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Best Mattress for Back Pain

If you’ve wound up on this page, chances are you’re looking for a mattress to help relieve your upper or lower back pain. Trust me when I say I know how difficult this search can be — so often beds that promise deep pressure relief don’t deliver or are too expensive or are so focused on relief they ditch other features you might otherwise enjoy.

So, how can you find the bed that’s going to be 100% right for your needs? Simple! All you have to do is check out my top mattress picks for back pain. They run the gamut from affordable to luxurious, from firm to soft, and are sure to give you plenty of options to mull over while you make your decision.

Eager to see my picks? Then keep reading on below!

What’s the Best Mattress for Back Pain?

  • Best Innerspring Mattress for Back Pain – Saatva
  • Best Mattress for Lower Back Pain – Helix Midnight
  • Best Mattress for Upper Back Pain – Leesa
  • Best Mattress for Side Sleepers with Back Pain – Layla
  • Best Memory Foam Mattress for Back Pain – Nectar
  • Best Mattress for Back and Neck Pain – WinkBed
  • Best Foam Mattress – Idle Sleep Gel Foam
  • Best Mattress for Back and Shoulder Pain – Casper
  • Best Mattress for Back and Hip Pain – Nolah Signature
  • Best Firm Mattress for Back Pain – Birch

Disclaimer: The content on Sleepopolis is meant to be informative in nature, but it shouldn’t take the place of advice or treatment from your physician or medical professional. This review is meant to be an informative guide of options for those looking to maintain healthy posture while they sleep. User experiences and needs will vary. If you experience lasting pain, soreness, or discomfort while sleeping, it’s always a good idea to seek out a healthcare professional in person.

How I Picked These Mattresses

As with all my “Best Of” round-ups, I like to start things off by acknowledging that these selections are based on my personal preference. While I’m bringing my expert knowledge of materials and bed construction to the table, I’m naturally swayed by my own experiences on each of these models, specifically in concerns to how they relieved discomfort at my upper back and lumbar region.

But I’m not just relying on my own opinions! I also chatted with physical therapist and Sleepopolis Expert Network member Dr. Keith Poorbaugh about his tips for catching quality Zzz’s while dealing with chronic back pain and what kinds of mattresses can aid in this process the most.

You can catch my conversation with Dr. Poorbaugh (as well as some interesting research and further methodology) at the end of this guide.

Best Innerspring Mattress

Queen size version of the Saatva


If you prefer the solid build of a traditional innerspring bed, give the Saatva look. It utilizes a coil-on-coil structure to provide impressive bounce and support. That support could be just the ticket for folks who are looking to avoid back pain by maintaining neutral spine alignment. IT also helps to keep sleepers positioned on top of the structure to avoid any sort of stuck-in-the-bed feeling. 

The innerspring Saatva comes in three firmness levels: Plush Soft, Luxury Firm (which has a medium firm feel), and Firm. The Soft version will probably work best for side sleepers, who need plenty of pressure relief at the shoulders and hips. The Luxury Firm is likely most ideal for combo sleepers, who need a balance of support and pressure relief in multiple positions. And the Firm version should work wonders for back and stomach sleepers, who need higher levels of support. 

Saatva also offers a model specifically designed to support heavier folks, the Saatva HD. If you’re shopping for a mattress online but like an innerspring feel and don’t want a compressed bed-in-a-box, I highly recommend you check out the Saatva. 

Will the Saatva help you sleep like a baby? Find out in our full review.

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The Saatva mattress combines a luxurious pillow-top with two sections of coils for a classic innerspring feel that's especially soothing at the lumbar region. 

Best Mattress for Lower Back Pain

The Helix Twilight in the Sleepopolis bedroom

Helix Midnight

If you wake up with lower back pain in the mornings, the Helix Midnight is a great option for almost every type of sleeper. The reason this mattress took the industry by storm was due to its ability to support and comfort side sleepers. It can be a tricky position to feel comfortable in, especially if you struggle with back pain, but the Midnight works with your body to cradle where needed and support where necessary. 

If you sleep with a partner, the Helix Midnight is a great option, because you can sleep pretty soundly no matter how much your partner or pet is moving around on the other side. This mattress also allows you to use the entire surface of the bed without the edges depressing at all.

Hungry to learn more about the Helix Midnight? Read our full review.

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Available in an array of firmnesses, Helix is great for those in search of pain relief at the lumbar region. The custom nature of Helix makes it a great option for side sleepers really looking for a personalized solution.

Best Mattress for Upper Back Pain

Resting on the Leesa mattress


If you’re a back sleeper who suffers from back pain, you’ll want a soft yet firm mattress that’ll fill in the space in your lumbar region while setting your hips and shoulders in a nice, even line. There are several beds that serve this need, but my absolute favorite has got to be the Original Leesa mattress.

This bed features a straightforward, three-layer design of responsive LSA foam, cushiony memory foam, and sturdy high-density poly foam. It’s a balanced construction, which provides plenty of lift and give. This is a good thing for back sleepers, as it positions the spine in a neutral alignment while also alleviating tension at the shoulders and lower back. All in all, it’s a solid option for folks looking to soothe aches and pains. 

Learn more at my full Leesa mattress review

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Leesa Mattress
Leesa Mattress
Leesa Mattress

Made from a blend of proprietary foam, memory foam, and high-density poly foam, the Leesa Mattress offers a softly balanced feel that's great for a wide range of sleepers. 

Best Mattress for Side Sleepers with Back Pain

Layla mattress with the soft side up


Finding the right mattress for your sleep preferences can be the first step in avoiding back pain. The Layla could help because it’s built with memory foam, which is great at relieving pressure at trouble spots for side sleepers like the shoulders and the hips. Because it allows you to sink into bed a bit more, the Layla really helps with side sleeping spinal alignment.

The Layla is a flippable mattress, so you get two firmnesses in one. The firmer side is around a 6.5 out of 10 on the firmness scale, or right around medium firm. This firmness could be ideal for combo or back sleepers, because it should provide enough support to keep the spine aligned in multiple positions. The softer side is more like a 5 or 5.5 out of 10. This should appeal to side sleepers, who need more pressure relief at their shoulders and hips. And while memory foam beds are sometimes known for trapping heat, the copper infusion in the memory foam helps draw heat away from sleepers’ bodies. So if you love memory foam, share a bed, and want to avoid back pain, consider the Layla.

Love the look of the Layla? Learn more in our full review.

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Layla is a very high quality option at a less-than-luxury price. A flippable memory foam option that allows side sleepers to sink deep into bed for great pressure relief.

Best Memory Foam Mattress


If you think serious pressure relief could be the answer to your back issues, then consider the Nectar mattress. This all-foam, bed-in-a-box mattress features a whopping 5” of memory foam in its comfort layer. All that foam provides plenty of body-contouring and pressure relief and lets sleepers sink deeply into the mattress. This could be great for side sleepers who need plenty of cushion around the shoulder and hip. 

Lest you be concerned that all that pressure relief won’t provide enough support, I personally found that the Nectar helped maintain proper side sleeping spinal alignment. Meanwhile, the thick memory foam layers do a great job of cutting down on motion isolation — so this could be a nice choice for partners who don’t want to disturb each other during the night. 

Do you need the Nectar in your life? Learn more in our detailed review.

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Sleepers will sink deep into the Nectar mattress for some soothing pressure relief, something that side sleepers will particularly appreciate! Use this link to check their current offer!

Best Mattress for Back and Neck Pain

The WinkBed Mattress


Those who want both an online mattress and a firm, bouncy bed might want to consider the WinkBed. This hybrid bed-in-a-box mattress features a pillow top with super-soft foams on top of a coil-on-coil structure to provide plenty of bounce and support. These coils also create a sturdier feel than you’ll find from a lot of online mattresses. 

The WInkBed comes in three different support levels: Soft, Medium Firm, and Firm. The brand also makes a Plus version specifically designed to support heavier folks. No matter the firmness level, each WinkBed model features zoned support to help promote healthy spinal alignment. This support system is firmer around the hips (to ensure they stay elevated and aligned with the spine), and softer around the shoulders (to allow for some body-contouring and pressure relief). And thanks to the Tencel cover and gel infusions in the memory foam, the WinkBed also does a decent job of sleeping cool. 

Will the WinkBed ease your back pain? Learn more in our full review.

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A combination of sturdy coils and gentle foams make the WinkBeds a truly supportive innerspring. With a firm model available, the WinkBeds is a good option to align the spine and raise the hips for stomach sleepers while maintaining comfort and support. Use code SLEEPOPOLIS200 to save $200

Best Foam Mattress for Back Pain

Idle Sleep Gel Foam

If you like the feeling of a mattress giving you a little hug when you fall asleep, but still gives you the support you need to wake up without aches and pains, you’ll likely love the Idle Sleep Gel Foam mattress. Thicker and more plush than most all-foam beds, it is easy to think you would be swallowed by this mattress, but there is a layer of buoyancy foam that provides bounce and support.

This is a great mattress for couples, since it is all foam it will isolate motion well, meaning if your partner tosses and turns throughout the night you won’t feel too much of the movement. However, since it also has gel foam, it is easier to move around on making it ideal for those who switch positions while they sleep. It is very easy to get comfortable on this mattress, so no matter your preferences I think you’ll wake up happy on the Idle Gel Foam.

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Idle Sleep
Idle Sleep
Idle Sleep

The Idle Gel Foam mattress offers an awesome blend of pressure relief and support to help you get a great night of sleep!

Best Mattress for Shoulder Pain

The Casper Mattress


Casper features a zoned support system that can help folks suffering from shoulder pain find relief. Like hip pain, shoulder pain often goes hand-in-hand with back pain. If a mattress is too firm, side sleepers can feel jammed up around their shoulders, which can throw the spine out of alignment. A soft mattress can help, but sometimes these beds don’t offer enough overall support for the spine. That’s where Casper’s zoned support comes in: It’s softer at the shoulders and firmer at the hips, meaning it’s designed to simultaneously ease shoulder pain and maintain proper spinal alignment. 

In addition to this zoned support system, Casper features a medium feel that should appeal to back and side sleepers or combo sleepers who switch between their back and side. (That’s because all of these sleepers tend to feel best on a mattress that balances support and pressure relief.) It also uses open-celled foam in the comfort layer to help promote air flow and defend against heat trap. If you’re still worried about feeling too smothered by the all-foam Casper mattress, consider checking out Casper’s hybrid model

Curious about the Casper? Read up on this bed in our comprehensive review.

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The Casper has memory foam, latex-like, and heavy-duty poly foam work together to offer sleepers a balanced feel! With zoned support (different firmness on different parts of your body), the Casper aligns your spine, hopefully helping with that nagging back pain. Use code SLEEPOPOLIS to save $100!

Best Mattress for Hip Pain

Side sleepers will love the pressure relief of the Nolah Signature

Nolah Signature

For side sleepers, hip pain and back pain often go hand in hand, and the Nolah Signature might be able to help. A common complaint among side sleepers is that they experience hip pain from sleeping on a too-firm mattress — and that hip pain can contribute to back pain. Luckily, this shouldn’t be an issue on the plush Nolah Signature. The soft, tall mattress allows sleepers to sink deeply into its foam layers to enjoy plenty of pressure relief. While the Nolah Signature is flippable (with one side being firmer than the other), folks suffering from hip pain will probably feel best on the softer side.

Both sides of the Nolah Signature utilize Nolah’s signature AirFoam, a proprietary memory foam substitute. Like memory foam, AirFoam allows plenty of sinkage, body contouring, and pressure relief. At the same time, it’s more open-celled than conventional memory foam, which makes it a little more breathable and helps this mattress sleep a little cooler. All in all, this should be a comfortable option for folks who are suffering from hip and back pain.

Intrigued by the Nolah Signature? Read our comprehensive review.

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Nolah Signature Mattress
Nolah Signature Mattress
Nolah Signature Mattress

Double-sided, the Nolah signature could be a good fit for a wide range of sleepers.

Best Firm Mattress for Back Pain

Resting on the Birch mattress


If you’re in the market for a new mattress (and want to sleep on a bed that’s made with natural materials), take a look at the Birch. It’s a hybrid mattress that uses several eco-friendly materials, including Talalay latex in the comfort layer as well as wool and organic cotton in the cover. The latex comfort layer is placed over pocketed coils to create a balance of comfort and support while also providing plenty of bounce and mobility. 

The standard version of the Birch has a nice firm feel that I like for back and stomach sleepers, who need plenty of support to keep their hips elevated and spines aligned. If you’ve been experiencing back pain because of a sagging mattress, the Birch could be a nice upgrade. If you’re a side sleeper who wants something a little softer, consider Birch’s optional latex topper, which offers more pressure relief without sacrificing natural materials.

Is the Birch best for your sleep needs? Find out in our detailed review.

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Birch Mattress
Birch Mattress
Birch Mattress

The Birch mattress uses natural materials like organic cotton and talalay latex to provide great comfort from an organic product, in fact all Birch products are Greenguard Gold certified!

A Note from Dr. Poorbaugh

Before we dive in, I thought it’d be best to begin with a definition from Dr. Poorbaugh about what chronic back pain actually means.

“Most of the research is geared toward Chronic Low Back Pain,” he explained. “The traditional method of assigning the label of ‘chronic’ was simply time dependent — if someone had LBP for more than three months, their condition was designated as being chronic.”

However, Dr. Poorbaugh says this is no longer the case, as research has begun to use functional brain imaging (as well as detailed assessments of depression and mood) to illustrate that “chronic” is not necessarily a time dependent label.

“The main determinant of CLBP (chronic lower back pain) is a process known as central sensitization,” he clarified. “This means the central nervous system has lost its ability to dampen or control peripheral stimuli i.e. information from muscles, joints, and nerves.”

This, in turn, leads to the irritability of peripheral nerves, which eventually affects the entire nervous system, thereby rendering normal activity painful. If you’ve been experiencing lower back pain, you may find your perfect mattress over on our Best Mattress for Sciatica page.

Can Sleep Help with Chronic Pain?

Now that we’ve gone over my picks, I want to take a second to talk about the purpose of this guide. While it may seem like the focus is on finding a mattress that’ll allow you to fall asleep with pain, it’s actually about finding the bed that’s going to help you use sleep to actively deal with said pain.

“Sleep is very important for restoring balance to the nervous system and improving coping strategies for pain,” Dr. Poorbaugh told me. “Normally our central nervous system is downplaying or ignoring stimuli from multiple sources simply because the information is not important. A person with chronic pain, however, loses this important dampening ability, so many activities that were once well-tolerated now become pain-provoking.”

Poorbaugh went on to cite a recent study, which showed that poor sleep patterns were directly related to higher rates of pain, poor mood, increased pain catastrophizing, and overall reduced physical function. (1)

So what can be done? In order to get the kind of sleep you need to help deal with your chronic pain, consider three main factors when picking a mattress: support, firmness, and pressure relief.


As you likely noticed throughout the guide, sound support is going to be super important for those who suffer with chronic back pain. I should note that support and firmness are not the same — you can have a soft mattress that’s ultra-supportive and a firm one that doesn’t support the body at all. Adequate support is all about how a mattress works to keep the spine in a neutral alignment, while also remaining comfortable.

Sleep Alignment

When shopping for a mattress, keep an eye out for the following things:

  • Zoned Support – As we briefly discussed up top, mattresses with Zoned Support are designed to target different parts of the body in different ways, with softer foams at the shoulders and firmer ones at the hips. This helps to encourage a healthy body line and promote relief.
  • Balanced Foam – Beds built with several different types of foam (latex, memory foam, and high-density poly foam) are going to offer the best support for back pain sufferers. This balanced approach combines lift with pressure relief for a well-rounded feel.


Q: Can a firm mattress cause lower back pain? A: It really depends on one’s preferred sleeping position! Side sleepers will likely find that a firm mattress compounds their lower back pain (these folks tend to go for softer beds) while stomach sleepers are likely to find a firm mattress actually helps with their back pain as the extra support lifts their spine into a neutral alignment.


Since we started the firmness conversation above, let’s go ahead and wrap it up here. Firmer mattresses tend to “float” the sleeper more on top of the sleeping surface whereas softer beds allow the sleepers to sink in for deep pressure relief.

The best mattress for back sleepers is in the medium to slightly firm range, meaning about a 5-7 out of 10 on the firmness scale (where 10 is the most firm). This medium level of firmness strikes an ideal balance of necessary push-back type support, while still remaining soft enough to offer comfort and remove pressure points on the sleeper.

Firmness for back pain


“There is some evidence to suggest that a firm mattress is more beneficial to reduce pain among people experiencing CLBP,” said Dr. Poorbaugh. “However, it’s likely that any change in back pain is more related to improved sleep patterns than any actual physical changes to the lumbar spine.”

Poorbaugh’s views line up with a 2010 study, which revealed that replacing mattresses based on sleeping position (i.e. selecting beds for side, back, and stomach sleepers) helped to reduce pain and discomfort in subjects. (2) Long story short, finding the right firmness can do wonders for a sleeper with specific needs.


Q: What mattress firmness is best for back pain? A: Typically, back pain sufferers will want to opt for something in the 5-7 range on the firmness scale (with 1 being the softest and 10 the firmest). This medium firm feel is likely to both soothe aches at the lumbar region and provided much needed support at the hips.

Pressure Relief

And finally, let’s take a moment to chat pressure relief. More than other sleepers, those who struggle with chronic pain need to find a mattress that’ll actively alleviate tension at sensitive spots along the body, especially at the lumbar region and shoulders.

Typically, pressure points form when there’s more push back focused on a specific area, which tends to cause misalignment at the spine. As your body moves out of alignment, more pressure is placed on the back, which can lead to frustrating pains throughout the torso.

Back Pain Mattress Graphic

Therefore, it’s important to make sure you’re not sleeping on a mattress that places pressure on any of your major joints. By doing so, your body is able to enter a relaxed state and the chance of pressure points forming along the spine and lower back are diminished.

When looking for a mattress with fantastic pressure relief, keep an eye out for the following things:

  • Memory foam – While too much memory foam can lead to spinal misalignment caused by dramatic sinkage, a touch of the material can do a lot to soothe achy joints as the foam gently conforms to these areas.
  • Hip Support – As we discussed in the support section, finding a mattress that features a bit of lift at the hips can be a boon for back pain sufferers who need cozy relief, but also optimized spinal alignment.


Q: Is a memory foam mattress good for back pain? A: Memory foam has a slow response to pressure, so allows the sleeper to sink in for some satisfying contouring at the shoulders and hips. This helps to alleviate tension at these sensitive spots and can bring some much needed relief to the upper and lower back.

Tips and Tricks for Sleeping with Pain

To wrap up this guide, I want to share some tips and tricks for sleeping with chronic pain. Unfortunately, there’s no magical solution for alleviating physical suffering, but there are some slight modifications you can make to get the journey started. I should note that not all pain sufferers will be able to implement all these strategies, nor should they — we’re all different, and so our paths toward healing will be different, too.

“I always recommend that my clients see the big picture,” Dr. Poorbaugh stated. “When it comes to pain, we have two options: We can seek a fix or a heal. The path to less pain is quite different depending on your choice, but each option has three pillars of management with very little overlap.”

While the “fix” typically involves medication and surgery, the “heal” focuses on three main tenets: nutrition, sleep, and movement.


A well-balanced diet has been shown to lead to better sleep, which can help to alleviate stress and pain. (3) Reducing caffeine and sugar intake are great first steps to take toward modifying one’s diet for optimized slumber.


As we’ve mentioned throughout this guide, it’s tantamount for pain sufferers to get enough sleep. Sleep is one of the biggest and most influential factors affecting stress levels, so it’s vital to allocate enough time to fully rest and recover each night. You can start by choosing a set bedtime and then working toward establishing a consistent nighttime routine.


Exercise is another crucial piece of the pain-free puzzle. Low-impact workouts can help with mobility, which can then lead to better spinal alignment. Regular exercise has also been regularly linked to improved sleep, so figuring out a consistent workout could do a lot for the quality of your Zzz’s. (4)

In Conclusion

At the end of the day, a new mattress isn’t going to solve your back pain woes anymore than a strict diet will. More than anything, it’s about a lifestyle shift in which you combine these different factors together to create a plan specific to your needs.

Maybe your ideal routine will involve a healthy amount of fatty fish, long morning walks, and a bed featuring Zoned Support at the hips. For another sleeper, it may entail vigorous spin classes, more greens, and a plush memory foam mattress for pressure relief at the upper back.

As always, any major life decisions should be made in consult with a medical professional. The information provided in this guide is just that: Information. We’re not doctors nor claim to be, so highly encourage those with chronic pain to seek professional advice for any and all serious health issues.

Recap: The Best Mattresses for Back Pain

MattressBest ForPrice (Queen)CouponReview
SaatvaInnerspring$1,399See Current OfferRead My Review!
HelixLower Back PainVariesSee Current OfferRead My Review!
LeesaUpper Back Pain$999See Current OfferRead My Review!
LaylaSide Sleepers$1,049See Current OfferRead My Review!
NectarMemory Foam$1,198See Current OfferRead My Review!
WinkBedsBack & Neck$1,599See Current OfferRead My Review!
Idle Sleep Gel FoamFoam$949See Current OfferRead My Review!
CasperBack & Shoulder Pain$1,095See Current OfferRead My Review!
Nolah SignatureBack & Hip Pain$1,599See Current OfferRead My Review!
BirchFirm$1,499See Current OfferRead My Review!


  1. Gerhart, James I., et al. “Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects.” Annals of Behavioral Medicine, vol. 51, no. 3, 2016, pp. 365–375., doi:10.1007/s12160-016-9860-2.
  2. Jacobson, Bert H., et al. “Effect of Prescribed Sleep Surfaces on Back Pain and Sleep Quality in Patients Diagnosed with Low Back and Shoulder Pain.” Applied Ergonomics, vol. 42, no. 1, 2010, pp. 91–97., doi:10.1016/j.apergo.2010.05.004.
  3. St-Onge, Marie-Pierre, et al. “Effects of Diet on Sleep Quality.” Advances in Nutrition, vol. 7, no. 5, 2016, pp. 938–949., doi:10.3945/an.116.012336.
  4. Kline, Christopher E. “The Bidirectional Relationship Between Exercise and Sleep.” American Journal of Lifestyle Medicine, vol. 8, no. 6, 2014, pp. 375–379., doi:10.1177/1559827614544437.
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Logan Block
Logan is the content director of Sleepopolis, which means he not only reviews new mattresses every week, but also curates all the comparisons, best of pages, and video guides on the site. He takes a straightforward, honest approach to his reviews and endeavors to give viewers an objective look at each new product he tries out. Logan has perfected his method by personally testing over 200 different mattresses, so he’s not only able to discern the overall vibe of a specific bed, but to contextualize its feel within the bed-in-a-box market as a whole. When he’s not hopping on a new bed or working with our editorial team to whip up an engaging sleep education guide, you can find him reading books on world history, walking his dog Pepper, or searching for the best cheeseburger in New York City.
Logan Block

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