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Best Mattresses for Back Pain: 16 Options for Optimal Evening Comfort

What's the best mattress for back pain? If you're suffering from back pain and can't get a restful night of sleep, it might be time to change your mattress. The best mattress for someone with back pain is generally one that offers better lumbar support and can support body curvature. When it comes to getting better sleep, it isn't just about the hours of sleep. Another huge factor is that the best mattress for back pain is based on your specific sleeping position. You can get all the sleep you need, but if it isn't restful sleep or you wake up with back pain, you don't feel rested, which can catch up to you in many ways.

When you aren't getting the proper sleep, your health can be affected. This could be health conditions such as high blood pressure, diabetes, stroke, lower sex drive, and many more health-related issues. Choosing the right mattress means proper sleep hygiene and pressure point relief that addresses back pain issues. And now most of the mattresses will ship right to your door thanks to the popular "bed in a box" mattress concept.

Nolah Signature 12-inch
Nolah Signature 12-inch Mattress
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Amerisleep AS1
Amerisleep AS1
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Tempur-Pedic Adapt
Tempur-Pedic Tempur-Adapt Mattress
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The Nectar Premier Memory Foam Mattress
The Nectar Premier Memory Foam Mattress
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Casper Original Mattress
Casper Original Mattress
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Purple Hybrid Mattress
Purple Hybrid Mattress
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Layla Sleep Memory Foam Queen Mattress
Layla Sleep Memory Foam Queen Mattress
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Parachute The Mattress
Parachute Eco Comfort Mattress
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Avocado Vegan Latex Mattress
Avocado Vegan Latex Mattress
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Helix Twilight Mattress
Helix Twilight Mattress
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Saatva Classic Mattress
Saatva Classic Mattress
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The DreamCloud – Luxury Hybrid Mattress
The DreamCloud – Luxury Hybrid Mattress
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WinkBed
The WinkBed
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Zoma Mattress
Zoma Mattress
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Layla Hybrid Mattress
Layla Hybrid Mattress
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Level Sleep Mattress
Level Sleep Mattress
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The Nolah Signature 12-inch mattress in a room.
Nolah

Nolah Signature 12-inch Mattress

Nolah Signature mattress uses AirFoam technology to provide pressure relief with a thicker base and luxury unbleached organic cotton. This is Nolah’s best mattress for pressure relief with 75% more pressure-relieving foam to relieve pressure on your neck, shoulders, and hips.

Soft premium organic cotton creates the cooling cover to wick away moisture and protect the plush Nolah AirForm. The core foundation is reinforced to assist the upper layers in supporting and contouring your body. The high-density foam is a breathable and durable mattress guaranteed to last a lifetime.

Nolah Signature 12-inch
Nolah Signature 12-inch Mattress
The Amerisleep AS1 mattress in a bedroom.

Amerisleep AS1

The plant-based Bio-Pur material keeps sleepers cool all night. It features an open-cell design to allow more air to circulate and wick away warm air. The Bio-Pur is available in every Amerisleep mattress provides a healthier sleeping experience and responsive back pain support.

The layers of the memory foam have a better bounce back in the mattress, so you don’t feel stuck when you move during sleep. Sleep better knowing the mattress will relieve painful pressure points and prevent heat build-up.

Amerisleep AS1
Amerisleep AS1
The Tempur-Pedic Tempur-Adapt mattress in a bedroom.

Tempur-Pedic Tempur-Adapt Mattress

The Tempur-Adapt mattress features material that NASA initially developed. Each layer works together to support your body and relieves pressure. The taller profile gives you layers that constantly adapt to your shape and temperature.

The advanced cellular structure of the mattress helps to alleviate the pressure ports that cause you to toss and turn during the night. Each mattress is designed with progressive motion absorbing properties to eliminate motion transfer and leave your partner undisturbed during the night.

Tempur-Pedic Adapt
Tempur-Pedic Tempur-Adapt Mattress
The Nectar Premier memory foam mattress in a bedroom.

The Nectar Premier Memory Foam Mattress

This gel memory foam mattress from Nectar helps you to sleep cooler, more comfortably, and with better contouring support. The soft and breathable cover moves heat away from your body with the ActiveCool HD technology, which adjusts to your body temperature as you sleep. You will get more cradling and contouring and less motion transfer so everyone receives a perfect night’s sleep.

The denser foam creates another comfort layer and relaxes your muscles by reducing the stress of your pressure points. Experience a quick bounce back with the responsive foam to support your body, including your shoulders, hips, and legs. A better spinal alignment is key to your sleep hygiene.

The Nectar Premier Memory Foam Mattress
The Nectar Premier Memory Foam Mattress
The Casper Original mattress in a bedroom.

Casper Original Mattress

Every mattress is rigorously tested to make sure it is offering optimal support so you don’t wake up multiple times during the night. The signature knit cover, in addition to the layers of foam, creates the Signature Casper Feel and lulls you to sleep every night. Your hips, spine, and shoulders will feel instant relief from the Zoned Support from the mattress.

Casper mattresses are constructed of Casper 4D Sleep Technology, which is an innovative formula bringing together a mattress that addresses the four dimensions of sleep. The mattress targets separate zones for supporting and aligning your body. A softer foam surrounds your shoulders while a firmer foam supports your hips, waist, and lower back.

Casper Original Mattress
Casper Original Mattress
The Purple Hybrid Mattress in a purple bedroom.

Purple Hybrid Mattress

The Purple Hybrid Mattress offers a mix of a gel grid, support coils, and cushioned transition foam. Pocketed coils help achieve a greater airflow that provides more response and increases mattress durability. Hybrid mattresses are a perfect blend of foam and coils that give you a comfortable night’s sleep each and every time. You will never sleep hot thanks to the air circulation from the coils.

The soft cushioning grid will support pressure points on your hips and shoulders while contouring to the rest of your body. The two-inch Purple GelFlex Grid is made from temperature-neutral and hyper-elastic GelFlex material, which is designed to flex directly under pressure points but still support the rest of your body.

Purple Hybrid Mattress
Purple Hybrid Mattress
A couple lie on the Layla Memory Foam Mattress in the bedroom.

Layla Sleep Memory Foam Queen Mattress

Layla Memory Foam uses copper foam because the copper gel reacts to increased pressure with a firming response. The mattress stays soft and will cradle you to provide support around your deep compression areas. Perhaps one of the most unique mattresses on the market, the Layla mattress is flippable. You can determine if you need a softer or firmer mattress simply by flipping the mattress over. Basically, you have two mattresses in one and you can choose which is best for your comfort.

If you are a back or stomach sleeper, you will love the increased support with less sink from the firmer side. The side sleepers will love the plush hugging feeling of the reactive support of all your pressure points. The copper in the gel is conductive, meaning it will carry heat away from your body for a cooler sleeping experience. Copper is also an antimicrobial that will fight odor and bacteria and will keep your mattress feeling and smelling fresh.

Layla Sleep Memory Foam Queen Mattress
Layla Sleep Memory Foam Queen Mattress
A close-up of the Parachute Eco Comfort mattress.

Parachute Eco Comfort Mattress

One of the best eco-friendly mattresses out there, the Parachute Eco Comfort was designed for support and comfortability. There are three comfort zones that support various areas of the body. Zone 1 has a softer coil to provide relief to your shoulders. Zone 2 has the same soft coils for your legs and keeps your spine in line while you sleep. The Support Zone is a firmer coil that supports your hip and back.

The Eco Comfort is made with layers of pure New Zealand wool, 100% organic cotton, and hand-tufted pocketed coils. The medium firm design offers perfect spinal alignment for all sleeping positions.

Parachute The Mattress
Parachute Eco Comfort Mattress
The Avocado Vegan Latex mattress in a bedroom.

Avocado Vegan Latex Mattress

Here's another one of our favorite eco-friendly mattresses, and this one also provides plenty of comfort and support. It features a patent-pending design that includes 9 inches of organic Dunlop latex, three targeted and contouring zones, bounce-dampening layers, and a needle-tufted organic cotton rosette top.

If you're not sold on the concept of a latex mattress just yet, note that Avocado went out of their way to develop an all-natural mattress that rates 7.5 out of 10 on the firmness scale, design with big and tall sleepers in mind, design for back and stomach sleepers, and utilize their patented "Convoluted Latex" to reach the perfect balance of bounce and response. Even better, Avocado also went out of their way to make this a carbon-negative and zero-waste mattress. All in all, this mattress' construction makes for a firm, cool, stable, and gentle sleeping experience.

Avocado Vegan Latex Mattress
Avocado Vegan Latex Mattress
The Helix Twilight mattress in a room.

Helix Twilight Mattress

You won't have to worry about sweaty nights with the Helix Twilight or the Helix Twilight Luxe because the breathable mattress cover keeps you and the mattress cool all night. There are several layers of different density foam that give you pressure relief and body contouring to support your body's form. The mattress is a little above the medium-firm level, and it supports any sleeping position and body type.

Don't worry about sinking or sagginess, thanks to the firm top layers, the supportive base layers, and the individually wrapped spring coils. The Luxe version also features lumbar support for additional comfort and pressure relief. No matter what mattress you choose, they both offer Helix's Soft Touch Design cover that is optimized for airflow.

Helix Twilight Mattress
Helix Twilight Mattress
A Saatva Classic mattress lies on a patio facing the ocean.

Saatva Classic Mattress

Any sleeping position will benefit from the spinal zone technology and high-density memory foam. The Classic Mattress is Saatva's flagship mattress, and it has earned the Classic title because it provides a great amount of relief for achy backs and joints. There is a Euro pillowtop that cradles you and contours your body for responsive and durable support. There are individually wrapped support coils and built-in lumbar support that gives you enhanced lower back support right in the middle of the mattress.

The Saatva Classic Mattress comes in three different comfort levels: Plush, Luxury Firm, and Firm. You can also choose from different mattress heights — think of it as a build-your-own comfortable mattress. When the mattress is delivered, they will even deliver it to a designated room, set it up, and haul away your old mattress, all for free!

Saatva Classic Mattress
Saatva Classic Mattress
A family sits on the DreamCloud - Luxury Hybrid Mattress in the bedroom.

The DreamCloud – Luxury Hybrid Mattress

Comfort begins with a touch and continues all the way to the base with this DreamCloud Luxury Hybrid Mattress. A quilted foam and cashmere top is like touching a cloud, making you fall asleep in no time. The individually wrapped support coils and memory foam match your individual body shape and sleeping position.

The gel layer foam helps you settle into the mattress just enough to gently cradle your body and meet the right level of sinking in. You won’t overheat with this gel memory foam, nor will you ever realize your partner has moved, thanks to the stability of the innerspring coils and memory foam.

The DreamCloud – Luxury Hybrid Mattress
The DreamCloud – Luxury Hybrid Mattress
The WinkBed mattress in a bedroom.

The WinkBed

Get a better night's sleep with this unique 100% natural Eucalyptus Tencel cover with an Extra-Edge anti-sag support system. Each mattress is handmade and made to order in the Midwest and offers a three-step back relief system. Start with the Eucalyptus cover, a quilted Euro pillowtop with gel foam, and the pocketed coils, all designed to allow the bed to breathe and create maximum airflow so you sleep cool.

This mattress is perfect if you want cushioning comfort and deep support while also relieving back, hip, and shoulder pain. There is a layer of stabilizing gel foam sitting right above the springs to provide SleepCalm Motion Isolation, a technology that just about eliminates any disturbances from you or your restless partner. The Lumbarlayer also enhances targeted support throughout the middle of your body where you need it most.

WinkBed
The WinkBed
A Zoma Mattress in a bedroom.
Zoma

Zoma Mattress

Better for you and better for the environment, Zoma mattresses are made in the U.S. and use eco-friendly materials. The foam is CertiPUR-US certified, free of toxic chemicals, and low in volatile organic compounds (VOCs). The Triangulex three-zone support system relieves the pain-causing pressure points so you can sleep relaxed and comfortable every night.

Constructed of gel memory foam, cooling channels, and ventilated fabric ensures you sleep soundly and comfortably. The base foundation rounds out the support by keeping your body in perfect alignment while you sleep, no matter how you sleep. Know that as you change positions during the night, the spring and bounce-back from the gel mattress will change with you every time.

Zoma Mattress
Zoma Mattress
A Layla Hybrid mattress sits in a bedroom.

Layla Hybrid Mattress

Another Layla mattress, this hybrid is a unique mattress that includes individually wrapped coil springs in the middle and foam layers on the top and the bottom. You can flip this hybrid mattress to find the perfect comfort. One side is softer while the other is firmer. No matter which comfort level you choose, the springs will provide you the spinal support you need for a perfect sleep.

Infinity Edge Support keeps edges from sagging and maintains the firmness that's needed in order to keep the mattress stable. Stay cool and dry all night long with the copper-infused gel foam and breathable mattress cover. Maintaining and keeping your mattress clean is a snap with the removable zippered mattress cover that is included with every mattress. This mattress is pretty much perfect for just about any sleeping position.

Layla Hybrid Mattress
Layla Hybrid Mattress
A Level Sleep Mattress in a bedroom.

Level Sleep Mattress

Let the comfort and stability of the Level Sleep Mattress absorb your shoulders, support your lower back, and contour to your hips all for low-pressure points and for added spinal alignment. Three zones of high-quality foam keep your body cradled all night. Improve the quality of sleep and fall asleep faster with this CertiPUR-US certified mattress.

Level Sleep Mattresses are 11 inches thick with a softer zone for your head and shoulders, a firm zone for your torso, and a medium level for your hip and legs. Back and side sleepers will see great improvements in their sleep patterns and will wake up refreshed and ready to start their day. The feeling of weightlessness will help give your muscles and joints the relaxation it needs during your sleep cycle.

Level Sleep Mattress
Level Sleep Mattress

Frequently Asked Questions

Is a firm or soft mattress better for back pain?

If you choose a soft mattress, it can cause your back to become out of alignment while sleeping. If you opt for a firmer mattress, the firmness can place joint pressure on your hips and spine. It's a never-ending cycle where pain affects sleep.

Typically, a medium-firm or firm mattress will provide the best relief from back pain. To promote healthy spinal alignment, you need to choose a mattress that puts your shoulder and hips in line so your back can relax.

Is foam or spring mattress better for back pain?

Most back doctors recommend memory foam mattresses or latex mattresses for pressure relief. Memory foam and latex mattresses will conform to your body, cradle your pressure points, and support your spine to keep it aligned.

Memory foam, offset coils, and pocketed coils are usually the best mattresses for back pain. Choose a hybrid mattress over an innerspring mattress because they add the best combination of stiffness, springiness, and contouring.

How do I know if my mattress is causing back pain?

The lower back pain you're feeling might be from various reasons — abnormal lifting, stress, or an underlying condition — but some signs will let you know it's your mattress causing back pain.

If you wake up tired, you toss and turn all night, you wake up during the night, or it takes you a long time to get comfortable and fall asleep, you may need a new mattress. Another indicator that your mattress is causing your back pain is waking up with lower back pain and stiffness. Or, your mattress is either a new mattress or over seven years old, or your mattress is sagging or uneven.

Innerspring beds are not ideal for pain sufferers, and you should make sure your bed is the right size and that it's not too soft or too hard. Having a bad back means you need to take extra care when choosing your next mattress.

We did our best to provide you with a robust guide to the best mattresses for back pain, so we hope this helps you find the perfect mattress for your bedroom. If you need more help in making your bedroom the ideal environment for a better night's sleep, check out our expert-informed guide to the best mattresses for better sleep, these tips to get more sleep, and our favorite pillows to help with neck pain. Good night, and sweet dreams.

The cover photo was provided by Nolah Sleep.

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