Patients often tell me how they habitually read in bed, propped up on pillows behind their back, neck, or head. These patients are often plagued with chronic neck or back discomfort, exhibit poor posture, have headaches, and have pain or paresthesias in their arms or hands. Frankly, it is almost impossible to healthfully position oneself for any amount of time by propping up on pillows and sitting or partially reclining this way in bed. It just doesn’t work, doesn’t give healthy support for the back, the spine, the neck, or the shoulders. It’s much better to enjoy reading elsewhere, but if you must read in bed, lie on your side and support your book on a pillow adjacent to the one supporting your head.