The pillow includes a pillow tick which includes first and second substantially identical fabric members. A chamber extends along the length of the pillow at one longitudinal edge thereof. An air bladder member with crushable foam or polyester pellets is positioned within the chamber. A valve extends from the air bladder member to provide adjustable neck support. Pressure is exerted on the foam with the valve open. When the desired firmness is achieved, the valve is closed. Two baffle members are positioned in the tick volume between the other longitudinal edge of the tick and the chamber. The tick volume contains natural or synthetic fill. The baffles angle toward each other to provide good support and comfort and to reduce movement of the fill.