We spend about a third of our lives laying on our mattresses—but they might not love us as much as we love them. Back pain is often exacerbated by what we sleep on, and resting on the wrong one might keep you from achieving a restful night’s sleep. The good news, however, is that the best mattresses can actually alleviate back pain.
Pain in your back has a myriad of causes, but one of the most common in the lower back is degenerative disc disease or the natural wear and tear of the spine, according to Tamara Huff, M.D., F.A.A.O.S., an orthopedic surgeon based in Columbus, GA. When the spongy spinal discs between vertebrae shrink, fragment, or herniate, as they commonly do, you’ll start to notice pinching and pain.
Other triggers for upper and lower back pain include postural issues, muscle imbalance, and pulled muscles, Dr. Huff explains. And even sleeping in the wrong position (with your spine out of alignment) can lead to back pain, underscoring the need for a good mattress. Though a new mattress won't solve all of your issues, it'll certainly help.
How to choose the best mattress for back pain
“You’re much more likely to have problems sleeping if you have back pain during the day,” Dr. Huff says, so it’s imperative that you find the right mattress—otherwise, you could be stuck in a painful 24-hour cycle. Here’s what you need to know before you go shopping:
✔️Look for the right density. Just 20 years ago, orthopedic surgeons would have recommended going with a firm mattress, but that recommendation has since changed, Dr. Huff explains. The ideal density is medium-firm, per a landmark 2003 study and another from 2015, which promotes “sleep comfort, quality, and spinal alignment.” Foam mattresses may also have a slight edge over spring options, but density has a bigger impact on sleep quality and back pain than material does, Dr. Huff says. The right firmness is attainable with foam, coil, and hybrid mattresses.
✔️Think of your sleep position. Consider your sleep position, then buy a model that matches it. “If you’re a side-sleeper, you likely want a softer mattress, because that relieves some of the pressure on your hips and shoulders,” Dr. Huff explains. “It also helps you align your spine.” Back-sleepers, meanwhile, can go with firmer mattresses, since their weight is more evenly distributed. And stomach-sleepers (like Dr. Huff herself) should seek out pillow-top mattresses (or mattress toppers) that allow easy airflow and less pressure on the neck.
✔️Replace your mattress when it’s time. Dr. Huff cites one 2009 study that found a significant reduction in back pain and sleep interruptions when beds that were at least five years old were replaced with new ones. There isn’t great research around when to replace your mattress, Dr. Huff says, but she trusts the Sleep Foundation’s recommendation of getting a new one every six to eight years.
✔️Look for mattresses that come with a trial period. “So you can really see what works for you,” Dr. Huff says. And no matter which mattress you choose, she says, you should also use pillows strategically, keeping your spine aligned while you rest.
Ready to settle in for your best night’s sleep? Shop these top-rated mattresses to help aleviate back pain, below.
1
Best Overall
Helix Midnight Luxe
100-night trial | 15-year warranty
The Midnight Luxe mattress boasts six layers, including a breathable Tencel pillow top, tons of super-supportive foam, and more than 1,000 wrapped springs, which are its marquee feature—they’re softer under your shoulders and firmer under your hips, which helps align your spine throughout the night, especially if you’re a side-sleeper. “Ever since I got the Helix, I haven't woken up with back pain,” one reviewer raves. “I find myself sleeping better, tossing and turning less and sleeping much more comfortably, not to mention that it was the first mattress that my girlfriend and I sleep equally well on.” Plus, free delivery is the cherry on top.
2
Best Value
SweetNight Sunkiss
No trial | 10-year warranty
Something of a hidden gem on Amazon, this memory foam mattress is surprisingly affordable, considering how many reviewers swear by it. “This mattress is just like it advertises: soft but very supportive. Exactly what I need with my current lower back and hip pain,” one writes. “Now I can finally sleep through the night without being woken up by my pain. Also, I don't wake up my husband anymore every time I get up and go to the bathroom at night.” Its secret is a not-too-deep design that perfectly hits that medium-firm sweet spot, playing well with all sleeping positions.
3
Best Investment
TEMPUR-Adapt®
tempurpedic.com
$2,299.00
90-night trial | 10-year warranty
Although it’s the most expensive option on this list, the Tempur-Adapt mattress still outperforms its price. A remarkably durable hybrid option, it’s slightly firmer than other mattresses, but still offers Tempur-Pedic’s signature blend of support and comfort. (Yes, you’ll sink into it and never want to get back up.) Plus, it’s got a cooling cover, which is ideal for anyone who sleeps hot. “I bought this mattress after my back surgery, and it made a huge difference in my recovery,” one reviewer explains. “It stays cool (even in Florida) and is so comfortable. I finally get good sleep and wake up without back pain.”
4
Best for Back-Sleepers
Nectar Memory Foam Mattress
365-night trial | Lifetime warranty
Nectar’s all-foam mattress is ideal for side-sleepers because it’s on the slightly softer end of the medium-firm spectrum, which Dr. Huff recommends for ideal shoulder and hip support—a crucial way to fight back pain. It’s thick enough to feel like sleeping on a luxurious hotel bed, and reviewers rave that it won’t shift if your partner tosses and turns during the night. Better yet, Nectar has one of the most generous trial periods of any of the brands on this list, meaning it’s a must-try for indecisive shoppers.
5
Best for Side-Sleepers
Puffy Mattress
101-night trial | Lifetime warranty
Puffy’s flagship mattress boasts three levels of foam, each designed to cradle your body and align your spine during sleep. On top of all that, its cover is cooling, stain-resistant, and hypoallergenic, meaning it’ll withstand years of sleep. “After spending months of waking up with stiff necks and backs, regularly with headaches, my wife and I upgraded,” one reviewer writes. “We immediately noticed the difference and have had wonderful nights’ rest. We wake up fully refreshed and no longer in pain.”
6
Best for Stomach-Sleepers
The DreamCloud
365-night trial | Lifetime warranty
Stomach-sleepers will be delighted by this hybrid mattress’ pillow top, which supports your neck and provides cooling airflow with a mix of quilted foam and cashmere. But that’s only the first of five layers, which also include memory foam and individually wrapped coils. The result is a bed that feels like sleeping on, well, a cloud—one that comes with pillows, a sheet set, and a mattress protector included, no less.
7
Best Mattress for Couples
Saatva Classic
180-night trial | 15-year warranty
Although it’s not exactly cheap, Saatva’s Classic option in luxury firm (translation: medium-firm) looks and feels even more high-dollar than its price would suggest. The hybrid mattress is designed with a dual-coil design and high-density memory foam, both of which prevent sagging, promote support, and prolong the life of your purchase. And, yes, it’s great for people with back pain: “As someone who has back and leg pain, I've dreaded going to bed for the past couple years,” one reviewer says. “But this new mattress is exceptional, striking a balance between softness and support. If you have back, leg or hip issues, I highly recommend this mattress.”
8
Best Multi-Density Mattress
The WinkBed
120-night trial | Lifetime warranty
Although medium-firm is the best density for back pain, Dr. Huff says, you might want to go with a soft or firm option instead—and WinkBed allows you to choose from all three (plus an even denser option) in its flagship mattress. A cooling eucalyptus cover is guaranteed to keep you comfortable throughout the night, while a pillow top, individually wrapped coils, and memory foam ensure it’ll alleviate your back pain, no matter your sleeping position.
9
Best Latex Mattress
Avocado Latex Mattress
avocadogreenmattress.com
$2,199.00
365-day trial | 25-year warranty
Latex mattresses are some of the most durable, per the Sleep Foundation, meaning they’re a worthwhile investment—pay a little more up front, then pay way less down the road. Avocado’s latex option is ideal because it’s all-natural and organic, comes with three layers of firm, supportive material, and is 100% biodegradable. There’s even a vegan option, should you want one. “I love the fact that it’s clean and comfortable with zero smell,” a reviewer says. “It immediately relieved my back pain from day one.”
10
Best Cooling Mattress
Brooklyn Chill Memory Foam
brooklynbedding.com
$443.26
120-night trial | 10-year warranty
With five depth options and a generous trial period, this budget-friendly mattress is a safe option for those who want a luxurious feel without a luxurious price. Brooklyn Bedding recommends going with the 10-inch depth for an ideal medium-firm feel—the density Dr. Huff suggests for a restorative night’s sleep. Its cooling comes from open-cell foam in each layer, providing plenty of airflow, even when you’re under your covers. “Not one morning have we woken up with back pain like all the other mattresses we have tried,” one reviewer writes.
Jake Smith Jake Smith, an editorial fellow at Prevention, recently graduated from Syracuse University with a degree in magazine journalism and just started going to the gym.
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