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Our team of Certified Sleep Science Coaches have reviewed 600+ mattresses and accessories for over seven years using proprietary analysis and hands-on testing. We assess each bed for support, cooling, firmness, pressure relief, and more.
In This Review
I’ll go over the best mattresses for back pain and also explain how the correct mattress can ease and prevent future back pain. The mattresses we have selected for this page have features that provide excellent body contouring and zoned coil support which is an important factor to ease back pain while sleeping. We have recently updated this page by adding in the Saatva RX mattress.
Back pain can be, well, a pain. And while there are many causes for it, sleeping on an uncomfortable and unsupportive mattress can be a large contributor. So, let’s talk about our top picks for the bestmattresses for back pain relief. To create this list, we looked at a number of mattresses that feature excellent body contouring or zoned coil support.
In this article, we’ll share our top mattress recommendations for people with upper and lower back pain and explain how you can choose which mattress is the best fit for you. We’ll also explain how back pain and sleep are related and tell you what factors to look for when buying the best mattress for back pain.
Our Verdict: What’s the Best Mattress for Upper and Lower Back Pain?
Our expert reviewers chose the Saatva RX as the best mattress for upper and lower back pain for its multiple firmness options, support, cooling features and versatility.
[Editor’s Note: The information provided should not be considered a substitute for professional advice. Please consult a medical professional or another medical expert if there are any health-related questions or if you’re experiencing severe back pain.]
How We Chose the Best Mattresses for Upper and Lower Back Pain
Our team of Certified Sleep Coach Specialists have reviewed more than 600 mattresses, using proprietary analysis and hands-on testing to establish easy-to-understand scores. In addition to an overall score, we measure subscores for support, edge support, cooling, motion transfer, durability, trial period and warranty.
Hands-on mattress testing in our sleep lab
When choosing the best mattresses for back pain, we sought out beds that were durable and supportive enough to keep the spine in proper alignment. Of the 11 products on our list, eight mattresses scored a 4/5 or higher in the category of support and nine mattresses scored a 4/5 or higher in the category of durability.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
The Saatva Rx is a hybrid mattress. This means it has both cushioning foam and supportive coil layers.
Firmness
On a scale from 1 to 10, with 1 being the softest, we rated this mattress a 6.5/10, which is the industry standard for medium-firm.
Price
$1995 – $4,390 (before discounts)
Size
Twin, twin XL, full, queen, king, split king, Cal king
Back Sleepers
Great support for back sleepers under 230 lbs.
Side Sleepers
Great pressure relief for side sleepers under 300 lbs.
Hot Sleepers
This bed’s cooling features can help keep you from overheating at night.
Pros
The mattress is designed specifically with pain in mind. Its unique design can prevent and easy future back pain.
It is a great luxury pick. If you want a mattress with all the bells and whistles, this is a good investment.
Cons
It doesn’t offer a memory foam feel.
It is a pricier mattress.
Shipping
Free white glove delivery
Trial Period
365 nights
Warranty
Lifetime warranty
Returns
You’ll receive a full refund if you return your mattress within the trial period, but after a 30-day “break-in” period. A removal fee of $99 will be deducted from your refund.
The Saatva Rx is a great fit for people with deal with pain issues. Its unique coil system offers some of the best contouring we have ever experienced. Learn more in our video review.
Mattress Clarity Test Results: Saatva RX
Poor
Average
Excellent
1
2
3
4
5
4.6
Overall Rating
5
Support
4
Cooling
5
Edge Support
4
Motion Isolation
4.5
Durability
5
Trial Period
5
Warranty
Our Expert’s Take
The Saatva RX was designed specifically to provide as much support and pressure relief as possible, both of which can help alleviate back pain in long-time sufferers. The luxury construction and materials of the Saatva RX help contour to the exact shape of your body, meaning different levels of pressure relief will be provided to different areas depending on how much is needed. So, no matter how you rest on the mattress, you should feel adequately supported throughout.
Diving further into the bed’s construction, the Saatva Rx mattress has a breathable organic cotton cover, quilted for extra lumbar support. The comfort layers include gel-infused memory foam for better thermoregulation, and a layer of flexible micro-coils for cradling and support. The support layers feature pocketed coils with graphite-infused foam—another material that promotes cooler sleep and motion isolation. Mattress testers gave the Saatva RX scores of 4/5 for the bed’s cooling and motion isolation capabilities. The perimeter has firmer coils for edge support, and the base layer provides stability, helping the bed earn perfect scores for overall support and edge support.
What the testers say: “The Saatva RX mattress has a plush pillow-top feel and good bounce from the coil layers. The special design of the flexible micro-coils also offers excellent contouring, so you feel supported along every curve.” – Marten, Lead Reviewer
What We Love About the Saatva RX
We gave the edge support of the Saatva RX a perfect score of 5/5, as the edges of the mattress didn’t sink under our weight at all. Many people who suffer from back pain will use the perimeter of their mattress to support themselves as they carefully get in and out of bed; the sturdy edges of the Saatva RX will make it easier for them to do so.
On our durability test, the Saatva RX earned a score of 4.5/5. We’d expect the mattress to last you for at least ten years if properly cared for.
What to Keep in Mind About the Saatva RX
The Saatva RX is very expensive. If you’re interested in a luxury mattress that can help with back pain but won’t be quite as expensive, we suggest the original Saatva instead. If you’re interested in a cheaper mattress that can still help with back pain, consider the Brooklyn Bedding Signature.
Other User Reviews
The Saatva RX has an average rating of 4.8/5, based on 58 reviews on the company website. The 5-star reviews typically revolve around Saatva’s excellent customer service, and the comfort of the mattress. There’s only one 1-star review, and the complaint largely revolves around the base that the customer purchased along with the mattress.
Saatva RX Specs
Material
Hybrid
Warranty
Lifetime
Firmness
6.5/10: Medium-firm
Trial Period
365 Nights
Shipping
Free White Glove Delivery
Weight (Queen)
124 Pounds
Dimensions (Queen)
60”W x 80”L x 15”H
Price (Queen- Before Discounts)
$3295.00
Read our full Saatva RX mattress reviewto learn more. If you aren’t interested in the Saatva RX mattress, check out our list of the Best Mattressesfor more great options.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
Nectar
Nectar Classic
Medium-Firm Feel
Motion Isolation
Pressure Relief
Foam mattress
365-night sleep trial
Free shipping
Prime Time Sale
Save up to 50% + an EXTRA $100 when you spend $1000 See Details
The Nectar mattress is an all-foam mattress. It has a plush comfort layer followed by a thin layer of transition foam. At the bottom, there’s a layer of high-density base foam.
Firmness
On a scale from 1 to 10, with 1 being the softest, we rated the Nectar mattress a 6.5/10, which is the industry standard for medium-firm.
Price
$699-$1,798 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split king
Couples
This mattress isolates motion well, which means couples shouldn’t feel movement come over to their side of the bed.
Side Sleepers
It offers great pressure relief for side sleepers under 230 lbs.
Back Sleepers
The Nectar mattress offers plenty of support for most back sleepers under 230 lbs.
Pros of the Nectar Mattress
This mattress has a slow-moving feel. If you like mattresses that contour to your body, this could be a great option.
The Nectar mattress isolates motion well, which is helpful for people who share a bed with a partner or a pet.
It offers plenty of pressure relief for side sleepers who weigh less than 230 lb.
Cons of the Nectar Mattress
Even though it has cooling gel-infused foam, it’s not the best mattress for hot sleepers.
It’s not supportive enough for most stomach sleepers. In this position, you may feel your hips sink out of alignment, which can lead to lower back pain.
Because it’s an all-foam bed-in-a-box mattress, it has a 48-hour off-gassing period. You’ll need to let the mattress air out for two days before sleeping on it.
Shipping
Free shipping
Trial Period
365 nights
Warranty
Forever warranty
Returns
You’ll receive a full refund if you return your mattress within the trial period.
The Nectar is an affordable all-foam mattress that offers lots of pressure relief and body contouring. It works well for most side sleepers, because it helps cushion shoulders and hips. It is also a good option for couples, because it isolates motion well. However, the Nectar mattress isn’t supportive enough for most stomach sleepers and heavyweight people. If you tend to sleep hot at night, you may want to look for a mattress with more cooling features. Learn more in our Nectar mattress video review.
Mattress Clarity Test Results: Nectar
Poor
Average
Excellent
1
2
3
4
5
4.3
Overall Score
4
Support
3.5
Cooling
4.5
Edge Support
4.5
Motion Transfer
3.5
Response
4
Durability
5
Trial Period
5
Warranty
Our Expert’s Take
The Nectar is the only memory foam mattress on this list, and as such it performs quite a bit differently than the other products featured here.
The Nectar has a slow-moving feel that felt to mattress testers like being hugged by the bed’s surface. This stands in contrast to the other mattresses on this list, which have a bouncier feel. The memory foam construction also helps make this a great option for couples, as it isolates motion very well.
What the testers say: “The Nectar is one of the best bed-in-a-box mattresses, and it contains multiple layers of high-quality memory foam. This medium-firm mattress offers the quicksand-like comfort so many people associate with memory foam.” — Marten, Lead Reviewer
What We Love About the Nectar
The softness of the Nectar makes it a great choice for lightweight sleepers, as it will allow them to sink below the mattress surface just enough for pressure around the hips and shoulders to be relieved. Our lightweight mattress tester felt great on the cushiony surface of the Nectar, and we observed that her spine remained aligned in all three sleeping positions.
This mattress is very affordable, relative to many of the popular bed-in-a-box mattresses you can purchase online. A queen will cost you just under $1,000, and there are sometimes sales running that will make the Nectar even cheaper.
What to Keep in Mind About the Nectar
Unless you weigh 130 lb or less, you likely won’t find this mattress comfortable on your stomach. We suggest a firmer mattress for you stomach sleepers out there, one that will keep your hips supported and your spine aligned. We suggest you take a look at the WinkBed Plus instead.
Other User Reviews
This mattress has an average rating of 4.7/5 based on 50,129 reviews from the Nectar website. Customers have good things to say about the product’s effectiveness at combating back pain, however, some were unhappy to find that the Nectar was firmer than they were expecting.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
The DreamCloud is a hybrid mattress. This means it has both cushioning foam and supportive coil layers.
Firmness
On a scale from 1 to 10, with 1 being the softest, we rated this mattress 7.5/10. This makes the mattress firmer than average.
Price
$839-$2,178 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split king
Back Sleepers
Great support for back sleepers under 230 lbs.
Couples
Good balance of motion isolation and responsiveness.
Hot Sleepers
This bed’s cooling features can help keep you from overheating at night.
Pros of the DreamCloud
It is a good option for back sleepers. While it is a bit firmer than average, its balance of comfort and support will keep the spine in neutral alignment.
You shouldn’t be sleeping too hot on this mattress. The breathable cover, gel-infused foam, and airflow-promoting coils should prevent the mattress from trapping heat.
You should never feel stuck in this mattress. The DreamCloud is bouncy and responsive, so you will have no trouble moving around and changing positions.
The DreamCloud is a good value option. Hybrid mattresses can be quite pricey, but the DreamCloud is surprisingly affordable.
Cons of the DreamCloud
Side sleepers will want to find a softer mattress to give them the pressure relief they need.
Fans of the slow-moving memory foam feel won’t get that feeling on the DreamCloud.
Shipping
Free shipping
Trial Period
365 nights
Warranty
Lifetime warranty
Returns
You’ll receive a refund if you return your mattress within the trial period, but after a 30-day “break-in” period.
The DreamCloud is a hybrid mattress that offers great support for back sleepers and nice cooling for hot sleepers. Its mix of foam and coils ensures you get the right amount of support, while its breathable materials ensure you don’t sleep too hot. It is a bouncier mattress, and if you prefer more of a memory foam feel, consider the Nectar mattress. Learn more in our video review.
Mattress Clarity Test Results: DreamCloud
Poor
Average
Excellent
1
2
3
4
5
4
Overall Rating
4
Support
4
Edge Support
4
Cooling
3
Motion Isolation
4.5
Response
4
Durability
5
Trial Period
5
Warranty
Our Expert’s Take
Sometimes, people with back pain find their symptoms alleviated after sleeping on a luxury mattress at a nice hotel or resort. To bring that 5-star feel to your house, we recommend the DreamCloud. The DreamCloud is a luxury mattress that is also one of the firmest mattresses on this list, making it a great fit for sleepers who need more support, testers said. A stretch of supportive, individually wrapped coils sits at the bottom, and there’s some good contouring right on top from multiple layers of foam. The pillow top is an ultra-luxe blend of cashmere and foam, making it a favorite among testers.
As far as helping alleviate back pain, the DreamCloud should help because it’s on the firmer end. Firm mattresses offer more support for most average weight sleepers in the lumbar area thanks to study coils. So, if you’re a fan of a firmer mattress and dealing with some back pain, this is a great luxury option for back and stomach sleepers.
What the testers say: “While the DreamCloud was a firmer mattress, I still liked it for back sleeping. The multiple layers of foam and the set of individually-wrapped coils provided an excellent amount of lumbar support.” – Marten, Lead Reviewer
What We Love About the DreamCloud
The combination of a memory foam comfort layer and sturdy, supportive coils make this a great option for back sleepers who are facing some back pain. It should provide some pain relief by keeping you supported and not letting your hips sink too far into the mattress.
It’s built with many different cooling components. The coils alone allow for airflow, but the outer cashmere cover is very breathable. You shouldn’t sleep hot with this mattress.
The coils make it very springy and responsive. We found it very easy to move around on as we tested it. This is great for those who are looking for a mattress that’s easy to move around on and don’t want to feel trapped by memory foam.
What to Keep in Mind About the DreamCloud
Because of how firm this mattress is, it might not be the best choice for side sleepers. The top comfort layer isn’t very thick, so it won’t offer as much pressure relief or protection from pressure build-up as other beds. If you’re a side sleeper, consider the Bear Elite Hybrid instead.
Sleepers who are closer to or over 300 lbs may need an extra firm mattress or a mattress that’s designed to handle heavier weights. Instead, check out the Titan Plus.
Other User Reviews
The DreamCloud mattress has an average 4.7/5 star rating out of about 12,000 reviews. Many people praise it for the comfortable feeling it offers. Many even left reviews saying the mattress they purchased wasn’t the first DreamCloud they had bought. But those that had problems with it all dealt with firmness. Some found it to be firmer than expected. While firmness is subjective, this mattress does tend to fall on the firmer end of the spectrum.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
The Helix Midnight Luxe is a hybrid mattress. This means it has both cushioning foam and supportive coil layers.
Firmness
On a scale from 1 to 10, with 1 being the softest, we rated this mattress 6.5/10. This is the industry standard for medium-firm.
Price
$1,373-$2,073 (before any discounts)
Size
Twin, twin XL, full, queen, short queen, king, California king, RV king
Side Sleepers
Great pressure relief for side sleepers under 230 lbs.
Back Sleepers
Great support for back sleepers under 230 lbs.
Hot Sleepers
This bed’s cooling features can help keep you from overheating at night.
Pros
This bed has a hotel-like feel. The pillow top provides a plush comfort layer to sink into.
The Helix Midnight Luxe sleeps cool. Thanks to its cooling cover and copper-infused memory foam, even hot sleepers shouldn’t worry about overheating on this bed.
Even though it’s a hybrid mattress, this bed has great motion isolation. That means if you co-sleep, you’re less likely to feel your partner’s movements.
Cons
Stomach sleepers probably won’t find this bed supportive enough to keep their spine in proper alignment.
This is a luxury mattress model, so it wouldn’t be considered a budget-buy.
Shipping
Free shipping
Trial Period
100 nights
Warranty
15-year warranty
Returns
You’ll receive a full refund if you return your mattress within the trial period, but after a 30-day “break-in” period.
The Helix Midnight Luxe is a premium medium-firm mattress that offers a hotel-like feel for a relatively affordable price. Its zoned support and supportive coil layers make it a great option for back sleepers. It likely isn’t firm enough for most stomach sleepers, though. If you’re looking for a more supportive bed, check out the Titan Plus. Learn more in our video review.
Mattress Clarity Test Results: Helix Midnight Luxe
Poor
Average
Excellent
1
2
3
4
5
4.4
Overall
4.5
Support
4
Edge Support
4.5
Cooling
4.5
Motion Transfer
5
Durability
4.5
Trial Period
4.5
Warranty
4
Response
Our Expert’s Take
The Helix Midnight Luxe is a cool, medium-firm, hybrid mattress. This mattress is made up of a plush pillow top, multiple proprietary foams, and individually-wrapped coils so any sleeper can feel supported and comfortable while they rest.
Those who suffer from back pain will feel relief with this mattress, as its luxurious pillow top cover should relieve pressure from the hips and fill in the lumbar region. Sleepers shouldn’t feel like they’re sinking in too far though, and the coils offer extra lumbar support. It does this with a zoned coil system. This makes the bed feel firmer in the center to provide optimal back support. Customers can test out this mattress with a 100-night sleep trial. Additionally, Helix offers a 15-year warranty, free shipping, returns, and full refunds on its mattresses.
What the testers say: “The Helix Midnight Luxe offers some of the best lumbar support I have ever experienced. I could feel the zoning pressing up into my lumbar area, which should help prevent back pain over time.” – Marten, Lead Reviewer
What We Love About the Helix Midnight Luxe
This is considered a luxury upgrade from the base Midnight model, and it delivers on that. The pillow top gives it a wonderful, hotel-like feel, and the multiple foam layers are thick and offer really good body contouring. Also, the zoned coil system at the bottom offers good lumbar support for those dealing with back pain.
This bed already comes with a good amount of cooling components, but for those who are worried about overheating, you can always opt for a special cooling cover. We tried this cover, and it actually does deliver on its promise of being cool to the touch.
The Midnight is Helix’s most popular mattress, be it the base model or the Luxe model. It’s a perfect medium-firm that’s supportive, and easy to move around on all while isolating motion well. We recommend this firmness specifically for back sleepers with back pain, as it provided us with the right amount of support when we tested it on our backs.
What to Keep in Mind About the Helix Midnight Luxe
With “luxe” in the name, this is a rather luxurious bed. As such, it could be a bit pricey for those who are shopping for a new bed on a budget. If you want something more affordable that can also help with back pain we suggest you consider the Nectar.
Due to its medium-firmness, this bed is likely not going to offer enough support for stomach sleepers. There’s the potential for your hips to sink too far into the mattress, which can cause back pain. For stomach sleepers, we suggest the Titan Plus.
Other User Reviews
On Helix’s website, the Midnight Luxe has a respectable 4.5/5 star average out of over 5,000 reviews. Customers that were happy with the Midnight Luxe mentioned that it did help with some back and hip pain. There were a few others, however, that found they preferred the base model Midnight over the Luxe. This is because the thicker comfort layer wasn’t as responsive and was a bit too squishy to move around on. Overall, it should still be easy to move around on, but this is something worth pointing out.
Helix Midnight Luxe Specs
Material
Hybrid
Warranty
15-Year Warranty
Firmness
6.5/10: Medium-firm
Trial Period
100 Nights
Shipping
Free Shipping
Weight (Queen)
120 Pounds
Dimensions (Queen)
60”W x 80”L x 13.5”H
Price (Queen- Before Discounts)
$2373.80
Read our full review of the Helix Midnight Luxe to learn more! If you aren’t interested in the Helix Midnight Luxe mattress, check out our list of the Best Pillow Top Mattresses for more great options.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.5
Bear
Bear Elite Hybrid
Medium-Firm Feel
Lifetime Warranty
Sturdy Edges
Hybrid mattress
120-night sleep trial
Free shipping
Fall Sale
30% off + 2 free pillows with mattress purchase using code FALL30 See Details
The Bear Elite Hybrid is a hybrid mattress. This means it has both cushioning foam and supportive coil layers.
Firmness
Multiple firmness options: Soft, Medium, and Firm. On a scale from 1 to 10, with 1 being the softest, we rated the Medium model a 6.5/10, which is the industry standard for medium-firm.
Price
$1,893-$3,920 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split king
Side Sleepers
Back Sleepers
Hot Sleepers
Pros of the Bear Elite Hybrid
This mattress offers great value. It’s made with high-quality materials and backed by a lifetime warranty, but available at a relatively affordable price point.
It comes with excellent edge support. The Bear Elite Hybrid’s sturdy perimeter is helpful if you need a stable surface to get in and out of bed.
The bed’s cover and foam layers contain cooling materials to help regulate your body temperature. Its coil layer also promotes plenty of airflow to keep you cool.
Cons of the Bear Elite Hybrid
Doesn’t do the best job of isolating motion.
Likely not supportive enough for sleepers who weigh over 230 lbs.
Shipping
Free shipping
Trial Period
120 nights
Warranty
Lifetime warranty
Returns
You’ll receive a full refund if you return your mattress within the trial period, but after a 30-day “break-in” period.
The Bear Elite Hybrid is Bear’s most high-end mattress. It offers luxury features, like zoned support and extra height, while still offering the temperature regulation Bear mattresses are known for. Based on our testing results, we’d recommend this mattress to average-weight side and back sleepers, as well as hot sleepers. If you’re looking for a cheaper option, check out the Bear Star Hybrid. Learn more in our video review.
Mattress Clarity Test Results: Bear Elite Hybrid
Poor
Average
Excellent
1
2
3
4
5
4.5
Overall Rating
4.5
Support
4.5
Edge Support
4.5
Cooling
3.5
Motion Transfer
4
Response
4.5
Durability
5
Trial Period
5
Warranty
Our Expert’s Take
Medium-firm mattresses can help alleviate back pain, as they provide a great balance of comfort and support. If you’re really seeking a plush feel, the Bear Elite Hybrid could be the solution. Though we tested the medium-firm option, the soft model will be great for fans of plush mattresses. It has a memory foam comfort layer and a quilted cover that’s incredibly comfortable and cushioning.
Still, if you deal with back pain, you’ll need a bed that’s supportive enough to help keep your spine in a straight line. The Bear Elite Hybrid strikes this balance nicely due to its supportive coils. Overall, this hybrid mattress has a luxurious, soft feel that should provide sleepers with a very comfortable experience.
What the testers say: “The Bear Elite Hybrid has a hand-quilted cover that feels soft and luxurious. The exterior is made with phase change material, and it felt cool to the touch when I was reviewing.” – Elisa, Reviewer
What We Love About the Bear Elite Hybrid
Many mattresses are offered in different firmness models these days. The Bear Elite is a really good option for people who prefer a soft, luxurious mattress. But the other firmnesses can fit different needs. We’d recommend the Soft model specifically for side sleepers and lightweight sleepers with back pain.
This mattress was designed to not trap heat. The coils promote a lot of airflow within the bottom of the mattress. And the outer cover is made with something called phase change material, which stays cool to the touch.
The foam and the coils work well together for combination sleepers. It’s easy to move around on, but it still provides the comfort and support that people with back pain need.
What to Keep in Mind About the Bear Elite Hybrid
This is Bear’s most luxurious mattress. And as such, it does come with a luxury price tag. This is something to keep in mind if you are shopping on a budget.
You’ll need to consider your weight and sleeping position when selecting the firmness model. The soft model is best for side sleepers and lightweight people. The medium-firm is better for back sleepers and average-weight sleepers, while the firm will work better for heavier-weight sleepers and most stomach sleepers.
Other User Reviews
The Bear Elite Hybrid has earned an average 4.4/5 star average after about 300 reviews. Many reviews praised both the soft and medium-firm options as being great for side sleepers. Some even noted that it helped with aches and pains as well. When it comes to reviews that had three stars or less, the most common complaint was a persistent chemical or plastic smell after unboxing or the firmness not meeting their expectations.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
Saatva
Saatva Classic
Multiplem Firmnesses
Durable
Responsive
Hybrid mattress
365-night sleep trial
Free white glove delivery
Celebrating America Sale
$300 off $1,000 with mattress purchase See Details
The Saatva is a hybrid mattress. This means it has both cushioning foam and supportive coil layers.
Firmness
Multiple firmness options: Plush Soft, Luxury Firm, and Firm. On a scale from 1 to 10, with 1 being the softest, we rated the Luxury Firm model a 7/10, which is a bit firmer than average.
Price
$1,295-$2,790 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split king, split California king
Stomach Sleepers
Supportive enough for stomach sleepers under 230 lbs.
Back Sleepers
Great support for back sleepers under 300 lbs.
Hot Sleepers
This bed’s cooling features can help keep you from overheating at night.
Pros
The Saatva mattress is a great option for combination sleepers. It is available in multiple firmness options, but the Luxury Firm model works well for multiple sleeping positions.
The Luxury Firm model of the Saatva will work well for most back sleepers. Its balance of comfort and support and zoned construction ensure you’ll sleep in good neutral alignment.
Shoppers looking for a long-lasting mattress will love the Saatva. It feature high-density foam and durable coils that should ensure it lasts for over 10 years.
Cons
If you like the feel of a memory foam mattress, you’re not going to love the feel of the Saatva.
Lightweight side sleepers might not get the best pressure relief, even on the softest Saatva model.
Shipping
Free white glove delivery
Trial Period
365 nights
Warranty
Lifetime warranty
Returns
You’ll receive a full refund if you return your mattress within the trial period, but after a 30-day “break-in” period. A removal fee of $99 will be deducted from your refund.
The Saatva is a luxurious hybrid innerspring mattress that should be a great long-term investment. It is available in multiple firmness options, so it should work for the majority of sleeping positions, and its Luxury Firm model is one of the best mattresses for back sleepers. However, lightweight side sleepers and fans of memory foam should look elsewhere. Learn more in our video review.
Mattress Clarity Test Results: Saatva Classic
Poor
Average
Excellent
1
2
3
4
5
4.3
Overall rating
4.5
Support
4.5
Edge Support
4
Cooling
3
Motion Transfer
4.5
Response
4
Durability
5
Trial Period
5
Warranty
Our Expert’s Take
Unfortunately, back pain isn’t always the only thing keeping people from sleeping. Those who suffer pain in the lumbar region sometimes also endure aches and pains in the joints. If you’re struggling to find a mattress that can help address both issues, we have a suggestion for you: the Saatva is an innerspring mattress that features two sets of coils and a comfortable pillow top. You have multiple firmness options to choose from, but the Luxury Firm model should be the best for back pain. It boasts an excellent balance of comfort and support that should help to keep your spine in proper neutral alignment.
It does this by having two sets of coils. The top layer is a set of micro coils that can conform to your body, while the bottom layer is there for support to keep you from bottoming out. We tested the Luxury Firm model of the Saatva Classic and it has that classic innerspring feel to it. If you want that innerspring feel, the Saatva mattress fits the bill.
What the testers say: “The Saatva is one of my favorite innerspring mattresses. When I slept, I was especially impressed by its two sets of coils and zoned construction. I could really feel these materials holding my lumbar area.” – Marten, Lead Reviewer
What We Love About the Saatva Classic
It comes in multiple firmness options, but the Luxury Firm is a universal mattress for most. It’s just a bit firmer than medium-firm, coming in at 7/10 on our firmness scale. But we found this to be good for people with back pain who are looking for support.
The double layers of coils offer really good support for the mattress. Most should find this bed to help with back pain thanks to both its firmness and its coils.
It’s made with very durable materials that should help prevent it from sagging. As a sagging mattress can contribute to worsened back pain, we recommend you prioritize durability.
What to Keep in Mind About the Saatva Classic
Lightweight sleepers will find the Luxury Firm model too firm. It won’t offer the body contouring or pressure relief necessary for side sleeping. Instead, consider the Plush Soft version of the Saatva.
This has more of a traditional innerspring feel. It will be bouncy and responsive and doesn’t have much of a memory foam feel. It has a plush pillow top, but it won’t offer much body contouring or pressure relief for some side sleepers. If you’re after more of a memory-foam feel, consider the Nectar mattress.
Other User Reviews
With just under 3,000 reviews on Saatva’s website, the Saatva Classic has earned an average 4.8 star rating from customers. Looking at the positives, many were happy with the high-quality construction of the bed. It offered good support and felt very comfortable for a lot of people. Some reviews even praised the customer support team as well. For those that had issues with the Saatva classic, a majority of the reviews dealt with firmness. Regardless of the firmness option someone bought, many found the bed to be too firm.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.6
WinkBeds
The WinkBed
Multiple Firmnesses
Zoned Support
Breathable
Hybrid mattress
120-night sleep trial
Free shipping
Fall Sale
Get $300 off all our award winning mattresses See Details
The WinkBed is a hybrid mattress. This means it has both cushioning foam and supportive coil layers.
Firmness
Multiple firmness options: Softer, Luxury Firm, and Firmer. On a scale from 1 to 10, with 1 being the softest, we rated the Luxury Firm model a 7/10, which is slightly firmer than the industry standard for medium-firm.
Price
$1,149-$2,049 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king
Side Sleepers
Great pressure relief for side sleepers over 130 lbs.
Back Sleepers
Great support for back sleepers under 230 lbs.
Hot Sleepers
This bed’s cooling features can help keep you from overheating at night.
Pros
It has a bouncy, responsive feel. This is great for combination sleepers who benefit from a bed that makes it easy to change positions at night.
The WinkBed features zoned support. With firmer foam at the top and bottom and more cushioning foam in the middle, this bed has excellent lumbar support.
This bed sleeps cool. Thanks to the breathable coils and gel-infused memory foam, hot sleepers can expect a cool night’s rest.
Cons
This isn’t the best option for motion isolation.
The WinkBed doesn’t have a traditional “sink-in” memory foam feel.
Shipping
Free shipping
Trial Period
120 nights
Warranty
Lifetime warranty
Returns
You’ll receive a full refund if you return your mattress within the trial period, but after a 30-day “break-in” period.
The WinkBed is a versatile mattress that provides zoned support and cooling comfort for a fair price. This bed’s excellent responsiveness makes it a good fit for combination sleeper that want a bed that’s easy to move around on. For couples looking for motion isolation, though, this probably isn’t the best choice. Instead, check out the Nectar Premier Copper. Learn more in our video review.
Mattress Clarity Test Results: WinkBed
Poor
Average
Excellent
1
2
3
4
5
4.5
Overall Rating
5
Support
5
Edge Support
4
Cooling
4.5
Response
3.5
Motion Transfer
4.5
Durability
5
Trial Period
5
Warranty
Our Expert’s Take
Sleepers who struggle with back pain should be looking for a few things in a mattress. They’ll want something that’s durable, close to medium-firm and supports proper, neutral spinal alignment. Well, there’s a reason I’m highlighting WinkBed. It fits all these criteria! In addition to its individually wrapped coils for zoned lumbar support, the WinkBed boasts optimal comfort and pressure relief as a gel-infused pillow-top mattress.
This classic innerspring mattress is bouncy and responsive, making it easy to move around on. Though we love the Luxury Firm model at Mattress Clarity, which is around that medium-firm range, if not a bit firmer, the WinkBed mattress is also available in different firmness options. Regardless of which firmness you pick, this is a great option for helping with back pain.
What the testers say: “The Luxury Firm model of the WinkBed offered an excellent balance of comfort and support. And, due to its zoning, I experienced extra lumbar support. Its medium firmness and zoning let me know it should be good for those with back pain.” – Marten, Lead Reviewer
What We Love About the WinkBed
The Luxury Firm model is just a touch firmer than medium-firm, but it’s still a good option for those looking for a medium-firm mattress. But, if you need something softer or firmer, WinkBed does offer this in different firmness options.
The zoned coil system makes the mattress firmer in the center of the mattress. When we rested on it, we felt that it adequately supported the lumbar area of your backs, which is what helps with back pain.
In our experience testing the WinkBed, we felt that it did a good job of dissipating heat. The coils in the support system allow for a lot of airflow, and the outer cover is made with Tencel, which is both breathable and moisture-wicking.
What to Keep in Mind About the WinkBed
Due to the coils, this bed might not be the best for couples who are light sleepers. It doesn’t handle motion transfer well, meaning you will feel your partner move around or get in and out of bed.
This might not be the best mattress for people who are shopping on a strict budget. Even after a discount, a queen WinkBed mattress is about $1,500. Consider the Brooklyn Bedding Signature Hybrid if you’re trying to save some money.
Other User Reviews
On the WinkBeds website, customers have sent in reviews and out of 8,000+, the WinkBed mattress has an average star rating of 4.8/5. Many customers are happy with the mattress as it helps with some back pain and it feels very comfortable. Most of the reviews that had complaints dealt with firmness. Many side sleepers found the mattress to be too firm, even with soft firmness. This mattress is closer to a traditional innerspring, so if you’re a side sleeper, we would suggest looking for something else.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.5
Nolah
Nolah Evolution
Multiple Firmnesses
Cooling
Motion Isolation
Hybrid mattress
120-night sleep trial
Free shipping
Fall Sale
35% off + 2 free pillows with mattress purchase See Details
The Nolah Evolution is a hybrid mattress, which means it has coils at the bottom and memory foam on top.
Firmness
Multiple firmness options: Plush, Luxury Firm, and Firm. On a scale from 1 to 10, with 1 being the softest, we rated the Luxury Firm model a 6.5/10, which is the industry standard for medium-firm.
Price
$1,499-$3,198 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split king
Back Sleepers
The Nolah Evolution Hybrid offers great lumbar support for most back sleepers under 300 lb.
Hot Sleepers
This bed has graphite-infused foam, which helps dissipate body heat. It also has coils that promote airflow.
Pros of the Nolah Evolution
It has great cooling features, such as graphite-infused foam and airflow-promoting coils.
Even though it has coils, it isolates motion well. This makes it a great mattress for couples.
It’s available in three firmness levels, so it works for a variety of people.
Cons of the Nolah Evolution
It lacks a slow-moving feel.
It’s not supportive enough for most people who weigh more than 300 lb.
Because it’s a luxurious mattress, it might be too pricey for some people.
Shipping
Free shipping
Trial Period
120 nights
Warranty
Lifetime warranty
Returns
You’ll receive a full refund if you return your mattress within the trial period, but after a 30-day “break-in” period.
The Nolah Evolution Hybrid mattress is available in three firmness levels. The Luxury Firm model works well for many back and side sleepers. This mattress has many cooling features, and it isolates motion well. It’s not a great option for most people who weigh over 300 lb, though. If you fall in this category, you may need more lumbar support. Watch our Nolah Evolution mattress review video to learn more.
Our Expert’s Take
If you find yourself with lower back pain, then the Nolah Evolution might help you get some relief. The mattress is firmer toward the center, and this zoning makes for great lumbar support. Because it’s a hybrid mattress, the Nolah Evolution has foam for pressure relief and strong coils. This construction provides the extra comfort and support that those with back pain need.
This mattress does come in a few different firmness options, and we tested the Luxury Firm model. This version has a more traditional medium-firm feel to it. The proprietary AirFoam™ is more responsive than traditional memory foam. Testers still found this to be nice and pressure-relieving, but it’s very easy to move around on. And thanks to the zoned coils, you really feel that lumbar support.
What the testers say: “I could really feel the zoning when I was lying on the Nolah Evolution Hybrid. It pressed up into my lower back and gave me all the support I needed there.” – Marten, Lead Reviewer
What We Love About the Nolah Evolution
The Nolah Evolution has zoned coils. This means that it feels firmer in the center of the bed, which helps provide some extra lumbar support for back sleeping. This is what should help alleviate back pain.
There are many cooling components built into this mattress. The foam is designed to not trap heat, and the entire mattress comes inside a very cooling, breathable cover. We gave it a perfect score of 5/5 on our cooling test, as it kept us at a very comfortable temperature as we rested on it.
The Luxury Firm model is ideal for those who are looking for a medium-firm feeling mattress.
What to Keep in Mind About the Nolah Evolution
The Nolah Evolution is the brand’s most luxurious model. As such, it comes with a luxurious price tag. This might not be the best choice for shoppers who have a strict budget in mind. For a cheaper option, consider the Nectar.
While the AirFoam™ is great for combination sleepers, it might not be the best for those who are looking for a more traditional memory foam feel and who prefer that sinking, slow-moving feel.
Other User Reviews
With a high average star rating of 4.9, the Nolah Evolution is just about as close to perfect for most customers. Many mentioned that it helped them get better sleep quality, and many reviews said the Nolah Evolution helped with pain. Those that had some issues all dealt with firmness. Some said they should have trusted their instincts and gone with a different firmness. With so many firmness options available, it can be hard to know which is right for you. Luckily, Nolah does offer exchanges for those who need it.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
The Plank Firm Luxe is a hybrid mattress, meaning it contains both coil and foam layers.
Firmness
The Plank Firm Luxe is flippable, offering an 8/10 (firm) firmness on one side and 9/10 (ultra-firm) on the other.
Price
$693-$1,299 (before any discounts)
Size
Twin, twin XL, full, queen, short queen, Olympic queen, king, short king, California king, split California king, RV king
Back Sleepers
Great support for back sleepers under 230 lbs.
Stomach Sleepers
Provides lots of support under hips for stomach sleepers.
Hot Sleepers
This bed’s optional cooling panel can help keep you from overheating at night.
Pros of the Plank Firm Mattress
The mattress is flippable, giving you two different firmness options (firm and extra-firm) in one bed.
You can add a cooling cover to each side for a modest fee.
Cons of the Plank Firm Mattress
It doesn’t offer a slow-moving memory foam feel. You’ll feel more on-top of the bed, than sunken in.
Side sleepers may not be able to get enough pressure relief, even on the bed’s less firm side.
Shipping
Free shipping except for HI and AK
Trial Period
120 nights
Warranty
10-year warranty
Returns
$99 return fee
The Plank Firm Luxe is a versatile ultra-firm mattress for sleepers who may typically struggle to find a bed that offers the level of firmness they need (heavyweight, stomach, and back sleepers in particular). Moreover, the bed’s dual firmness levels, and cozy, cool, yet durable construction, make the Plank Firm Luxe our favorite firm mattress for back pain.
Mattress Clarity Test Scores: Plank Firm Luxe
Poor
Average
Excellent
1
2
3
4
5
4.5
Overall Rating
4
Support
4
Edge Support
5
Cooling
4
Response
4
Motion Transfer
5
Durability
5
Trial Period
5
Warranty
Our Expert’s Take
The Plank Firm Luxe is one of the firmest mattresses available today. It is designed for heavier sleepers, stomach sleepers, and back sleepers seeking a mattress that can efficiently support the neutral alignment of the spine to prevent inflammation in the back while still delivering a luxury standard of comfort.
The Plank Firm Luxe uniquely offers two super firm options in the same mattress. One side is roughly an 8/10 firmness (firm), with the other being a 9/10 firmness (extra firm). This offers sleepers versatility, allowing people who struggle with back pain to experience the level of support they need on-demand by simply flipping over the mattress. However, while ideal for back and stomach sleepers, according to our testers, only heavyweight side sleepers may experience adequate comfort and support on this ultra-firm mattress, suggesting that most side sleepers should look elsewhere.
After testing the Plank Firm Luxe, our sleep specialists gave the bed a 4/5 for its ability to keep hot sleepers cool on either side of the bed. They pointed out that the bed’s combination of a coiled core and quilted top on each side provides “plenty of airflow to circulate throughout the mattress.” Furthermore, people already experiencing back pain or who struggle to get in and out of bed should take notice of Plank Firm Luxe’s near-perfect edge support (4.5/5) and orthopedic support (4.5/5) scores given by our testers after putting the bed to the test. Also, couples seeking a bed with quality motion isolation and a long-lasting build may want to consider the Plank Firm Luxe. Our testers gave the bed a 4/5 for its ability to isolate disruptive motion while retaining a bouncy feel and a 4/5 for its durability, stating, “With proper care, expect this mattress to last for between 7 and 10 years—if not more.”
The Plank Firm Luxe is a versatile ultra-firm mattress for sleepers who may struggle to find a bed that offers the level of firmness they need (heavyweight, stomach, and back sleepers in particular). In conclusion, the bed’s dual super firm firmness levels and cozy, cool, yet durable construction make the Plank Firm Luxe our favorite firm hybrid for back pain.
What the testers say: “The Plank Firm Luxe is an ideal mattress for stomach sleepers, most back sleepers and those who love the feel of an ultra-firm mattress. It’s not going to work well for lightweight people or side sleepers, who need a softer bed to be comfortable.” – Marten, Lead Reviewer
What We Love About the Plank Firm Luxe
The Plank Firm Luxe offers two firmness options in the same bed. It allows you to flip the mattress for a firm 8/10 sleeping surface on one side and an ultra-firm 9/10 sleeping surface on the other.
Most heavyweight and stomach sleepers who struggle to find a bed that is firm enough to support them should be able to get quality rest and spinal support on the Plank Firm Luxe.
People experiencing back pain or looking to avoid back inflammation from poor rest should appreciate the firm posture support offered by the Plank Firm Luxe.
What to Keep in Mind About the Plank Firm Luxe
Lightweight and most side sleepers will find both sides of the Plank Firm Luxe way too hard and should consider a softer mattress geared towards their body type or sleeping position.
While its original hybrid design makes the Plank Firm Luxe an excellent choice for hot sleepers, the additional cooling panel offered for ultra-weary hot sleepers comes with an extra fee.
Other User Reviews
On Amazon, the Plank Firm Luxe has over 120 reviews, scoring an average of 4.3/5. One verified buyer wrote, “Overall, this mattress is firm. I just received it, and it is firm for your back, and you can tell it will be a long-lasting mattress. If you are struggling to look for a supportive, easy set-up and non-smelling mattress, I would recommend it. If you are a side sleeper, just be cautious due to it being firm. But overall, I am happy with this mattress and feel good about the purchase!”
Plank Firm Luxe Specs
Material
Hybrid
Warranty
10 year
Firmness
Flippable: 8/10 (firm) firmness on one side and 9/10 (ultra-firm) firmness on the other
Trial Period
120 Nights
Shipping
Free shipping except for HI and AK
Weight (Queen)
122 Pounds
Dimensions (Queen)
60”W x 80”L x 13”H
Price (Queen- Before Discounts)
$1532.00
Read our full Saatva RX mattress reviewto learn more. If you aren’t interested in the Saatva RX mattress, check out our list of the Best Mattressesfor more great options.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
The Brooklyn Bedding Signature is a hybrid mattress. This means it has both cushioning foam and supportive coil layers.
Firmness
Multiple firmness options: Soft, Medium, and Firm. On a scale from 1 to 10, with 1 being the softest, we rated the Medium model a 6.5/10, which is the industry standard for medium-firm.
Price
$665-$1,599 (before any discounts)
Size
Twin, twin XL, full, short full, queen, short queen, king, short king, Olympic queen, California king, split California king, RV king
Back Sleepers
Great support for back sleepers under 230 lbs.
Couples
Good balance of motion isolation and responsiveness.
Pros of the Brooklyn Bedding Signature
The Brooklyn Bedding Signature is a budget-friendly mattress. It’s a good fit for shoppers looking for an affordable, versatile bed.
Combination sleepers will find it easy to change positions on this bed. Thanks to its bouncy coil construction, the Signature offers a very responsive surface.
Back and side sleepers under 230 lbs can expect great pressure relief and support on this bed.
Cons of the Brooklyn Bedding Signature
This bed doesn’t provide much motion isolation.
The Brooklyn Bedding Signature isn’t a luxury mattress.
Shipping
Free shipping
Trial Period
120 nights
Warranty
10-year warranty
Returns
You’ll receive a refund if you return your mattress within the trial period, but after a 30-day “break-in” period. A removal fee of $99 will be deducted from your refund.
The Brooklyn Bedding Signature is an affordable, no-frills bed with a medium-firm feel that should work for a wide variety of sleepers. While it’s made with durable materials and should last up to 10 years, it isn’t the most luxurious option. If you’re looking for a premium bed, check out the Brooklyn Bedding Aurora Luxe. Learn more in our video review.
Mattress Clarity Test Scores: Brooklyn Bedding Signature
Poor
Average
Excellent
1
2
3
4
5
4.1
Overall Rating
4
Support
4
Cooling
4
Edge Support
3
Motion Transfer
4.5
Response
4
Durability
5
Trial Period
4
Warranty
Our Expert’s Take
Sleepers who experience back pain are going to need a balance of comfort and support. Their bed should have a bit of plushness, but they won’t want to sink too far into it. They may find what they’re looking for in the hybrid construction of the Brooklyn Bedding Signature.
The mattress provides some softness in the top comfort layers while also giving elderly sleepers a slight lift from a 6” support layer of individually wrapped ascension coils. But depending on preference, this mattress does have a few firmness options available. We tested the Medium model, and this should be a great pick for most seniors who are back and side sleepers.
What the testers say: “The Brooklyn Bedding Signature Medium model provided me with both comfort and support. I believe many types of people who deal with back pain could fine relief on this mattress.” – Marten, Lead Reviewer
What We Love About the Brooklyn Bedding Signature
We found that this bed offers a really good balance of comfort and support. With this in mind, back and side sleepers should find pain-free sleep on the medium-firm model.
The bouncy feel of this hybrid made it very easy for us to move around on. People with back pain who don’t want to feel trapped by an all-foam bed should enjoy this mattress.
Brooklyn Bedding owns its own factory, and because of this, the brand’s mattresses are very affordable. And if you shop around holidays, you’ll often be able to save big thanks to discounts.
What to Keep in Mind About the Brooklyn Bedding Signature
It’s a rather simple mattress in design. It may not have a lot of luxurious features for those who are looking to elevate their mattress. If you’re interested in more bells and whistles , check out the Nolah Evolution.
This mattress does not isolate motion very well. While it’s easy to move on, if you sleep with a partner, you’ll notice your partner shifting around during the night.
Other User Reviews
The Brooklyn Bedding Signature has an impressive 10,000 reviews on Brooklyn Bedding’s website. From all these reviews, the Signature has achieved an average 4.7/5 star rating. There are a good number of reviews that praise the Signature for its ability to help with aches and pains. Those that had issues with it were with the firmness. This can often be the case when multiple firmnesses are available, so you should consider your weight and sleeping position when looking at firmness options.
Best Mattress for Heavy People with Back Pain – Titan Plus
Best Mattress for Heavy People
Mattress Clarity Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
The Titan Plus is a hybrid mattress. This means it has coils at the bottom and foam on top.
Firmness
The Titan Plus mattress is very firm. On a scale from 1 to 10, with 1 being the softest, we rated it a 9/10.
Price
$699-$1,499 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split California king
Heavyweight sleepers
This mattress has a thick comfort layer and sturdy coils that can handle heavier weights.
Stomach Sleepers
It offers lots of hip support, which can help stomach sleepers maintain the correct spinal alignment.
Couples
This mattress has good edge support and motion isolation.
Pros of the Titan Plus
It works well for people who weigh 230 – 500 lb, thanks to its supportive feel.
This mattress has great edge support.
The Titan Plus mattress is breathable and cool, so it works well for hot sleepers.
Cons of the Titan Plus
Lightweight people likely won’t get enough pressure relief on this mattress.
It’s too firm for many side sleepers, who will likely need more cushioning along their shoulders and hips.
Shipping
Free shipping
Trial Period
120 nights
Warranty
10-year warranty
Returns
You’ll receive a refund if you return your mattress within the trial period, but after a 30-day “break-in” period. A removal fee of $99 will be deducted from your refund.
The Titan Plus mattress works well for many heavyweight back and stomach sleepers. It’s quite firm, coming in at 9/10 on our firmness scale. This means that many side sleepers won’t get the pressure relief they need along their shoulders and hips. Watch our Titan Plus mattress review video to learn more.
Mattress Clarity Test Scores: Titan Plus
Poor
Average
Excellent
1
2
3
4
5
4.2
Overall Rating
4.5
Support
4.5
Edge Support
4.5
Cooling
3
Motion Transfer
4
Durability
5
Trial Period
4
Warranty
Our Expert’s Take
Hybrid mattresses are often good choices for back pain because they have foam to cushion the lumbar region and coils to keep the spine in a neutral alignment. It’s all about that mix of comfort and support. The Titan Plus gets especially high marks in the support department, as it was designed for heavy people and is made with durable materials.
Sleepers over 230 lb who experience back pain should be particularly comfortable on this bed and might even experience it as a softer mattress than lightweight or average-weight sleepers. This mattress is also firm enough for stomach sleepers. It will keep hips elevated, and keep strain off of the lower back.
What the testers say: “When I tried out the Titan Plus mattress, I got all the support I could ever need. It is made for heavier people, and I did not want for support while back and stomach sleeping.” – Marten, Lead Reviewer
What We Love About Titan Plus
We rated the Titan Plus a 9/10 on our firmness scale, making it one of the firmest mattresses we’ve tested. This is great for heavyweight people with back pain because it should keep your back supported and keep your hips from sinking too far into the mattress.
The Titan Plus is designed specifically for heavyweight sleepers, and can support up to 500 lb. This is thanks to industrial coils and a thinner comfort layer. Our heavyweight mattress testers felt great on the Titan Plus, especially while in the back- and side-sleeping positions.
It’s a great option for those who have a budget in mind. A queen size Titan Plus comes in under $1,000 when discounted around holiday season.
What to Keep in Mind About the Titan Plus
Considering how firm this mattress is, if you’re a side sleeper, you’ll likely face a lot of shoulder and hip pain on this mattress. We would recommend something much softer than the Titan Plus for side sleepers, like the Nectar.
Given the firm feel to this bed, you’re going to sleep more “on top” of the bed, rather than “inside” of it. If you’re a fan of a memory foam mattress, or prefer thicker memory foam comfort layers in a mattress, this might not be the best choice.
Other User Reviews
Out of around 2,400 reviews on Titan’s website, the Titan Plus has an average rating of 4.7/5 stars. For those that loved the mattress, they praised how truly firm it was. Customers felt supported while they slept. However, from three stars and below, many mentioned that over time, they noticed a depression in the middle of the bed develop.
What Should Someone Look for in a Mattress to Relieve Back Pain?
So, now that we know what back pain is and what causes it, how can a mattress deal with this pressing issue? And for those looking for a mattress to alleviate and prevent back pain, what should they consider?
Lumbar Support
For pain sufferers, the lower back area must be properly supported. One 2005 study, which was published in The Journal of the Canadian Chiropractic Foundation, found that good lumbar support “limit[s] unfavorable compressive and shearing forces acting on the lumbar spine.”
Mattresses such as the Level Sleep have a special system to ensure the lumbar area has extra support. You can also check out some of our best orthopedic mattresses.
Comfort Layer Thickness
Along with lumbar support, people should think about just how thick the mattress’ comfort layer is. While a thick comfort layer can feel great at first, it might not give the proper support; there’s the chance of sinking too far into the mattress.
The Harvard Medical School says, “You might also sink in so deeply that your joints twist and become painful during the night.” That said, it’s important to consider one’s sleeping position when taking comfort layer thickness into account. For side sleepers, a thicker comfort layer could be a better match.
Firmness
The overall firmness of a mattress comes into play when thinking about back pain (but also depends on one’s sleep position). Doctors once recommended that pain sufferers opt for a firm mattress.
But that’s since changed, and medical professionals recommend a medium-firm mattress. A 2015 study from the journal Sleep Health found that “a mattress that is subjectively identified as a medium-firm mattress and is custom-inflated (self-adjusted) is optimal for promoting sleep comfort, quality, and spinal alignment.“
Weight
Anyone who’s considered a larger person should take this into account when choosing a mattress for back pain. One’s weight can affect how firm a mattress feels, as well as much support it can offer. It might be necessary to choose a mattress that would feel firm to a lighter person. Also, there’s a risk of “bottoming out” on a mattress, so a thick comfort layer might not be ideal.
It’s always important to consider one’s size and weight when searching for a mattress; customers want to make sure that their new mattress will properly support heavier weights. Check out our best mattresses for heavier people page for more mattresses with lots of support.
This is even more important when discussing mattresses for back pain, as larger people require even more support under their lumbar area so that they don’t get out of alignment. Out of these 10 mattresses, three stand out among the rest for heavier sleepers.
Helix: Although we recommended the Helix Midnight Luxe, heavier sleepers should seek out the Helix Plus, the brand’s bed designed specifically with larger people in mind. It has that medium firmness that those with back pain should be searching for, but is also incredibly supportive and offers the necessary lumbar support.
Saatva: This is also a fantastic match because it features a nice balance of comfort and support. Heavier back sleepers should receive excellent lumbar support, with the mattress conforming to the curves of their body. As for heavier side sleepers, their hips should sink in the right amount, and the memory foam should press up to fill in their gaps and keep the spine in proper neutral alignment.
WinkBed: With its supportive coils and plush top, heavier people should also find the WinkBed to be a good fit. Specifically, they should consider the WinkBed Plus, which has high-density Body Impression-Proof foam and even more support in its coils.
Durability
After finding that perfect medium-firm mattress with just the right amount of comfort, people still want to know that the bed will handle back pain for a good duration of time.
Density
You’ll want to pay particular attention to the density of foams and the quality of other materials such as coils and pillow tops. If the mattress begins to sag, this could make the back pain even worse.
Best Type of Mattress for Back Pain
So how can you find the best type of mattress to alleviate your back pain? Certain mattresses are better suited for people with back pain than others.
Memory foam mattresses are great for sleepers with back pain. The material does a nice job of evenly distributing body weight across the surface to prevent pain in the pressure points, especially for side sleepers.
Hybrid mattresses are ideal for people with back pain. Combining a supportive coil layer with a contouring comfort layer on top gives a nice balance that back pain sufferers need.
Latex mattresses have nice contouring abilities without causing too much sinkage, making them a good match for people with back pain.
Innerspring mattresses are not ideal for back pain sufferers since they’re made with mostly coils. This type of construction makes for a more firm and bouncy bed, rather than one that’s contouring and relieves pressure. Outfitting an innerspring mattress with a foam or latex mattress topper to provide a soft, cushiony layer can help.
The way you position your body at night also impacts your back pain. Different positions put extra strain on your muscles and joints.
Stomach-Sleeping
Stomach sleepers put the most strain on the lower back area, as well as the neck. The more lofted their pillow is, the worse this lumbar strain becomes. They should use a thin pillow and a more firm mattress that won’t cause sinkage. Check out our lists for the best mattresses for stomach sleepers and the best pillows for stomach sleepers to ensure you’re getting proper support.
Side-Sleeping
Side sleepers put the most pressure on the shoulders and hips. A medium to medium-firm mattress with a contouring comfort layer topped on a supportive base layer provides the match of comfort and support they need to keep their spine aligned. If a mattress is too soft or too firm, the spine will not stay aligned and back pain can worsen. This can also lead to neck and shoulder pain.
Back-Sleeping
Back-sleeping is generally the most recommended option because you have the best chance of keeping your spine aligned correctly.
However, a mattress that’s too soft will cause the hips to sink in too far, while a mattress that’s too firm won’t support the natural curvature of the spine in the lumbar area. A medium-firm to firm mattress is typically the most comfortable for back sleepers.
What Is Back Pain?
Most of us know when our back is giving us issues, but what’s happening here behind the scenes?
According to the National Institute of Arthritis And Musculoskeletal And Skin Diseases, back pain is “one of the most common medical problems in the U.S.; it can range from a dull, constant ache to a sudden, sharp pain that makes it hard to move.”
Surveys from the National Institute of Neurological Disorders and Stroke found that about 80 percent of Americans will struggle with back pain at some point in their lifetimes. This potentially helps explain why back pain is the fifth most common reason people go to the doctor.
At the same time, many pain sufferers do not see a doctor because of pride, money issues, or other reasons. The Mayo Clinic describes back pain symptoms as:
Muscle ache
Shooting or stabbing pain
Pain that radiates down the leg
Pain that worsens with bending, lifting, standing, or walking
Pain that improves with reclining
The Mayo Clinic also defines two types of back pain: acute and chronic. Acute back pain occurs when symptoms last between a few days and a few weeks. If the symptoms last for over 12 weeks, this is considered chronic back pain.
What Causes Back Pain?
Just as the symptoms of back pain can vary, there are numerous reasons someone might be feeling back pain. Here are some of the most common.
Strain: If someone works a job that requires him/her to lift especially heavy objects, the repetition of this action can potentially lead to muscle and ligament strain. Also, simply lifting a heavy object without using the legs can potentially cause immediate strain in the lower back area. If someone is in poor physical shape, it increases the likelihood of pulling a muscle.
Ruptured or herniated discs: The Academy of Orthopedic Surgeons says, “A disc begins to herniate when its jelly-like nucleus pushes against its outer ring due to wear and tear or a sudden injury. This pressure against the outer ring may cause lower back pain and, if the pressure continues, the jelly-like nucleus may push through the disk’s outer ring or cause the ring to bulge. This puts pressure on the spinal cord and nearby nerve roots. In addition, the disk material releases chemical irritants that contribute to nerve inflammation.”
Arthritis or scoliosis: Arthritis can have a direct impact on the lower back area in multiple ways. Arthritis, for instance, can lead to spinal stenosis, wherein the spaces in the spine narrow and begin to put pressure on the nerves. Scoliosis, on the other hand, is an unnatural curvature of the spine. This can affect posture, stretching muscles, and pinching nerves, thereby causing back pain issues. Make sure to check out our best mattresses for arthritis.
Serious injury: Car accidents, sports-related injuries, and workplace falls can all lead to pulled muscles, pinched nerves, and herniated discs. These are all associated with back pain and are very common occurrences in America.
Sciatica: The sciatic nerve goes through the buttocks and down the back of the leg. If this nerve is compressed, people could potentially experience back pain or numbness in the leg.
Types of Back Pain
There are two main types of back pain, acute back pain, and chronic back pain.
Acute back pain is sharp and intense back pain that usually comes from some sort of back trauma like a fall or an injured muscle. Chronic back pain is consistent back pain that lasts more than three months. Sometimes chronic back pain can be related to injury or trauma, but it’s usually not easy to pinpoint where the pain stems from.
Back pain can also affect the different areas of your back in different ways.
Lower back pain is the most common type of back pain. Lower back pain is often associated with strains in the muscles around your spine, and many times, that strain can happen when you’re asleep. If your spine isn’t properly aligned at night, and you aren’t sleeping on a supportive mattress, you may feel an ache in your lower back.
Pain in the middle back isn’t as common as lower back pain and can sometimes be caused by an undiagnosed medical problem, but sometimes, you may feel sore in your mid back due to poor posture and lack of support and cushion on your body when you sleep.
Again, upper back pain can be a sign of a health condition, in which case you should visit your doctor, but if you are experiencing this type of pain when you sleep, you want to ensure that you’re sleeping on a pillow with the right loft for you.
Sleeping Tips for People with Back Pain
If you don’t address your back pain in some way, it could continue to worsen over time with increased stress on the joints and spine. That being said, here are some actionable steps you can take to help you sleep with back pain.
Purchase a more comfortable and supportive mattress: Of course, our first recommendation is that you check out the mattresses we’ve listed as being the best for people looking for spine support and back pain relief.
Top off your current mattress with a mattress topper: A pressure-relieving mattress topper could be just the relief you need to keep your spine aligned when you sleep. Check out our list of Best Mattress Toppers for Back Pain for more information.
Change up your sleeping position: Sleeping on your back is the best way to keep your spine in a neutral position. If you’re a stomach or side sleeper, you may want to consider switching up your position.
Use pillows for support: Using a pillow with the right amount of loft is important for keeping the cervical spine in alignment (the part at the base of your neck). If you sleep on your stomach, make sure you’re sleeping on a thin pillow. Back and side sleepers need a medium to thick pillow. Stomach sleepers may also benefit by placing a thin pillow under the pelvis region to support the lumbar region of the spine. Side sleepers can be more comfortable with a pillow between the knees.
Speak with a doctor or medical professional: If your back pain is causing severe discomfort and becoming a hindrance to your sleep, it’s always best to consult an expert for medical advice.
Should you sleep on a firm or soft mattress if you have back pain?
A firm mattress can certainly be good for back pain. But keep in mind that firmness has more to do with feel than it does foundation or support. There are also soft mattresses that can be good for back pain, as long as they’re supportive enough. It’s all about what you prefer as a sleeper.
Are hybrid mattresses good for back pain?
In general, we believe that a hybrid mattress tends to be the best for back pain. The coils at the bottom give the sleeper a lot of support and help keep the spine in a neutral alignment, while the foams up top create pressure relief.
What is the best mattress topper for back pain?
Your first stop should, naturally, be our roundup of the best mattress toppers for back pain. From there, you’ll want to hone in on your individual sleep preferences and what specific kind of back pain you experience. Overall, we’d say that the best mattress topper for back pain (in general) is the Saatva.
What mattresses are not good for back pain?
Anything that doesn’t offer the proper level of comfort and support. If you feel the mattress sagging or think you might be sinking in too much, then it probably isn’t going to help your back pain. While you want it soft enough to feel comfortable and pressure-relieving, you also want to feel a slight lift.
Is memory foam good for your back?
Memory foam mattresses can be a good option for back pain, but there are a few things to keep in mind to sleep better. First, make sure that the mattress is still in that medium-firm range; if the mattress is extremely soft, it might not offer quite enough support.
[Editor’s Note: The information provided should not be considered a substitute for professional advice. Please consult a medical professional or another medical expert if you have health-related questions.]
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Marten Carlson
Marten is the Lead Reviewer at Mattress Clarity. He is a Certified Sleep Science Coach and covers the mattress industry as well as sleep science news. He is specifically interested in the connection between sleep and overall health.
Marten has written for media publications like Consequence of Sound and received a master’s degree in Film Studies from Emory University.
He comes from Franklin, Indiana, and spends all the time he can writing, directing, and acting in films.
