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Back pain can negatively affect sleep quality. Choosing a mattress to suit an individual’s sleep preferences may help prevent aches and pain. The best mattress for relieving back pain will adjust to pressure points and support spinal alignment.

Approximately 80% of adults experience back pain. This can impact an individual’s ability to walk, sit, work, and sleep. Research suggests that insomnia is common among people with lower back pain.

Choosing a mattress to prevent and relieve back pain can help improve sleep quality and decrease aches and pains. Read on to learn more.

A quick look at the 13 best mattresses for back pain:

Medical News Today’s methodology

MNT chooses mattresses, sheets, pillows, and other bedding that meet the following criteria:

  • Certifications: MNT will choose products that have CertiPUR-US or other certifications. This means that the products are low in pollutants and free from heavy metals and volatile organic compounds.
  • Size: MNT chooses products that are available in various sizes.
  • Materials and fill: MNT selects products made from different materials and fills, such as memory foam and latex, to suit a range of sleep and lifestyles.
  • Budget: MNT features products to suit a wide range of budgets.
  • Firmness: MNT selects mattresses available in a range of firmness options to suit most people’s sleeping styles.
  • Sleep trials: MNT chooses companies that offer a sleep trial.
  • Shipping: Where possible, MNT will include shipping information, such as where the company delivers to and whether shipping is free.
  • Warranties and return policies: MNT will include products with warranties and clear returns policies.

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.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best adjustable mattress for back pain: Sleep Number 360 i8

Sleep Number states that this adjustable mattress may suit back and stomach sleepers. The mattress is split down the middle. Users can adjust comfort and firmness on each side separately.

An adjustable mattress may suit people with back pain as they can adapt the firmness and position to their needs.

Learn about the best adjustable mattresses for back pain here.

The mattress features responsive Air technology that automatically adjusts according to a person’s movements. The contouring surface also conforms to the individual to provide more support.

Sleep Number claims that this mattress can absorb and release excess heat to keep users cool throughout the night.

The mattress has a height of 12 inches (in).

The price depends on the mattress size chosen, as follows:

  • Twin XL: $3,349
  • Full: $3,624
  • Queen: $3,799
  • King: $4,499
  • California King: $4,499
  • Split King: $5,299
  • Split California King: $5,299
  • FlexTop King: $5,299

Financing plans are available. Customers receive a 15-year warranty and 100-night sleep trial.

Learn more about Sleep Number mattresses here.

Best hybrid mattress for back pain: Casper Original Hybrid

The Casper Original Hybrid consists of two foam layers providing motion isolation and pressure relief. It also has a coil support layer for extra bounce and edge support.

Learn more about hybrid mattresses and the best options here.

It is a medium-firm mattress with contouring features. The mattress cover fabric is made from recycled plastic bottles.

The price depends on the mattress size chosen, as follows:

  • Twin: $1,295
  • Twin XL: $1,395
  • Full: $1,595
  • Queen: $1,695
  • King: $2,095
  • California King: $2,095

Financing plans are available. Customers receive a 10-year warranty and 100-night sleep trial.

Learn more about Casper mattresses here.

Best soft mattress for back pain: Purple Hybrid Premier 4

The Purple Hybrid Premier 4 is the softest and most cushioned of Purple’s hybrid mattresses. Other models with different firmness levels are available.

Purple mattresses use a patented GelFlex grid that is responsive and promotes heat regulation. This hybrid mattress has stainless steel coils for bounce and motion isolation.

This mattress is also hypoallergenic, nontoxic, and made in the United States.

Learn about the best mattresses for stomach sleepers here.

The price depends on the mattress size chosen, as follows:

  • Twin XL: $3,199
  • Full: $3,499
  • Queen: $3,799
  • King: $4,399
  • California King: $4,399
  • Split California King: $6,398

Financing plans are available. Customers receive a 10-year warranty and 100-night sleep trial.

Learn more about Purple mattresses here.

Best for combination sleepers with back pain: Puffy Lux Hybrid Mattress

Puffy states that this mattress works for all sleep positions, so combination sleepers who change position at night may prefer it.

Learn more about mattresses for combination sleepers here.

This hybrid mattress has four layers of foam and one layer with spring coils. The foam layers have body contouring and temperature regulation properties.

The mattress comes with pillows, a sheet set, and a mattress protector. It is made in the U.S.

The price depends on the mattress size chosen, as follows:

  • Twin XL: $1,749
  • Full: $1,799
  • Queen: $2,049
  • King: $2,249
  • California King: $2,499
  • Split California King: $2,499

Financing plans are available. Customers receive a lifetime warranty and a 101-night sleep trial.

Learn more about Puffy mattresses here.

Best copper-infused mattress for back pain: Nectar Premier Copper

This mattress features a cooling action copper-blend cover. It also has a Dynamic Response Support Layer and a Stabilizing Base Layer for extra contouring and support.

The mattress is also CertiPUR-US Certified, meeting high standards for emissions, content, and durability. The foam is free of PBDEs, TDCPP or TCEP flame retardants, mercury, and lead.

The price depends on the mattress size chosen, as follows:

  • Twin: $1,673
  • Twin XL: $1,723
  • Full: $2,098
  • Queen: $2,198
  • King: $2,498
  • California King: $2,498
  • Split King: $3,446

Financing plans are available. Customers receive a lifetime warranty and a 365-night sleep trial.

Learn more about Nectar mattresses here.

Best cooling mattress for back pain: GhostBed Luxe

The manufacturer markets this mattress as having superior cooling properties. It may suit people with back pain who overheat during sleep.

This mattress features patented Ghost Ice Fabric and Ghost Bounce Foam, alongside a Ghost Ice Layer. Materials include contouring gel memory foam and a quilted cover.

Learn about the best cooling mattresses here.

GhostBed recommends this mattress for side and back sleepers who may want relief from neck, shoulder, and hip pain. Its firmness level is medium.

The price depends on the mattress size chosen, as follows:

  • Twin: $1,895
  • Twin XL: $2,045
  • Full: $2,175
  • Queen: $2,395
  • King: $2,695
  • California King: $2,715
  • Split King: $4,090

Financing plans are available. Customers receive a 25-year warranty and a 101-night sleep trial.

Learn more about GhostBed mattresses here.

Best for lower back pain: Leesa Legend Hybrid

Leesa recommends this mattress for people experiencing lower back pain. It is suitable for all sleeping positions.

Learn about the best mattresses for lower back pain here.

This hybrid luxury mattress features two layers of springs for edge support, alongside hip and shoulder support. It also comes with patented premium foam and provides medium-firm support.

The hypoallergenic cover uses 100% organic cotton, moisture-wicking merino wool, and fiber from recycled water bottles. The mattress has CertiPUR-US certification.

It comes with two free down alternative pillows.

The price depends on the mattress size chosen, as follows:

  • Twin XL: $1,899
  • Queen: $2,199
  • King: $2,399
  • California King: $2,699
  • Split King: $2,699

Financing plans are available. Customers receive a 10-year warranty and a 100-night sleep trial.

Learn more about Leesa mattresses here.

Best mattress for heavy sleepers with back pain: Amerisleep AS5

This soft all-foam mattress features memory foam for pressure relief. Amerisleep recommends this mattress for side, combination, and heavy sleepers.

Learn about the best mattresses for heavy people here.

The mattress also comes with a Refresh Cover made with high energy transfer fiber and plant-based Bio-Pur material that draws heat away from the skin.

Amerisleep states that the base is durable to prevent sinkage or sagging.

The price depends on the mattress size chosen, as follows:

  • Twin: $1,749
  • Twin XL: $1,799
  • Full: $1,949
  • Queen: $1,999
  • King: $2,299
  • California King: $2,299
  • Split King: $3,298

Financing plans are available. Customers receive a 20-year warranty and a 100-night sleep trial.

Learn more about Amerisleep mattresses here.

Best mattress for those with limited mobility: DreamCloud Luxury Hybrid

Made of high quality materials, DreamCloud claims this mattress is suitable for heavier people and those with limited mobility.

Learn about the best mattresses for seniors here.

It provides support with a pressure-relief comfort layer, targeted-support coil layer, and essential base layer. It has motion isolation properties that may suit couples or people sharing a bed.

This mattress has a 14 in height and has a luxury-firm feel. It has CertiPUR-US certification.

The price depends on the mattress size chosen, as follows:

  • Twin: $1,273
  • Twin XL: $1,373
  • Full: $1,598
  • Queen: $1,698
  • King: $1,998
  • California King: $1,998

Financing plans are available. Customers receive a lifetime warranty and a 365-night sleep trial.

Learn more about DreamCloud mattresses here.

Best affordable mattress for back pain: Saatva Classic

Saatva mattresses are lower cost than many similar brands though still high quality. Saatva claims it provides pressure relief and supports spinal alignment.

This mattress comes in three comfort levels – luxury-firm, plush-soft, or firm. Customers can also choose between a height of 11.5″ or 14.5″.

The mattress features wrapped comfort coils, foam layers, edge support, and cotton covers. They use CertiPUR-US certified foam. It is made in the U.S.

The price depends on the mattress size chosen, as follows:

  • Twin: $912
  • Twin XL: $1,198
  • Full: $1,670
  • Queen: $1,770
  • King: $2,170
  • California King: $2,170
  • Split King: $2,396
  • Split California King: $2,396

Financing plans are available. Customers receive a 15-year warranty and a 180-night sleep trial.

Learn more about Saatva mattresses here.

Best flippable mattress for back pain: Layla Memory Foam

This mattress is flippable, meaning one side is firmer than the other. The user can turn the mattress over to meet their needs. The mattress is also CertiPUR-US certified.

Learn about the best flippable mattress here.

This mattress is made of copper-infused gel memory foam and features motion control and cooling technology.

The price depends on the mattress size chosen, as follows:

  • Twin: $749
  • Twin XL: $849
  • Full: $999
  • Queen: $1,099
  • King: $1,249
  • California King: $1,249

Financing plans are available. Customers receive a lifetime warranty and a 120-night sleep trial. The company donates returned mattresses to charity.

Learn more about Layla mattresses here.

Best foam mattress for back pain: Loom & Leaf by Saatva

This made-to-order mattress contains premium five-pound memory foam that Saatva claims provides superior pressure relief.

It is available in two firmness options, relaxed firm, and firm. It comes with a breathable, cooling, gel-infused foam layer and an organic cotton cover.

The mattress is hypoallergenic and antimicrobial.

The price depends on the mattress size chosen, as follows:

  • Twin: $1,074
  • Twin XL: $1,399
  • Full: $2,074
  • Queen: $2,174
  • King: $2,474
  • California King: $2,474
  • Split King: $2,798
  • Split California King: $2,876

Financing plans are available. Customers receive a 15-year warranty and a 180-night sleep trial.

The table below compares all the mattresses in this article on key features:

Price rangeWarrantySleep trialFirmnessMaterial
Sleep Number 360 i8$3,349-5,29915-year100-nightsAdjustableFoam
Casper Original Hybrid$1,295-2,09510-year100-nightsMedium-firmHybrid
Purple Premier 4$3,199-6,39810-year100-nightsSoftHybrid
Puffy Lux$1,749-2,499Lifetime101-nightsMedium-plushHybrid
Nectar Premier Copper$1,673-3,446Lifetime365-nightsMedium-firmMemory foam
GhostBed Luxe$1,895-4,09025-year101-nightsMediumFoam
Leesa Legend Hybrid1,899-2,69910-year100-nightsLux-plushHybrid
AmeriSleep AS5$1,749-3,29820-year100-nightsSoftMemory foam
DreamCloud Luxury Hybrid$1,273-1,998Lifetime365-nightsLuxury-firmHybrid
Saatva Classic$912-2,39615-year180-nightsPlush-soft,
Luxury-firm,
or Firm
Spring
Layla Memory Foam$749-1,249Lifetime120-nightsSoft/FirmMemory foam
Loom & Leaf by Saatva$1,074-2,87615-year180-nightsRelaxed firm,
Firm
Memory foam

The following are common questions and answers about mattresses for back pain:

Is a soft or firm mattress better for back pain?

Research suggests that a medium-firm, adjustable mattress may work best for those with non-specific back pain. However, the best firmness level may depend on an individual’s weight and preferred sleep position.

When choosing the firmness of their mattress, consumers should also consider their type of back pain and their preferred sleep position.

Can a mattress cause back pain?

If a mattress allows the lower back to sink below the optimum level for lumbar support, it may cause or worsen back pain.

Anyone experiencing back pain should see a doctor. Regardless of whether it originates in the lower, middle, or upper back, this pain may indicate serious underlying health issues. Healthcare providers can also give suggestions for alleviating pain.

When should I get a new mattress?

Most mattresses will require replacing after around 7 years.

Learn more about when to replace a mattress.

A worn mattress may not provide adequate support and may be sunken or worn. This may contribute to back pain. If a person has an old mattress, they may wish to try a new one. Sleep trials allow consumers to test a mattress for a period before committing to a purchase.

On average, people spend one-third of their lives either sleeping or trying to fall asleep. People with back pain may experience difficulty falling asleep because they cannot get comfortable.

Choosing a mattress to suit an individual’s needs and preferences may help alleviate back pain and improve sleep quality.

An individual should consider the type of back pain they are experiencing and their preferred sleep position before choosing the mattress that will work best for them.