Best Mattresses for Upper and Lower Back Pain

We receive free products to review and participate in affiliate programs, where we are compensated for items purchased through links from our site. See our disclosure page for details.

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 recommendations for a variety of sleepers so you can choose which mattress for back pain 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 making a purchase.

The 10 Best Mattresses for Back Pain

How We Chose Our Products

Our team of sleep 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 Mattress for Back Pain 2022: Our Video Roundup

YouTube player
Best Overall

WinkBed Mattress

Winkbeds has a mattress that is great for back pain and is an excellent balance of comfort and support.

Clarity Score 4.6/5
Read WinkBed Mattress Review

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.
Stomach Sleeping
Ideal for average weight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review
Best Overall

WinkBed Mattress

Winkbeds has a mattress that is great for back pain and is an excellent balance of comfort and support.

Clarity Score 4.6/5
Read WinkBed Mattress Review

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.
Stomach Sleeping
Ideal for average weight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review
Best Overall

WinkBed Mattress

Winkbeds has a mattress that is great for back pain and is an excellent balance of comfort and support.

Clarity Score 4.6/5
Read WinkBed Mattress Review

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.
Stomach Sleeping
Ideal for average weight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review

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 Makes the WinkBed Stand Out?

  • The WinkBed is one of the more durable mattresses on this list. People who struggle with back pain don’t want a mattress that will sag too quickly.
  • The mattress has great cooling qualities, since it’s equipped with a breathable Tencel cover, gel-infused foam, and coils to promote airflow.
  • We’ve named the WinkBed one of the best innerspring mattresses.

Keep In Mind

Feel-wise, they WinkBed is very spring and responsive. So if you prefer the slower-moving feel of memory foam to soothe your back pain, you may want to look at another mattress.

Read our full WinkBed mattress review.

Best Affordable Mattress for Back Pain

Nectar Mattress

The slow-moving memory foam of the Nectar treats the back to plenty of pressure relief.

Clarity Score 4.3/5
Read Nectar Mattress Review

Material

Foam

Trial Period

365 nights

Shipping Method

Free shipping

Firmness

Medium-firm: 6.5/10

Warranty

Lifetime warranty

Price Range

$599 - $1538

We recommend this mattress for the following sleeper types:

Joint Pain
This bed is perfect for anyone suffering from joint pain.
Hip Pain
This bed is perfect for anyone suffering from hip 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.

Average Customer Rating
4.8/5
Watch Our Video Review
Best Affordable Mattress for Back Pain

Nectar Mattress

The slow-moving memory foam of the Nectar treats the back to plenty of pressure relief.

Clarity Score 4.3/5
Read Nectar Mattress Review

Material

Foam

Warranty

Lifetime warranty

Firmness

Medium-firm: 6.5/10

Shipping Method

Free shipping

Trial Period

365 nights

Price Range

$599 - $1538

We recommend this mattress for the following sleeper types:

Joint Pain
This bed is perfect for anyone suffering from joint pain.
Hip Pain
This bed is perfect for anyone suffering from hip 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.

Average Customer Rating
4.8/5
Watch Our Video Review
Best Affordable Mattress for Back Pain

Nectar Mattress

The slow-moving memory foam of the Nectar treats the back to plenty of pressure relief.

Clarity Score 4.3/5
Read Nectar Mattress Review

Material

Foam

Firmness

Medium-firm: 6.5/10

Trial Period

365 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$599 - $1538

We recommend this mattress for the following sleeper types:

Joint Pain
This bed is perfect for anyone suffering from joint pain.
Hip Pain
This bed is perfect for anyone suffering from hip 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.

Average Customer Rating
4.8/5
Watch Our Video Review

If you’re looking for a high-quality mattress that’s good for back pain and doesn’t break the bank, the Nectar mattress is a great affordable option. With an all-foam construction, it has the slow-moving feel of memory foam, but without the cost of some high-end beds. You should feel a lot of pressure-relieving comfort and contouring, which can be great for those with muscle aches in the upper back. It also has supportive base layers that should keep your spine aligned while you sleep.

What Makes the Nectar Stand Out?

  • The Nectar should work for back sleepers and side sleepers, although combination sleepers may find it a little difficult to change positions.
  • It does a great job of isolating motion, so if you sleep with a partner, you likely won’t be disturbed by their movements throughout the night.
  • The mattress is topped with a cooling cover and includes gel-infused memory foam to help you sleep cool.

Keep In Mind

If you’re a heavy person who struggles with back pain, you’ll probably need a more supportive mattress — ideally one with a layer of coils.

Read our full Nectar mattress review.

Best Hybrid Mattress

Helix Midnight Luxe Mattress

The Helix Midnight Luxe is a luxurious hybrid mattress with plush comfort and great support.

Clarity Score 4.6/5
Read Helix Midnight Luxe Mattress Review

Material

Hybrid

Trial Period

100 nights

Shipping Method

Free shipping

Firmness

Medium-firm: 6.5/10

Warranty

15-year warranty

Price Range

$1199 - $2449

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.

Average Customer Rating
4.7/5
Best Hybrid Mattress

Helix Midnight Luxe Mattress

The Helix Midnight Luxe is a luxurious hybrid mattress with plush comfort and great support.

Clarity Score 4.6/5
Read Helix Midnight Luxe Mattress Review

Material

Hybrid

Warranty

15-year warranty

Firmness

Medium-firm: 6.5/10

Shipping Method

Free shipping

Trial Period

100 nights

Price Range

$1199 - $2449

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.

Average Customer Rating
4.7/5
Best Hybrid Mattress

Helix Midnight Luxe Mattress

The Helix Midnight Luxe is a luxurious hybrid mattress with plush comfort and great support.

Clarity Score 4.6/5
Read Helix Midnight Luxe Mattress Review

Material

Hybrid

Firmness

Medium-firm: 6.5/10

Trial Period

100 nights

Warranty

15-year warranty

Shipping Method

Free shipping

Price Range

$1199 - $2449

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.

Average Customer Rating
4.7/5

If you suffer from back pain, it’s important to invest in a mattress that is going to properly support your spine. The Helix Midnight Luxe is a hybrid mattress that was designed with proper spinal support in mind. It has zoned support, which means it’s firmer at the center and softer at the head and foot — this construction helps keep your spine in a nice, straight line. Another perk of the Midnight Luxe is that it has a pillow top, so you’ll feel some gentle cushioning that can also help relieve pain.

What Makes the Helix Midnight Luxe Stand Out?

  • It has zoned support, which is great for promoting a straight spinal alignment.
  • The Midnight Luxe has a plush, quilted pillow top for added comfort.
  • It has a medium-firm feel that should appeal to most sleepers.

Keep In Mind

Although we think the Helix Midnight Luxe would be great for back sleepers and side sleepers experiencing back pain, it probably isn’t supportive enough for stomach sleepers.

Learn more in our full Helix Midnight Luxe mattress review.

Best Mattress for Lower Back Pain

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.

Clarity Score 4.5/5
Read Nolah Evolution Hybrid Mattress Review

Material

Hybrid

Trial Period

120 nights

Shipping Method

Free shipping

Firmness

Multiple firmness options

Warranty

Lifetime warranty

Price Range

$1599 - $3598

We recommend this mattress for the following sleeper types:

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.

Average Customer Rating
4.8/5
Watch Our Video Review
Best Mattress for Lower Back Pain

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.

Clarity Score 4.5/5
Read Nolah Evolution Hybrid Mattress Review

Material

Hybrid

Warranty

Lifetime warranty

Firmness

Multiple firmness options

Shipping Method

Free shipping

Trial Period

120 nights

Price Range

$1599 - $3598

We recommend this mattress for the following sleeper types:

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.

Average Customer Rating
4.8/5
Watch Our Video Review
Best Mattress for Lower Back Pain

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.

Clarity Score 4.5/5
Read Nolah Evolution Hybrid Mattress Review

Material

Hybrid

Firmness

Multiple firmness options

Trial Period

120 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$1599 - $3598

We recommend this mattress for the following sleeper types:

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.

Average Customer Rating
4.8/5
Watch Our Video Review

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 Makes the Nolah Evolution Stand Out?

  • At 15″ tall, this thick mattress has excellent durability, and can last over 10 years.
  • The Nolah Evolution could be a good choice for couples. With great motion isolation, you and your partner shouldn’t disturb each other when moving around at night.
  • For hot sleepers, it has an ArcticTex cooling cover to dissipate excess heat, a coil system that promotes airflow, and an AirBreath gusset.

Keep In Mind

This is another mattress that probably won’t be supportive enough for stomach sleepers who struggle with back pain. It’s also one of the more expensive beds on this list, so keep that in mind if you’re on a tight budget.

Read our full Nolah Evolution mattress review.

Best Mattress for Side Sleepers With Back Pain

Bear Hybrid Mattress

The Bear Hybrid is supportive enough to keep your spine in a neutral alignment, all while offering up plenty of pressure relief to side sleepers.

Clarity Score 4.1/5
Read Bear Hybrid Mattress Review

Material

Hybrid

Trial Period

120 nights

Shipping Method

Free shipping

Firmness

Medium-firm: 6.5/10

Warranty

Lifetime warranty

Price Range

$1248 - $1998

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.
Joint Pain
This bed is perfect for anyone suffering from joint pain.
Back Sleeping
Ideal for lightweight back sleepers.
Side Sleeping
Ideal for average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review
Best Mattress for Side Sleepers With Back Pain

Bear Hybrid Mattress

The Bear Hybrid is supportive enough to keep your spine in a neutral alignment, all while offering up plenty of pressure relief to side sleepers.

Clarity Score 4.1/5
Read Bear Hybrid Mattress Review

Material

Hybrid

Warranty

Lifetime warranty

Firmness

Medium-firm: 6.5/10

Shipping Method

Free shipping

Trial Period

120 nights

Price Range

$1248 - $1998

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.
Joint Pain
This bed is perfect for anyone suffering from joint pain.
Back Sleeping
Ideal for lightweight back sleepers.
Side Sleeping
Ideal for average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review
Best Mattress for Side Sleepers With Back Pain

Bear Hybrid Mattress

The Bear Hybrid is supportive enough to keep your spine in a neutral alignment, all while offering up plenty of pressure relief to side sleepers.

Clarity Score 4.1/5
Read Bear Hybrid Mattress Review

Material

Hybrid

Firmness

Medium-firm: 6.5/10

Trial Period

120 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$1248 - $1998

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.
Joint Pain
This bed is perfect for anyone suffering from joint pain.
Back Sleeping
Ideal for lightweight back sleepers.
Side Sleeping
Ideal for average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review

If you’re a side sleeper who deals with back pain, you’ll need a bed that’s supportive enough to help keep your spine in a straight line, while still providing enough sinkage and pressure relief to prevent you from developing shoulder or hip pain. The Bear Hybrid strikes this balance nicely. It gets support from a layer of coils, and offers pressure relief and contouring from a thick top layer of memory foam. Overall, this hybrid mattress has a luxurious, medium-firm feel that should provide sleepers with a very comfortable experience.

What Makes the Bear Hybrid Stand Out?

  • Its materials are very high-quality, from its state-of-the-art coil system to its graphite-infused memory foam, which helps draw away body heat.
  • It’s a great mattress for couples, thanks to its strong edge support and excellent motion isolation capabilities.
  • This bed will work for both side sleepers and back sleepers, and is bouncy enough to work for combination sleepers as well.

Keep In Mind

Because of its coils, the Bear Hybrid is supportive enough for sleepers with back pain. But this also makes the mattress fairly springy and responsive, so it’s probably not for folks who prefer softer memory foam mattresses.

Check out our full Bear Hybrid mattress review

Best Firm Mattress For Back Pain

DreamCloud Original Mattress

The DreamCloud is a high-quality hybrid mattress that is sold for a value price.

Clarity Score 3.8/5
Read DreamCloud Original Mattress Review

Material

Hybrid

Trial Period

365 nights

Shipping Method

Free shipping

Firmness

Firm: 7.5/10

Warranty

Lifetime warranty

Price Range

$899 - $1499

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.

Average Customer Rating
4.6/5
Best Firm Mattress For Back Pain

DreamCloud Original Mattress

The DreamCloud is a high-quality hybrid mattress that is sold for a value price.

Clarity Score 3.8/5
Read DreamCloud Original Mattress Review

Material

Hybrid

Warranty

Lifetime warranty

Firmness

Firm: 7.5/10

Shipping Method

Free shipping

Trial Period

365 nights

Price Range

$899 - $1499

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.

Average Customer Rating
4.6/5
Best Firm Mattress For Back Pain

DreamCloud Original Mattress

The DreamCloud is a high-quality hybrid mattress that is sold for a value price.

Clarity Score 3.8/5
Read DreamCloud Original Mattress Review

Material

Hybrid

Firmness

Firm: 7.5/10

Trial Period

365 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$899 - $1499

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.

Average Customer Rating
4.6/5

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 Makes the DreamCloud Stand Out?

  • This bed is a good option for seniors.
  • The mattress should be comfortable for hot sleepers. The coils promote airflow, and the foam on top features cooling infusions.
  • For a hybrid mattress, the DreamCloud is competitively priced.

Keep In Mind

While the DreamCloud should be a dream for back sleepers with back pain, side sleepers are likely going to need a bed that’s softer and offers more pressure relief.

Read our full DreamCloud mattress review.

Best Mattress for Seniors with Back Pain

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.

Clarity Score 4.0/5
Read Brooklyn Bedding Signature Hybrid Mattress Review

Material

Hybrid

Trial Period

120 nights

Shipping Method

Free shipping

Firmness

Multiple firmness options

Warranty

10-year warranty

Price Range

$699 - $1499

We recommend this mattress for the following sleeper types:

Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Best Mattress for Seniors with Back Pain

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.

Clarity Score 4.0/5
Read Brooklyn Bedding Signature Hybrid Mattress Review

Material

Hybrid

Warranty

10-year warranty

Firmness

Multiple firmness options

Shipping Method

Free shipping

Trial Period

120 nights

Price Range

$699 - $1499

We recommend this mattress for the following sleeper types:

Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Best Mattress for Seniors with Back Pain

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.

Clarity Score 4.0/5
Read Brooklyn Bedding Signature Hybrid Mattress Review

Material

Hybrid

Firmness

Multiple firmness options

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:

Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5

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 Hybrid. 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 Makes the Brooklyn Bedding Signature Hybrid Stand Out?

  • It’s available in three firmness options: Soft, Medium, and Firm. We tested the Medium, which scored a 6.5 out of 10 on the firmness scale.
  • The top comfort layer of proprietary TitanFlex foam is infused with a gel that helps the mattress stay cool.
  • There’s some additional softness in the cover. It’s quilted with foam and has the appearance of a classic pillow-top.

Keep In Mind

This might not be an issue for many sleepers, but the Signature Hybrid has a very simple construction, with not a lot of added features. If you’re searching for something more luxurious for your back pain, you may want to look elsewhere.

Read our full Brooklyn Bedding Signature Hybrid mattress review.

Best Innerspring 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.

Clarity Score 4.1/5
Read Saatva Mattress Review

Material

Innerspring

Trial Period

365 nights

Shipping Method

Free white glove delivery

Firmness

Multiple firmness options

Warranty

Lifetime warranty

Price Range

$935 - $2450

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.

Average Customer Rating
4.9/5
Watch Our Video Review
Best Innerspring 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.

Clarity Score 4.1/5
Read Saatva Mattress Review

Material

Innerspring

Warranty

Lifetime warranty

Firmness

Multiple firmness options

Shipping Method

Free white glove delivery

Trial Period

365 nights

Price Range

$935 - $2450

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.

Average Customer Rating
4.9/5
Watch Our Video Review
Best Innerspring 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.

Clarity Score 4.1/5
Read Saatva Mattress Review

Material

Innerspring

Firmness

Multiple firmness options

Trial Period

365 nights

Warranty

Lifetime warranty

Shipping Method

Free white glove delivery

Price Range

$935 - $2450

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.

Average Customer Rating
4.9/5
Watch Our Video Review

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 Makes the Saatva Stand Out?

  • At a 7/10 on the firmness scale, the Saatva mattress is very close to medium firmness, which is ideal for back sleepers.
  • The coils promote airflow through the mattress so that it doesn’t trap too much heat.
  • Sagging shouldn’t be an issue on the Saatva. It’s an exceptionally durable option that should remain comfortable and supportive for years to come.

Keep In Mind

Lightweight sleepers (those under 130 lb) probably aren’t heavy enough to sink into the top layers of the Saatva and get the pressure relief they need for their back pain. They’d be better off looking at some of the options on our roundup of the best mattresses for lightweight people.

 Read our full Saatva mattress review.

Best Foam Mattress for Back Pain

Puffy Mattress

Puffy is a comfortable memory foam mattress that is especially great for back and side sleepers.

Clarity Score 3.9/5
Read Puffy Mattress Review

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.

Average Customer Rating
5.0/5
Best Foam Mattress for Back Pain

Puffy Mattress

Puffy is a comfortable memory foam mattress that is especially great for back and side sleepers.

Clarity Score 3.9/5
Read Puffy Mattress Review

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.

Average Customer Rating
5.0/5
Best Foam Mattress for Back Pain

Puffy Mattress

Puffy is a comfortable memory foam mattress that is especially great for back and side sleepers.

Clarity Score 3.9/5
Read Puffy Mattress Review

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.

Average Customer Rating
5.0/5

The Puffy Original is an all-foam mattress that is a great choice for sleepers with back pain. It’s an all-foam mattress with a balanced feel. It’s just a bit firmer than medium-firm, which is ideal for back sleepers, and particularly those with back pain, as they need a bit of added firmness to keep their backs in a healthy, straight alignment. This bed also sleeps pretty cool, thanks to its breathable cover and top Cooling Cloud layer, which is a soft and breathable memory foam-type foam.

What Makes the Puffy Original Stand Out?

  • The Puffy is especially great for average-weight back and side sleepers.
  • It provides both comfort and support, so it helps soothe back pain.
  • It’s a fantastic budget-friendly choice.

Keep In Mind

As with many memory foam mattresses, anyone who needs a ton of support to address their back pain (heavy sleepers, stomach sleepers, etc.) will probably want a bed with coils in it.

Learn more in our full Puffy mattress review.

Best Cooling Mattress for Back Pain

TEMPUR-PRObreeze Mattress

The TEMPUR-PRObreeze is designed to cooler than other TEMPUR-Pedic mattresses. It offers great comfort without making you overheat.

Clarity Score 4.0/5
Read TEMPUR-PRObreeze Mattress Review

Material

Foam

Trial Period

90 nights

Shipping Method

Free white glove delivery

Firmness

Medium-firm: 6.5/10

Warranty

10-year warranty

Price Range

$3899 - $7798

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 Sleeping
Ideal for average weight back sleepers.
Side Sleeping
Ideal for average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review
Best Cooling Mattress for Back Pain

TEMPUR-PRObreeze Mattress

The TEMPUR-PRObreeze is designed to cooler than other TEMPUR-Pedic mattresses. It offers great comfort without making you overheat.

Clarity Score 4.0/5
Read TEMPUR-PRObreeze Mattress Review

Material

Foam

Warranty

10-year warranty

Firmness

Medium-firm: 6.5/10

Shipping Method

Free white glove delivery

Trial Period

90 nights

Price Range

$3899 - $7798

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 Sleeping
Ideal for average weight back sleepers.
Side Sleeping
Ideal for average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review
Best Cooling Mattress for Back Pain

TEMPUR-PRObreeze Mattress

The TEMPUR-PRObreeze is designed to cooler than other TEMPUR-Pedic mattresses. It offers great comfort without making you overheat.

Clarity Score 4.0/5
Read TEMPUR-PRObreeze Mattress Review

Material

Foam

Firmness

Medium-firm: 6.5/10

Trial Period

90 nights

Warranty

10-year warranty

Shipping Method

Free white glove delivery

Price Range

$3899 - $7798

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 Sleeping
Ideal for average weight back sleepers.
Side Sleeping
Ideal for average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review

Shoppers who want a luxurious bed with the highest quality materials should take a look at the Tempur-Pedic Pro-Breeze. Designed in Tempur-Pedic’s thermal laboratory, this mattress has all the top-notch cooling features, like special cooling foams and phase change material (a fabric that absorbs body heat and feels cool-to-the-touch). It comes in four firmness options, so sleepers of all preferences should find a model that suits their needs. We recommend going with the medium option for sleepers with back pain, as this firmness level helps keep the spine in a healthy, straight line.

What Makes the Tempur-Pedic Pro-Breeze Stand Out?

  • It has the highest quality cooling materials money can buy.
  • It comes in a range of firmness options.
  • It offers great support for sleepers with back pain.

Keep In Mind

Tempur-Pedic really is one of the best and most sought-after mattress brands out there in terms of materials, comfort, support, and durability. That also means it’s one of the priciest. Be aware of this when figuring out how much you can spend on a new mattress for back pain.

Learn more in our Tempur-Pedic mattress review roundup.

Jump To

Mattresses for Heavy People | Sleeping Position and Back Pain | Best Mattress Types For Back Pain | What To Look For | What Is Back Pain? | What Causes Back Pain | Risk Factors | Sleeping Tips

Mattress 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 really 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.

RELATED: Best Mattresses for Heavy People

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

A graphic depicting the correct and incorrect alignment for 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. It’s best for them to 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

A graphic depicting the correct and incorrect alignment for 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

A graphic depicting the correct and incorrect alignment for 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.

Type of Mattress Good for Back Pain?
Memory Foam ✔️
Hybrid ✔️
Latex ✔️
Innerspring X
  • 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 that 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?

spine with painLumbar Support

For pain sufferers, it’s important that the lower back area is 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 Mattress Comfort Layer Thicknesslayer 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.

Mattress Firmness Test 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.

Considering Body Weight To Find Right MattressWeight

Anyone who’s considered a larger person should definitely 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.

Mattress DurabilityDurability

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 really 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?

Lower Back Pain From An Unfit Mattress

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 possibly cause lower back pain and, if the pressure continues, the jelly-like nucleus may push all the way 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, and thereby cause 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 Risk 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. In fact, 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 to 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.

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.

Summary

Here’s a recap of our top picks for the best mattresses for back pain relief:

Mattress Best For
WinkBeds Best Overall
Nectar Best Affordable Mattress
Helix Midnight Luxe Best Hybrid Mattress
Nolah Evolution Best Mattress for Lower Back Pain
Bear Hybrid Best for Side Sleepers with Back Pain
DreamCloud Luxury Hybrid Best Firm Mattress
Brooklyn Bedding Signature Hybrid Best Mattress for Seniors with Back Pain
Saatva Best Innerspring Mattress
Puffy Best Foam Mattress for Back Pain
Tempur-Pedic PRObreeze Best Cooling 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.

[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.]

Featured image: SOPRADIT/Shutterstock

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. There's a reason why most of the beds on this roundup are hybrids. That being said, there are innerspring mattresses and foam mattresses that can also be good for back pain, although they're fewer and far between. It's all about getting the right blend of comfort and support, and hybrids are designed to reach that middle ground.

Something to note with hybrid mattresses is that you don't want the foam layer to be too thick. This can keep you from getting the support from below.

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.

Gravatar for Marten Carlson

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.