The technical problem of the invention relates to the need to provide an improved pillow that not only is comfortable but also provides a therapeutic effect and promotes improved alignment of the neck and spine when a person is in a supine or sidelying position. The solution to the problem involves a pillow comprising a foam body having a top surface, an opposing bottom surface, a rear edge and an opposing front edge and lateral sides, wherein the foam body is defined by a first region (230) that comprises the front edge, a second region (240) adjacent the first region and a third region (245) adjacent the second region and defining the rear edge, wherein the first region has a convex shape, the second region has a concave shape and the third region has a convex shape, the pillow having a maximum thickness in the first region and a minimum thickness in the second region, the first region having a first section that extends to the front edge and has a positive slope and an adjacent second section that has a negative slope and a plurality of ribs (250) extending longitudinally between the lateral side and being located exclusively within the first section of the first region, the second section of the first region being free of ribs wherein each rib (250) comprises a rounded rib of a convex shape.