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 best mattresses for back pain relief.
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 DreamCloud Luxury Hybrid as the best mattress for upper and lower back pain for its firm support, cooling features, and versatility, especially for sleepers over 230 lbs.
[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.]
The Best Mattresses for Back Pain
- DreamCloud Luxury Hybrid – Best Firm Mattress
- Helix Midnight Luxe – Best Pillow-Top Mattress for Back Pain
- WinkBeds – Best Medium-Firm Mattress for Back Pain
- Titan Plus – Best Hybrid Mattress for Back Pain
- Nolah Evolution – Best Mattress for Lower Back Pain
- Bear Elite Hybrid – Best Soft Mattress for Back Pain
- Brooklyn Bedding Signature – Best Mattress for Seniors with Back Pain
- Saatva – Best Innerspring Mattress for Back Pain
- Puffy – Best Cooling Mattress for Back Pain
- Birch Luxe Natural – Best Organic Mattress for Back Pain
Best Mattress for Back Pain 2023: Video Roundup
Compare the Best Mattresses for Upper and Lower Back Pain
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| DreamCloud Original Mattress | Helix Midnight Luxe Mattress | WinkBed Mattress | Titan Plus | Nolah Evolution Hybrid Mattress | Bear Elite Hybrid Mattress | Brooklyn Bedding Signature Hybrid Mattress | Saatva Mattress | Puffy Mattress | Birch Luxe Natural Mattress | |
| Rating | ||||||||||
| Firmness | Firm: 7.5/10 | Medium-firm: 6.5/10 | Multiple firmness options | Firm: 9/10 | Multiple firmness options | Multiple firmness options | Multiple firmness options | Multiple firmness options | Medium-firm: 7/10 | Firm: 7.5/10 |
| Material | Hybrid | Hybrid | Hybrid | Hybrid | Hybrid | Hybrid | Hybrid | Innerspring | Foam | Hybrid |
| Cooling | ✓ | -- | ✓ | -- | -- | -- | -- | ✓ | -- | -- |
| Sleep Position | Back | Combination | Combination | Back & Stomach | Back & Side | Back & Side | Back | Back & Stomach | Back & Side | Back & Stomach |
How We Chose the Best Mattresses for Upper and Lower Back Pain
Our team of Certified Sleep Coach Specialists have reviewed more than 150 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.
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 10 products on our list, seven mattresses scored a 4 out of 5 or higher in the category of support and eight mattresses scored a 4 out of 5 or higher in the category of durability.
Also, if you specifically experience lower back pain, check out our list of the best mattresses for lower back pain and sciatica.
Best Firm Mattress: DreamCloud
DreamCloud Original Mattress
Material
Hybrid
Trial Period
365 nights
Shipping Method
Free shipping
Firmness
Firm: 7.5/10
Warranty
Lifetime warranty
Price Range
$839 - $1669
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Seniors
This bed is perfect for senior sleepers.
Back Sleeping
Ideal for average weight back sleepers.Financing Options
Financing options are available for this mattress.
DreamCloud Original Mattress
The DreamCloud is a high-quality hybrid mattress that is sold for a value price.
Material
Hybrid
Warranty
Lifetime warranty
Firmness
Firm: 7.5/10
Shipping Method
Free shipping
Trial Period
365 nights
Price Range
$839 - $1669
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Seniors
This bed is perfect for senior sleepers.
Back Sleeping
Ideal for average weight back sleepers.Financing Options
Financing options are available for this mattress.
DreamCloud Original Mattress
The DreamCloud is a high-quality hybrid mattress that is sold for a value price.
Material
Hybrid
Firmness
Firm: 7.5/10
Trial Period
365 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$839 - $1669
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Seniors
This bed is perfect for senior sleepers.
Back Sleeping
Ideal for average weight back sleepers.Financing Options
Financing options are available for this mattress.
Our Expert’s Take
While medium-firm mattresses are usually best for back pain, some people just need something firmer. The DreamCloud is one of the firmest mattresses on this list and should be a great fit for those who need more support. 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.
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
Pros of the DreamCloud
- A good option for seniors
- Comfortable for hot sleepers
- DreamCloud is competitively priced
Cons of the DreamCloud
- Not the best for side sleepers
- Might be too firm for lightweight people
Read our full DreamCloud mattress review to learn more. If you aren’t interested in the DreamCloud mattress, check out our list of the best firm mattresses for more great options.
Best Pillow-Top Mattress: Helix Midnight Luxe
Helix Midnight Luxe Mattress
Material
Hybrid
Trial Period
100 nights
Shipping Method
Free shipping
Firmness
Medium-firm: 6.5/10
Warranty
15-year warranty
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Back Sleeping
Ideal for average weight and heavyweight back sleepers.
Side Sleeping
Ideal for average weight and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Helix Midnight Luxe Mattress
The Helix Midnight Luxe is a luxurious hybrid mattress with plush comfort and great support.
Material
Hybrid
Warranty
15-year warranty
Firmness
Medium-firm: 6.5/10
Shipping Method
Free shipping
Trial Period
100 nights
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Back Sleeping
Ideal for average weight and heavyweight back sleepers.
Side Sleeping
Ideal for average weight and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Helix Midnight Luxe Mattress
The Helix Midnight Luxe is a luxurious hybrid mattress with plush comfort and great support.
Material
Hybrid
Firmness
Medium-firm: 6.5/10
Trial Period
100 nights
Warranty
15-year warranty
Shipping Method
Free shipping
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Back Sleeping
Ideal for average weight and heavyweight back sleepers.
Side Sleeping
Ideal for average weight and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Our Expert’s Take
The Helix Midnight Luxe is a cool, medium-firm, hybrid mattress. This mattress is made up of plush pillow top, memory foam, 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; coils provide 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
Pros of Helix Midnight Luxe
- Additional cooling cover available
- Zoned coils provide extra lumbar support
- Boasts good motion isolation for couples
Cons of Helix Midnight Luxe
- Not great for stomach sleepers
- Has a higher cost
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 mattresses for more great options.
Best Medium-Firm Mattress: WinkBed
WinkBed Mattress
Material
Hybrid
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Multiple firmness options
Warranty
Lifetime warranty
Price Range
$1149 - $2049
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.
Stomach Sleeping
Ideal for average weight stomach sleepers.Financing Options
Financing options are available for this mattress.
WinkBed Mattress
The WinkBed is a mattress that offers an excellent balance of comfort and support.
Material
Hybrid
Warranty
Lifetime warranty
Firmness
Multiple firmness options
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$1149 - $2049
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.
Stomach Sleeping
Ideal for average weight stomach sleepers.Financing Options
Financing options are available for this mattress.
WinkBed Mattress
The WinkBed is a mattress that offers an excellent balance of comfort and support.
Material
Hybrid
Firmness
Multiple firmness options
Trial Period
120 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$1149 - $2049
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.
Stomach Sleeping
Ideal for average weight stomach sleepers.Financing Options
Financing options are available for this mattress.
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 the 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 from its gel-infused pillow-top.
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
Pros of the WinkBed
- A durable mattress
- Great cooling qualities
- One of the best innerspring mattresses
Cons of the WinkBed
- Come at a luxury price point
- Not the best contouring
Read our full WinkBed mattress review to learn more. If you aren’t interested in the WinkBed mattress, check out our list of the best medium-firm mattresses for more great options.
Best Hybrid Mattress: Titan Plus
Titan Plus
Material
Hybrid
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Firm: 9/10
Warranty
10-year warranty
Price Range
$699 - $1499
We recommend this mattress for the following sleeper types:
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for heavyweight back sleepers.
Stomach Sleeping
Ideal for heavyweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Titan Plus
The Titan Plus is Brooklyn Bedding's mattress for heavy people. It is a firm, supportive mattress that can support heavier weights.
Material
Hybrid
Warranty
10-year warranty
Firmness
Firm: 9/10
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$699 - $1499
We recommend this mattress for the following sleeper types:
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for heavyweight back sleepers.
Stomach Sleeping
Ideal for heavyweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Titan Plus
The Titan Plus is Brooklyn Bedding's mattress for heavy people. It is a firm, supportive mattress that can support heavier weights.
Material
Hybrid
Firmness
Firm: 9/10
Trial Period
120 nights
Warranty
10-year warranty
Shipping Method
Free shipping
Price Range
$699 - $1499
We recommend this mattress for the following sleeper types:
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for heavyweight back sleepers.
Stomach Sleeping
Ideal for heavyweight stomach sleepers.Financing Options
Financing options are available for this mattress.
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 pounds who experience back pain should be extra-comfortable on this bed, and might even experience it as a softer mattress than lightweight or average-weight sleepers.
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
Pros of the Titan Plus
- An extremely firm mattress
- Offers excellent lumbar support for back sleepers
- Incredibly durable and shouldn’t sag
Cons of the Titan Plus
- Too firm for average and lightweight people
- Not enough pressure relief for heavy side sleepers
Read our full Titan Plus mattress review to learn more. If you aren’t interested in the Titan Plus mattress, check out our list of the best hybrid mattresses for more great options.
Best Mattress for Lower Back Pain: Nolah Evolution
Nolah Evolution Hybrid Mattress
Material
Hybrid
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Multiple firmness options
Warranty
Lifetime warranty
Price Range
$1599 - $3598
Nolah Evolution Hybrid Mattress
The Nolah Evolution is a high-end hybrid mattress that features great support, comfort, and cooling. This makes it great for lower back pain.
Material
Hybrid
Warranty
Lifetime warranty
Firmness
Multiple firmness options
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$1599 - $3598
Nolah Evolution Hybrid Mattress
The Nolah Evolution is a high-end hybrid mattress that features great support, comfort, and cooling. This makes it great for lower back pain.
Material
Hybrid
Firmness
Multiple firmness options
Trial Period
120 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$1599 - $3598
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.
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
Pros of the Nolah Evolution
- Has excellent durability
- Should be a good choice for couples
- Features multiple cooling materials
Cons of the Nolah Evolution
- Not good for fans of very firm mattresses
- Has a high price point
Read our full Nolah Evolution mattress review to learn more.
Best Soft Mattress: Bear Elite Hybrid
Bear Elite Hybrid Mattress
Material
Hybrid
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Multiple firmness options
Warranty
Lifetime Warranty
Price Range
$1865 - $3997
Bear Elite Hybrid Mattress
With a zoned support system, the Bear Elite Hybrid mattress is a great fit for those with back pain.
Material
Hybrid
Warranty
Lifetime Warranty
Firmness
Multiple firmness options
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$1865 - $3997
Bear Elite Hybrid Mattress
With a zoned support system, the Bear Elite Hybrid mattress is a great fit for those with back pain.
Material
Hybrid
Firmness
Multiple firmness options
Trial Period
120 nights
Warranty
Lifetime Warranty
Shipping Method
Free shipping
Price Range
$1865 - $3997
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. We love the Soft version in particular. 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.” – Marten, Lead Reviewer
Pros of the Bear Elite Hybrid
- Boasts high-quality materials
- A great mattress for couples
- Works for both back and side sleepers
Cons of the Bear Elite Hybrid
- Heavy sleepers may need more support and should consider the Firm model
- Pricier than its all-foam counterparts
Check out our full Bear Elite Hybrid mattress review to learn more. If you aren’t interested in the Bear Elite Hybrid mattress, check out our list of the best soft mattresses for more great options.
Best Mattress for Seniors: Brooklyn Bedding Signature
Brooklyn Bedding Signature Hybrid Mattress
Material
Hybrid
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Multiple firmness options
Warranty
10-year warranty
Price Range
$699 - $1499
Brooklyn Bedding Signature Hybrid Mattress
Brooklyn Bedding has amazing products that are sold at very affordable prices. This mattress is extremely high-quality and a great option for combination sleepers and seniors.
Material
Hybrid
Warranty
10-year warranty
Firmness
Multiple firmness options
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$699 - $1499
Brooklyn Bedding Signature Hybrid Mattress
Brooklyn Bedding has amazing products that are sold at very affordable prices. This mattress is extremely high-quality and a great option for combination sleepers and seniors.
Material
Hybrid
Firmness
Multiple firmness options
Trial Period
120 nights
Warranty
10-year warranty
Shipping Method
Free shipping
Price Range
$699 - $1499
Our Expert’s Take
Seniors 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.
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
Pros of the Brooklyn Bedding Signature
- Available in three firmness options
- Gel infusions help the mattress stay cool
- Offers a bit of a pillow-top feel
Cons of the Brooklyn Bedding Signature
- Doesn’t offer a slow-moving feel
- Not the most luxurious
Read our full Brooklyn Bedding Signature mattress review to learn more. If you aren’t interested in the Brooklyn Bedding Signature mattress, check out our list of the best mattresses for seniors for more great options.
Best Innerspring Mattress: Saatva
Saatva Mattress
Material
Innerspring
Trial Period
365 nights
Shipping Method
Free white glove delivery
Firmness
Multiple firmness options
Warranty
Lifetime warranty
Price Range
$995 - $2710
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight, average weight, and heavyweight back sleepers.
Stomach Sleeping
Ideal for lightweight and average weight stomach sleepers.Financing Options
Financing options are available for this mattress.
Saatva Mattress
The Saatva is an organic mattress that is both comfortable and supportive. This mattress comes in multiple firmness options to fit a variety of sleepers.
Material
Innerspring
Warranty
Lifetime warranty
Firmness
Multiple firmness options
Shipping Method
Free white glove delivery
Trial Period
365 nights
Price Range
$995 - $2710
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight, average weight, and heavyweight back sleepers.
Stomach Sleeping
Ideal for lightweight and average weight stomach sleepers.Financing Options
Financing options are available for this mattress.
Saatva Mattress
The Saatva is an organic mattress that is both comfortable and supportive. This mattress comes in multiple firmness options to fit a variety of sleepers.
Material
Innerspring
Firmness
Multiple firmness options
Trial Period
365 nights
Warranty
Lifetime warranty
Shipping Method
Free white glove delivery
Price Range
$995 - $2710
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight, average weight, and heavyweight back sleepers.
Stomach Sleeping
Ideal for lightweight and average weight stomach sleepers.Financing Options
Financing options are available for this mattress.
Our Expert’s Take
If you deal with back pain and prefer a mattress that’s a bit more traditional, the Saatva could be right for you. It’s 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.
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
Pros of the Saatva
- Medium-firm and ideal for back sleepers.
- Doesn’t trap too much heat
- Sagging shouldn’t be an issue
Cons of the Saatva
- Too firm for some lightweight people
- Lacks a contouring feel
Read our full Saatva mattress review to learn more. If you aren’t interested in the Saatva mattress, check out our list of the best innerspring mattresses for more great options.
Best Cooling Mattress: Puffy
Puffy Mattress
Material
Foam
Trial Period
101 nights
Shipping Method
Free shipping
Firmness
Medium-firm: 7/10
Warranty
Lifetime warranty
Price Range
$899 - $1449
We recommend this mattress for the following sleeper types:
Kids
This bed is perfect for young sleepers.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Puffy Mattress
Puffy is a comfortable memory foam mattress that is especially great for back and side sleepers.
Material
Foam
Warranty
Lifetime warranty
Firmness
Medium-firm: 7/10
Shipping Method
Free shipping
Trial Period
101 nights
Price Range
$899 - $1449
We recommend this mattress for the following sleeper types:
Kids
This bed is perfect for young sleepers.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Puffy Mattress
Puffy is a comfortable memory foam mattress that is especially great for back and side sleepers.
Material
Foam
Firmness
Medium-firm: 7/10
Trial Period
101 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$899 - $1449
We recommend this mattress for the following sleeper types:
Kids
This bed is perfect for young sleepers.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Our Expert’s Take
Although the Puffy is an all-foam bed, it keeps cool with built-in cooling features. First, there’s an outer layer of Cooling Cloud technology. The material feels soft and squishy like traditional memory foam, but it’s infused with gel for added cooling. Underneath this sits Puffy’s Climate Control Layer. This material doesn’t just create extra support — it also helps regulate the bed’s temperature.
What the testers say: “While it is an all-foam mattress, the Puffy is surprisingly cooling. When I reviewed the mattress, I felt the cooling cover and foams doing their job.” – Marten, Lead Reviewer
Pros of the Puffy
- Great for average-weight back and side sleepers
- Provides both comfort and support
- A fantastic budget-friendly choice
Cons of the Puffy
- Stomach sleepers will need more support
- Large side sleepers could bottom out
Read our full Puffy mattress review to learn more. If you aren’t interested in the Puffy mattress, check out our list of the best cooling mattresses for more great options.
Best Organic Mattress: Birch Luxe Natural
Birch Luxe Natural Mattress
Material
Hybrid
Trial Period
100 Nights
Shipping Method
Free shipping
Firmness
Firm: 7.5/10
Warranty
25-year warranty
Price Range
$1849 - $3249
Birch Luxe Natural Mattress
The Birch Luxe Natural Mattress is a new mattress designed with luxury in mind. This is a luxury hybrid mattress perfect for fans of eco-friendly made mattresses.
Material
Hybrid
Warranty
25-year warranty
Firmness
Firm: 7.5/10
Shipping Method
Free shipping
Trial Period
100 Nights
Price Range
$1849 - $3249
Birch Luxe Natural Mattress
The Birch Luxe Natural Mattress is a new mattress designed with luxury in mind. This is a luxury hybrid mattress perfect for fans of eco-friendly made mattresses.
Material
Hybrid
Firmness
Firm: 7.5/10
Trial Period
100 Nights
Warranty
25-year warranty
Shipping Method
Free shipping
Price Range
$1849 - $3249
Our Expert’s Take
The Birch Luxe Natural is an eco-friendly, sustainably sourced mattress made from natural materials such as wool, Fair Trade cotton, and Pulse latex. The wool is organic, and it’s made to regulate temperature, and the addition of the steel coil layer also adds some additional airflow for cooler sleeping. Overall, the Birch Luxe is a luxurious mattress on the firm side, ranking at a 7.5/10 on our firmness scale, and a great option for anyone looking for an organic mattress.
What the testers say: “If you’re looking for a luxurious experience from a mattress, the Birch Luxe Natural should be a great choice. It’s got eco-friendly latex and organic wool, and it gave me a supportive and responsive feel. It’s a comfy mattress that should last you for a long time.” — Elisa Regulski, Editor and Certified Sleep Science Coach
Pros of the Birch Luxe Natural
- Naturally cooling
- Good for combination sleepers
- GREENGUARD Gold certified materials
Cons of the Birch Luxe Natural
- Not cost effective
- Not great for side sleepers
Read our Birch Luxe Natural mattress review for more information. Or check out our list of best organic mattresses for more great options.
Recommendations for Heavyweight Sleepers (Over 230 lb)
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.
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.
How Does Your Sleeping Position Affect Back Pain?
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.
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.
RELATED: Best Mattress Toppers for Back Pain
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.
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.
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.
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.
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.
What Increases Your Chances of Experiencing Back Pain?
There are also a plethora of factors that could make it more likely for someone to develop back pain.
- Age: As we grow older, we have a significantly higher chance of dealing with back pain; aging can cause degeneration of spinal discs so they aren’t as effective at absorbing shock. It’s also possible to develop Spondylolisthesis, where one vertebra moves into another vertebra.
- Lack of exercise: If we don’t exercise, our bodies can become susceptible to back pain. Also, if our back muscles are weak, the back pain can potentially become more severe. Many studies have shown that exercise can help alleviate back pain. One 2012 study from Informed Health Online found that exercise can prevent a recurrence of acute back pain in 1 out of 3 people.
- High body weight: For those that are overweight, back pain becomes more likely. One 2016 study, which was published in the journal Medicine, found that “higher BMI and waist-hip ratio were associated with high-intensity low back pain and/or high disability.”
- Depression and/or anxiety: According to the Anxiety and Depression Association of America, people with these disorders are more likely to struggle with back pain than people who don’t experience anxiety and/or depression.
- Smoking: The Mayo Clinic states that smoking cigarettes cuts down on blood flow to the lower back area and reduces the nutrients that are delivered to the spine. For those with acute back pain, nicotine can slow the healing process.
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 improve your sleeping situation if you deal 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.
RELATED: Best Pillows for Every Type of Sleeper
Summary
| Mattress | Best For |
| DreamCloud Luxury Hybrid | Best Firm Mattress |
| Helix Midnight Luxe | Best Pillow-Top Mattress |
| WinkBeds | Best Medium-Firm Mattress |
| Titan Plus | Best Hybrid Mattress for Back Pain |
| Nolah Evolution | Best Mattress for Lower Back Pain |
| Bear Elite Hybrid | Best Soft Mattress for Back Pain |
| Brooklyn Bedding Signature | Best Mattress for Seniors with Back Pain |
| Saatva | Best Innerspring Mattress |
| Puffy | Best Cooling Mattress for Back Pain |
| Birch Luxe Natural | Best Organic Mattress for Back Pain |
If you’re still searching for your next best mattress, try checking out our other guides or take our mattress quiz for personalized recommendations.
Best Mattress for Back Pain FAQs
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. For instance, if you have lower back pain, you should consider the Casper mattress topper. If you prefer a firm topper, you’ll want to go with the Lift by Amerisleep. 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.]
