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Best Mattress For Back Pain 2019

See the expert's choice for side sleepers, lower and upper back pain
Andy David
Guide by Andy DavidUpdated September 2019

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Our team researched and analyzed over 150,000 verified mattress customer reviews. We tested mattresses. When readers use our links to make a purchase, we receive referral fees that fund our research.

Quick Summary - Which mattress will help my back pain?

If you’re waking up with back pain, there’s one simple thing you can do for pain relief – read our ratings and get yourself a new mattress.

We spent literally hundreds of hours reading customer experiences with different mattresses and back pain. You could do that too. Or just read our reviews. The choice is yours.

If you need more information and details, below are reviews for each mattress.

Best Mattress for Back Pain Reviews

Nectar is a great value memory foam mattress with medium firmness. It provides good comfort and support for most back pain sufferers.
  • All-Around Comfort – Feels comfortable and supportive in all sleeping positions. Customers report good lumbar support and a soft yet supportive feel.
  • Affordable Quality – Nectar is affordable and made from high-quality foams. Customers find the mattress cheaper than in-store brands.
  • 365-Night Trial – Industry-leading trial period. Customers can test the level of pain relief for a whole year, risk-free.


  • Many positive customer reviews for back pain relief
  • Good pressure relief for side sleepers with back pain
  • Works well for combination sleepers who switch positions


  • Medium firmness can be too soft for stomach sleeping
  • Weak support for couples who sleep near the edge
  • Some durability issues for heavy sleepers
Brooklyn Signature is a hybrid mattress made from premium foams and pocketed coils. It has 3 firmness options: soft, medium, and firm.
  • Affordable Luxury – A great value mattress with a premium feel. High-quality foams provide pressure relief for the hips and shoulders.
  • Comfort & Support – Feels comfortable for different body weights. Pocketed coils give good spinal alignment to prevent back ache.
  • Made In USA – Brooklyn Signature is made in the USA from durable materials. This ensures good levels of back support for many years.


  • Soft, medium and firm options suit different firmness preferences
  • Materials provide good pressure relief for side sleeping
  • Customers report waking up fresh with less back pain


  • Unsuitable for people who like a classic memory foam feel
  • Heavy side sleepers can struggle to find perfect support
  • Mattress is heavy and hard to move for back pain sufferers
Alexander Hybrid is competitively priced and made from premium foams and pocketed coils. It suits all sleeping positions and comes in soft, medium, and firm.
  • Great Comfort – The mattress provides great comfort and support for all body weights. This relieves chronic and acute back pain for a more restful sleep.
  • Competitive Price – A great value, luxury mattress made from quality materials. Customers like how the mattress is durable and made in the USA.
  • Good Customer Service – Customers say Nest Bedding has good customer service. Complaints are rare when compared to other mattress brands.


  • Cushioning and pressure relief for the shoulders and upper back
  • Promotes good spinal alignment for less back and neck pain
  • Firm option works well for heavy stomach sleepers


  • Top layers sometimes too plush for people who like a firm feel
  • People who like to sleep within the mattress may feel too afloat
  • 30-day minimum trial period can cause unnecessary pain
Brooklyn Bedding Aurora is a luxury hybrid mattress made from foams and pocket coils. It is available in soft, medium, and firm options.
  • Soft Yet Supportive – Supports different body weights and sleeping styles. Provides a plush yet supportive feel that reduces pain in the lower back.
  • Advanced Cooling – Good temperature regulation. The mattress is breathable and sleeps cool, even in warm weather.
  • Strong Edge Support – The mattress has great edge support. This relieves lower back pain when sleeping near the edge of the mattress.


  • Good lumbar support, especially on firm and medium options
  • Mattress keeps the body afloat and never sinks too far down
  • Pressure relief for side sleepers with lower back pain


  • People who like a firm feel may find the bed too plush
  • No white glove delivery (problematic for people with back pain)
  • 30-night minimum trial not ideal for back pain sufferers
Bear Hybrid is a great value hybrid mattress with medium firmness. It is a good option for sleepers with ongoing back pain issues.
  • Celliant Fiber – The mattress has a Celliant fiber cover. Infrared Yarn Technology is said to promote healing and body recovery.
  • Hybrid Design – The mixture of foams and pocket coils give great support. This keeps the spine aligned to prevent back pain.
  • Sleeps Cool – There is good airflow and temperature regulation. People who overheat say they sleep cooler.


  • Good quality, supportive hybrid bed
  • Works for all sleeping positions
  • Great edge support for couples


  • 14-inch height is too tall for some
  • Off-gassing smell (but soon goes away)
  • Above average price tag ($1390+)
Nectar is one of the best value foam mattresses on the market. The mattress has a medium firmness that supports most body weights.
  • Fantastic Value – One of the most affordable memory foam beds. The mattress has excellent comfort and durability despite the low price.
  • Good Pain Relief – Customers say the mattress relieves pain well. Back and side sleepers find the mattress eases aches and pains.
  • Positive Reviews – Overall people think the Nectar is comfortable and supportive. Most customers think it is a great value.


  • All-around comfort and support at an affordable price
  • A high-quality foam mattress cheaper than in-store brands
  • 365-night risk-free trial is the best in the industry


  • Some customers report durability issues and lack of support
  • Foams are high-quality but made in China (cuts down on costs)
  • Some heavy sleepers find the mattress too soft
Nest Alexander is a luxury memory foam mattress available in medium and firm options. Premium, high-density foams give reliable back support.
  • Soft Yet Supportive – Cradles the lumbar region and upper body without sinking too far down. This gives good support to minimize back pain.
  • Good Pressure Relief – Side sleepers get pain relief for the hips and shoulders. The layers are supportive enough to keep the spine in perfect alignment.
  • Reliable Company – Nest Bedding has a good reputation and positive customer reviews about back pain. There are a few customer complaints.


  • Medium and firm option works well for most sleeping positions
  • High-density foams provide lumbar support and spinal alignment
  • CertiPUR-US certified foams are non-toxic and eco-friendly


  • No soft firmness option for people who like a plush feel
  • Heavy stomach sleepers may sink too far down
  • Rare reports of sagging (can cause the spine to become misaligned)
DreamCloud is a premium quality hybrid mattress made from foam, latex, and coils. It has a medium firmness (about 6.5 out of 10).
  • Comfort & Support – Heavy individuals will find the mattress supports the back well. This is true for all sleeping positions.
  • Durable Materials – Made from high-quality materials. The durable construction keeps the lumbar region and spine well-supported.
  • Lifetime Warranty – A ‘best in industry’ warranty period. The company will replace or repair a defective mattress if the materials fail.


  • 15-inch height and many layers support heavy people well
  • A perfect mixture of pressure relief, support, and response
  • Keeps the body afloat (good for heavy back and stomach sleepers)


  • Temperature regulation is average compared to other brands
  • Side sleepers who like a plush feel find the bed too firm
  • A very heavy mattress that is difficult to lift or move
Bear is a foam bed designed with health benefits in mind. A medium firmness provides good back support and pressure relief.
  • Great Pressure Relief – Responsive foam gently cradles the body to relieve pressure. This can reduce pain for sciatica sufferers.
  • Side & Back Sleepers – Bear works well for side and back sleepers. The spine stays in alignment to minimize back pain and sciatica symptoms.
  • Side & Back Sleepers – Bear works well for side and back sleepers. The spine stays in alignment to minimize back pain and sciatica symptoms.


  • Provides great support for the lower back and abdomen
  • Responsive foam reduces pressure but keeps the body afloat
  • Promotes good spinal alignment in most sleeping positions


  • Celliant fiber technology may have limited health benefits
  • Heavy people often need better hip support for stomach sleeping
  • Weak back support for couples who sleep near the edge

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.