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Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we: Evaluate ingredients and composition: Do they have the potential to cause harm?Fact-check all health claims: Do they align with the current body of scientific evidence?Assess the brand: Does it operate with integrity and adhere to industry best practices? We do the research so you can find trusted products for your health and wellness. A firm mattress may help alleviate back pain by distributing the body’s weight more equally and supporting spinal alignment. This may then help improve sleep quality.
This article looks at how a firm mattress may help back pain, lists some mattresses a person can consider, and answers some frequently asked questions.
Below, we look at some of the best firm mattresses available for persons with back pain.
Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.
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Type: foam Available sizes: twin, twin XL, full, queen, king, california king *Price is accurate as of the date of publication.
MNT's review The foam in the Layla Memory Foam Mattress contains copper-infused gel that firms when there is increased pressure. This may help support pressure points and draw heat away from the body, making it a cooler alternative to other memory foam mattresses.
The makers claim this provides gentle support around pressure points, which may be more suitable for side sleepers. However, a person can choose between a soft and a firm side by flipping the mattress.
This mattress may be best suited to people who live in warmer climates or tend to sleep hot.
Layla describes the firm side as a 7 out of 10 on its firmness scale, and says the firm side is best for back or stomach sleepers.
The mattress also features motion transfer control, which aims to prevent movement from traveling across the mattress, reducing the chances of disturbing a partner while shifting positions.
Layla states this mattress has CertiPUR-US certification, meaning its foam does not contain harmful chemicals.
It offers a 120-night sleep trial and a lifetime warranty.
Positive reviews mention the affordable price and the mattress helped reduce joint pain.
Negative reviews say there is insufficient edge support, and the mattress and pillows have an unpleasant odor.
Pros & cons copper-infused memory foam may promote cooler sleep more affordable than many brands flippable comes with two free pillows some users report an unpleasant odor from the pillows some reviewers write that there is not enough edge support copper-infused memory foam may promote cooler sleep more affordable than many brands flippable comes with two free pillows some users report an unpleasant odor from the pillows some reviewers write that there is not enough edge support Product details Firmness: dual sided: medium and firm Dimensions: 75 x 38 x 10.5 in., 80 x 38 x 10.5 in., 75 x 54 x 10.5 in., 80 x 60 x 10.5 in., 80 x 76 x 10.5 in., 80 x 76 x 10.5 in. Weight: 41 lb, 44 lb, 57 lb, 69 lb, 87 lb, 87 lb Compatible with adjustable base: yes Cooling technology: yes Sleeping position: combination, back, stomach, side Warranty: lifetime Trial period: 120 nights Financing: available through Affirm Firmness: dual sided: medium and firm Dimensions: 75 x 38 x 10.5 in., 80 x 38 x 10.5 in., 75 x 54 x 10.5 in., 80 x 60 x 10.5 in., 80 x 76 x 10.5 in., 80 x 76 x 10.5 in. Weight: 41 lb, 44 lb, 57 lb, 69 lb, 87 lb, 87 lb Compatible with adjustable base: yes Cooling technology: yes Sleeping position: combination, back, stomach, side Warranty: lifetime Trial period: 120 nights Financing: available through Affirm
Best for a variety of firm options: The WinkBed List price: $1,149–2,049 Sizes: twin, twin XL, full, queen, king, California kingBest for a variety of firmness options Type: hybrid Available sizes: twin, twin XL, full, queen, king, California king *Price is accurate as of the date of publication.
MNT's review The WinkBed mattress has four firmness levels: Soft, Firm, Luxury Firm, and Plus.
According to the company, the Firm and Luxury firm options are suitable for side, back, and stomach sleepers. The Luxury Firm option balances body contouring and “pushback” support, while the firm offers extra support without feeling hard.
The Soft option is for side sleepers, and the Plus option is designed for heavier people.
This mattress may be best suited to people looking for more than one firm option in the same mattress model.
According to the company’s website, the mattress supports the back by:
Relieving muscle tension and pressure: A quilted top layer provides cushioning and support for the back, hips, and shoulders.
Aligning the lower back and hips: A supportive “lumbar layer” aims to prevent sagging and joint misalignment in the lower back and hips.
Providing adaptive back support: The mattress contains five sets of springs, and these are aligned to provide support for different areas of the spine.
The company offers a 120-night trial and lifetime warranty on this mattress.
Positive reviews write that this mattress is very comfortable and it has reduced lower back pain for some buyers.
More critical reviews mention that it is not comfortable enough and can cause pain in pressure points such as the hips.
Pros & cons offers four firmness options may limit motion transfer, making it a comfortable option for couples fits different bed frames long sleep trial may off-gas can be expensive limited edge support heavy to move around offers four firmness options may limit motion transfer, making it a comfortable option for couples fits different bed frames long sleep trial may off-gas can be expensive limited edge support heavy to move around Product details Firmness: luxury firm Weight: 75 lb, 85 lb, 120 lb, 135 lb, 145 lb, 145 lb Dimensions: 75 x 38 x 13.5 in, 80 x 38 x 13.5 in, 75 x 54 x 13.5 in, 80 x 60 x 13.5 in, 80 x 76 x 13.5 in, 84 x 72 x 13.5 in Compatible with adjustable base: yes Cooling technology: yes Sleeping position: side Warranty: lifetime Trial period: 120 nights Financing: financing available Firmness: luxury firm Weight: 75 lb, 85 lb, 120 lb, 135 lb, 145 lb, 145 lb Dimensions: 75 x 38 x 13.5 in, 80 x 38 x 13.5 in, 75 x 54 x 13.5 in, 80 x 60 x 13.5 in, 80 x 76 x 13.5 in, 84 x 72 x 13.5 in Compatible with adjustable base: yes Cooling technology: yes Sleeping position: side Warranty: lifetime Trial period: 120 nights Financing: financing available
Type: hybrid Available sizes: twin, twin XL, full, queen, king, California king *Price is accurate as of the date of publication.
MNT's review The Helix Plus mattress is a hybrid, meaning that it combines coils with memory foam. The company has designed this mattress specifically for larger people and describes it as a 6–7 out of 10 on its firmness scale.
It is built with an extra layer of high-density foam, and reinforced coils may provide extra support for heavier people.
It also has three layers of foam that aim to support and cushion the body and prevent pressure on the joints. The mattress also features edge support.
The company uses Tencel fabric to make the mattress more breathable along with a GlacioTex Cooling Cover, which Helix claims draws heat away from the body.
The company offers a 100-night sleep trial and a 10–15 year warranty.
Positive reviews mention that this mattress offers very good support for heavier people and it keeps people with night sweats cool.
Negative reviews write that it does not provide enough back support and it caused hip pain in some users.
Pros & cons supports larger people may provide a cooler sleep may provide good pressure point relief may off-gas which releases an unpleasant smell price is high compared to others no edge support supports larger people may provide a cooler sleep may provide good pressure point relief may off-gas which releases an unpleasant smell price is high compared to others no edge support Product details Firmness: medium firm Height: 12.5 in Weight: twin: 70 lb, twin XL: 73 lb, full: 90 lb, queen: 106 lb, king/California king: 129 lb Compatible with adjustable base: no Cooling technology: yes Warranty: 15 years Trial period: 100 days Financing: available through Affirm or Katapult Firmness: medium firm Height: 12.5 in Weight: twin: 70 lb, twin XL: 73 lb, full: 90 lb, queen: 106 lb, king/California king: 129 lb Compatible with adjustable base: no Cooling technology: yes Warranty: 15 years Trial period: 100 days Financing: available through Affirm or Katapult
Type: hybrid Available sizes: twin, twin XL, full, queen, king, split king, California king, split California king *Price is accurate as of the date of publication.
MNT's review Saatva states that this mattress combines the durability of a coil mattress and the comfort and support of a memory foam mattress.
A person can choose between two firm options: Luxury Firm and Firm. Saatva places its Luxury Firm mattress at a 5–7 out of 10 on its firmness scale. Its Firm mattress is an 8 out of 10.
Saatva writes that the Luxury Firm mattress is suitable for all types of sleepers and can be a good choice for couples looking for a compromise on firmness.
The Firm option is designed for people who know they like a very firm mattress and is suitable for back and stomach sleepers and heavier people.
However, Saatva mattresses come with the following set features:
A luxury pillowtop: This reportedly has antimicrobial properties.
Edge support: This foam casing around the edges of the mattress helps prevent sagging.
Durable steel coil support: The base of the mattress has maximum-strength steel coils that also aim to prevent sagging.
Individually wrapped coils: These may contour the mattress to improve comfort and reduce motion transfer.
Spinal zone technology: There is a wire layer that aims to provide additional support in the center. Saatva writes that the memory foam layer may reduce stress and tension in the lower back.
Chiropractic approval: Saatva claims that the mattress holds the Congress of Chiropractic State Associations’ approval.
This mattress may be best suited to people looking for a very firm mattress.
Saatva offers a 365-night sleep trial and a lifetime warranty.
Positive reviews write that it balances a person’s temperature well during sleep and that customer service is very helpful.
Negative reviews mention it is very heavy to move and unsuitable for people with back pain in that respect.
Pros & cons two firmness options uses a range of organic materials CertiPUR-US Certified long sleep trial expensive limited motion transfer some users found it very heavy to move two firmness options uses a range of organic materials CertiPUR-US Certified long sleep trial expensive limited motion transfer some users found it very heavy to move Product details Firmness: plush soft, luxury firm, firm Dimensions: 75 x 38 x 11.5 in, 80 x 38 x 11.5 in, 75 x 54 x 11.5 in, 80 x 60 x 11.5 in, 80 x 76 x 11.5 in, 80 x 76 x 11.5 in, 84 x 72 x 11.5 in Compatible with adjustable base: yes Cooling technology: yes Sleeping position: side Warranty: lifetime Trial period: 365 days Financing: financing available through Affirm Firmness: plush soft, luxury firm, firm Dimensions: 75 x 38 x 11.5 in, 80 x 38 x 11.5 in, 75 x 54 x 11.5 in, 80 x 60 x 11.5 in, 80 x 76 x 11.5 in, 80 x 76 x 11.5 in, 84 x 72 x 11.5 in Compatible with adjustable base: yes Cooling technology: yes Sleeping position: side Warranty: lifetime Trial period: 365 days Financing: financing available through Affirm
Best for people with allergies Type: foam Available sizes: twin, twin XL, full, queen, split king, king, California king *Price is accurate as of the date of publication.
MNT's review
The Purple Original mattress aims to adapt to each person’s body shape and sleep position to ease pressure and support the back. The company describes it as a medium-firm mattress.
Some of its main features include:
A soft-flex cover: This breathable cover aims to promote airflow, keeping the body cool during sleep.
A 2-inch (in) support layer: This GelFlex Grid can adapt beneath pressure points while providing support to the rest of the body.
Dual-layered comfort foam: A layer of soft, flexible memory foam rests above a firmer, more supportive base layer.
Purple writes this mattress is nontoxic, hypoallergenic, and Certified Clean Air Gold . This means the mattress emits very minimal amounts of volatile organic compounds (VOCs) into the air.
The company offers a 100-night sleep trial and a 10-year warranty.
Positive reviews write that it is comfortable and helps reduce back pain and muscle tension.
Negative reviews mention it made back pain worse and was not supportive enough for some.
Pros & cons supports pressure points may help to keep sleepers cool nontoxic and hypoallergenic emits minimal VOCs some people find the GelFlex Grid too soft some people find the GelFlex Grid too soft supports pressure points may help to keep sleepers cool nontoxic and hypoallergenic emits minimal VOCs some people find the GelFlex Grid too soft some people find the GelFlex Grid too soft Product details Firmness: medium firm Weight: 65 lb, 70 lb, 81 lb, 110 lb, 140 lb, 140 lb, 2 x 70 lb Dimensions: 75 x 38 x 9.25 in, 80 x 38 x 9.25 in, 75 x 54 x 9.25 in, 80 x 60 x 9.25 in, 80 x 76 x 9.25 in, 84 x 72 x 9.25 in, 2 x (80 x 76 x 9.25 in) Compatible with adjustable base: yes Cooling technology: yes Warranty: 10 years Trial period: 100 nights Financing: financing available through Affirm Firmness: medium firm Weight: 65 lb, 70 lb, 81 lb, 110 lb, 140 lb, 140 lb, 2 x 70 lb Dimensions: 75 x 38 x 9.25 in, 80 x 38 x 9.25 in, 75 x 54 x 9.25 in, 80 x 60 x 9.25 in, 80 x 76 x 9.25 in, 84 x 72 x 9.25 in, 2 x (80 x 76 x 9.25 in) Compatible with adjustable base: yes Cooling technology: yes Warranty: 10 years Trial period: 100 nights Financing: financing available through Affirm
Type: memory foam Available sizes: twin, twin XL, full, queen, king, California king, split king *Price is accurate as of the date of publication.
MNT's review The Nectar mattress contains memory foam layers that the company claims help relieve shoulder, hip, and leg pressure points and improve spinal alignment. The company puts this mattress at a 6.5 out of 10 on its firmness scale.
It features a breathable cooling cover that wicks away excess body heat to keep people cool while they sleep. The layers include gel-infused memory foam to relieve pressure, a responsive, CertiPUR-US Certified foam layer to offer support and airflow, and a base foam layer for stability.
Nectar claims this mattress is very effective at reducing motion transfer, and, according to a company survey, 90% of users found this mattress to reduce overall aches, stiffness, and discomfort.
Nectar offers a 365-night sleep trial and a forever warranty.
Positive reviews mention that it helps people with back, hip, and knee pain.
More critical reviews write that it is too hot to sleep on and some found it too firm.
Pros & cons more affordable than many brands carbon neutral construction 365-night risk-free trial not very responsive may have an unpleasant smell more affordable than many brands carbon neutral construction 365-night risk-free trial not very responsive may have an unpleasant smell Product details Firmness: medium firm Dimensions: 75 x 38 x 12 in, 80 x 38 x 12 in, 75 x 54 x 12 in, 80 x 60 x 12 in, 80 x 76 x 12 in, 80 x 76 x 12 in, 84 x 72 x 12 in Weight: 39 lb, 42 lb, 54 lb, 66 lb, 83 lb, 82 lb, 84 lb Compatible with adjustable base: yes Cooling technology: yes Sleeping position: side, back, combination Warranty: lifetime Trial period: 365 nights Financing: available through Affirm Firmness: medium firm Dimensions: 75 x 38 x 12 in, 80 x 38 x 12 in, 75 x 54 x 12 in, 80 x 60 x 12 in, 80 x 76 x 12 in, 80 x 76 x 12 in, 84 x 72 x 12 in Weight: 39 lb, 42 lb, 54 lb, 66 lb, 83 lb, 82 lb, 84 lb Compatible with adjustable base: yes Cooling technology: yes Sleeping position: side, back, combination Warranty: lifetime Trial period: 365 nights Financing: available through Affirm
Best for customizable firmness Type: foam Available sizes: twin, twin XL, full, queen, king, split king, California king *Price is accurate as of the date of publication.
MNT's review This mattress from Sleep Number is customizable on both sides with a remote control.
The company claims that it can automatically adjust to a person’s movement.
Layers include a 2-in comfort layer. The company claims it stretches and conforms to a person’s position while they sleep to provide maximum support.
The mattress is 8 inches in height, and Sleep Number claims to use CertiPUR-US-certified foam.
A person can use the accompanying SleepIQ app to gain insight into their sleep. The app provides individual sleep scores.
Sleep Number offers a 100-night trial and a 15-year warranty.
Customers appreciate being able to adjust the mattress according to how they feel each night.
More critical reviews write that it was not comfortable and caused back pain. Others found that it exacerbated shoulder pain and adjusting the settings did not improve the comfort.
Pros & cons adjustable on both sides comes with a sleep insight app uses CertiPUR-US certified foam some customers report it worsened pain it is a relatively thin mattress compared to other brands adjustable on both sides comes with a sleep insight app uses CertiPUR-US certified foam some customers report it worsened pain it is a relatively thin mattress compared to other brands Product details Firmness: adjustable Height: 8 in Weight: not specified Compatible with adjustable base: yes Cooling technology: no Sleeping position: all Warranty: 15 years Trial period: 100 nights Financing: available through Sleep Number Firmness: adjustable Height: 8 in Weight: not specified Compatible with adjustable base: yes Cooling technology: no Sleeping position: all Warranty: 15 years Trial period: 100 nights Financing: available through Sleep Number
Type: hybrid Available sizes: twin, twin XL, full, queen, king, CA king, split CA king *Price is accurate as of the date of publication.
MNT's review Brooklyn Bedding designed this mattress to help people recover after exercise.
It is a hybrid mattress featuring foam and coil layers. The coils offer zoned support and focus on pressure point relief and lumbar support.
This mattress may be best suited to those who work out regularly as it claims to help aid muscle recovery.
Other layers include a 1.5 in CopperFlex foam, which has antimicrobial and cooling properties, and 2 inches of premium memory foam.
A person can also get additional pressure point relief from the 1-in gel memory foam layer.
It claims to help aid sleep recovery with Far Infrared Rays (FIR) technology, which reportedly restores energy and regulates temperature to improve sleep.
This technology is in the cover fabric. The company writes that it is activated by body heat, and the fabric produces energy waves that can improve blood flow, speed up muscle recovery, and lead to better quality sleep.
The company offers a 120-night sleep trial and a 10-year warranty.
Positive reviews write that this mattress can reduce back and joint pain.
Negative reviews mention that the firm option is softer than expected and it did not offer enough back support.
Pros & cons uses FIR technology to aid muscle recovery zoned support coils long sleep trial some people found the mattress too soft others report it did not provide enough back support uses FIR technology to aid muscle recovery zoned support coils long sleep trial some people found the mattress too soft others report it did not provide enough back support Product details Firmness: soft, medium, firm Height: 13.5 in Weight: 70–145 lb Compatible with adjustable base: no Cooling technology: yes Sleeping position: soft: side, medium: back, stomach, side, combination, firm: stomach, back Warranty: 10 years Trial period: 120 days Financing: available through Affirm Firmness: soft, medium, firm Height: 13.5 in Weight: 70–145 lb Compatible with adjustable base: no Cooling technology: yes Sleeping position: soft: side, medium: back, stomach, side, combination, firm: stomach, back Warranty: 10 years Trial period: 120 days Financing: available through Affirm
Type: foam Available sizes: twin, twin XL, full, queen, king, California king *Price is accurate as of the date of publication.
MNT's review Casper introduced the “bed in a box” mattress to the market. Its Original mattress features three zoned support areas, which aim to align the spine and relieve pressure.
These zones are softer under the shoulders and legs, and firmer beneath the hips, waist, and lower back.
This mattress is best suited to those who want specific supportive areas for their lower back.
There is also a cooling system called AirScape, which is a foam layer that features thousands of perforations to promote airflow through the mattress. These perforations also allow body heat to escape the mattress.
The company offers a 100-night sleep trial and a 10-year warranty.
Positive reviews write that this mattress helped to improve people’s sleep and it offers a good balance between comfort and support. Others write that it helped to reduce back pain.
Negative reviews mention increased neck pain and a lack of edge support. Some also wrote that they slept hot due to the foam.
Pros & cons easy to set up and move around little motion transfer zone support relieves pressure points keeps the body cool during sleep limited edge support some reports of sagging in the middle some users reported they slept hot on this mattress easy to set up and move around little motion transfer zone support relieves pressure points keeps the body cool during sleep limited edge support some reports of sagging in the middle some users reported they slept hot on this mattress Product details Weight: twin: 46 lb, twin XL: 50 lb, full: 67 lb, queen: 79 lb, king: 101 lb, California king: 100 lb Height: 11 in Compatible with adjustable base: yes Cooling technology: yes Warranty: 10 years Trial period: 100 nights Financing: financing available through Affirm Firmness: firm Weight: twin: 46 lb, twin XL: 50 lb, full: 67 lb, queen: 79 lb, king: 101 lb, California king: 100 lb Height: 11 in Compatible with adjustable base: yes Cooling technology: yes Warranty: 10 years Trial period: 100 nights Financing: financing available through Affirm Firmness: firm
For an environmentally friendly brand Type: hybrid Available sizes: twin, twin XL, full, queen, king, CA king *Price is accurate as of the date of publication.
MNT's review This is a hybrid mattress that holds a wide range of environmental certifications. These include:
Avocado writes that it also does not contain toxic fire retardants, polyester, or foams made from polyurethane.
The mattress combines a 3-inch organic latex layer with coils and an organic cotton cover. The company writes that it has up to 1,414 pocketed support coils in five zones to provide targeted body support.
It describes its Standard Vegan Mattress as medium firm or a 7 out of 10 on its firmness scale. The company recommends this mattress for back and stomach sleepers, as well as larger or tall side sleepers.
The company offers a 1-year sleep trial and a 25-year warranty.
Positive reviews write that this mattress is very comfortable and suitable for side sleepers, and buyers appreciate that the brand aligns with their values in terms of environmental responsibility.
Negative reviews mention problems with delivery and customer service, and some people did not find the mattress firm enough.
Pros & cons long sleep trial holds a wide range of environmental certifications eco-friendly and vegan construction uses natural materials offers zoned support delivery can take up to two months more expensive than most brands latex provides less motion transfer control unsuitable for people with latex allergies long sleep trial holds a wide range of environmental certifications eco-friendly and vegan construction uses natural materials offers zoned support delivery can take up to two months more expensive than most brands latex provides less motion transfer control unsuitable for people with latex allergies Product details Firmness: medium-firm Height: 13 in Weight: twin: 68.1 lb, twin XL: 71 lb, full: 95.1 lb, queen: 118 lb, king: 140 lb, CA king: 142.7 lb Compatible with adjustable base: yes Cooling technology: yes Warranty: 25 years Trial period: one year Financing: available through Affirm Firmness: medium-firm Height: 13 in Weight: twin: 68.1 lb, twin XL: 71 lb, full: 95.1 lb, queen: 118 lb, king: 140 lb, CA king: 142.7 lb Compatible with adjustable base: yes Cooling technology: yes Warranty: 25 years Trial period: one year Financing: available through Affirm
Type: hybrid Available sizes: twn, twin XL, full, queen, king, CA king, split king *Price is accurate as of the date of publication.
MNT's review DreamCloud offers this hybrid mattress that comes with a breathable cashmere blend cover, pressure-relieving memory foam, and a contouring soft foam. It has additional layers, such as a stable base layer, a dynamic transition layer, and a comfort foam layer.
The company claims the mattress features individually wrapped coils that allow air to pass through and reduce motion transfer. This may make it suitable for people who sleep with a partner, as movements should not disturb them.
It comes with a 365-night trial and lifetime warranty.
Pros & cons reduced motion transfer individually wrapped coils edge support long sleep trial higher price point compared to other brands may be uncomfortable for some people reduced motion transfer individually wrapped coils edge support long sleep trial higher price point compared to other brands may be uncomfortable for some people Product details Firmness: medium-firm Height: 16 in Weight: twin: 78.2 lb, twin XL: 82.6 lb, full: 102.4 lb, queen: 120 lb, king: 148 lb, CA king: 144.3 lb, split king: 165.2 lb Compatible with adjustable base: yes Cooling technology: yes Warranty: lifetime Trial period: 365 days Financing: available through Affirm Firmness: medium-firm Height: 16 in Weight: twin: 78.2 lb, twin XL: 82.6 lb, full: 102.4 lb, queen: 120 lb, king: 148 lb, CA king: 144.3 lb, split king: 165.2 lb Compatible with adjustable base: yes Cooling technology: yes Warranty: lifetime Trial period: 365 days Financing: available through Affirm
Best for a nontoxic option Type: hybrid Available sizes: twin, twin XL, full, queen, king, California king *Price is accurate as of the date of publication.
MNT's review The mattress components include organic cashmere, breathable layers, and nontoxic materials.
The company claims that it is naturally cooling and breathable. It has a medium-firm feel and is compatible with all sleeping positions.
The Birch Luxe mattress holds the following certifications:
Global Organic Textile Standard (GOTS)
Greenguard GOLD
eco-Institut
Fair Trade
The company offers a 100-night sleep trial and a 25-year warranty.
Pros & cons nontoxic suitable for any sleeping position organic cashmere additional fee for optional accessories, such as mattress pad or mattress protector higher price point compared to other brands nontoxic suitable for any sleeping position organic cashmere additional fee for optional accessories, such as mattress pad or mattress protector higher price point compared to other brands Product details Firmness: medium firm Compatible with adjustable base: yes Cooling technology: yes Sleeping position: combination, back, stomach, side Warranty: 25 years Trial period: 100 nights Financing: available through Klarna Height: 11 in Firmness: medium firm Compatible with adjustable base: yes Cooling technology: yes Sleeping position: combination, back, stomach, side Warranty: 25 years Trial period: 100 nights Financing: available through Klarna Height: 11 in
Type: hybrid Available sizes: twin, twin XL, full, queen, king, California king *Price is accurate as of the date of publication.
MNT's review The Nolah Evolution mattress has a height of 15 inches, a multilayer hybrid construction, and Tri-Zone coils that the brand claims support the spine.
It comes with an organic cover that has a heat-wicking material. The border is also breathable to keep the body cool.
The product has a pressure relief design suitable for front, back, and side sleepers.
People can choose their preferred firmness level: plush, luxury, or firm. They can benefit from a 120-night trial and lifetime warranty.
Positive reviews state that the mattress is comfortable and relieves pain.
According to negative reviews, some people still feel hot when sleeping on this mattress.
Pros & cons range of firmness levels to choose from heat-wicking material which could benefit hot sleepers spinal support the cooling effect may not be enough for some people, according to reviews higher price point compared to other brands range of firmness levels to choose from heat-wicking material which could benefit hot sleepers spinal support the cooling effect may not be enough for some people, according to reviews higher price point compared to other brands Product details Firmness: plush, luxury firm, firm Dimensions: 74.5 x 38 x 15 in., 80 x 38 x 15 in., 74.5 x 53 x 15 in., 80 x 60 x 15 in., 80 x 76 x 15 in., 84 x 72 x 15 in., 80 x (2x) 38 x 15 in Weight: 68 lb, 73 lb, 95 lb, 11115 lb, 145 lb, 142 lb, (2x) 73 lb Compatible with adjustable base: yes Cooling technology: yes Sleeping position: side Warranty: lifetime Trial period: 120 nights Financing: available through Affirm Firmness: plush, luxury firm, firm Dimensions: 74.5 x 38 x 15 in., 80 x 38 x 15 in., 74.5 x 53 x 15 in., 80 x 60 x 15 in., 80 x 76 x 15 in., 84 x 72 x 15 in., 80 x (2x) 38 x 15 in Weight: 68 lb, 73 lb, 95 lb, 11115 lb, 145 lb, 142 lb, (2x) 73 lb Compatible with adjustable base: yes Cooling technology: yes Sleeping position: side Warranty: lifetime Trial period: 120 nights Financing: available through Affirm
Best for a flippable option Type: hybrid Available sizes: twin, twin XL, full, queen, king, California king, split California king, RV king, short king, short queen, olympic queen *Price is accurate as of the date of publication.
MNT's review This mattress benefits from a flippable design. One side is ultra-firm, and the other is firm, so people can flip their mattresses to choose their preferred firmness level.
It has individually wrapped coils that may help offer pressure point relief for couples.
It supports the spine and does not add extra pressure to the circulatory system.
In addition, individuals can use this mattress with adjustable power bases and tall headboards.
It holds the American Chiropractic Association (ACA) endorsement.
Plank offers a 120-night trial and a 10-year warranty.
Positive reviews praise the quality of this mattress and state that it effectively reduces back pain. This helps improve sleep quality.
Pros & cons a flippable design, with the firm on one side and ultra firm on the other individually wrapped coils reduce movement transfer, making it beneficial for couples pressure point relief may sag after a few months may be too firm for some, even on the less firm side a flippable design, with the firm on one side and ultra firm on the other individually wrapped coils reduce movement transfer, making it beneficial for couples pressure point relief may sag after a few months may be too firm for some, even on the less firm side Product details Firmness: firm, extra firm Height: 13.25 in Weight: 60–105 lb Compatible with adjustable base: no Cooling technology: yes Warranty: 10 years Trial period: 120 days Financing: available through Affirm Firmness: firm, extra firm Height: 13.25 in Weight: 60–105 lb Compatible with adjustable base: no Cooling technology: yes Warranty: 10 years Trial period: 120 days Financing: available through Affirm
Type: hybrid Available sizes: twin, twin XL, full, queen, king, CA king *Price is accurate as of the date of publication.
MNT's review Parachute’s Eco Comfort Mattress features an organic cotton construction and a foam-free design. It is also free of adhesives and chemical flame retardants.
It is firm in the middle and softer at the head and foot areas.
It has a bottom wool insulator pad that is hypoallergenic and flame-resistant. There are micro coils that contour to the body. This may increase comfort.
The company uses recyclable materials.
The mattress comes with a 100-night trial and a 10-year warranty.
Positive reviewers wrote that the Parachute Eco Comfort Mattress is comfortable and does not come with unpleasant chemical smells.
Negative reviews note that the mattress is stiff and that it can be difficult to find sheets compatible with the king size.
Pros & cons chemical-free organic cotton hypoallergenic wool chemical-free organic cotton hypoallergenic wool Product details Firmness: medium-firm Compatible with adjustable base: yes Cooling technology: yes Warranty: 10 years Trial period: 100 days Financing: available through Affirm Firmness: medium-firm Compatible with adjustable base: yes Cooling technology: yes Warranty: 10 years Trial period: 100 days Financing: available through Affirm The table below compares each of the mattresses in this article for type, firmness, cooling features, price, and more.
An older review from 2015 investigated how mattress types affect sleep quality and pain reduction in people with or without back pain. Studies in the review grouped mattresses into the following categories:
soft medium-firm firm self-adjusted The review found that a medium-firm, self-adjusted mattress was the best option at promoting quality sleep, comfort, and spinal alignment.
A newer 2021 systematic review agrees with this, concluding that a medium-firm mattress can promote comfort, sleep quality, and spinal alignment.
A person should consider the following factors when shopping for a new mattress:
Firmness level: A 2015 study suggests that a medium-firm, self-adjusted mattress may be the best option for promoting spinal alignment and improving sleep quality. However, the firmness a person is comfortable with will vary between individuals. Buyers should use sleep trials to test mattresses before committing to a purchase. Temperature regulation: Some mattresses some with more cooling features than others. If a person lives in a warmer climate or tends to sleep hot, they may wish to prioritize getting a mattress that helps to keep them cool.Materials: Mattresses come in various materials, including synthetic and natural foams and fabrics. Individuals who have allergies may wish to look at hypoallergenic mattresses, and others may wish to avoid synthetic foams that may release gases over time.Environmental certifications: Some mattress brands make products that hold a wide range of environmental certifications that show the company has a minimal impact on the environment during manufacturing. Additionally, some certifications show that synthetic materials are safe.Sleeping positions: A person should consider their preferred sleep style before buying a mattress as some are designed to suit specific positions.Price: The prices of mattresses vary. A person should consider their budget and use sleep trials to test mattresses before making a purchase.The United Kingdom’s National Health Service (NHS) recommends seeing a doctor about back pain if a person experiences any of the following:
back pain that does not improve with treatment pain that is interfering with work, school, or sleep pain from an injury that does not get better A person should get emergency medical attention if they have weakness in the arms and legs or they lose control of their bowels or bladder.
Find out more about back pain here .
Below, we answer some of the most frequently asked questions about mattresses for back pain.
Which type of mattress is best for back pain? Memory foam or latex mattresses may be best for back pain as they can conform to the shape of a person’s body and relieve pressure on the joints. However, foam mattresses can be too soft for people with back pain or heavier bodies and may not always align the spine properly. As such, a person may wish to try a firmer foam mattress for back pain.
What is the best mattress for back pain — firm or soft? Research from 2015 and 2021 has shown that a medium-firm mattress may be best for back pain.
Is memory foam or spring better for back pain? A memory foam mattress may be better for back pain as it can conform to a person’s body shape and relieve pressure points.
Spring mattresses cannot adapt to a person’s body and changing positions as accurately and may not provide adequate pressure point relief. Spring mattresses are better for keeping the spine in a neutral position.
Hybrid mattresses are best for back paint as they offer the pressure point relief of memory foam with the support of coils and springs.
Do mattress toppers cause back pain? A 2020 study suggests that a mattress topper that is 1.2 in height may help align the spine and reduce body pressure. High rebound mattress toppers may help improve deep sleep.
How do I test a mattress if I’m buying it online? A person buying a mattress online may consider checking that the company offers a home trial. This allows them to test the product for a few months, or sometimes even a year. If they are unsatisfied, they may return it within this time frame.
A person may also check if the mattress is soft or firm. Reading customer reviews may help them choose the right product.
Many firm mattresses are available for purchase that may suit people with back pain.
However, firmness level may also depend on a person’s body type and sleeping position.
Most mattress companies offer a trial period, during which a person can decide whether to keep or return the product. The cost of these mattresses can be high, and paying in installments is often an option.
If choosing more supportive bedding does not alleviate back pain, a person should see a doctor to discuss treatment options.