Best Mattresses for Back Pain (Updated 2018)

Back pain can be a real nightmare. In fact, more than 80% of Americans will experience an episode of lower back pain at some time in their lives. Mattress Advisor can help you find the best mattress for back pain.  We’ve compared the best mattress companies to bring you independent, non-biased reviews.

  • The best mattress for back pain will be medium-firm to firm (5.5-7.5 on the firmness scale).
  • A mattress that is too firm or too soft will not support your pressure points or distribute your body weight appropriately, causing your spine to fall out of its natural alignment and make your back pain even worse.
  • We have highlighted several mattress brands that stand above the rest for back pain. A detailed article on best mattresses for back pain is below the highlighted mattresses.

By clicking on the products below, we may receive a commission at no cost to you, the reader.

Nectar mattress review lifestyle image

Nectar

It’s the best purchase I’ve made for my back."
— Paul H.
  • The Nectar mattress sleeps cool, has great pressure relief and distributes weight evenly
  • Nectar has the industry’s best return policy and a “Forever Warranty”
  • Our rating of consumer sentiment shows overwhelmingly positive reviews
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  • The Nectar mattress sleeps cool, has great pressure relief and distributes weight evenly
  • Nectar has the industry’s best return policy and a “Forever Warranty”
  • Our rating of consumer sentiment shows overwhelmingly positive reviews
Customer Rating

4.8 / 5

empty stars
MA Score

8.5 / 10

Price
Click to view current prices and special offers
Firmness
Medium firm
Trial Period
365
days
DreamCloud mattress

DreamCloud

DreamCloud is a must-have for anyone who thinks their back pain is insurmountable."
— Del R.
  • The DreamCloud mattress is an 8-layer luxury hybrid mattress made with memory foam and coils.
  • Its patent-pending technology is designed to cradle your body on a plush surface while providing support and spine alignment.
  • If you would like your DreamCloud unboxed and set-up on your bed frame, you can select optional White Glove service. They can also remove and dispose or donate your existing mattress. This service costs an additional $149.
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  • The DreamCloud mattress is an 8-layer luxury hybrid mattress made with memory foam and coils.
  • Its patent-pending technology is designed to cradle your body on a plush surface while providing support and spine alignment.
  • If you would like your DreamCloud unboxed and set-up on your bed frame, you can select optional White Glove service. They can also remove and dispose or donate your existing mattress. This service costs an additional $149.
Customer Rating

4.8 / 5

empty stars
MA Score

8.7 / 10

Price
Click to view current prices and special offers
Firmness
Medium-firm
Trial Period
365
days
New Leesa mattress review

Leesa

My only regret is not buying this bed earlier."
— Erin S.
  • Leesa has mastered the perfect mattress for the “average sleeper” – a great balance between soft and firm
  • Our expert review panel put it in the top 10% of 60+ mattresses tested in our mattress lab
  • Leesa customers rate the mattress a 4.7/5, and value the company’s product quality and social mission
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  • Leesa has mastered the perfect mattress for the “average sleeper” – a great balance between soft and firm
  • Our expert review panel put it in the top 10% of 60+ mattresses tested in our mattress lab
  • Leesa customers rate the mattress a 4.7/5, and value the company’s product quality and social mission
Customer Rating

4.8 / 5

empty stars
MA Score

9.1 / 10

Price
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Firmness
Medium firm
Trial Period
100
days
Puffy mattress in bedroom

Puffy

  • The Puffy mattress is a two-layer memory foam mattress designed to adapt and respond to your body movements and keep you cool ­while you sleep.
  • Puffy is known to be best for back and side sleepers.
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  • The Puffy mattress is a two-layer memory foam mattress designed to adapt and respond to your body movements and keep you cool ­while you sleep.
  • Puffy is known to be best for back and side sleepers.
Customer Rating

4.6 / 5

empty stars
MA Score

8.3 / 10

Price
Click to view current prices and special offers
Firmness
Medium-firm
Trial Period
101
days
Bear mattress in a open, airy bedroom

Bear

  • Bear claims to be a great mattress for athletes or people with active lifestyles because of its pressure relieving properties, cooling effects and muscle recovery technology…but really anyone can benefit from these features.
  • Bear is newer to the mattress scene, so you may not have hear a lot about them yet, but it’s competitive in both price and performance.
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  • Bear claims to be a great mattress for athletes or people with active lifestyles because of its pressure relieving properties, cooling effects and muscle recovery technology…but really anyone can benefit from these features.
  • Bear is newer to the mattress scene, so you may not have hear a lot about them yet, but it’s competitive in both price and performance.
Customer Rating

4.8 / 5

empty stars
MA Score

8.6 / 10

Price
Click to view current prices and special offers
Firmness
Medium firm
Trial Period
100
days
Purple mattress in a bedroom

Purple

It’s the best mattress I’ve ever used."
— Rachel C.
  • Purple is a mattress with a big personality and big science due to its “hyper-elastic polymer” material
  • We visited their USA-based factory and found its mattress sleeps cool and is great for spinal alignment
  • Customers who own the Purple have claimed it’s helped them relieve back and neck pains.
  • Purple is a mattress with a big personality and big science due to its “hyper-elastic polymer” material
  • We visited their USA-based factory and found its mattress sleeps cool and is great for spinal alignment
  • Customers who own the Purple have claimed it’s helped them relieve back and neck pains.
Customer Rating

N / A

MA Score

8.4 / 10

Price
Click to view current prices and special offers
Firmness
Medium firm-firm
Trial Period
100
days
Casper mattress in a bedroom

Casper

It’s a perfect nights sleep, a great balance of firm and soft."
— Nikki G.
  • Casper prides itself on building a great universal mattress for the average sleeper.
  • The Casper team is continually refining its design based on sleep tests; new versions are released annually
  • Casper has crafted a memory foam mattress that is breathable and promotes airflow vs. traditional memory foams.
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  • Casper prides itself on building a great universal mattress for the average sleeper.
  • The Casper team is continually refining its design based on sleep tests; new versions are released annually
  • Casper has crafted a memory foam mattress that is breathable and promotes airflow vs. traditional memory foams.
Customer Rating

4.4 / 5

empty stars
MA Score

9.1 / 10

Price
Click to view current prices and special offers
Firmness
Medium firm
Trial Period
100
days
Sapira mattress in a modern bedroom next to Sapira box

Sapira

We were comfortable from day one and feel that the bed will last."
— Emily R.
  • The Sapira mattress is a luxury hybrid option offered by Leesa, its newest and most premium product
  • Sapira has a very responsive sleep surface that reacts to your body as you move and change positions.
  • The Sapira has coils which improve the edge support and is topped with a layer of foam for motion isolation
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  • The Sapira mattress is a luxury hybrid option offered by Leesa, its newest and most premium product
  • Sapira has a very responsive sleep surface that reacts to your body as you move and change positions.
  • The Sapira has coils which improve the edge support and is topped with a layer of foam for motion isolation
Customer Rating

4 / 5

empty stars
MA Score

9.2 / 10

Price
Click to view current prices and special offers
Firmness
Medium-firm - firm
Trial Period
100
days
Layla mattress sitting on a bedframe

Layla

  • The Layla is unique because you can actually sleep on both sides of the mattress depending on the level of firmness you prefer (kind of like a reversible bathing suit). If you’re not sure whether you prefer firm or soft, then the Layla might be a good option for you.
  • They are also one of the only mattress brands of their kind to infuse copper in their foam. Copper is known to help reduce joint inflammation and ease joint pain/stiffness, which is especially helpful for people with rheumatoid arthritis and osteoarthritis.
  • While Layla isn’t the cheapest option, it’s still comparable (and you also have to consider the fact that you’re kind of getting two mattresses in one). A lifetime warranty isn’t bad either.
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  • The Layla is unique because you can actually sleep on both sides of the mattress depending on the level of firmness you prefer (kind of like a reversible bathing suit). If you’re not sure whether you prefer firm or soft, then the Layla might be a good option for you.
  • They are also one of the only mattress brands of their kind to infuse copper in their foam. Copper is known to help reduce joint inflammation and ease joint pain/stiffness, which is especially helpful for people with rheumatoid arthritis and osteoarthritis.
  • While Layla isn’t the cheapest option, it’s still comparable (and you also have to consider the fact that you’re kind of getting two mattresses in one). A lifetime warranty isn’t bad either.
Customer Rating

4.5 / 5

empty stars
MA Score

8.7 / 10

Price
Click to view current prices and special offers
Firmness
Soft side
Trial Period
120
days
Woman sitting on Casper Wave

Casper Wave

The Casper Wave is easily the World’s best sleep."
— Ryan U.
  • Casper’s high-end mattress designed to relieve pressure and provide proper spine alignment
  • The Wave has a five-layer support system that mirrors the natural shape of your body at 36 points
  • Casper’s website video profiles the design and construction of the Casper Wave
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  • Casper’s high-end mattress designed to relieve pressure and provide proper spine alignment
  • The Wave has a five-layer support system that mirrors the natural shape of your body at 36 points
  • Casper’s website video profiles the design and construction of the Casper Wave
Customer Rating

4.3 / 5

empty stars
MA Score

8.6 / 10

Price
Click to view current prices and special offers
Firmness
Medium-firm - firm
Trial Period
100
days
Allswell soft mattress

Allswell Luxe Classic

Super soft compared to my current mattress, yet firm enough to allow you to get back up and not hurt your back."
— Christian C.
  • The Luxe Classic mattress by Allswell is a medium-soft memory foam mattress with a built-in plush topper.
  • Allswell offers two different mattresses: a firmer one and a softer one.
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  • The Luxe Classic mattress by Allswell is a medium-soft memory foam mattress with a built-in plush topper.
  • Allswell offers two different mattresses: a firmer one and a softer one.
Customer Rating

4.8 / 5

empty stars
MA Score

8.7 / 10

Price
Click to view current prices and special offers
Firmness
Trial Period
100
days
Saatva mattress review: header image

Saatva

  • The Saatva mattress is customizable, made with quality materials and eco-friendly
  • This mattress is known for great edge support, lumbar support and pressure relief
  • Customer rate Saatva web experience, customer support, and the mattress highly
  • The Saatva mattress is customizable, made with quality materials and eco-friendly
  • This mattress is known for great edge support, lumbar support and pressure relief
  • Customer rate Saatva web experience, customer support, and the mattress highly
Customer Rating

4.8 / 5

empty stars
MA Score

8.7 / 10

Price
Click to view current prices and special offers
Firmness
Available in plush soft
Trial Period
120
days
Brooklyn Signature mattress

Brooklyn Signature

  • The Brooklyn Signature mattress by Brooklyn Bedding is a foam mattress that is made with breathable and responsible materials to keep you cool and adjust to your body movements throughout the night.
  • You can choose between soft (4/10), medium (6/10) or firm (8/10) depending on your firmness preference. Brooklyn Bedding provides a guide to help you choose your firmness if you’re not sure.
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  • The Brooklyn Signature mattress by Brooklyn Bedding is a foam mattress that is made with breathable and responsible materials to keep you cool and adjust to your body movements throughout the night.
  • You can choose between soft (4/10), medium (6/10) or firm (8/10) depending on your firmness preference. Brooklyn Bedding provides a guide to help you choose your firmness if you’re not sure.
Customer Rating

4.6 / 5

empty stars
MA Score

N / A

Price
Click to view current prices and special offers
Firmness
Trial Period
120
days
Nolah mattress in a bedroom next to yellow lamp

Nolah

  • The air foam used in the Nolah mattress is a responsive and temperature neutral type of foam, which should help relieve pressure and keep you cool.
  • Nolah’s shock-absorbing air pockets make it a great option for side sleepers or people with back and joint pain.
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  • The air foam used in the Nolah mattress is a responsive and temperature neutral type of foam, which should help relieve pressure and keep you cool.
  • Nolah’s shock-absorbing air pockets make it a great option for side sleepers or people with back and joint pain.
Customer Rating

4.8 / 5

empty stars
MA Score

8.9 / 10

Price
Click to view current prices and special offers
Firmness
Medium firm
Trial Period
120
days
ZenHaven mattress with green tree line in the backdrop

ZenHaven

  • You might have a bit of sticker shock when you see the price of the ZenHaven but it’s actually still a good deal considering what you’re getting: a luxury, natural mattress that can be flipped for either soft or firm preference.
  • Because this is latex, you won’t get as much “hug” as you would with a memory foam mattress, but it will offer great pressure relief and spinal support.
  • You might have a bit of sticker shock when you see the price of the ZenHaven but it’s actually still a good deal considering what you’re getting: a luxury, natural mattress that can be flipped for either soft or firm preference.
  • Because this is latex, you won’t get as much “hug” as you would with a memory foam mattress, but it will offer great pressure relief and spinal support.
Customer Rating

N / A

MA Score

8.6 / 10

Price
Click to view current prices and special offers
Firmness
Soft side
Trial Period
120
days
Ghostbed mattress review: header image

GhostBed

  • GhostBed offers the responsiveness and cooling benefits of latex, but also the contouring and pressure relief benefits of memory foam (its second layer).
  • Fun fact: the owner of GhostBed used to be afraid of ghosts hiding under his bed as a kid, which is how the name “GhostBed” was created.
  • GhostBed offers the responsiveness and cooling benefits of latex, but also the contouring and pressure relief benefits of memory foam (its second layer).
  • Fun fact: the owner of GhostBed used to be afraid of ghosts hiding under his bed as a kid, which is how the name “GhostBed” was created.
Customer Rating

4.8 / 5

empty stars
MA Score

8.6 / 10

Price
Click to view current prices and special offers
Firmness
Medium-firm - firm
Trial Period
101
days
Avocado Green Mattress

Avocado

  • While the Avocado mattress is on the pricier side, you are investing in all-natural materials and a latex/hybrid mattress which is known to have great durability and one of the longest lifespans.
  • Because of the inner coils and latex top support, this mattress is going to provide great edge support, however it is not going to contour your body the same way a foam mattress will. You do have the option of adding on a European-style pillow-top for added “fluff.” (It’s an extra $400 to add this to a queen size mattress.)
  • While the Avocado mattress is on the pricier side, you are investing in all-natural materials and a latex/hybrid mattress which is known to have great durability and one of the longest lifespans.
  • Because of the inner coils and latex top support, this mattress is going to provide great edge support, however it is not going to contour your body the same way a foam mattress will. You do have the option of adding on a European-style pillow-top for added “fluff.” (It’s an extra $400 to add this to a queen size mattress.)
Customer Rating

N / A

MA Score

8.3 / 10

Price
Click to view current prices and special offers
Firmness
Medium-firm to firm
Trial Period
100
days
Close up of the Cocoon mattress on a wooden bed frame

Cocoon

  • While the Cocoon isn’t custom built for your needs, it still offers lots of options. You can choose between Firm and Soft (which differs in the central foam layer) or between Classic and Chill (which differs in the mattress cover).
  • Like other memory foam mattresses, the Cocoon is going to perform well when it comes to isolating motion (the soft model even more so).
  • If you tend to sleep hot, or are worried about the heat trapping that tends to come along with a memory foam mattress, you may want to shell out the extra $150 for the “Chill” mattress cover.
  • While the Cocoon isn’t custom built for your needs, it still offers lots of options. You can choose between Firm and Soft (which differs in the central foam layer) or between Classic and Chill (which differs in the mattress cover).
  • Like other memory foam mattresses, the Cocoon is going to perform well when it comes to isolating motion (the soft model even more so).
  • If you tend to sleep hot, or are worried about the heat trapping that tends to come along with a memory foam mattress, you may want to shell out the extra $150 for the “Chill” mattress cover.
Customer Rating

4.6 / 5

empty stars
MA Score

8.7 / 10

Price
Click to view current prices and special offers
Firmness
Soft
Trial Period
100
days
Couple lying down on Alexander Signature Hybrid mattress

Alexander Signature Hybrid

  • The Alexander Signature Hybrid made of four premium layers, including foam and pocket coils – which offer great cooling properties, comfort, and edge support.
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  • The Alexander Signature Hybrid made of four premium layers, including foam and pocket coils – which offer great cooling properties, comfort, and edge support.
Customer Rating

4.8 / 5

empty stars
MA Score

8.2 / 10

Price
Click to view current prices and special offers
Firmness
Trial Period
100
days
Tango mattress

Tango

  • The Tango is one of the few memory foam mattresses that you can use on both sides: you can flip the mattress for a plush or firm surface.
  • The Tango is one of the few memory foam mattresses that you can use on both sides: you can flip the mattress for a plush or firm surface.
Customer Rating

4.6 / 5

empty stars
MA Score

8.5 / 10

Price
Click to view current prices and special offers
Firmness
Trial Period
120
nights
Tuft & Needle mattress review

Tuft & Needle

  • Tuft & Needle is known for being a universal mattress, or good for the “average” sleeper, offering one mattress design at a medium firmness level.
  • Tuft & Needle is known for being a universal mattress, or good for the “average” sleeper, offering one mattress design at a medium firmness level.
Customer Rating

4.7 / 5

empty stars
MA Score

8.7 / 10

Price
Click to view current prices and special offers
Firmness
Medium-firm
Trial Period
100
days

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KEY FACTORS IN DETERMINING THE BEST MATTRESS FOR BACK PAIN

Memory Foam  – Tends to be the best type of mattress to help cradle your body, relieve pressure points and keep the spine in good alignment, which also happens to be the things you want in a mattress that helps alleviate your back pain. Memory foam and other foam blends do a good job of evenly distributing your body weight—meaning you won’t get as much of that uneven pressure or discomfort that tends to stir up your back pain even more.

Airflow  – When deciding on the best mattress for your back pain, airflow and cooling properties are also important to look for. First of all, you’ll probably sleep better if you’re not sweating throughout the night. But having decent airflow also helps improve the amount of oxygen your body gets. If your body’s temperature is regulated and it’s getting the oxygen it needs, it has a better chance of recharging and relaxing problem muscles and joints.

Firmness  – You may have heard a rumor that sleeping on a rock-hard mattress is best for your back pain. To be honest, that sounds kind of miserable. And it’s also not true. While everyone’s preference is going to differ slightly, people who suffer from back pain generally prefer a medium-firm to firm mattress. (This is usually a 5.5 – 7.5 out of 10 on the firmness scale.)  In a survey of 268 people with lower back pain, results showed that those who slept on what’s known as an orthopedic mattress (aka very hard) had the poorest sleep quality. If you suffer from back pain, you probably want to stay away from super soft mattresses as well. Soft mattresses can conform to your body too much, which means you’ll sink into the mattress and lose the good posture that a firmer mattress will give you.

WHAT ELSE CAN YOU DO TO GET A BETTER NIGHT’S SLEEP WHEN YOU SUFFER FROM BACK PAIN?

Most importantly, you need to pick the best mattress for back pain. While sleeping on the right mattress has the biggest impact on alleviating your back pain, there are other things you can try that may help reduce your pain even more.

The important thing to remember here is to listen to your body—if something doesn’t feel right, don’t do it. If your friend with back pain has discovered the perfect sleeping angle/temperature/white-noise/pillow-position combo to reducing back pain, it doesn’t mean it’s going to be the best one for you. (You should give him/her a big high five though.)

The two things that may help further reduce your back pain are your bed’s foundation and your sleeping position.

YOUR BED’S FOUNDATION

People who suffer from back pain have claimed that sleeping on an adjustable bed frame helps them sleep better at night. Keeping your head and feet elevated can relieve certain pressure points better than lying flat on a mattress. Similar to how you elevate your leg after an injury, elevating these parts of your body can help with blood flow circulation and getting more oxygen to your muscles—both of which can have an impact on reducing pain.

Of the mattresses we’ve reviewed above—Bear, Purple, and Amerisleep—all offer adjustable beds. If you buy the mattress and bed frame together, you can also save some cash money.

People who suffer from back pain have claimed that sleeping on an adjustable bed frame helps them sleep better at night.

YOUR SLEEPING POSITION

Sometimes you can’t control your sleeping position – you might unknowingly change positions in the middle of the night or find natural comfort in one position over another. But your sleeping position can also have an effect on your back pain and overall quality of sleep. Here are some tips that might help you alleviate back pain in each sleeping position.

  • Back sleepers: Sleeping on your back is generally considered the best position to help with back pain. If it’s not easy for you to convert to sleeping in this position, placing a pillow underneath your knees can help reduce pressure on your lower back and maintain your spine’s natural curve. For added support, you can roll out a towel and place it under the small of your back.
  • Side sleepers: Placing a pillow between your knees can help keep your hips level and your spine in line. Using a thick body pillow can also help alleviate pressure and keeping you back in good posture while you sleep.
  • Stomach sleepers: Sleeping on your stomach is generally not recommended for people who suffer from back pain. This position provides your back with the least support and can cause your back to cave in unnaturally. If it’s hard for you to change positions, placing a pillow under your pelvis can offer you a little more support…however, you should be very careful as this can also cause added strain on your back and neck. Sometimes people who try this method actually find it more comfortable to remove the pillow from under their head. Hint: using a body pillow might also make it easier to convert to a side sleeper, which is at least better than sleeping on your stomach.

Back pain is no fun. The last thing you want is to start your day feeling sore and achy (and probably grumpy) because you didn’t sleep well. Getting a good, uninterrupted night’s sleep can have a huge impact on your overall health, energy levels and productivity. It can also help improve your back pain symptoms.

Even if your back pain won’t be completely eliminated, you deserve a mattress that’s going to help you feel rested and refreshed. If you suffer from back pain, we’d love to hear about what’s worked for you and how you’ve found comfort while sleeping.

About Mattress Advisor

We’re not sleep experts, and we don’t have PhDs in sleep disorders. We’re parents, schedule jugglers, recovering victims of all-nighters, procrastinators and overachievers… so we know a practical thing or two about the importance of a good night’s sleep. And we know first-hand how critical a good mattress is to getting quality sleep.

That’s why we’re relentless in our pursuit of providing the most comprehensive, to-the-point, and unbiased reviews of the best mattresses and bedding accessories on the market.