 2003, JAMA published a Finnish trial of 180 office workers, women aged 25 to 53, all with chronic neck pain. One third did strength training for the neck for a year. One third did endurance work. One third were told to stretch and do cardio. At twelve months, both training groups had less pain and less disability than the control group, and the strength group's neck flexion strength had gone up 110 percent.
In 2008, a Danish group took 48 women with a painful upper trapezius, the muscle that runs from the neck to the shoulder, and had them do specific strength work for that muscle for ten weeks. Their worst pain on a 100 point scale fell by 35 points, about 79 percent. The group that did general cycling instead got a 5 point drop that wore off.
Then the one that decided it for me. In 2011, the same Danish lab put 198 office workers with frequent neck and shoulder pain on a band exercise for either two minutes a day or twelve minutes a day, five days a week, for ten weeks. Both groups came out with less pain than the controls: 1.4 points on a 10 point scale for the two minute group, 1.9 for the twelve minute group. Two minutes.
Read together, the dose is small and the ingredient is specific. The muscle that hurts has to be the muscle doing the work, the work has to get harder over weeks, and it has to happen often. None of my $1,045.98 did any of that. So before I bought one more thing, I wrote down what it would have to do:
- Load the neck muscles directly. Not the surface, not the signal. The muscles that hold the head up have to be the ones working.
- Get heavier in small steps. Every trial that worked was progressive. A fixed band or a pillow has one setting.
- Front, back, both sides and turning. The Finnish trial trained flexion, extension and rotation, and the strength came up in all three.
- Ten minutes at home, before work. Anything that needs a gym or a drive is something I stop doing in week three. Two minutes a day worked in Copenhagen. I gave myself ten.
I priced what could pass. A chain head strap is $35 at DMoose: cheapest by a mile, packs flat, and the plates swing under your chin, so it is really an extension tool. The Iron Neck 3.0 lists at $349 and the Pro at $599, and it is the best thing here for rotation and the kind of slow rehab work a physio would set. A four way neck machine is the gym standard: Titan sells one for $539.97, or a $149.97 version that bolts onto a power rack, and it wins on stability if you have the room and the rack.
Ten Minutes, Three Mornings A Week
What I ended up with is a two pound nylon frame that sits on my head like a helmet with no top, with a threaded sleeve over each ear that takes an ordinary weight plate. The frame is the Kensui EZ-HELM V2: $199, one size with three pad sizes, in stock.
Week one I used no plates at all. The frame clips to a resistance band, and I did slow nods, slow looks up, slow turns, ten of each, sitting at the kitchen table with my coffee. Week three I put a 2.5 pound plate on each side. By week eight it was 7.5 a side. That is the whole method: the same four moves, a little heavier every couple of weeks, ten minutes, three mornings.
The one that passed all four
Kensui EZ-HELM V2
- Any 2 inch Olympic plate goes on the ear sleeves, so the load climbs 2.5 pounds a side at a time, for as long as you like. Rated to 100 pounds. Rubric one and two.
- Nods, extensions, side bends and turns from one frame, sitting, standing or lying on a bench. A band clips on for day one. Rubric three.
- Two pounds empty, lives in the bag it ships in, ten minutes at the kitchen table. Rubric four.
What changed, and what I will not claim. I am not a doctor and one man's neck is not a trial, so I am not going to tell you this treats anything. I can tell you what happened. The four a.m. wake ups stopped somewhere in week five, and I only noticed because I slept through to the alarm three days running. Checking the blind spot went back to being a thing my neck does rather than a thing my chest does. The morning stiffness is still there on the days after I skip, which tells me what is doing the work. I am sleeping on the $89 Coop, and it is a fine pillow. It was never the pillow's job.
What 135 Owners Say
The product page shows 4.75 out of 5 from 135 reviews. I read them from the bottom up, because the low ones tell you more.
"I've been suffering from neck issues from my job (looking down all day) so I decided to get this to help strengthen my neck muscles. Much better than the 4 way machine at gyms since it offers better freedom of movement. Easy to load and neck strap does not choke me."
Lou K., verified buyer"Since I've started training my neck I don't 'throw it out' like I used to, it was clearly my weak link since I trained everything around it. Best part about it is that you can buy generic weight plates anywhere. Only downside I have is that the chin strap just barely fits around my chin when fully extended."
Timothy B., verified buyer"Feels a bit cheap and it's not possible to adjust the size on the side yet it's possible on the front, make it wobble with side movements."
C.C., verified buyer, three starsThe wobble is the real complaint. Six of the 135 reviews sit at three stars or under. Three of those say the frame shifts side to side, two say a front or back pad came loose, and one says it is too expensive for what it is. I get the shift on side bends when the chin strap is loose and not otherwise: cinch it until the frame does not turn when you shake your head, and keep the side bends slow. My pads have stayed put. The owner whose pads came off fixed them with hockey tape and gave it four stars anyway.
The price. Two hundred dollars for a nylon frame and two sleeves is real money. It is also $150 less than the cheapest Iron Neck, $341 less than the Titan machine, and $846.98 less than what I spent on pillows and a gun that were never going to load a muscle.
15% off with code SMGPILLOWVIP at checkout.
15% reader discount, applied automatically at checkout.
15% off with code SMGPILLOWOCT at checkout, through October 17.
$30 off with code SMGPILLOW30 at checkout.
| Kensui EZ-HELM V2 | Iron Neck 3.0 | DMoose chain head strap | Titan four way machine | |
|---|---|---|---|---|
| Price | $199 | $349, Pro $599 | $35 | $539.97, rack mount $149.97 |
| Where the load sits | Olympic plates at each ear, or a band | Band or cable pulling on a halo | Plates on a chain under the chin | Plates on a lever arm, head on a pad |
| Directions | Front, back, both sides, turning with a band | Rotation and holds, front and back | Back, front if you flip over | Front, back, both sides |
| Weight and space | Two pounds, fits in a bag | Halo plus an anchor point | Fits in a drawer | A bench sized footprint, or a rack |
| Wins on | Load and progress per dollar | Rotation and rehab work | Price | Stability |
| Learn More |
Before You Buy
Should I see someone first? I did, and that is where the prescriptions came from. If your neck pain came with numbness, a fall or a crash, that is a doctor's job before it is a page's. Every trial above screened people the same way.
Do I need plates? Not on day one. The frame takes a resistance band, and Kensui sells a band set that clips straight on. When you want plates, any 2 inch Olympic plate fits, and a pair of 2.5s and a pair of 5s covers the first two months. For 1 inch plates there is a $27 adapter.
Is loading a neck safe? Start lighter than feels sensible, move slowly, and add weight only when ten clean reps feel easy. That is the plan every trial used, and it is the plan I used.
How long before anything changes? The shortest trial that worked was ten weeks. Give it that. I noticed sleep first, around week five, and the tape measure last.
100 days is longer than the trials. Kensui gives you a 100-day risk-free trial with free returns. Do the ten weeks the Danish study did, three mornings a week, and if nothing has moved, send it back and keep the pillow you like.
It Was Never The Pillow's Job
Six pillows changed where my neck sat for eight hours a night. A massage gun and two prescriptions changed how it felt for an afternoon. Ten minutes of loading the muscle, three mornings a week, changed what it could carry, because that is the only thing a muscle answers to. One frame, any plates, at the kitchen table.
Get the EZ-HELM15% off with code SMGPILLOWVIP at checkout.
15% reader discount, applied automatically at checkout.
15% off with code SMGPILLOWOCT at checkout, through October 17.
$30 off with code SMGPILLOW30 at checkout.
$199 · 100-day risk-free trial · free returns · free shipping
Sources
- Ylinen J, Takala EP, Nykanen M, et al. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA. 2003;289(19):2509-2516. PMID 12759322.
- Andersen LL, Kjaer M, Sogaard K, et al. Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis and Rheumatism. 2008;59(1):84-91. PMID 18163419.
- Andersen LL, Saervoll CA, Mortensen OS, et al. Effectiveness of small daily amounts of progressive resistance training for frequent neck/shoulder pain: randomised controlled trial. Pain. 2011;152(2):440-446. PMID 21177034.
- Gordon SJ, Grimmer-Somers K, Trott P. Pillow use: the behaviour of cervical pain, sleep quality and pillow comfort in side sleepers. Manual Therapy. 2009;14(6):671-678. PMID 19427257.
- Prices checked September 17, 2026: derilashop.com (Derila Ergo), casper.com (Original Pillow, standard), coopsleepgoods.com (Original Adjustable, Classic queen), tempurpedic.com (TEMPUR-Neck, medium), brooklinen.com (Down Pillow, standard medium), purple.com (Harmony, standard), therabody.com (Theragun Prime), dmoose.com (chain neck head strap), iron-neck.com (3.0 and 3.0 Pro), titan.fitness (Plate-Loaded and Rack Mount Neck Machine), kensui.com. Owner quotes and the review count are from the EZ-HELM product page the same day.
