Ever since my mid-2012 MacBook Pro with quad-core i7, I use a laptop cooler and the current one has feet in the back, along with the three fans. My display is only slightly lower than the displays I used at work, which is fine. Latest Window machine has lift in the back, as well.Using a laptop screen even for a few hours kills my neck. I rarely use one. If you do go down this route I’d recommend a laptop riser and separate keyboard and mouse.
I'm looking forward to my root canal tomorrow, hoping that everything will be better eventually.