The Best Mattress for Back Pain in 2020
(Expert Guide & Reviews)
Looking for the best mattress for back pain but can’t make up your mind?
Check out our list of the top 10 choices!
We’ve tested 19 foam, 14 hybrid, and 8 latex mattresses, focusing on the amount of pressure relief and spinal support they provide. Take a look at our ranking methodology to learn more about our strict criteria.
Plus, you can check out our comprehensive buyer’s guide, which lists all the factors you need to consider when shopping for a new mattress.
The Top 10 Best Mattresses for Back Pain
Reviews of the Best Mattresses for Back Pain
1. Casper Mattress Review
Casper is one of the most popular brands in the mattress-in-a-box industry. Its popularity probably grew thanks to its original model, which is very versatile. The Casper mattress is constructed with four foam layers that perfectly work together to provide amazing pressure relief and spinal support, so it’s a great mattress for back pain.
The Zoned Support is one of the major reasons why Casper is one of the best mattresses for lower back pain. Thanks to it, the mattress offers extra support to a sleeper’s core and hips, while the shoulders can sink in a bit. It adapts to the sleeper’s body, and it’s suitable for all sleeping positions.
Besides helping with aches and pains, the Casper mattress features excellent motion isolation. Also, compared to other foam mattresses, it has good temperature regulation, so you can enjoy a cool night’s sleep.
However, if you need sturdier edge support or you’re over 230 pounds, we recommend you consider getting the hybrid version of this Casper model. It’s often recommended as the best mattress for lower back pain for somewhat heavier people.
To learn more about this mattress’s features, read our in-depth Casper review.
- Great pressure relief
- Zoned support
- Excellent at isolating motion
- Lacks bounce
2. Awara Mattress Review
The Awara mattress is a great option for people who are looking for natural materials in their mattresses. Its breathable and soft cover is made of organic cotton and wool. The comfort layer is constructed with natural Dunlop latex, which molds to the sleeper’s body while the individually wrapped coils provide exceptional support. No wonder this model is often praised as the best mattress for lower back pain sufferers.
Since latex is not as cushioning as memory foam, this bed might not offer enough pressure relief to side sleepers. On the other hand, it’s recommended for stomach and back sleepers since it’s designed to keep the spine in natural alignment.
Latex mattresses are generally better for hot sleepers because this natural material doesn’t retain body heat. The Awara is no exception—its hybrid construction additionally promotes airflow.
The great news is that you can sleep on this mattress for a whole year before you decide if it’s the best mattress for your back and neck pain. It’s also covered with a forever warranty.
- Highly responsive
- Offering luxurious feel
- Quite heavy
3. Bear Mattress Review
Looking for an affordable mattress that will help you alleviate your back pain? The Bear Mattress can be a great solution since it offers both pressure relief and ample support. Its comfort layer is made of graphite-gel memory foam that will mold to your body. This way, it won’t put additional pressure on sensitive points, such as shoulders and hips. And this is exactly what you need to look for in the best mattress for back and hip pain.
At the same time, it offers great spinal support thanks to its responsive transitional layer and high-density support foam. It’s medium-firm, so most sleepers can have a great night’s sleep on this bed.
In addition, the Bear mattress doesn’t retain body heat like most memory foam mattresses. Besides featuring graphite gel memory foam, it has a breathable Celliant cover. It also performs very well when it comes to motion transfer. So besides being one of the leading mattresses for back pain, many reviews claim it’s a good choice for couples.
Considering its price and amazing features, we can say the Bear mattress offers great value for the money. It’s also covered with a 10-year warranty, and there’s a 100-night sleep trial.
- Pleasant pressure relief
- Excellent motion isolation
- Breathable cover
- Average edge support
4. Nectar Mattress Review
The Nectar mattress allows you to have a restful night’s sleep without breaking the bank. Even though its price is below average, the mattress offers amazing comfort, and it’s also suitable for people with back pain. In fact, it’s often considered the best mattress for side sleepers with lower back pain.
Thanks to two layers of gel memory foam, the Nectar mattress provides exceptional pressure relief. Therefore, it’s a great pick for side sleepers who usually have sensitive pressure points. While the comfort layer will contour nicely to the sleeper’s body, the polyfoam base layer provides good support.
Since it’s medium-firm, this mattress is designed to meet the needs of most sleepers. However, it might be too soft for people who prefer to sleep on their stomachs. This sleeping position requires a firmer sleeping surface, as otherwise it can cause or aggravate back pain. So the Nectar is definitely not the best mattress for a stomach sleeper with lower back pain.
Besides offering great contouring, the foam layers also provide excellent motion isolation, so we can recommend this mattress to couples. Another advantage of the Nectar mattress is that it doesn’t trap body heat even though it’s constructed with memory foam. Its cooling cover made of Tencel greatly contributes to its temperature regulation and breathability. Read more about it in our detailed Nectar mattress review.
- Exceptional motion isolation
- Deep body contouring
- Good temperature regulation
- Too much sinkage for stomach sleepers
5. Nolah Mattress Review
Memory foam is often considered the best type of mattress for back pain. However, other foam types have also proved effective in relieving back pain. The Nolah Original 10 consists of three foam layers. The comfort layer is made of cooling Nolah AirFoam, which molds to the sleeper’s body. It offers excellent pressure relief, while the base made of high-density foam provides solid back support.
Since Nolah offers a soft feel, it’s often recommended for side sleepers who have sensitive pressure points. Back sleepers can also have a great night’s sleep on this mattress, especially if they’re of average or below-average weight. However, this isn’t the best mattress for neck and back pain for heavier people since they probably won’t be satisfied with the spinal support of this bed. Also, stomach sleepers typically need a firmer sleeping surface.
The Nolah Original mattress has exceptional motion isolation, so it’s a great pick for couples, especially if one of the partners is a light sleeper. However, it doesn’t perform so well when it comes to edge support.
- Excellent pressure relief
- Great motion isolation
- Good temperature regulation
- Too soft for stomach sleepers
6. Avocado Green Mattress Review
Looking for the best mattress for low back pain made of latex? Avocado has specialized in producing organic latex mattresses. Its Avocado Green mattress is an amazing option for people with back pain since it provides ample spinal support. It features individually wrapped coils that are organized in five ergonomic zones. Thanks to this zone support system, your spine will be properly aligned in all sleeping positions.
The comfort layer features organic Dunlop latex, which contours to the sleeper’s body. However, since latex isn’t very cushioning, some side sleepers may find this bed too firm. If you need more pressure relief, you can either look for the best mattress topper for back pain or add an additional layer of latex in the form of a Euro pillow-top for $240.
The mattress’s cover is made of organic cotton and needle-tufted with organic wool, so it’s very soft and breathable. Since latex is naturally great at temperature regulation, this mattress is an excellent pick for hot sleepers.
Besides a 25-year warranty, Avocado offers a one-year sleep-trial period. So you have enough time to see if you like the feel of this mattress. And if you don’t think it’s the best mattress for hip and back pain, you can simply return it and get your money back.
- Five ergonomic zones
- Excellent temperature regulation
- Too firm for some side sleepers
7. Purple Mattress Review
If you’re looking for a mattress that offers great pressure relief and solid spinal support at the same time, the Purple Mattress might be a great option. This mattress stands out from the crowd thanks to its smart comfort grid made of hyper-elastic polymer. The grid is very flexible, so it conforms to your curves and keeps your spine in a neutral position—exactly what you should expect from the best mattress for back pain, whether you’re a side sleeper or not.
The Purple mattress is medium-firm, so most sleepers will find it comfortable. However, it might not provide adequate support to heavier people, who will probably sink deep into the mattress. The Purple hybrid models are a better choice for overweight sleepers.
Thanks to the comfort grid that enhances airflow and its breathable cover, this mattress has amazing temperature regulation. Therefore, it’s great for hot sleepers. However, if you sleep with a partner and one of you is a light sleeper, the Purple mattress might not be an ideal solution even though it’s one of the best mattresses for back pain, as many reviews show. Since its a very responsive mattress, it doesn’t dampen motion completely, so a restless partner may easily wake up a light sleeper.
To find out more about this comfy mattress, read our in-depth review.
- Excellent pressure relief
- Great temperature regulation
- Responsive mattress
- Average motion isolation
8. DreamCloud Mattress Review
DreamCloud offers a luxurious feel at a reasonable price. This hybrid mattress features pocketed coils in its support layer, providing great spinal support. Therefore, it’s one of the best mattresses for back and neck pain. The comfort layer made of gel-infused memory foam, together with the quilted Euro-top, allows for some nice pressure relief.
This mattress is medium-firm, although some lighter people may find it provides a firmer feel. That’s why some side sleepers who need more cushioning should probably look for a memory foam bed. On the other hand, people of average weight and overweight sleepers should have a great night’s sleep in this bed. However, if you’re of above-average weight and prefer to sleep on your stomach, this mattress won’t provide you with enough support for your hips. Instead, you should look for the best firm mattress for back pain.
The DreamCloud mattress is very breathable, so it’s often recommended to hot sleepers. It’s also a solid pick for couples since it isolates motion very well compared to other hybrid mattresses.
What’s more, you can try this mattress in the comfort of your bedroom for an entire year. Plus, it’s covered by a lifetime warranty.
- Very breathable
- Excellent spinal support
- Good at isolating motion
- Not enough cushioning for some side sleepers
9. Helix Mattress Review
Besides memory foam, hybrid mattresses are often considered the best type of mattress for lower back pain. Helix offers six basic models that differ in terms of firmness levels and the amount of pressure relief they provide. They’re all hybrid mattresses, and you can easily find out which is best suited for your needs by taking a quick Helix quiz.
Three models are designed to provide exceptional pressure relief for side sleepers, while the other three are meant for stomach and back sleepers. In addition, if you and your partner have different sleeping preferences, you might get a Helix mattress with dual firmness levels. This might be a great option if one of you is looking for the best mattress for side sleepers with back pain, while the other prefers to sleep on their stomach. They come in three sizes, but we believe that king-size mattresses are the best choice for couples.
In addition to being very conforming, all models are quite breathable thanks to the hybrid construction and soft cover that promotes airflow. They also feature strong edge support. To find out more about each Helix model, check out our detailed review.
- A wide choice of mattresses
- Excellent temperature regulation
- Strong edge support
- Heavy and difficult to move
10. Leesa Hybrid Mattress Review
If you’re looking for the best rated mattress for back pain that offers a firm feel, the Leesa Hybrid mattress might be a solid pick. This mattress, formerly known as Sapira, is especially recommended for back and stomach sleepers. The top layers are made of two types of foam, which are there to provide contouring and cushioning. The support layer consists of pocketed coils that will keep your spine in perfect alignment.
Even though the Leesa Hybrid offers some nice pressure relief, it might be too firm for some side sleepers. They have sensitive pressure points, particularly the shoulders and hips, so they usually need softer mattresses. Instead, they should probably look for the best memory foam mattress for back pain.
This mattress is a good pick for sleepers who don’t like the deep hug that’s typical of memory foam. Since it provides more bounce, the Leesa Hybrid doesn’t perform so well in terms of motion isolation. So if you or your partner wake up easily, this might not be the perfect mattress for you.
- Good spinal support
- Nice level of bounce
- Too firm for some side sleepers
How We Chose the Best Mattress for Back Pain
Our Ranking Methodology
We analyzed and compared dozens of mattresses to find those that provide both ample spinal support and pleasant pressure relief. Besides testing them ourselves, we also read through a heap of reviews to find out what other customers have to say. While preparing our list of the top 10 mattresses, we focused on the following criteria:
To have a good night’s rest, you need to sleep on a comfortable surface. While this is true for everyone, it’s even more important for people who are looking for the best mattresses for back and hip pain. However, not all sleepers have the same preferences and needs. So it can easily happen that one sleeper finds a bed super comfy, while the other considers it uncomfortable.
Since the comfort level is pretty subjective, we focused on how much support a mattress provides. While different sleepers prefer different levels of firmness and need varying levels of pressure relief, we all need ample spinal support. If a mattress isn’t supportive enough, it may misalign your spine, which can lead to back pain.
When reviewing the best rated mattresses for back pain, we also considered different sleeping positions, because they greatly affect the choice of mattress. For example, side sleepers need more pressure relief than stomach sleepers.
We know that getting a new mattress isn’t a small item in your home budget. So when you decide to invest in your bedroom, it’s important to find a mattress made of high-quality materials. Otherwise, you may quickly have to replace it, so opting for a cheap model of poor quality is not really cost-effective.
The best mattress for lower back and hip pain should be durable. And high quality means that your new bed will last in the years to come and that it will provide you with an adequate level of comfort. A mattress made of solid materials and with good construction shouldn’t sag after a couple of years. Instead, it should support the body the same as the first night of use.
That’s why we carefully examined each layer and tested how they work together. What’s more, for every reviewed mattress for lower back pain, we also read reviews left by hundreds of consumers to check if other customers are satisfied with their purchase.
Trial Period and Return Policy
Most online mattress brands give you a chance to try a mattress from the comfort of your home. A trial period is one of the greatest advantages of buying a bed online, so we consider this perk extremely important.
After all, how can you know if the mattress is one of the best mattresses for lower back and hip pain if you don’t test it yourself? Therefore, we tried to include only those brands that offer a trial period. However, companies differ among themselves in terms of the trial-period duration, and they have different return policies. So with some, you’ll have to cover the shipping costs if you decide to return a mattress and get a refund.
All the mattress brands on our list provide a warranty for their products. This should give you peace of mind that your new mattress will serve you well for a long time. Also, you’ll be protected in case the product is defective, which can happen even with the best rated mattress for lower back pain.
However, keep in mind that not all types of damage are covered. Plus, a warranty might become void if your mattress isn’t maintained properly. So always read the terms and conditions carefully.
Naturally, your budget will affect your choice. Just keep in mind that a pricier option doesn’t always mean better quality, and this goes the other way around, too. Since the mattress-in-a-box industry has cut the middleman from the picture, you can actually get a luxury mattress at a reasonable price. Our goal is to help you get the most for your money, so we’ve put great effort into assessing each mattress and comparing their prices.
How to Pick the Best Mattress for Back Pain
It’s shocking that about 8 in 10 people will suffer from lower back pain in their lifetimes. In addition, millions of adults are living with chronic back pain. If you’re one of them, you should know that your mattress can greatly affect your condition. That’s why it’s crucial to find the one that will relieve your aches and pains by keeping your spine in a neutral position and alleviating pressure on your sensitive points.
Our in-depth guide will cover everything you need to know about back pain and mattresses since we’re looking for the best mattress brand for back pain. We’ll also talk in great detail about each factor you need to consider before making a decision.
Common Causes of Back Pain
Before we delve into the most common causes of back pain, we need to say that back pain can be either acute or chronic. Acute back pain is generally caused by an injury, and it lasts up to three months. On the other hand, if back pain lasts longer than three months, it’s classified as chronic. In either case, sleeping on a comfy mattress can reduce your pain. Sometimes even adding the best mattress pad for back pain can make a huge difference.
When you experience back pain, it’s crucial to identify the underlying cause to be able to treat it properly. Here are some of the most common reasons for back pain:
- Skeletal irregularities
- Bulging or ruptured discs
- Muscle or ligament strain
Besides these common causes of back pain, there are several factors that might increase the risk of this common ailment:
- If you sleep on an uncomfortable mattress that doesn’t provide adequate support to your spine, you might end up with back pain. If you don’t want to invest in a new mattress, the best mattress toppers for back pain can also help give you some relief.
- Adults who are over 30 are more prone to back pain.
- People who lead sedentary lifestyles and don’t exercise enough are at greater risk of back pain.
- Obesity may lead to back pain because excess weight puts additional strain on back muscles.
- Certain diseases, like cancer, can lead to back pain.
- Back pain can be a physical manifestation of depression and anxiety.
The Relationship Between Pain and Sleep
Back pain can greatly reduce the quality of your sleep. But it also goes the other way around—sleeping on an uncomfortable bed can result in back pain. That’s why it’s crucial to find the best mattress type for back pain.
According to the National Sleep Foundation, 65% of people without pain are satisfied with their sleep quality—compared to 45% of people with acute pain and 37% of those suffering from chronic pain. In addition, an inadequate mattress can make your back pain worse or even lead to new aches. Therefore, it’s essential to find a mattress that will keep your spine in perfect alignment. However, your preferred sleeping position may determine what kind of mattress will suit you most. Also, your body weight can affect your mattress choice.
How to Choose a Mattress According to Your Sleeping Position
Whether you need the best foam mattress for back pain, or perhaps a hybrid one, will greatly depend on your favorite sleeping position. Typically, people prefer to sleep either on their side, back, or stomach. Each of these sleeping positions has its advantages and disadvantages. And each of them requires a different type of bed since different types of sleepers need different levels of sinkage and firmness.
Sleeping on your side is a very good option for your spine since it will be naturally aligned in this position. Typically, the best mattress for a side sleeper with back pain should be medium-firm. A too-soft mattress may let you sink in too much and cause your back to curve more than normal. On the other hand, a firm mattress will probably lead to unpleasant pressure on your hips and shoulders.
It’s often recommended to sleep on your back because this position keeps your spine in perfect alignment. Most mattresses are suitable for this sleeping position as long as they provide even support. However, very firm beds can create a gap between your lower back and the mattress, so you should avoid them.
While the best mattresses for side sleepers with back pain are soft to medium-firm, stomach sleepers benefit the most from firm mattresses that provide ample support. If they sleep on softer beds, their hips will easily sink in, causing additional strain on their spine. This sleep position is considered the least healthy since it often leads to back pain.
How to Choose a Mattress According to Your Weight
Besides your preferred sleeping position, body weight is another important factor that should affect your mattress choice. In general, a medium-soft to medium-firm mattress is the best mattress for both upper and lower back pain for people of average weight (130 to 230 pounds). Lighter people usually require softer beds because they need more cushioning. On the other hand, heavier people need firmer mattresses that don’t allow for deep sinkage.
Therefore, you should consider both your sleep style and your body weight while shopping for a new mattress. However, keep in mind that these are just general guidelines and that the comfort level you need is a highly subjective choice.
Mattress Types for Back Pain
Different types of mattresses offer different feels, and they aren’t equally effective in reducing back pain. When looking for the best mattress for back pain, reviews can help you a lot with your choice. Here we’ll focus on the four most common mattress types: memory foam, latex, innerspring, and hybrid.
Memory foam mattresses offer amazing contouring, so they are often recommended to people with back pain. Since they adapt to the sleeper’s body, they keep the spine in natural alignment while filling the gaps between the lumbar area and the sleeping surface. Another advantage of this type of mattress is a high level of cushioning, which allows some pleasant pressure relief for sensitive points, such as shoulders and hips. You can also look for the best memory foam mattress topper for back pain if you don’t want to get a new mattress.
Similarly to memory foam mattresses, latex mattresses mold to the sleeper’s body and provide great spinal support. The main difference is that this type of mattress isn’t as cushioning as memory foam. Instead, it’s more responsive, so latex is usually the best choice for people who don’t like to sink into the mattress too deeply.
Innerspring mattresses are generally not the best for people with back pain since they don’t conform to the sleeper’s body. In order to keep the spine perfectly aligned, a mattress needs to offer some contouring and allow your shoulders and hips to sink a bit while providing exceptional support to your lower back. The best innerspring mattress for back pain should have a cushioning top layer that will mold to the sleeper’s body.
Hybrid mattresses might be an excellent pick for people with back problems. They feature a comfort layer made of foam layers, which provide nice cushioning, while a coil support system keeps your spine in natural alignment. Those that use zoned support technology are particularly good for back pain. So if you like a bouncy sleep surface, but need more pressure relief for your joints, a hybrid mattress is a great choice. You can also get one of the best mattress pads for back pain if you need additional pressure relief.
Other Solutions for Back Pain
In addition to finding the right mattress that will alleviate back pain, you should consider the following options as well.
The Right Pillow
If you suffer from back pain, it’s vital to sleep on a pillow that’s the right thickness, which is also known as pillow loft. This way, the pillow will support your head and neck properly and contribute to the right spinal alignment. You can typically choose between low (less than 3″), medium (3″ to 5″), or high (more than 5″) pillow loft.
Even if you have one of the best mattresses for low back pain, there are several factors you should consider when choosing your pillow. Generally speaking, lighter people with smaller heads and narrow shoulders need low pillow loft. Conversely, a high pillow loft is suitable for heavier people with larger heads and broad shoulders. Another important factor you should take into account is your mattress’s firmness level. Softer mattresses require thinner pillows, while for a firmer mattress, you’ll need a thicker pillow.
Mattress Toppers for Back Pain
If you’re not satisfied with your mattress’s firmness level, you can consider adding a topper on your bed. Typically, the best mattress topper for lower back pain will make your mattress feel softer. So if you need more cushioning to alleviate your back pain, this can be a great, inexpensive solution.
An Adjustable Bed
An adjustable base allows you to find a more comfortable position by adjusting the angle at both the head and foot of the bed. What’s more, a number of models come with a massage feature, which can help you relieve back pain. Although they are not cheap, many people with back problems claim that adjustable bases can enhance your sleep experience. To find out more about this type of bed, you can check out our guide on picking the best adjustable base.
Are memory foam mattresses good for back pain?
Yes, memory foam mattresses are often recommended to people suffering from back pain. Since memory foam contours to the sleeper’s body, it doesn’t leave any gaps between the lumbar region and the sleeping surface. In addition, it offers amazing pressure relief for your sensitive points, like the shoulders and hips.
What is the best mattress for side sleepers with back pain?
Generally, side sleepers need more cushioning, so a memory foam mattress might be the best choice for them. A hybrid mattress can also provide enough pressure relief and adequate support for people who prefer to sleep on their sides.
What firmness of mattress is best for lower back pain?
Most experts claim that a medium-firm mattress is best for people with back pain. A mattress that’s too soft can allow you to sink too much, which can put your spine in an unnatural position. On the other hand, a firm mattress might put additional pressure on sensitive points, which can lead to new aches and pains.
However, the firmness level you need mostly depends on your preferred sleeping position and your body weight. Lighter people and side sleepers often require softer mattresses, while heavier people and stomach sleepers usually need a firm mattress for back pain relief.
Is my bed hurting my back?
If your bed doesn’t provide adequate support, your spine may fall out of alignment. As a result, you may suffer from back pain.
What is the best mattress for hip and back pain?
To prevent and alleviate hip and back pain, a mattress should provide ample support to your spine. It’s important that it contours to your body and offers pressure relief for both your shoulders and hips. Memory foam is a great option for people with chronic pain, but latex and innerspring mattresses are also good types of mattresses for back pain. They provide both ample spinal support and pleasant pressure relief.
Your preferred sleeping position and your body weight should determine the firmness level of your mattress. For example, stomach sleepers typically need firm mattresses for preventing back pain.
What firmness of mattress is best for side sleepers?
Depending on their body weight, side sleepers can benefit most from medium-firm to soft mattresses. Lighter people generally need a softer feel.
Sleeping on a comfortable mattress can alleviate your back pain since it will mold to your body and support your spine properly. However, because there are so many brands offering numerous models, it’s not an easy task to find the best mattress for back pain. Hopefully, our list of the top 10 mattresses and in-depth buyer’s guide will make this process less time-consuming.