Best Mattresses for Sciatica (2025)

The Helix Dusk Luxe is a luxury hybrid mattress that balances support and pressure relief, the perfect mix for sciatica. Our testers gave this mattress a 4/5 for overall pressure relief, thanks to its plush pillow top, but the coils beneath keep you plenty lifted and ensure the spine remains aligned. These coils also give the bed excellent bounce, and it earned a perfect score for response, leading to an impressive overall score of 4.5.

Physical therapist Dr. Hannah Habeeb called this a “great mattress for anyone with back pain,” not just those with sciatica. “It keeps your body very neutral but is also so cushiony and comfortable,” she said. “You’re not sinking in too much to where the spine gets misaligned.” She added that this level of support could go a long way toward helping sciatic pain, especially at the lower back, as the mattress fills in the gap there.

Our testers largely agreed with Dr. Habeeb’s assessment. The mattress came in at 7/10 on our firmness scale, which is just a touch firmer than your typical medium-firm. It makes the mattress most suited to back sleeping. Average-weight tester Sosha Lewis thought that this mattress offered “excellent support and felt great around the lower back.” She added, “I don’t feel my body dipping anywhere, and there’s some very nice contouring.”

Aside from cushioning comfort, this hybrid also offers plenty of bounce. This makes moving around on the surface easy, as our in-house tester found out during our response tests. “It’s not too soft and doesn’t conform to my body too much, so I was able to move around the mattress easily,” she said. This means that combination sleepers shouldn’t encounter any issues when switching positions throughout the night.

This tester was also impressed with the bed’s cooling capability. “I thought this mattress felt cool to the touch and did a good job of keeping cool throughout the test,” she said. “The mattress didn’t feel like it warmed up at all, and I almost felt a little cold lying on it.” She further recommended it for any hot sleepers, as they won’t overheat on the surface.

However, if you share the bed, you might encounter rough waters on the Helix Dusk Luxe. Because of its springy construction, there’s a high chance you’ll feel any movement from the other side of the bed. Our in-house tester found this out when she tried out the bed alongside a colleague. “I did notice each movement of my partner,” she said. She thought many couples would be able to sleep through it, but if you’re a light sleeper like me, you may not want to take the chance.

For a mattress with top-notch motion isolation, check out the Nolah Evolution. Or you can read more in our full Helix Dusk Luxe mattress review.

While we generally recommend medium-firm mattresses for sciatica, some folks might prefer or need a softer mattress. If you sleep on your side, have sensitive joints, or are just looking to sink deeply into your bed, a soft mattress like the Nectar Classic Hybrid might be the key to unlocking a restful night’s sleep. This bed is topped with memory foam for plush cushioning and contouring, earning a 4/5 for overall pressure relief. It’s also supportive enough to keep the spine aligned for those with sciatica.

Dr. Habeeb found that this mattress effectively guides a sleeper into a neutral position, keeping pressure off sensitive areas. It’s a “great match” for people with back pain and certain conditions, like sciatica. “I don’t think this will worsen sciatica,” she said. “In fact, this bed should provide enough weight distribution to prevent exacerbating preexisting pain.”

I tested the Nectar Classic Hybrid and rated it 5.5 on our firmness scale, which is somewhat softer than a typical medium-firm. This softness works great for both back and side sleeping, as our heavyweight tester Matt Schickling found out. “It’s about the same quality of support between side and back sleeping. It has that nice memory foam feel on the top layers, but more supportive,” he said.

Memory foam is also not known for its cooling, as it tends to retain heat due to its dense structure, but the Nectar Classic Hybrid is a different story. The bed is outfitted with a cooling cover, which I found pulled its weight in our temperature regulation tests. This cover feels cool when you run your hands over it, and it keeps you cool as you lie down on the bed. I think hot sleepers who are unwilling to part with the super-contouring feel of memory foam will be pleasantly satisfied with this mattress.

The bed also offers a nice balance of motion isolation and response. Motion isolation is a common pro of memory foam beds, as the cushy layers help absorb movement before it travels across the bed. I found that to be the case with the Classic Hybrid, but it wasn’t too doughy to make moving around difficult—a common pitfall I see with all-foam mattresses. This balance of bounce and low motion transfer should make the mattress great for combination sleepers, couples, and sexually active folks.

The Nectar Classic Hybrid did have one other thing in common with foam beds, but it unfortunately wasn’t a positive: the edge support. I like a mattress with super-strong edges, as it makes everything from spreading out to tying your shoes easier. But when I sat down on the perimeter of the Classic Hybrid, I could feel those top foam layers collapsing beneath me. The same was true for lying down; I could feel the mattress distending where my body sank deeper into it.

If you want rock-solid edge support, check out the Helix Midnight Luxe. Otherwise, read more about this bed in our full Nectar Classic Hybrid review.

Pillow-top mattresses offer a luxurious feel and ample pressure relief, which should benefit those with sciatic pain by contouring to sensitive areas. The WinkBed is one such mattress —a hybrid bed with both a sturdy coil unit and a softer pillow top. The result is a medium-firm bed that relieves pressure and aligns the spine, also earning high marks for edge support (4.4/5) and cooling (4/5).

In her tests with the WinkBed, physical therapist Dr. Habeeb found this mattress best suited to folks seeking relief from back pain and associated conditions. “It makes you feel very neutral and supports the spine while still providing some slight cushioning,” she said. She noted it was “firmer than average,” which may not work for all sleepers with sciatica who are already struggling with pressure relief.

Our testers, however, found that this mattress came in at a comfortable medium-firm feel, 6.5/10. Average-weight tester Sosha Lewis was able to find some comfort on her side, though she called it “firmer than I would expect to like.” However, back sleeping was the star of the show: “If I owned this bed, I would become a back sleeper,” she said. “It’s somehow firm with a light touch, contouring well around my lower back.”

The firmer feel of the WinkBed gave it a leg up in our edge support tests. My colleague Melanie Kassel performed this evaluation and thought the bed had “really stellar edge support in all three sleeping positions.” She said, “If my eyes had been closed, I would not have been able to tell you I was near the edge.” Sitting down at the edge yielded a slight bit more sinkage, but not enough to deter her from recommending the bed for older sleepers or those with mobility concerns.

Melanie was also impressed by how cool the WinkBed felt in the studio. “I was surprised that it felt so cool, since the base feels so dense and solid under the nice plush pillow top,” she said. Lying down on the surface of the bed for a few minutes, she never felt it heating up beneath her. It stayed comfortably temperature-neutral, a sign that it should work great for hot sleepers.

Combination sleepers, however, are a different story. “I thought the WinkBed would be bouncier, given its status as a high-quality hybrid,” Melanie said as she tested out the bed’s response. She found that the pillow top was a touch too doughy, making moving around feel less seamless. “Movement between all three positions had to come from my efforts alone,” she explained.

If you’re looking for more bounce, check out the DreamCloud. You can also read more about this mattress in our full WinkBed review.

Maybe you don’t want to spend a ton of money on a new mattress for sciatica, but a smaller budget doesn’t mean you have to skimp on quality. The DreamCloud is an affordably priced hybrid that offers a slightly firmer feel, geared toward support and alignment. The bed’s sturdy base is topped with cushioning comfort layers that offer plenty of pressure relief, earning a 4.2/5 in our tests. It also excels in a number of other categories, including bounce (5/5) and edge support (4.4/5). You can get all this at just $799 for a queen-size mattress.

Dr. Hannah Habeeb appreciated the extra back support that the DreamCloud provided to the lumbar spine, which would benefit sciatic pain. “The majority of the population should find a neutral alignment on this mattress,” she said. “It won’t contribute to nerve compression in most sleepers with sciatica.”

The supportive feel of the DreamCloud makes sense when we consider it came in at a 7.5/10 on our firmness scale, which skews more firm than true medium-firm. However, our testers found it to be plenty comfortable, especially if you like to rest “on top” of your mattress, rather than in it. 

Even lightweight tester Riley Otis was able to find pressure relief while resting on her back and side, saying, “I think if you are a lightweight combination sleeper, this would be a really good option for you.” Our heavyweight tester Matt Schickling appreciated the bed’s balanced feel, adding, “I’m feeling nice and supported with some cushiony upper foam layers, like a textbook hybrid bed.”

The DreamCloud’s hybrid construction also gives it plenty of bounce, thanks to the coil unit that makes up the bulk of its support. When our in-house tester performed the response test, she found that the mattress was “very easy” to switch positions on. “I didn’t feel stuck in the mattress or that I was fighting to move around,” she said—great news for combination sleepers and folks who like a bouncy bed.

The edges of the DreamCloud mattress are also as sturdy and firm as the rest of the bed, able to bear weight without dipping or sagging. “The edge barely collapses when you’re sitting down,” our in-house tester said. “Lying down, the edge feels similarly intact, and I don’t think I’d tip over.” If you like sitting on the edge of the bed to tie your shoes or sleeping right at the edge, you should be able to do so without incident.

Where the DreamCloud may pose a problem, though, is for folks who share the bed. Its super-bounce means that motion is more likely to be amplified on the surface, rather than stifled. “I more so felt my partner changing positions,” our in-house tester said when she tried out the mattress with a fellow tester. She thought that your average sleeper might be able to sleep through the disturbance, but if you’re a light sleeper, you might want something with more motion-absorbing foams—like the Nectar Classic Hybrid.

For more, read our full DreamCloud mattress review.

Low back pain is a common complaint with sciatica, and there’s a lot your mattress can do to help alleviate it. The Helix Midnight Luxe is one of our favorite beds for back pain; it’s a luxury hybrid that delivers a comfortable, medium-firm feel, balancing plush contouring and robust support. It earned a 4.2/5 rating for overall pressure relief, alongside further high scores in edge support (4.8/5) and cooling (4.5/5).

Out of the many beds Dr. Habeeb tested in our studio, none received praise for back pain quite like the Helix Midnight Luxe. “I feel like I want to make snow angels on top of it because it is so silky and comfortable,” she said, adding it was “just great” for back pain. In a similar vein, she noticed “no pressure in lower back and hips,” and felt there was “no concern about pressure around the sciatic nerve.”

I also tested out this mattress and had a similar experience to our chief medical product tester. I rated it at a 6/10 on our firmness scale, just a bit softer than typical medium-firm. My favorite part about this mattress is how the plush pillow top contours to your lower back while back-sleeping, reducing the risk of pain or discomfort. 

Our heavyweight tester Caine Wilkes also liked the mattress on his side. “The plush top feels really nice and comfortable while the bottom layers are more supportive,” he said, further recommending the bed for folks in his weight category.

Despite the Midnight Luxe’s plump pillow top, I found that the edges of this mattress didn’t disappoint, much like the bed’s overall support. I was able to lie down with one leg off the bed (as I often do on my own bed) without feeling like I was going to slide off. Sitting down was seamless, save for the foot of the mattress. This doesn’t seem to have the same reinforcement as the longer edges of the bed—keep that in mind if you plan on using it to sit down and tie your shoes, for example.

I was also surprised to find that the Helix Midnight Luxe remained relatively cool throughout our temperature tests. Sometimes, plush pillow tops can hold onto heat, but the cover of this bed actually felt cool-to-the-touch. As I lay down on the bed’s surface, I could feel that same coolness around my neck. Fellow hot sleepers should be more than comfortable on the Midnight Luxe.

Who might not be so comfortable are combination sleepers. As a particularly rowdy one myself, I like a bed that I can practically launch myself across. That wasn’t the case with the Helix Midnight Luxe. I ended up getting stuck in the contours of the pillow top as I tried to roll around, and overall, found it was too doughy for my liking. If you want something with a bigger bounce, check out the Aurora Luxe Cooling.

To read more about this bed, you can check out our full Helix Midnight Luxe mattress review.

Stomach sleepers with sciatica need a firmer, more supportive mattress to prevent their hips from sinking too deeply, which can exacerbate existing lower back pain. The Brooklyn Bedding Aurora Luxe Cooling has you covered: This firm-but-comfortable hybrid maintains lumbar support in all positions, including stomach sleeping, per Dr. Hannah Habeeb. Aside from an impressive showing for pressure relief (4/5), the mattress also scored exceptionally well for responsiveness (a perfect 5/5) and, unsurprisingly, cooling (4.5/5).

Our testers found this mattress quite firm, with the Medium model coming in at  7.5/10 on our firmness scale. However, Dr. Habeeb thought  the bed was “cushiony enough to where it’s not going to compress the sciatic nerve root as it goes through your bottom.” She added that, specifically for stomach sleeping, “the bed keeps the lower back lifted and aligned nicely.”

Aside from stomach sleeping, the Aurora Luxe Cooling offers plenty of pressure relief for the other positions that need it. If you switch between your stomach and your back, you’ll likely feel comfortable in each position, as our testers found out. “This is one of the better beds I’ve tested as far as pressure relief,” said heavyweight tester Matt Schickling. “I feel very evenly supported across my back and my spine.”

As the name implies, the Aurora Luxe Cooling is also quite adept at regulating temperature. During testing, my colleague Cait Giddings used a thermal gun to measure the mattress’s surface temperature before and after she lay on it. After about seven minutes, she recorded a meager 5.9-degree increase, which means that the bed wasn’t holding onto her body heat. “The cover of the mattress feels crisp and slippery,” she added. “The entire time I lay there, the mattress didn’t feel like it was heating up.”

Cait also found that the mattress was “very bouncy and buoyant” throughout her testing. “I didn’t sink into the mattress surface at all; I felt like I was almost floating on its surface,” she said. She heartily recommended it for both combination sleepers and those who are sexually active , as repositioning during sleep or other activities should come easily. 

As mentioned, the Aurora Luxe Cooling falls a bit on the firmer side of the scale, which can work well for some sleepers with sciatica but not so well for others. If you’re a lightweight sleeper who has trouble sinking into a mattress or a side sleeper with hip pain, you might prefer something a bit softer and more contouring. Check out the Nolah Evolution or Nectar Classic Hybrid if that sounds like you.

For more, read our full Brooklyn Bedding Aurora Luxe Cooling mattress review.

Latex mattresses have a uniquely buoyant feel that’s bouncier than foam while still maintaining a similar level of pressure relief. It makes them a great choice for sciatica, as you’ll still feel comfortably supported on your mattress’s surface while getting the necessary cushioning. 

The Saatva Latex Hybrid comes highly recommended by Dr. Hannah Habeeb for back pain and sciatic pain. Like many other latex beds, this mattress also excels in the response department, earning its highest score of 4.5, which should also make it a tempting option for sleepers looking for ease of movement on their bed.

When physical therapist Dr. Hannah Habeeb rested on this mattress, she found that “it does a good job keeping you in a neutral spinal alignment, specifically supporting the lower back.” This extended to her evaluation of how it would fare for sciatica: “It keeps your hips and pelvis really well supported, making sure you’re elevated and straight without compressing that nerve.”

Our testers thought that the Saatva Latex Hybrid had a nice medium-firm feel, coming in at 6.5/10 on our scale. However, it had more of an “on top” feel than the cradling sink of a softer foam bed. “It feels like I’m being ‘pushed up’ around the hips specifically,” heavyweight tester Matt Schickling noticed as he rested on his side. 

Unfortunately, the mattress came in a bit too firm for our side-sleeping testers, which brought down the overall pressure relief score. Matt much preferred the mattress on his back: “It feels good on my back, and it’s supporting me well, so I feel more aligned than I did on my side.”

Regardless of which sleeping position you prefer, switching between them throughout the night should be a breeze. My colleague Melanie Kassel found this out when she tested out the bed’s responsiveness. “Whenever I switched onto my back, the springiness caught me with some extra ‘oomph’ and launched me upward slightly, which was delightful,” she said. “The way that latex holds taut and snaps back into shape is great for combination sleepers.”

Melanie also had a good experience during the cooling portion of our tests. She lay on the bed for a few minutes and, overall, felt “very cool.” However, the thermal gun showed a much higher increase in the surface temperature than she expected after this period. “It could be that I was just so aloft on the bed that a lower percentage of my body was in contact with it, so I had more airflow around me naturally,” she reasoned. Latex is often touted as more cooling than foam, so it could be a good option for hot sleepers, even with these mixed results.

Where results weren’t mixed, the Saatva Latex Hybrid excelled in motion isolation. Melanie tried out this mattress with another tester to get a feel for how it would perform for couples. “I noticed movement pretty much any time my fellow tester got into or out of bed, as well as every time she changed positions,” she said. She did think the movements were lighter than those in other latex beds she’d tried, but still not stifled enough to make the Saatva Latex Hybrid for light sleepers.

Looking for something with better motion isolation? Check out the Nolah Evolution. Or you can read more about this bed in our full Saatva Latex Hybrid review.

Hybrid mattresses are some of the most popular and prolific. Their profile of soft comfort layers and sturdy coils creates just the right balance of pressure relief and support that sleepers with sciatica need. The Bear Star Hybrid is a luxury hybrid that’ll have you sinking comfortably into its cushy pillow top while the coils below keep your spine properly propped up. This mattress also has a respectable showing in edge support (4/5), response (4/5), and motion isolation (4/5), a sign of a truly well-rounded bed that should suit most sleeper types.

When it came to comfort for those with sciatica, Dr. Habeeb thought the Bear Star Hybrid would be great for back pain in general and for sciatic pain. “It supports the back really well and the spinal alignment is great,” she said. “As I lie here, my lower back is supported and my spine feels neutral, so I think sciatic patients would really enjoy this bed.”

I tried this mattress for myself and actually quite enjoyed it on my back. The Bear Star Hybrid is just a touch softer than your typical medium-firm feel, coming in at 6/10. The soft pillow top cushions your lower back, so you can feel a bit more contouring than expected. Our heavyweight tester Matt Schickling was also able to find plenty of comfort on his side: “I don’t really feel pressure anywhere,” he said. Only our lightweight tester didn’t like the feel of this bed, but we otherwise thought it offered plenty of pressure relief. 

Even for its softness, I thought that the perimeter of the Bear Star Hybrid remained sturdy during my edge support tests. I was able to sit rather close to the very edge of the bed before I felt like I was going to slide off, and even then, I wouldn’t call it egregious. Lying down was even better, with there only being a teeny-tiny bit of sinkage if I rolled to the very edge. Overall, I think it should work great for older adults and those with mobility concerns.

I was also surprised that the Star Hybrid managed to retain some of its bounce with its cushy pillow top. You do have to navigate the pillow top’s grooves and valleys to move around, but it was still reasonably easy to switch between sleeping positions. Most combination sleepers should be satisfied, and I think it also makes the Star Hybrid a good mattress for sex.

Bear mattresses are also advertised as cooling beds, even without their added cooling cover, so I was expecting a frosty experience in my temperature tests. However, the Bear Star Hybrid only felt temperature-neutral at best. I could feel a heat imprint where my body had been after lying down on the bed, though not enough to cause concern. Regular old sleepers should be fine, but if you’re an extra-hot sleeper like me, you might want to consider that upgraded cover—or a bed like the Aurora Luxe Cooling.

To read more about this bed, check out our full Bear Star Hybrid mattress review.

 Those who prefer sleeping on their side may experience hip pain alongside or as a result of sciatica. To counteract this, you’ll want a mattress that provides the necessary support while also offering ample contouring for the hips. A bed that does just this is the Nolah Evolution. 

This medium-firm luxury hybrid features a soft pillow top that cushions your hips as they sink into the mattress, keeping them comfortably cradled. The bed earned an impressive 4.5/5 score for overall pressure relief. Below the pressure-relieving comfort layers, the coils keep your spine aligned, reducing the risk of other sciatica-related discomfort along your back. 

Lying down on the Nolah Evolution, Dr. Hannah Habeeb noticed the bed’s contouring ability almost instantly. She added, “It’s still supportive enough to prevent the back from falling into a position that would compress the nerves, so I’d recommend it to people with sciatica.” Moreover, those with hip pain should also feel cushioned: “There’s plenty of sinkage at the hip area, and there’s no pressure building up for me.”

Our testers also quite enjoyed the Nolah Evolution’s cushy feel. We gave the Luxury Firm model a rating of 6.5/10 on our firmness scale, a true medium-firm feel that will work for a number of sleeper types. Heavyweight tester Matt Schickling liked the bed on his side, saying, “I feel super-cradled by this mattress. It’s so soft but supportive at the same time.” But he loved it even more on his back: “I feel almost perfectly supported on my back, and I feel like it’s lessening the pain I have in my lower back today.”

The Nolah Evolution’s dense, cushy layers give it a leg up for couples, as my colleague Cait Giddings found out in our motion isolation tests. When she was in bed with a fellow tester, she could barely feel their movements. “My side of the mattress remained static, regardless of what was happening on the other side,” she said. Light sleepers should be able to sleep through any bedmates’ movements peacefully.

Even with the dense, foamy feel on the surface, Cait was able to sit on the edge of the mattress without too much sinkage beneath her weight. However, lying down at the perimeter of the Evolution was virtually seamless. She said, “Whether I lay on my side, back, or stomach, the mattress remained solid and steady, with no sinking or sagging to suggest its structured support would flag along the edges.”

We had little to complain about when it came to the Nolah Evolution’s performance as a whole. However, there was some trouble behind the scenes that some customers should know about. As a luxury bed-in-a-box, we expected the setup for the Nolah Evolution to go relatively smoothly. But the box arrived at our studio in rough shape, making the unboxing process more of a trial. If you’re looking to avoid the hassle of setting up a bed yourself, the Saatva Latex Hybrid comes with free white glove delivery.

Read more in our full Nolah Evolution mattress review.