by Aleksandar Hrubenja

The Best Mattress for Back Pain of 2020 (Reviews & Guide)

Best Mattress for Back Pain

Nothing beats a good night’s sleep. It keeps you focused and sharp, it helps with your memory, and it’s also good for your general wellbeing. Missing out on sleep has serious consequences, and they compound already existing issues, like chronic pain. So combine that with the fact that back pain usually improves—or can at least be regulated—by a good, solid mattress. 

We covered what we believe are the best mattresses for the average consumer, and we reviewed them with a specific focus on what’s best for your back pain. So without further ado, just scroll down and see which beds we chose, as well as how we chose them.

The Top 10 Best Mattresses for Back Pain

Below is our list of what we think are the best mattresses on the market for the ordinary consumer. However, take into consideration that not every mattress can accommodate every person. Your needs and preferences should help you make the right choice. Also, keep in mind that just because a mattress is cheaper does not mean it’s necessarily worse—and just because it’s expensive, this doesn’t automatically mean it’s good. 

However, if you are here looking for the best mattresses for back pain, these reviews include only high-quality brands from trustworthy companies. The final decision is, of course, yours.

Great airflow
Great for all sleeper types
Has a very unique feel
FROM $1099
An organic, natural mattress
Lots of support, very responsive
Long trial period
FROM $999
Lots of support
Great for stomach sleepers
FROM $890
Great warranty option
Lots of support
Extra comfort
FROM $1099
Responsive, but also comfortable
Great for all combinations of sleepers
Great for all combinations of sleepers
FROM $1444
Keeps you cool
An organic, environmentally friendly mattress
Durable and responsive
FROM $1399
Great for hip pain
Supports a wide range of sleepers
FROM $876
Special comfort
Excellent warranty and trial period
FROM $799
Keeps you cool
Like sleeping on a cloud
Isolates motion
FROM $894
Great for lower back pain
Mix of support and softness
FROM $899

Best Mattresses for Back Pain Reviews of Our Top Picks

1. Purple Mattress Review

Purple Mattress Review

Rating: 10

Editor’s Pick: Top of the Line

  • Type: Polymer, gel-like material
  • Great airflow
  • Great for all sleeper types
  • Has a very unique feel
  • Price: $1099

This is the best of the best, the creme de la creme when it comes to mattresses (in our humble opinion). This is an all-around fantastic mattress that’s made just so much better thanks to the innovative materials used in its structure.

What sets Purple Mattress apart is the brand’s very innovative, patent approach to its products. It uses its own special Hyper-Elastic Polymer material. But we’ll get to that in a sec.

Let’s start with its construction. At its base, the mattress has a four-inch layer of polyurethane foam, keeping it stable. Then, there’s the second transitional layer—softer than the base, but still hard. Finally, the third layer is where their special Polymer comes in. This is what makes it the best of all the best mattresses for back pain.

This polymer is more akin to a gel or silicone, not at all like memory foam. It’s very soft, flexible, and highly responsive. It is, at the same time, soft and firm in all the places you need it to be. It gives you both support and pressure relief. This top layer is further improved thanks to the grid-like structure it’s made in.

Furthermore, the polymer doesn’t retain heat. It’s a temperature neutral material that doesn’t allow the sleeper’s body heat to transfer to the bed. The grid-like structure allows air to move freely, adding to its cooling effect. It’s the best mattress for lower back and hip pain for those who really can’t stand hot nights.

The polymer actually conforms to your body, but in a different way from foam. However, it also delivers just enough resistance so you won’t get “stuck” if you move around a lot, which gives a lot of comfort no matter if you sleep on your back, stomach, or side. 

Our Verdict

The best of the best. It basically gives you all of the pressure relief of memory foam but still provides extra support. It’s also wonderful when it comes to heat since the special polymer used here simply doesn’t retain it. In our opinion, it’s the best mattress for back pain, with its only flaw being that some might need to accustom themselves to the special feel of its polymer.


  • Great airflow
  • Great for all sleeper types
  • Has a very unique feel
  • Comfortable and firm
  • Doesn’t retain heat


  • Not for heavier individuals
  • Has a very specific feel

2. Awara Mattress Review

awara mattress review

Rating: 9.8

Most Environmentally Friendly Mattress

  • Type: Organic innerspring/natural foam hybrid mattress
  • An organic, natural mattress
  • Lots of support, very responsive
  • Long trial period
  • Price: $999

If you care about the environment and truly want to do as much as you can, then getting a mattress like this is a pretty good step in that direction. The Awara Luxury Organic Mattress is made from natural Dunlop latex and organic cotton, and it even uses a natural wool cover. 

So, let’s start with its structure. You only have two layers, with a base layer of zoned support coils (more on these in a minute), followed by Dunlop latex foam top support. This combination of a foam top layer, supported by a thick innerspring base, makes it one of the best mattresses for lower back pain, especially when it comes to organic mattresses.

These organic materials aren’t just beneficial for the environment. Natural latex is antimicrobial, meaning it doesn’t gather dust mites or any other elements that can provoke allergic reactions.

Of the other latex mattresses on our list, this one is also probably the best mattress for lower back pain. Namely, the support coils underneath this mattress give you ample support, keeping your back in proper alignment. They also have just enough softness in the foam, which lets your hips sink (but not too much), keeping your lower spine nice and parallel to the floor.

For this same reason, Awara’s hybrid is the best mattress for back and neck pain that’s made from organic materials, no matter whether you sleep on your back or on your side (sleeping on your stomach is always bad for your neck anyway).

It also has a nice, year-long trial period.

Our verdict

An excellent, natural organic mattress that gives you a lot of support, lots of responsiveness, while still providing some softness and “give” for side sleepers. Its price tag might be a bit daunting, but you’re getting a quality mattress that’s amazing for the environment—and great for your back.


  • An organic, natural mattress
  • Lots of support, very responsive
  • Long trial period


  • A bit on the expensive side
  • Slightly too firm for some people

3. Bear Mattress Review

Bear Mattress review

Rating: 9.6

Affordable and High Quality

  • Type: Special Memory Foam
  • Lots of support
  • Great for stomach sleepers
  • Affordable
  • Doesn’t retain heat
  • Price: $890

This is one for the everyman—an affordable, sturdy mattress that does everything right. With the right level of pressure relief and contouring, at an acceptable price, Bear’s flagship is a fantastic choice.

This bed, like almost all of the products on this list, comes with a sturdy, foam base at the bottom. Then, there’s the middle layer, made from responsive foam. The top layer is made from open-cell graphite-gel memory foam, and it’s this combination that makes the mattress stand out. 

The combo of a sturdy foam base with a softer transition layer and special gel-infused memory foam makes it the best memory foam mattress for back pain for the average consumer. 

Many memory foam mattresses have issues with retaining heat. This graphite gel foam is there to help you out. The material itself retains minimal heat, something that’s further emphasized with its open-cell structure. 

What also makes it stand out is the mattress’s firmness. Even though it’s made from memory foam, you won’t get that sinking, stuck-in-the-mud feeling (which some people admittedly like and may refer to with more optimism).

Our Verdict

This is the best memory foam mattress for back pain when it comes to getting the biggest bang for your buck. It keeps you cool at night, and its combination of softness and firmness makes it amazing for stomach sleepers. Still, some people might find it a bit too firm, possibly wanting something softer and lighter.


  • Lots of support
  • Great for stomach sleepers
  • Affordable
  • Doesn’t retain heat


  • Might be a bit too firm for most people

4. Dreamcloud Mattress Review

dreamcloud mattress review

Rating: 9.5

  • Type: Innerspring/memory foam hybrid
  • Great warranty option
  • Lots of support
  • Euro top layer gives extra comfort
  • Price: $1099

Right off the bat, if you’re not happy with your mattress, note that DreamCloud will refund you completely and will even pick up the mattress for free. They offer their Everlong warranty: when you say the word, they’ll stop by and pick your defective mattress up. You also get a one-year trial period to test it out.

This one is amazing thanks to its specific combination of coils and memory foam, not to mention the Euro top, pretty much giving you the best of both worlds. So first you have a dense layer of support foam for the base. Then, you get a layer of pocketed coils that add extra support and a little bit of responsiveness. 

What makes this DreamCloud’s best mattress for lower back and hip pain—and for comfort in general—is its hybrid nature. The third layer is essentially transition foam, which gives a bit of extra softness between you and the coils. Then, you get gel-infused memory foam, and finally, the quilted Euro top.

The quilted Euro top is what gives this mattress that little extra something. It allows for added softness and comfort, while still not messing with the responsiveness and firmness of the innerspring layer. 

Our Verdict

DreamCloud has consistently been considered the best mattress brand for back pain. The way the materials and layers are combined give it a special quality, along with the right amount of firmness and comfort. It’s very good for heavyset individuals who need that extra support without wanting to completely sink into the mattress itself.


  • Great warranty option
  • Lots of support
  • Special combination of materials makes it stand out
  • Euro top layer gives extra comfort


  • Not the traditional memory foam set-up
  • Can be too firm for lighter individuals

5. Leesa Mattress Review

leesa mattress review

Rating: 9.4

  • Type: Innerspring/memory foam hybrid
  • Great for all combinations of sleepers
  • Gives localized support and motion isolation
  • Responsive, but also comfortable
  • Price: $1444

Another excellent mattress on our list. The Leesa Hybrid Mattress has five layers. First, there’s the base layer of support foam. Then you get a layer of pocketed coils that give the bed its durability, support, and responsiveness. Next, there’s a layer of support foam that serves as a transitional layer between the coils and the top layers. Finally, the top layer is 1.5 inches of memory foam to give you pressure relief.

This same memory foam is a bit different than the regular stuff. It’s a special blend—aerated premium foam, which is more neutral than the regular kind. It might just be the best mattress for side sleepers with back pain out of all those using memory foam.

Namely, this bed is paradoxically soft and firm—you sink into it a bit, but you also get a lot of support. The main reason for this is that it’s a hybrid that has a relatively thin layer of foam on top of the coils. This means the metal innerspring part gives you the structure you need, while the rest is just soft enough to keep you comfy.

Our Verdict

Among our list of the best mattresses for back pain and reviews, this one is great for almost all sleepers, but it’s still perhaps the mattress for side sleepers. It’s both comfortable and responsive. Its soft, yet firm, gives you a kind of memory-foam feel, but not too much. However, people might be dissuaded by its price, and they still might find it a bit too firm.


  • Great for all combinations of sleepers
  • Gives localized support and motion isolation
  • A responsive, comfortable mattress


  • A bit pricey
  • Too firm for some people

6. Avocado Mattress Review

avocado mattress review

Rating: 9.3

  • Type: Innerspring/memory foam hybrid
  • An organic, environmentally friendly mattress
  • Keeps you cool
  • The best mattress for combination sleepers
  • Durable and responsive
  • Price: $1399

Another eco-friendly bed, we have Avocado’s Green Latex Mattress. As an organic hybrid, it gives you a strong level of support through its innerspring coils while also providing a solid layer of foam so you get some softness.

But just “some,” which could either give you trouble or make you really like this mattress. Namely, this isn’t a bed for people who are looking for plush. Basically, it gives a lot of responsiveness, and a lot of support, but you might want some extra padding (which Avocado can also provide).

This is the best mattress for a side sleeper with back pain who doesn’t have muscle or joint issues. Namely, it delivers perfect alignment for your spine, but it also can add more pressure to painful muscles and spots. 

People who switch positions a lot in their sleep during the night will also appreciate this bed since they won’t sink into it while they move around. It’s truly great for upper back pain because it’s made from organic materials and keeps your back aligned with the floor.

Our Verdict

This is the best innerspring mattress for back pain when it comes to firmness. In fact, some people might even think it’s a bit too firm. This makes it fantastic for combination sleepers and for people who like a lot of support. Also, by buying this mattress, you’re helping the environment.


  • An organic, environmentally friendly mattress
  • Keeps you cool
  • The best mattress for combination sleepers
  • Durable and responsive


  • Pricey
  • Too firm in some cases

7. Casper Mattress Review

casper mattress review

Rating: 9.1

  • Type: Open-cell memory foam
  • Great for hip pain
  • Supports a wide range of sleepers
  • Price: $876

This one is a true jack-of-all-trades. It’s not overly firm, and it’s not overly soft. It isn’t lacking in any one area, but it also doesn’t really shine in any other area either. The structure of the mattress is made from four layers. You have a base layer of support foam, then a transition layer, then a layer of memory foam, and another layer of special, open-cell foam. This may be the best type of mattress for back pain when it comes to all-around quality.

Furthermore, it doesn’t especially feel like memory foam, so you don’t sink in as much as you would with other memory foam mattresses. That’s a good thing for some people and a bad thing for others. Many people don’t like the sensation of getting sucked into their mattress. Happily, this one’s a happy medium on our scale of firmness and softness.

Our Verdict

This may be the best mattress for back and hip pain, since you get support for your spine, but you also get some softness to help with hip aches. We said that there’s no one-size-fits-all mattress, and that’s true. However, this one is closest to that statement, for better or worse, since most people won’t be making a mistake if they choose this one.


  • Great for hip pain
  • Jack of all trades…


  • … master of none

8. Nectar Mattress Review

nectar mattress review

Rating: 9.0

  • Type: Memory foam
  • Price
  • Special comfort
  • Excellent warranty and trial period
  • Price: $799

One of the more popular brands in the US, Nectar is known for providing an excellent mattress on a budget. Namely, its greatest feature is the price tag accompanying this solid product. 

The Nectar Mattress is a complete foam bed made up of four layers, roughly eleven inches thick. First, there’s the base layer of thick support foam, followed by Nectar’s Adaptive Hi Core Memory Foam. This proprietary foam earns its place on our list as a great option if you’re still deciding on the best mattress for back and hip pain—for reasons covered below.

This mattress, thanks to three of its memory foam layers, has a nice, strong feel to it. You won’t sink immediately into the bed. The foam will conform around your body, taking on its shape, but not too much. In fact, you don’t really sink in as much as you would with other memory foam mattresses. Rather, your shoulders and hips will be cradled nicely. 

Note that both very light and very heavy-set individuals might not enjoy this mattress. For lighter people, it might be a bit too firm. On the other hand, heavier people will sink too deeply into it since it still is a memory foam mattress. However, for buyers on a slight budget, it’s the best mattress for side sleepers with lower back pain

There are, finally, some nice additions from the company itself. Namely, these mattresses are shipped for free. The company also offers an amazing one-year-long trial period that allows you to test out the bed. In addition, you get a Forever Warranty where you can return the bed, no questions asked. Finally, you get a new pillow.

Our Verdict

This bed is perhaps the best mattress for upper back pain, lower back pain, and neck pain if you’re looking for a great deal all around. It’s an excellent mattress for a variety of sleepers, providing you with an excellent trial period, a warranty, and an amazing price. Its special construction really gives you that extra bit of comfort you might need.


  • Good price
  • Special comfort
  • Excellent warranty and trial period


  • Not for very light or heavy individuals

9. Nolah Mattress Review

nolah mattress review

Rating: 8.9

  • Type: Memory foam
  • Keeps you cool 
  • Affordable
  • Isolates motion
  • Like sleeping on a cloud
  • Price: $894

The Nola Original 10 is the best foam mattress for back pain if you want to feel like you’re lying on a cloud. This mattress is made from three layers, all foam. First, you have the base support foam layer, followed by a thin transition layer. Finally, you get Nolah’s proprietary AirFoam top layer. 

This one stands out because this layer is made out of open-cell foam. This allows better airflow circulation, which further allows better temperature regulation within the mattress. Essentially, it draws body heat. It also isolates motion, meaning movement and changes on one side of the bed won’t influence the other side. Furthermore, out of all the entries on our list of mattresses for back pain and the reviews accompanying them, it’s a pure foam mattress that retains the least heat.

Note that this one is not for heavier people (anyone over 240 lbs) since they will most likely sink too far into the mattress. There simply isn’t that much support to spare. For people who really like a soft mattress, however, this one is fantastic.

Our Verdict

A very solid and affordable bed that’s great for side sleepers. With a strong, longer than average warranty, and with their special proprietary foam that keeps you cool throughout the night, Nola is the best mattress brand for back pain and for side sleepers who like to stay cool while still enjoying that nice memory foam feel. 


  • Keeps you cool 
  • Affordable
  • Isolates motion
  • Like sleeping on a cloud


  • Not for heavier individuals
  • Too soft for some people

10. Helix Mattress Review

helix mattress review

Rating: 8.8

  • Type: Memory foam
  • Great for lower back pain
  • Mix of support and softness
  • Price: $899

We’re gonna start this one off by noting that there are multiple mattresses in this line. While we’ll be focusing on the Dawn model, keep in mind that you can actually do a quiz on the Helix website that directs you to the right mattress for you.

The six core models of this specific Helix line (one of them being Dawn) all have 4″ of foam and 8″ of coils. Each of these models offers a kind of soft foam with a neutral feel. You won’t really get that special memory foam experience, but these mattresses also don’t feel like traditional innerspring mattresses. Some of the best mattresses for lower back pain are hybrids that give you support and softness.

Thanks to the coils, you get lots of responsiveness, support, and durability, but the Dawn model is also nice and soft. In fact, it’s specifically great for back and stomach sleepers of lighter and medium builds since it gives you support but still allows for some softness.

Our Verdict

A pretty solid mattress on its own, but also nearly the best mattress for low back pain due to its combination of support and foam. The coils also give it some extra bounciness and firmness, which might annoy some people, while others might really need it.


  • Great for lower back pain
  • Mix of support and softness


  • It might be neither firm nor soft enough for some people

How We Picked the Best Mattress for Back Pain

Our Ranking Methodology

There are several key points that we made sure to cover when reviewing the mattresses on our list. Some of these are directly mentioned as metrics (like firmness and softness), while others are factors that influence the elements we mentioned (like being comfy for side sleepers or heavy-set sleepers). In fact, how we picked the best-rated mattress for lower back pain, upper back pain, neck pain, etc., is all based on the factors below.

Note that if certain factors from the list below haven’t been mentioned within a review, the most likely reason is that its neither particularly good nor bad in that specific model of mattress. 

Firmness, Responsiveness, and Structure

We use these three together because they’re closely tied. Namely, the materials used in the construction of these mattresses, and the actual type of mattress (which we’ll cover down below), significantly influence how they’ll feel. A strong factor that influences a mattress’s comfort is also how the layers in a mattress are combined. The best mattresses for back pain all give you a certain level of support, comfort, and responsiveness. It’s the extent to which they provide you with certain elements that show how they differ. We also haven’t considered things like unevenness and lack of pressure spots, since those are just signs of poor workmanship. 

Response means that there’s a sense of springiness to the touch, that it even gives you some bounce. It’s great for people who move a lot in their sleep, as well as for heavier individuals (since they might warp the bed a bit more). 

The best mattress for hip and back pain varies from person to person. Some mattresses are softer, others are firmer. Softness also includes how deeply you sink into the mattress and how much it conforms around your body. Firmness, then, represents how little it actually conforms and sinks.  

Temperature Handling

Certain mattresses handle heat better than others. Namely, heat transfers from the environment and the sleeper to the mattress in varying degrees. Certain materials, like memory foam, tend to soak up heat more than others. Many of the mattresses on our list have features that try to mitigate body heat.

Even the leading mattress for back and neck pain won’t be comfortable if it makes you feel like you’re in a sauna half the time you rest. Open-cell structures, ventilated grid systems, and other improvements make the mattress airier and help minimize heat transfer. 

A mattress’s softness also influences how much heat is transferred. Namely, as the mattress contours, bending and enveloping your body, more of its surface area is exposed to your body heat, which is then redirected to your body.

Sleep Position

One of the more important subjective factors when searching for the best mattress for back pain, along with your weight and health, is how well the mattress responds to your sleep position. Most back issues are caused by improper posture, and a mattress that doesn’t correspond to your sleep position will exacerbate this issue.

People who like to sleep on their side will require something a bit firmer (but still not too firm) since it keeps their neck, thoracic, and lumbar spine parallel to the ground. Too soft, and their torso will sink, but their neck will stay where it is, causing further issues. Nevertheless, the best mattresses for back pain are very subjective.

A person who moves a lot in his or her sleep needs something firmer as well, since getting “stuck” in a very soft mattress will make things uncomfortable. A side sleeper with wide hips, on the other hand, might want a hybrid—a soft-top layer that lets their hips sink while also getting a base innerspring layer that keeps them from bending their back too much. 

So the best mattresses for back and hip pain can be a firm hybrid with a soft top and a coil base.  Back sleepers will also want something a bit firmer to keep their lower back in line. 


In our guide, we’ve included how well (or poorly) heavier or slimmer individuals will sleep on certain mattresses. Your weight must be factored into your choice as you’re conducting your search for the best mattress for neck and back pain.

Namely, how much you weigh will influence how far you’ll sink into a mattress, and how much pressure you’ll feel. However, note that this isn’t so much a matter of softness, but rather, of support.

For example, if you can’t really stand a lot of pressure on your joints and muscles but are also on the heavier side, you could get a hybrid mattress with a foam top layer and coils that act as supports. Meanwhile, even the best mattress for lower back pain won’t help you if you’re very thin and you got something too firm. An exceptionally thin individual might prefer something softer, since firm mattresses tend to be uncomfortable, but they might have back issues that require extra support, leading them to the same mattress. 

Your Health

Finally, there’s your general health. This one is a bit harder to cover, and it basically boils down to pain. The best mattress for back pain won’t matter much if you have joint or muscle issues that require you to choose a soft mattress. Namely, most of the time, you need a good deal of support to keep your back aligned. But if you can’t stand anything firmer than angel feathers, you’ll need to make a compromise. 


We briefly mentioned the price of these mattresses. They’re all pretty much for the average consumer—they’re all high quality, but not necessarily luxurious. Note that the best mattress for lower back pain sufferers, or upper back or neck pain, are not all automatically dependent on their price. So don’t just go around buying the most expensive one you see, but rather make an educated decision.

A Guide to Finding the Best Mattress for Back Pain

Buyer’s Guide

This buyer’s guide is a segment where we discuss some things that weren’t really included in our own reviewing methodology. This covers some clearly subjective aspects that we can’t really include in our scoring methodology (like the type of mattress), and it includes some general buying advice. You can only get the best mattress for low back pain if you know what exactly you need.

Is It Time to Replace Your Mattress?

Ask yourself honestly, how old is your mattress? Warranty periods are fantastic, but your regular old mattress won’t really be of much use for longer than a decade of regular wear and tear. When it comes to finding the best mattress for lower back pain, our reviews all include companies that you can trust and that offer some kind of warranty or another. Off-brand mattresses, however, don’t last that long. 

Furthermore, inspect your old mattress for any significant damage. What shape is it in, and are there any tears, scrapes, sagging areas, or dips? Is it even, or is it completely dented and warped?

Also, is your sleep quality worse? Keep in mind, the best mattress for a stomach sleeper with lower back pain won’t help you heal any damage since sleeping on your stomach isn’t good for your spine.

While the most likely culprit is a health or environmental issue, your mattress might be the thing causing you trouble. Either it’s damaged, like we mentioned above, or maybe your sleep position has changed.


You probably noticed that we haven’t mentioned this metric that much in our guide. The core reason is that all of the above mattresses come from good companies. Two factors influence the durability of a mattress: the quality of the build and materials used. We’ve covered the various types below in more detail. Along with durability, the companies above provide the best mattresses for lower back and hip pain, neck problems, and general spinal issues. 

Shopping Tips Before Getting the Best-Rated Mattress for Back Pain

Test It Out

First things first—you want to test these out. Come to the store in comfortable clothes and footwear that’s easy to take off. Make yourself comfortable, take your time, and don’t fret about the salesperson. They should let you test everything out properly. Try all sleeping positions, see how you feel.

If you really don’t have the option to actually test the mattresses when you’re deciding among the best mattresses for back and neck pain, get a mattress that has a return policy. No point in handing over so much money for something that just doesn’t feel right and that you can’t really use—especially if you have back pain.

See What Options You Have to Actually Get It into Your Home

As you’re looking for the best mattress for back pain, our reviews won’t matter much if you pull a muscle getting it into your bedroom. A good company will likely offer employees, a delivery service, or some kind of wheeled box to allow you to get it into your home as easily as possible.

Always Inspect the Mattress

Don’t be a pushover—inspect the mattress when it’s delivered. See if it has any stains or damage, and check that it has the right materials. If you do accept the mattress and get it set up in your home, call customer service if there are any issues with it. Take photos or a video for proof.

Types of Mattresses

Buyer’s Guide

Innerspring Mattresses

Innerspring mattresses are the most common type of mattress. These mattresses, also known as coil mattresses, have been around since the 1900s. They’re made from steel coils that compress when you put some weight on them. More coils mean higher quality and better support. 

These are affordable beds since they’re cheap and simple to make. However, they don’t last for that long, since their springs tend to get worn down. Furthermore, the squeaking you hear from these beds gets old fast.

Still, they tend to be on the firmer side, and you can bet that an innerspring is the best firm mattress for back pain thanks to the support it provides.

Memory Foam

Memory foam was invented by NASA in 1966. Its first purpose was to make aircraft cushions safer. Now, it has many commercial applications. In fact, it was not until 1991 that the first memory foam mattress came into existence. While it tends to be soft, it can still be the best type of mattress for lower back pain if it’s reinforced or combined with coils.

The reason these mattresses are so popular is that they give you a kind of pleasant sinking sensation, a feeling of being cradled. It gives you both cushioning and support. It’s especially useful for people who need extra softness due to various painful conditions. Namely, the best mattresses for upper back pain caused by localized pain (like direct pain in your muscles) for back sleepers is a memory foam mattress.


Gel-based mattresses are a subtype of foam mattresses. They’re essentially foam mattresses that are infused with a special gel-like material. Their core advantage is that they provide you with a cool sleeping surface, which is especially helpful for people who sweat a lot or have high body temperatures. If you’re interested in the best mattresses for low back pain, you might actually like a gel-infused foam mattress, as long as it has a firm base. 

However, these are more expensive, and the cooling effect can fade after some time. Lower-quality gel-infused mattresses actually make the bed hotter after a time since they pick up the temperature of the environment. However, you can rest assured that the best-rated mattresses for back pain above will keep you cool and relaxed, and they won’t fall apart. 


Latex is actually a relatively natural bedding option. Natural latex is a byproduct of the sap from rubber trees. Of course, synthetic latex exists as well, and it may be affordable, but the natural option is more environmentally friendly. 

Similar to memory foam, latex offers pressure relief and contouring. However, the level of contouring is lower than that of memory foam, which is actually a good thing. This may make it the best mattress for a side sleeper with back pain because it gives you some extra resistance and bounce, meaning you can’t really sink into the mattress. However, these mattresses do let you sink a bit, which is great for people with broader hips and shoulders who sleep on their sides.


Hybrids are becoming more and more popular. They offer the best of both worlds, with the softness of a latex or memory foam mattress combined with the support and bounce of an innerspring mattress. 

These are made by placing springs in the bottom layer, with a few layers of latex or memory foam on top of the mattresses. In fact, some of the best mattresses for lower back and hip pain can be a hybrid, giving you support and softness at the same time. 


The primary drive behind buying organic mattresses is that they’re perfect for people who care about the environment and who also want to minimize their exposure to chemicals and toxins. They’re eco-friendly, sustainable, and nontoxic—often made from natural latex, recycled steel, organic wool, and a variety of materials all of natural origin. Essentially, it’s the best mattress type for back pain for people who also want to minimize their ecological impact. 


Waterbeds were invented by a doctor primarily to help patients who suffered from bedsores. These are very comfortable, completely conforming to your body and offering no resistance. In fact, there’s barely any pressure on your joints, giving lots of relief for individuals with back pain. It’s basically the best type of mattress for back pain sufferers who have trouble falling asleep. This type of mattress gives you the sensation of floating on waves and can be very soothing.

Furthermore, since they’re made from vinyl materials, they are pretty good for allergy sufferers. Lacking fibers that can gather up dust, debris, and dirt, they can often come as a relief for people having trouble with these problems.

They also have heating options, at least the stronger models do. Amazing and comfy for winter months, a waterbed often has very specific temperature settings, it’s the best mattress for back pain sufferers who like to control how warm or cool they feel during the night.

However, they are not without their problems. They can leak, obviously, which can be an absolute nightmare. They also get strange smells from time to time. Finally, they offer practically no support, so if you need it, you won’t really get help.

Frequently Asked Questions

Are memory foam mattresses good for back pain?

This depends a great deal on what type of back pain you feel. Memory foam mattresses deliver softness, but not that much support—although they reduce pressure point pain. If you have postural issues or if pain flares up when your back is improperly aligned, then you should look elsewhere.

What is the best mattress for side sleepers with back pain?

The best one will be a mattress that’s on the firmer side, while still having some softness to it. In fact, the best mattress for side sleepers might be a hybrid, which gives you stability through its tougher, firmer base but still gives you some room for your shoulders and your hips.

These mattresses allow you to cushion your hips and your shoulders, providing you with proper alignment. Now, the trick here is getting something just firm enough so as to not let you sink too deeply, because it will make it worse. Also, more heavyset individuals might prefer something firmer.

What firmness of mattress is best for lower back pain?

It depends on the cause of your lower back pain. If it’s a posture issue, you’ll want a firmer mattress that keeps your back in line. If you have some pain, maybe something softer that relieves pressure is a better choice.

Is my bed hurting my back?

Perhaps. Your back pain might be caused by poor posture or by sitting all day in front of a screen, hunched over, with your jaw jutting forward. On the other hand, it might be caused by some serious spinal issues and problems, like a slipped disk.

When it comes to your bed, it can aggravate these issues. For lower back pain, get a mattress that is a bit firmer, giving you some extra support to your lower back. Neck pain can be aggravated by sleeping on your stomach, while you can get overall pain from a low-quality, damaged, sagging mattress no matter what issue you have.

What is the best mattress for hip and back pain?

If your back pain is postural, then you could use some extra support. A mattress that is too soft will just let you sink into the thing, exacerbating your poor posture. However, if you have direct hip and back pain, you’ll want something softer, something that puts less stress on these direct points. 

What firmness of mattress is best for side sleepers?

It depends greatly on what issues you have. Too little support just reinforces poor posture, it won’t keep your spine in the proper alignment and will strain your muscles. On the other hand, too much support will hurt you at certain pressure points, making existing muscle, joint, and bone aches much worse.

What mattresses do doctors recommend?

There are too many contextual variables that prevent any doctor from giving you a clear and direct recommendation. Everybody has different needs and problems. However, they do advise that firmer, more supportive mattresses are in general better than softer mattresses when it comes to back pain. As a rule, consulting your physician might be the most prudent option since choosing the best mattress for back pain is a highly subjective experience.

To Sum Up

And there you have it folks, a clear guide to help you out with your sleeping habits, and with your back pain. There are a lot of good products here, many of which can help relieve certain back issues, and allow you to get a good night’s rest again. So, if you are looking for the best mattress for back pain, check out our reviews, take a look at our guide, and you will be right as rain.

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