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Best Mattress For Back Pain

Andy David
Guide by Andy David
Mattress expert Updated Jan 2020

Back pain is a common reason to shop for a new mattress. A new bed can help to ease aches and pains and greatly improve sleep quality. But not every mattress brand provides the same level of pain relief or comfort.

Memory foam brands with a medium firmness tend to be the most comfortable for side sleepers with lower or upper back pain. Back and stomach sleepers often need a firmer hybrid/innerspring mattress with better support to sleep pain-free. With this in mind, we review the best mattresses for back pain below.


Nectar is one of the best value memory foam mattresses for back pain relief. It has a medium-firm feel that provides great comfort and support for sleepers under 250 lbs. $799 for queen-size is better value than most similar competitors.

The memory foam layers contour to the curves of the body. There is good support around the lumbar area to prevent lower back pain. Nectar also promotes neutral spine alignment to prevent upper and lower back pain.

The mattress ships compressed in a box straight from the factory. This means Nectar is much cheaper than in-store brands. Customers get a good quality mattress for back pain relief at a fraction of the price in physical stores.

Couples like Nectar because it provides great motion isolation. Restless sleepers can toss and turn and will not disturb their partner. The responsive feel is easy to move around on so there is no “stuck in the mud” feeling.

Nectar has gel memory foam in its construction. This prevents trapped heat and sleeps cooler than standard memory foam. There is also a Tencel-blend cover that feels cool to the touch and wicks away sweat.

Customers get a 365-night risk-free trial (the best in the industry). Nectar provides a full refund during the trial if the mattress is unsuitable. A lifetime warranty protects against material and manufacturing defects.

Tuft & Needle Mint is an affordable, 12-inch thick luxury memory foam mattress. The mattress has a true medium firmness that is not too soft and not too firm. Side sleepers with back pain get good back support and pressure relief.

With its 12-inch height, Mint works well for side sleepers with back pain. There is just enough sinkage to keep the spine in alignment. This is important for side sleepers because a misaligned spine often leads to upper and lower back pain.

Mint is made from a proprietary foam called Adaptive Foam. It protects the hips and shoulders and gives better pressure relief than standard foam. The foams are durable and high-density to keep side sleepers afloat on the mattress.

At $995 for queen-size, Mint is a great value and well worth the money. In-store brands of the same quality are more expensive and usually have no trial period. And since it ships compressed in a box, delivery is fast and convenient.

Couples with back pain also benefit from Mint’s soft yet supportive feel and great comfort. The edge support is good for a foam bed and makes the mattress feel bigger. The bed feels responsive to move around on but still has great pressure relief for side sleepers.

Mint comes with a 100-night risk-free trial so customers can try the bed at home. The mattress can be returned free of charge for a full refund. The company also provides a 10-year warranty.


Saatva is a great value hybrid mattress with a luxury look and feel. The mattress has a unique dual coil design that gives good support to back and stomach sleepers. All body weights benefit from back pain relief on Saatva.

The mattress is made from innersprings, pocket coils, and memory foam. Back sleepers enjoy good lumbar support to relieve lower back pain. Stomach sleepers stay afloat and never sink too far down (key to avoiding back and neck pain).

Customers get a luxurious, durable mattress at a competitive price ($1,199 for queen-size). Most back and stomach sleepers will struggle to find a better value mattress online. And being made in the USA, Saatva is built to last for many years.

Unlike mattress-in-a-box brands, Saatva does not ship compressed. The company provides free white glove delivery as standard. A small team will deliver the mattress, remove the old bed, and complete the installation.

Saatva is a good option for couples who want an affordable luxury mattress. The edge support is strong and makes the mattress feel bigger. There is also decent motion isolation for couples who toss and turn.

A 120-night risk-free trial gives customers plenty of time to try the bed. The mattress can be returned during the trial for a refund. Saatva also comes with a 15-year warranty as standard.

Brooklyn Aurora is a USA-made luxury hybrid mattress that ships in a box. The mattress has a competitive price and is more affordable than in-store brands. Customers get a premium mattress for chronic and acute back pain conditions.

Aurora comes in 3 firmness options and supports all body weights and sleeping styles. The top of the bed feels plush and gives great pressure relief. But there is also plenty of support to minimize upper and lower back pain.

The 13-inch height gives the mattress a premium look and feel. The materials are high-quality and durable enough to withstand regular use. Even heavy weight sleepers over 250 lbs get great support and pain relief on Aurora.

The mattress is one of the best on the market for cooling. Gel memory foam and pocket coils provide great airflow to keep hot sleepers cool. A phase change material cover feels cool to the touch and reduces sweat.

Couples benefit from strong edge support and good motion isolation. The pocket coils are effective at minimizing motion transfer. People can toss and turn without disturbing their partner.

The company provides a 120-night risk-free trial. Customers can test the comfort at home and request a refund if the bed is unsuitable. There is also a 10-year manufacturer’s warranty to protect against unlikely material faults.

Titan is a good value and durable hybrid mattress for plus-size people. It provides heavy people over 250 lbs with great back support and pain relief. The mattress also has good cooling for heavy weight sleepers who overheat.

The firm feel and strong pocket coils keep heavy people afloat. This promotes perfect spine alignment to prevent upper and lower back pain. Customers can sleep in any position and still benefit from back pain relief.

At $999 for a queen-size bed, the mattress is excellent value. It is a good choice for heavy weight sleepers who want a long-term investment. Most heavy people will get at least 7 years of comfortable use out of the mattress.

The durability is good so the mattress will not sink or sag over time. This is a common issue with some inferior brands. Having a dedicated USA-based factory ensures a top-quality mattress that is built to last.

As a hybrid mattress, Titan has great cooling. The airflow is good to prevent hot sleepers from sweating or becoming clammy at night. Customers can choose to add an optional top panel with a phase change material for extra cooling.

The 120-night trial allows customers to test the pain relief over many nights. Customers can apply for a full refund if the bed is not suitable. A 10-year warranty reflects the great quality and durability of the mattress.

Best Mattress For Back Pain Buying Guide

Top 3 Shopping Tips For Back Pain

Before buying a mattress, it is important to consider mattress firmness, body weight, and preferred sleeping position(s).

Consider Before Buying:

Mattress Firmness – Most people find a medium-firm mattress best for back pain. But this depends on personal preference, body weight, and sleeping position.

Body Weight – Average weight sleepers will find a medium firmness works well. Lightweight and heavy weight sleepers may need a softer or firmer feel.

Sleeping Positions – Mattresses feel comfortable in different positions. Consider the sleeping style and amount of movement (if a combination sleeper).

Buyer’s Pro Tip

Andy David

Andy David

Choose a mattress that conforms to the body and keeps the spine aligned. This minimizes back pain and provides the best comfort.

Andy David

Best Mattress Type For Back Pain

The best mattress type for back pain depends on personal preferences. But a memory foam bed with a medium-firm feel works best for most people.

Mattresses that sag or are too soft (or too firm) can cause the spine to become misaligned. This can lead to back pain.

Memory Foam: Memory foam contours to the curves of the body. It provides lumbar support and keeps the spine aligned in different positions.

Latex: Provides a responsive feel with good back support. Works well for people who need pressure relief but like to stay afloat on the mattress.

Hybrid/Innerspring: Mixes coil springs with foam or latex. A hybrid will keep the spine aligned while offering pressure relief and bounce.

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Best Mattress Firmness For Back Pain

The best firmness for back pain depends on body weight and preferred sleeping position.

Side sleepers concentrate weight around the hips and shoulders. Back sleepers need good lumbar support. And stomach sleepers need their hips to stay afloat.

Average and heavy weight sleepers get good back support on medium or medium-firm mattresses. Lightweight sleepers usually find a soft or medium firmness comfortable.

Heavy stomach sleepers should choose a firmer feel.

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Sleeping Position

Light Body Weight

Average Body Weight

Heavy Body Weight

Side Sleeper




Back Sleeper

Soft or Medium


Medium-Firm or Firm

Stomach Sleeper


Medium or Medium-Firm


Combination Sleeper


Medium or Medium-Firm


Having good lumbar support is essential. A supportive mattress will prevent lower back pain.

Side Sleepers With Back Pain

Side sleepers with back pain need neutral spinal alignment and pressure relief.

Mattress Sinkage: The mattress must stop the hips sinking too far down. This can move the spine out of alignment and lead to lower back pain.

Pressure Relief: Protection for the shoulders and hips is also important. This can minimize aches and pains in the upper and lower body.

Mattress Firmness: Mattresses that are too soft or too firm can lead to chronic back pain. Most side sleepers will find a medium firmness comfortable and supportive.

A supportive mattress will stop the body from sinking too far down. This keeps the spine aligned to prevent back pain.

Heavy People With Back Pain

Heavy weight sleepers need more support than lightweight people. This is why a medium-firm mattress is usually recommended.

Heavy side sleepers concentrate pressure around the hips and shoulders. A medium or medium-firm mattress gives good back support and pressure relief.

A firm mattress is suitable for heavy back and stomach sleepers. Heavy people with back pain may also benefit from a taller mattress.

Heavy weight individuals can sink too far down. This causes the spine to become misaligned, leading to back pain.

Frequently asked questions

A memory foam mattress usually works best for back pain. Foams contour to the body and provide good lumbar support. But it depends on personal preferences.

Memory foam is good at relieving back pain. But the mattress must support the body’s weight. It must also feel comfortable in each sleeping position.

A firm mattress can cause back pain in some positions. Especially when side sleeping.

A hybrid mattress is a good alternative to all-foam or latex beds. They work well for back pain but also provide extra support and bounce.

A medium or medium-firm mattress works best for most people. But it depends on body weight and sleeping style. There is no perfect firmness.

A memory foam mattress with a soft or medium firmness. This will cradle the body and relieve pressure on the hips.

Heavy weight sleepers should choose a medium or firm mattress. But it depends on the sleeping style. Heavy stomach sleepers usually need a firm feel.

Most mattress-in-a-box beds are more affordable than in-store brands. If on a budget, choose a value mattress. Luxury options last longer but have a higher price tag. Many companies provide finance to spread the cost over a number of months.