Best mattress for back pain

How to Choose the Best Mattress for Back Pain


If you suffer from back pain, you ought to purchase the firmest mattress you can find, right? Don’t jump to conclusions just yet. There is no solid research to support the common wisdom. According to recent thinking, there isn’t a mattress that is right for everyone, including those who experience chronic back pain. Identify what feels comfortable to you and let personal preference guide you.


A difficult decision can arise, however. It’s likely you won’t be happy with the mattress you sleep on for many years just because it feels good in a showroom.

Here are a few tips to help you find the best mattress for your back pain.


Tips in Choosing the Best Mattress for Back Pain


Spinal Alignment Is Essential


Having good posture while sleeping may not be apparent to you. You need to snooze so your back muscles and ligaments (the connective tissues) can relax and recover. If a mattress is too firm or too soft, it won’t provide the support you need for your spine and neck. Everyone has different needs regarding firmness (but not too much). For instance, if you have wide hips, there may be benefits from a slightly softer surface. Maintaining your spine’s alignment requires more give. Firm surfaces may be better for someone whose hips are narrower.


Don’t Hesitate to Choose “Medium-firm”


Over 300 people who had low back pain were given new mattresses in one study. During the 90-day experiment, a medium or firm mattress was used. A moderate amount of discomfort was experienced by the group.


Perhaps you should consider getting a memory foam mattress (instead of a traditional innerspring). As you mold it to your body, it retains its shape. Having a memory foam mattress can keep the room warm, and the material might have more chemicals.


Give It a Few Days Longer for a Test-Run


The next time you stay at a hotel or a friend’s house and wake up pain-free, remember the mattress’ model number. If you aren’t satisfied with your mattress, you can send it back for a refund. You can choose a mattress with a money-back guarantee: you can use the mattress for up to 100 days and get a refund if you aren’t satisfied with it.


Positions And Pillows Play An Important Role


In order to manage back pain while you sleep, your mattress may not be the only factor to consider. Pillows and the way they’re positioned are important factors in how you sleep.


Mattresses are big purchases and should last for several years. You may not have bought a new one for a while, so you might not be familiar with all the lingo.


Just Buy Something


Almost everyone who slept in different beds for 28 days, as randomly assigned by researchers at Oklahoma State University, used to sleep better. All participants reported lower back pain regardless of the type of bed they slept in, though those who slept in the cheapest beds did so more than those in the more expensive beds.


There was a lot of emphasis on the fact that the beds were new. According to the researchers, participants’ old beds on average were 9.5 years old. Moreover, the researchers concluded that “sleep quality may depend on timely bedding system replacement.” This means that if you’ve had the same mattress for nine or ten years (or more), you should probably upgrade. The foundation of an old mattress is likely to sag more than a new replacement. Even so, you might find it worthwhile to spring for a model with a mid-range price tag.


Types of Mattresses


Typically, mattresses are constructed with a core and a covering. Every variety has its advantages. The following are nine:


1. Innerspring Mattress

A steel coil system provides support to innerspring mattresses. Generally speaking, more coils mean more support, but the number of coils varies. Furthermore, some mattresses have coils arranged in zones that add additional relief to the lower back.


Several padding materials are applied to the coils to improve comfort and stability.


If you’re sharing a bed with someone, the coil configuration makes a difference to how your movements are transferred. Your body contours are also affected by it.


2. Memory Foam Mattress

Polyurethane foam is used for the upholstery layer of memory foam mattresses. This foam provides comfort and conforms to the body of the sleeper.


3. Latex Mattress

The latex foam in latex mattresses acts as a support system. Plant and petroleum-based latex may be used.


4. Hybrid Mattress

Steel coils underlie hybrid mattresses, which are topped with foam or latex for comfort.


5. Pillow Top

Mattresses with pillow tops have an extra layer of padding on top of other support layers. The pillow top is akin to having pillows above your bed.


6. Gel Infused Memory Foam Mattress

A gel memory foam mattress combines foam and gel. In this way, heat can be dispersed more effectively. As well as changing the feel of the mattress.


7. Air Bed

Adjustable-firmness mattresses are available for air beds. The mattresses fit into standard bed frames and are covered with various padding materials, such as foam. Separate controls for each side of the air bed are also available.


8. Waterbed

Support is provided by water in waterbeds. There are many types of hard-sided tents available on the market, including wooden frames and soft-sided tents with a foam frame and zippered fabric covers. Platforms or beds with conventional frames are compatible with them.


There are some waterbeds that have baffles inside that limit the motion of the water.


9. Adjustable Beds

The base and mattress of these beds look like conventional ones, but they can be moved. Some mechanisms allow you to adjust your sleeping position individually and can be controlled by you and your sleeping companion.


Best Mattresses For Lower Back Pain


Saatva Solaire Mattress


Saatva’s Solaire Mattress provides true comfort with its 50 firmness options. The mattress is made with dual air chambers and features individual controls so you can choose how much support you want. Five zones of latex in the lumbar region provide uplifting support.


Saatva provides a 180-night trial as well as free white-glove delivery, which includes removing your old mattress. A 25-year warranty is also included with the Solaire.


Saatva Loom & Leaf Mattress


If you’re one of the stomach sleepers, you should look for a mattress that supports your spine and evenly distributes your weight. With layers of soft CertiPUR-US foam that contour to the body and relieve pressure, Saatva’s Loom & Leaf Mattress allows for a choice of firmness. For maximum spinal support, a gel cooling layer is concentrated in the lumbar area.


The Loom & Leaf Mattress comes with a free white-glove delivery service, a manufacturer’s warranty, and a 180-night home trial.


Helix Midnight Luxe


We also included the Midnight Luxe mattress from Helix on our list, which offers relief from low back pain for side sleepers. With CertiPUR-US certified memory foam, hips and shoulders are relieved of pressure, and the spine is aligned correctly.  


The pillow top of this mattress adds to its plush comfort and overall medium firmness.


100 nights of trial are available at home. Free shipping and a 15-year warranty are included in the United States.


Helix Plus


This mattress is designed with an additional support layer and high-density foam to provide comfort and support. The combination of memory foams and oversized wrapped coils with a reinforced perimeter provides superior pressure relief and cradling for people with heavier weights.


Featuring a cooling ultra-breathable cover, this mattress leans towards the firm side of support. These products are made in the United States with OEKO-TEX Standard 100 certified materials.


There is a 100-night trial period with free shipping in the U.S. and a 15-year warranty with Helix.


Casper Original Hybrid Mattress


Casper’s Original Hybrid Mattress is medium-firm, with three zones of targeted support to keep the spine aligned. It supports the hips, waist, and lower back with CertiPUR-US certified foam around the shoulders and softer foam around the shoulders. Support is provided by a layer of springs.


Mattress sample is available for 100 nights, shipping and returns are free, and the mattress comes with a 10-year limited warranty.


Amerisleep AS2 Hybrid Mattress


As a hybrid mattress, Amerisleep’s AS2 combines memory foam and pocketed coils for pressure relief and support. As a result, your body will be contoured and pressure points will be relieved.


As a result, you won’t feel stuck if you tend to move around a lot while sleeping because the company’s proprietary memory foam responds more quickly than traditional foam.


You can try the mattress for 100 nights risk-free and return it for no additional charge. Additionally, the warranty is 20 years.


Puffy Mattress


In addition to supporting the spine and joints, a medium-firm mattress may be helpful for sciatic pain. With the Puffy Mattress, your spine stays aligned and cradled during the night thanks to the firm support of the core and the thick layers of cushioning foam.


With a 101-night trial, you can try out the mattress at home for a whole year while it is covered by a lifetime warranty.


Do Firm or Soft Mattresses Work Better for Back Pain?

A mattress that supports a healthy spine is the best one for back pain. Back muscles can be relaxed when hips and shoulders are aligned. The most effective mattress for treating back pain is a medium-firm or firm mattress.


Sleeping With Lower Back Pain: What Are the Effects?

Even though people are awake or trying to sleep, lower back pain takes its toll on them. Research from Trusted Source in 2011 found mild lower back pain to affect sleep. When someone is suffering from lower back pain, it is common for them to have trouble falling asleep, sleep for shorter periods, and have poorer sleep quality in general. There are likely a couple of reasons for that including pain, unable to find a comfortable sleep position, and pain medications like opioids can interfere with your sleep.


It’s hard to get comfortable. It may be necessary to try new sleeping positions to accommodate lower back pain, which can delay sleep.

Pain is more apparent. Lower back pain becomes more noticeable at night when there are fewer distractions, which makes sleeping more difficult.

Opioids, which are used to treat back pain, can also interfere with sleep. Poor sleep can also be caused by lower back pain that is severe enough to limit regular exercise.


What Is the Best Type of Mattress for People With Back Pain?

Choosing the right mattress can take a lot of pain out of your lower back. It’s important to remember that a mattress that does not support the body can cause lower back pain. You need support to keep your joints from entering a stress point, which puts pressure on your nerves and strains your muscles. All-foam mattresses may seem too soft, but hybrid mattresses or innerspring mattresses will provide better support. You can also select a supportive option based on the manufacturer’s firmness rating. A scale from 1 to 10 is used to determine these ratings, where 1 represents the softest texture and 10 represents the firmest. In most cases, lower back pain is treated with mattresses rated 7 to 8.

 Several factors can affect how firm a mattress is, including your preferred sleeping position, your body size and weight, and whether you share your bed with a partner or pet. Personal preferences also play a role.

 When dealing with lower back pain, there is no single “right” mattress, but there are some things to consider:

 Mattress Firmness – Plush or Soft mattresses won’t provide enough support. Medium-firm, self-adjustable mattresses are the best option for people suffering from lower back pain, according to research.

Adaptability – It is possible to choose the firmness level you prefer from day to day with adjustable mattresses, but this particular feature can be quite expensive.

Provide Adequate Support – The lower back region of some mattresses is designed to be firmer or zoned to provide more support.

 If you’re considering a mattress, make sure to check reviews to learn what real customers think.

 To get the right level of support and comfort for your lower back and overall comfort, utilize free in-home trials offered by manufacturers. Don’t forget to check the return and warranty policies, as well.


Are There Other Ways to Improve the Comfort of Your Mattress?

You can improve the comfort of your existing mattress even if you can’t afford a new one or aren’t ready to replace it yet. Topping your mattress is a good idea. Hard surfaces may be more comfortable for some, but a medium-firm mattress may be ideal for others. A soft mattress topper adds plushness and support at the same time. Mattresses can also be placed on the floor since it provides a firmer surface. You may also add plywood underneath. It may not be a good idea for everyone to sleep on a floor mat. For extra support, you might want to put a hard piece of plywood under your mattress.

 Other tips also include:

 Adjust the base to fit your needs. Using an adjustable base will help you find your sleep position that will relieve stress on the back parts that ache at night.

You can check your pillows by looking at them. It isn’t always the mattress that is the cause of back pain. A new set of pillows might be in order. Perhaps you’re sleeping on an incorrect one. Choose a softer pillow if you sleep on your stomach or back. We’ve chosen the best pillows for you.

 What mattress do you sleep on? Do you feel that you’re on the wrong type of mattress? Are you suffering from back pain all the time? Trying to decide which is the best mattress for back pain? There is a good chance that your mattress doesn’t maintain proper spinal alignment, or you wouldn’t experience any back pain or neck pain at all. Here you can find a list of the best mattresses for back pain, including memory foam mattresses Check out our recommendations above if you’re in need of a new mattress for proper support.

We all know the value of getting a good night’s sleep, but banking those eight hours can prove elusive.

Apart from general stress and anxiety keeping you up at night, it could be back pain that’s stopping you from getting a decent amount of shut-eye. If you’re waking up feeling more tired than when you got into bed, it might be time to take a closer look at your mattress.

The good, the bad, and the saggy

All mattresses should be replaced if they’re sagging in the middle – it shows that they can no longer bear your weight and, over prolonged use, can be hugely detrimental to your spine and back health. If you’re not being properly supported when you’re sleeping, your other muscles will try to compensate for it, which can lead to serious aches and pains in the morning. Hardly the recipe for a restful night’s sleep.

According to The Regenerative Clinic, an estimated 80 per cent of adults in the UK have experienced lower back pain in their lives, usually because of their jobs.

This means all of us could use at least some level of support in our beds. Even if you don’t feel it now, getting the right bed in place now could avert problems in the future.

What is the best firmness for back pain?

Many make the mistake of believing an extra-firm mattress will alleviate back pain issues overnight, but that’s not always the case. It all comes down to the individual, their preferred sleep position and comfort preferences.

What’s the best sleep position for a bad back?

Dave Gibson , founder of, recommends sleeping on the side or back to ease back pain. He adds: “I always encourage face-down sleepers to swap to side-sleeping which is the best position for all sleepers and especially lower back pain sufferers. Sleeping face down tends to aggravate both your neck and lower back.

“When sleeping on your side to relieve pain, the aim is to lie on your pain-free side, with top leg bent at the knee and supported with a pillow underneath to stop your pelvis from rolling. This basically is the foetal position with support to keep the pelvis in alignment with the rest of the spine – especially important with lower back pain. In addition, choosing the right pillow to keep your neck in alignment is vital to relax your neck muscles at night.

What’s the best mattress for a bad back?

However, zoned mattresses are made specifically to support areas that need it the most, like your shoulders, hips and knees. They give your spine a helping hand and make it easier for it to stay stable, thus giving it the TLC it deserves. A zoned mattress should have you springing out of bed in the morning.

Iain Marsh, Bed Expert at Furniture Village offers further insight into the type of mattress back pain sufferers should look to: “Memory foam mattresses allow the shoulders and hips to relax, whilst keeping the spine aligned, offering flexible, pressure relieving support for those with back pains.”

Best orthopaedic mattress for back pain

You may have heard of this type of mattress, which was developed in the 1950s and offers superior levels of support, pressure relief and comfort. You should experience strong push-back when lying on the surface, excellent weight distribution to give your joints a well-needed break, and find yourself snoozing with good posture allowing healthy blood flow over the course of the evening. Thanks to the wonders of modern technology, they can be both all memory-foam or spring mattresses, giving you more options over what to spend your money on.

The importance of a great mattress for back health – expert insight

Alison Jones, Sleep Expert at Sealy, said: “Certain sleep positions can place unnecessary pressure on the neck, spine and hips, whilst a poor quality or unsupportive mattress can cause the spine to become misaligned as well as exacerbate pre-existing joint, spine and ligament issues.

“Many people don’t realise the connection between back pain, their mattress and their overall health. Choosing an orthopaedically-designed mattress is essential for great back health, as they’re designed specifically to help distribute body weight more evenly and relieve pressure points.

When choosing a mattress to relieve back pain, mattresses with Core Support spring systems are engineered to offer the correct spinal alignment and deep-down support for muscles. You can also choose from a range of materials for additional comfort like Geltex and smart fibres which provide additional pressure relief and total body support, as well as breathability. Not only will this relieve day-to-day pains, getting a quality night sleep also helps cognitive brain function and improves overall mood and wellbeing.”

Silentnight Miracoil Geltex Mattress

Standing 31cm high, this mattress from Silentnight offers a medium-to-firm level of comfort. Under the soft knit cover is a 4cm layer of Geltex for comfort followed by a Miracoil support system and an open cell structure that allows for air flow, keeping everything feeling breathable. Free delivery is available on the mattresses, which come in Single, Double, King and Superking sizes.

Relyon Taunton Dunlopillo Mattress

As the Director of Commerical Buying at Dreams, Fabio Perrotta has slept on a lot of beds. He recommends: “Relyon is one of our new brands at Dreams and they produce some fantastic quality mattresses. Made from sustainably sourced Dunlopillo latex, the mattresses have plenty of elasticity and bounce, plus 33 per cent more pressure-relief than traditional memory foam. There are also some great extra benefits when you buy a Relyon, including breathability, temperature regulation, anti-allergenic, anti-bacterial and anti-microbial properties.

My top pick is the Relyon Taunton Dunlopillo Mattress – it’s firm, with 1122 individually wrapped pocket-springs that help ensure even bodyweight distribution and superior overall support.” Sounds like a bed you can rely on.

Eve Sleep Premium Hybrid Mattress

Marrying the best of spring and foam, eve’s premium hybrid is engineered to bring relief to anyone with back pain for the dreamiest sleep ever. There are more than 1,500 pocket springs and five layers of foam to help you drift off and wake up feeling recharged. Sizes from Double, King and Superking. The foam layers offer immediate pressure relief and will leave you feeling like you’re weightless atop a cloud – heaven, in other words. The mattress isolates motion too, so you won’t wake when your partner does. The top cover is embedded with silver to keep the mattress antibacterial and antimicrobial, so everything stays healthy, clean and fresh for longer.

Relyon Natural Pocket Ortho Intense Mattress

An extra firm bed designed for back pain sufferers, Relyon’s mattress is an investment in your health. All details have been designed with support at the forefront; from the 1500 pocket springs that constantly adjust as you move in your sleep to the cooling cotton blend layer and rebound layers that work to keep your sleep environment comfortable and breathable. It’s also great for anyone with allergies, which is sterilized and dust-free – so say goodbye to sneezing fits. There’s edge-to-edge support, giving you more surface to snooze on and stopping you from falling off. The whole lot is covered in Belgian damask, adding an element of elegance to the mattress.

Simba Hybrid Luxe Mattress

Bringing together the best of both worlds in 10 luxe layers, Simba’s latest mattress can provide relief to anyone feeling the achy effects of sitting all day by a WFH desk on an ill-fitting chair.

It uses 6,000 titanium Aerocoil springs set over three layers with slices of open-cell foam, bamboo wool and high definition edge support layers in between to create a comfortable layer on which to spend eight hours a night. It all sits on a zoned Simba-pure support base, giving your limbs and joints support from the foundation up. In terms of tension, it’s firm, but not hard. Foam can often make you overheat, especially if you’re a hot sleeper to start with, but Simba has engineered the layers to allow for air flow throughout so sweaty mornings are a thing of the past. Free delivery.

Sleepeezee Harmony 3500 Mattress

A mattress exclusive to Furniture Village, this handcrafted mattress is made in the UK and offers a triple whammy of of individually pocketed springs that will respond instantly to weight and movement. This support is boosted by another three layers of memory foam to keep your back and spine aligned. It’s finished with a sumptous pillow top layer that will leave you struggling to get out of bed in the morning, for all the right reasons.

The Cotswold Company Ortho Support Mattress

Handmade in the UK, The Cotswold Company’s range of Ortho Support Mattresses feature one thousand pocket springs for heightened levels of support. Above the springs sits a plush layer of recycled polyester for high tension comfort, which will leave you feeling like you’re sleeping on cloud nine. The mattresses are available in standard UK sizes (single, small double, double and king) with each wrapped in a micro-quilted fabric that’s breathable and hypo-allergenic.

Silentnight 1400 Pocket Luxury Ortho Single Mattress

Available in all the standard UK bed sizes, this luxury mattress from Silentnight contains no less than 1,400 individual pocket springs to help distribute your weight evenly throughout the night. Zoned support also helps keep your joints comfortable. The mattress is tufted, providing firmer back support while the Eco Comfort fibres are made from recycled plastic bottles, allowing you to rest easy in more ways than one. This Silentnight 1400 Pocket Luxury Ortho mattress is completed with a soft damask cover and offers edge to edge support for more sleep space – helpful if you’re sharing a bed.

Emma Original Hybrid

Breathable and moisture-wicking, Emma’s award winning mattress is an excellent choice for superb support. Built on a base of supportive HRX foam, there are layers of extra tall springs that further boost support (while also helping that air to keep circulating), visco-elastic memory foam to relieve pressure and breathable foam as well as gel-like open-pored foam that’s air-aiding and moisture-wicking to boot. You’ll wake feeling refreshed, energised and ready to seize the day.

Sealy Millionaire Orthopaedic Mattress

Perfect for sleepers who require a little extra support in the mattress department, Sealy’s Millionaire Orthopaedic mattress is exclusive to Mattress Online. Like many in its range, the bed uses Sealy’s Posture Tech Core Support spring system to keep your back aligned even when you’re sleeping. The mattresses offer super firm tension, which also makes it more comfortable for overweight people. Above the layer of springs, there’s plenty of padding and a damask cover to luxuriate on. Hand tufting ensures all the fillings stay in place.

Sealy Posturepedic Jubilee Memory Ortho Divan Bed

You’ll find yourself bouncing out of bed in the mornings after a night on Sealy’s mattress. Made with a PostureTech Core Support spring system, memory foam, and EdgeGuard technology, this mattress is designed with back pain in mind and offers a medium/firm level of tension.

The Core Support springs, exclusive to Sealy, give a consistent, deep-down kind of support while the 2.5cm memory foam layer reacts to your bodyweight, providing beautifully cocooning comfort as you get your 40 winks.

John Lewis & Partners Classic Collection Ortho Support 1000 Pocket Spring Mattress, Firm Tension, King Size

A bestseller at John Lewis, this own-brand mattress can offer welcome relief for back pain sufferers at the end of a long day. The Ortho Support 1000 range of mattresses are designed with layers of polycotton fillings and 1,000 supportive ReActive Pocket spring system. The premium mattress is offered with a 60 night comfort trial, so you can test out if it’s the one for you and a seven year guarantee is also included for further peace of mind.

Brook + Wilde Elite mattress

All of Brook + Wilde’s mattresses feature its signature Wave Technology which ensures the best possible comfort and specialised zonal support to ease joints and alleviate pressure in all the right places. The Elite is best for back pain; the third layer uses a next generation high density foam to support the spine and ease stress on pressure points. Furthermore, 2.500 pocket springs are embedded to offer blissful support whether you’re sleeping solo or with a partner. Firmer mattresses offer greater support across the back, and the brand offers a ‘Firm’ rating across its mattresses but if you’d like to go harder, a bespoke ‘Extra Firm’ is available.

Button & Sprung Southdown Double Mattress

The sleep specialists Button & Sprung has just launched a new collection of totally natural and recyclable mattresses, including the Southdown, which uses up to 15,360 springs to support you while you rest. Made up of 11 luxurious layers, one of which is a layer of mini springs, you can order it with regular or firmer tension to suit your sleep needs. Best of all, the Southdown mattress is free from foam, glue and fire retardant chemicals so when the time comes to replace it, you can recycle it without the guilt. Available in standard UK bed sizes.