The 6 Best Extra Long (72-Inch) Body Pillows For Back Pain

Do you find yourself stacking up pillows like a game of Jenga, only for them to topple over and leave you stranded in an uncomfortable position?

The solution is obviously a full-body pillow.

But if you are taller than average, a standard body pillow may not support your back, shoulder, and hips, and leave your spine unaligned and achy in the morning.

If you’re tall and dealing with back pain, hip pain, or shoulder pressure at night, a standard body pillow often feels too short to do the job.

Instead of keeping your knees, hips, and shoulders aligned, it can leave one area unsupported, which defeats the whole point.

Below, we narrowed down the best extra-long body pillows for tall adults, including the best 72-inch picks, the best 65-inch pregnancy pillow, and the longest body pillow we found.

The Best Extra Long (6-Foot) Body Pillows 

Here’s a summary: below you’ll find each oversized pillow’s pros & cons.

You can also jump to the best 65-inch body pillow and find the longest body pillow on the market.

This post may contain affiliate links, at no extra cost to you.

1. Leachco Snoogle Chic Extra Long Body Pillow – Best Value

VIEW ON AMAZON $99

The Leachco 72-inch oversized body pillow is our #1 choice for the best XL body pillow for tall people. Here’s why:

It’s designed to fit your body shape and replaces 5 separate pillows. The super-sized mid-section has got you covered, and the U-shaped head pillow area will keep your spine aligned and supported all night, even if you’re a restless combo sleeper.

And the best part?

The pillow is medium-firm, soft yet supportive, and comes with an easy-on, easy-off zippered cover that is machine washable.

It’s a great fit for men and the best pregnancy pillow for tall ladies.

The long U-shape supports more of the body at once, so you are not constantly fixing your pillow setup during the night.

Note: It doesn’t come with a replacement cover – you can find one on this Amazon page.

It’s best if you want full-body side-sleep support and don’t want to keep repositioning pillows all night.

Available on Amazon ($99)

2. Best 65-Inch – Meiz Full Body Pregnancy Pillow

VIEW ON AMAZON $60

The Meiz is a strong pick for taller pregnant sleepers who want more room than a standard pregnancy pillow gives them, but do not necessarily need a full 72-inch model.

Its 65-inch size, generous width, and washable cooling cover make it easier to stay supported without feeling cramped.

Its actual length is 67″, and it is 31″ wide and 7.8 inches thick, covered with 2 removable and washable covers, and the outer one is cooling cotton.

It is firm enough to support your back, but it’s a great pillow for curling up and watching TV, reading a book, etc., and replaces 5 different pillows you won’t need from now on.

It’s best if you want a long pregnancy pillow with a cooling washable cover and generous wraparound support.

✅ Available on Amazon ($48). You can find the Meiz replacement cover on this Amazon page.

3. Pillowtex White Goose Feather Body Pillow – Best Firm

VIEW ON AMAZON $95

The Pillowtex white goose feather pillow is a thicker and firmer body pillow, with 95% white goose feather filling and 5% down filling, for extra support.

Its main advantage is firmness – this one can last longer and keep the firmness needed for spine alignment, especially for heavier men and women (it won’t flatten under your weight)

The cover material (100% cotton) is very soft and comfortable, with a 230 thread count.

The dual layers of 100% cotton prevent the painful pokes you have with cheaper pillows.

It’s a sturdy and firm pillow, yet cuddly and soft to the touch, and it’s thick but not too stuffed.

Best if you want a firmer traditional rectangular pillow that stays supportive under more body weight.

Available on Amazon ($95)

4. AngQi 70-Inch U-Shaped Body Pillow – Extra Wide

VIEW ON AMAZON $50

The AngQi oversized u-shaped body pillow comes with 2 removable covers (with a double zipper) that can be machine washed, and is somewhat huge: the length is 70″, the width is 35″, and it’s 8″ thick!

The outer cover is soft and velvety, but under it you’ll find a more durable polyester inner cover.

This pillow is firm enough to provide adequate spine support, but it is also not too firm and can be used for back pain relief, nursing and breastfeeding, reading in bed, and watching TV.

The only con we’ve found in customer reviews is that some have complained that it loses some of its thickness and support after a few months.

It’s best if you want a wider wraparound pillow for side sleeping, reading, or pregnancy support.

Available on Amazon ($50)

5. Milliard Full Body Pillow – Best Memory Foam

VIEW ON AMAZON $39

If the Leachco feels too expensive and you still want a long pillow that does not flatten quickly, this is the obvious value pick.

The Miliiard body pillow is 76 inches long and is filled with shredded memory foam that makes the perfect balance between support and comfort.

It is large, thick, super long, and nice and fluffy.

The free pillow cover you get with the monster-sized pillow is very cozy, but for some people, it feels too hot for the summer.

This can be solved with a cotton cover.

The great thing about shredded memory foam is that you can remove some of it or add some as necessary to make the pillow as firm as you want it, and the pillow comes stuffed enough for you to play around with.

Buyers are very pleased with it, and find that it’s a great pillow, especially when considering the price (much lower than average).

Best if you want adjustable memory foam support at a much lower price than most extra-long pillows.

Available on Amazon ($39)

What is the Longest Body Pillow?

VIEW ON AMAZON $65

The longest body pillow we’ve ever seen is the Cheer Collections 100-inch (over 8-foot long) down alternative body pillow.

This huge body pillow is soft enough to be snuggly and comfortable but not too soft, so it can support your spine when you wrap yourself around it every night.

It comes with a zippered cover you can machine wash and is made to last for years of relaxation and spine support.

Best if your top priority is maximum length, not maximum firmness.

Best Extra Long Body Pillow Covers (20 x 72) & How to Choose the Right Fit

Finding a true extra long body pillow cover is harder than buying the pillow itself.

Most covers online are made for standard 54-inch body pillows, not oversized 65-inch to 72-inch models.

If your pillow measures 20 x 72, look for that exact size first, then check the fabric, closure type, and whether the cover is made for a rectangular or U-shaped pillow.

Quick fit check before you buy

• Rectangular body pillow: usually needs a 20 x 72 cover
• Standard body pillow: often uses 20 x 54
• U-shaped pregnancy pillow: needs a shape-specific cover, not a rectangular one
• Want easier washing? Choose a zippered cover
• Want a softer, cooler feel? Stick with cotton

Below are the best extra long body pillow covers we found right now.

1. Pillowtex Cotton Body Pillow Cover – Best Basic Cotton Pick

• Size – 20″ x 72″
• Material – 100% cotton, 233 thread count
• Closure – zipper

✅ Pros – exact 20 x 72 size, 100% cotton, breathable, straightforward pick

❌ Cons – more basic feel than higher-thread-count options

This is the easiest recommendation for people who just want a plain, breathable 72-inch body pillow cover that fits a rectangular extra-long pillow without overthinking it.

Available on Amazon ($30)

2. Uxcell Body Pillowcase Pillow Cover – Best for More Color Options

• Size – 20″ x 72″
• Material – Egyptian cotton
• Closure – envelope

✅ Pros – 20 x 72 size, cotton feel, envelope closure, more decorative look

❌ Cons – envelope closures usually feel less secure than zipper styles

This is the better fit for people who care not just about fit, but also about making the pillow look nicer on the bed.

They are made from Egyptian cotton (250 thread count) that is soft, durable, and breathable.

The envelope closure design makes it easier to insert and remove the pillow. No zipper to poke you when you sleep.

Here are all the colors you can choose from:

Available on Amazon

3. TAOSON 100% Cotton 300 Thread Count Body Pillow Cover – Best Upgrade Pick

• Size – 20″ x 72″
• Material – 100% cotton, 300 thread count
• Closure – envelope

✅ Pros – 20 x 72 size, cotton fabric, nicer finish than very basic covers

❌ Cons – less familiar brand

This one makes sense as the “nicer cotton upgrade” between basic cotton covers and more premium Egyptian-cotton options.

A 300-thread-count cotton material, 30 different colors to choose from, and a 100% money-back guarantee.

Available on Amazon ($12-$15)

What Length Body Pillow Do Tall People Need?

If you’re tall, the right body pillow length depends on both your height and how you sleep.

• 54-inch body pillows can work for average-height sleepers, but may feel too short if you want support from shoulder to knees.
• 65-inch body pillows are often a better fit for taller pregnant sleepers or anyone who wants more coverage without going oversized.
• 70-inch to 72-inch body pillows are usually the sweet spot for tall adults who want fuller side-sleep support.
• 76-inch and longer body pillows make the most sense if you are very tall or simply want maximum full-body contact.

How Do You Choose an Oversized (XL) Body Pillow?

The easiest way to choose an extra-long body pillow is to start with two questions: how much of your body do you want supported, and do you prefer a plush feel or a firmer feel?

1. Firmness

The perfect extra-large body pillow will be soft enough to be cuddly and comfortable, yet firm enough to support your back, hips, and neck to attain the right position and align your spine when you sleep.

Just like all pillows, extra-long body pillows are made with different fillings, which determine how firm the pillow is.

For example, Polyester microfiber is usually firmer than 100% down filling. The filling is also a factor – less of it will make a softer body pillow, and vice versa.

Want some examples?

This 72-inch body support pillow is firmer. This one is softer and more “cuddly”.

If you mainly want hip and knee cushioning, softer can work. If you want the pillow to hold your legs and torso in place night after night, firmer usually works better.

2. Filling 

Most full total body pillows are filled with one of these 3 types of material:

Down pillows – made with soft goose/duck inner covering feathers. They last longer, are more resilient, have no quills to poke you, and cost more. For example, this one is

Feather pillows – made with the outer covering feathers of the bird, flatten faster, contain quills that may poke you, don’t last as long as down pillows – but cost less.

Feather & down pillows – last longer than 100% feather because of the added down feathers.

For example, the pillow below is 30% down and 70% feathers (20×60 inches)

VIEW ON AMAZON $60

Polyester (microfiber) pillows – feel squishable and supple, yet denser and firmer than down pillows. Fill will not become lumpy or shift as much as down and feather.

In real life, this matters more than most shoppers think. Fill type affects not just softness, but also heat retention, weight, fluffing, and how quickly the pillow loses shape.

3. Shape/Design 

Most 72-inch body pillows are rectangle-shaped, but we’ve found two good U-shaped body pillows that are 6 feet (72 inches) from top to bottom.

U-shaped body pillows are designed to follow the natural contour and shape of your body, from head to toe.

Their greatest advantage is preventing you from rolling back to sleeping on your back instead of on your side, fully supported throughout the night.

Rectangular pillows are simpler and usually easier to buy covers for. U-shaped pillows give more “held in place” support and are often better for people who toss and turn.

4. Cover Material

All the body pillows you’ve found here are made with 100% cotton cover material (except for the AngQi and Meiz pillows) – though fiber density varies.

Cotton is the most natural choice for a fabric that’s against your face all night.

Extra Long Conclusion

Finding a truly long body pillow is harder than it should be, especially if you’re tall and actually need support from more than just your knees to your chest.

For most people, the best starting point is the Leachco Snoogle Chic XL because it gives the most complete full-body support and does a better job of replacing a whole pile of regular pillows.

If you prefer a softer rectangular pillow, the Company Store is worth a look. If you want firmer traditional support, Pillowtex makes more sense. And if price matters most, the Milliard is the strongest value pick in this guide.

The right choice comes down to your sleep position, the feel you prefer, and whether you want a simple rectangular pillow or a wraparound U-shape.

To your health and happiness,

The Back Pain Relief Products Team