Best Mattress for Back Pain

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Mattress choice is crucial for anyone who experiences frequent upper or lower back pain. The right mattress can improve alignment and reduce pressure that builds up in the shoulders, lumbar region, and hips while you sleep. Conversely, the wrong mattress can exacerbate existing back pain and cause new pressure points to occur. For any given sleeper, the ideal mattress should provide adequate cushioning while maintaining an even surface with little to no sagging beneath heavier areas of the body.

Choosing the right mattress often comes down to factors like body type and primary sleep position. Side sleepers are particularly prone to back pain because this position can interfere with spinal alignment, so these individuals tend to prefer softer mattresses with extra cushioning. Most back and stomach sleepers don’t encounter alignment issues but need a mattress that provides adequate support around the midsection. For body type, the general rule of thumb is that the more you weigh, the more firmness and support you need from your mattress. Some people with back pain benefit from using mattresses with zoned layers that feel firmer around the torso and hips while cradling lighter areas of the body.

Our team has personally tested hundreds of mattress models. Pain and pressure relief is one of the main criteria we use during these evaluations. The five mattresses listed below were standouts in this performance category. Scroll down to learn more about our best mattresses for back pain.

“Sleepers with persistent back pain often need a mattress with cushioning for sore spots along the spine paired with a sturdy base to improve sleep posture. I recommend looking for a hybrid mattress since most offer thicker comfort systems over a supportive coil core.” – Dr. Michael J. Breus, Ph.D.

Our Top Picks

Best Overall

Helix Midnight Luxe

Mattress Type: HybridFirmness: Medium Firm (6)Price: $2,049

Best Value

Nectar Mattress

Mattress Type: FoamFirmness: Medium Firm (6)Price: $899

Best Luxury

Loom & Leaf

Mattress Type: Latex HybridFirmness: Medium Firm (6), Firm (8)Price: $2,099

Most Comfortable

WinkBeds GravityLux

Mattress Type: FoamFirmness: Medium Soft (4), Medium (5), Firm (7)Price: $1,799

Best Extra-Firm

Plank

Mattress Type: FoamFirmness: Firm (7), Extra-Firm (9)Price: $1,274

Best Overall

Helix Midnight Luxe

Helix Midnight Luxe
  • Mattress Type Icon
    Mattress Type:

    Hybrid

  • Price (Queen) Icon
    Price (Queen):

    $2,049

  • Firmness Icon
    Firmness:

    Medium Firm (6)

  • Warranty Icon
    Warranty:

    15 Year, Limited

  • Weight Icon
    Weight:

    110 to 120 lbs.

  • Sleep Trial Icon
    Sleep Trial:

    100 nights (30-night requirement)

Highlights Icon
Highlights

  • Euro-top with two memory foam layers creates a luxuriously plush surface
  • Zoned coils reinforce the midsection to keep body on an even plane
  • Coils promote strong airflow

Ideal For Icon
Ideal For

  • Sleepers who experience painful pressure buildup
  • People who sleep hot
  • Side sleepers between 130 and 230 pounds

Helix Sleep’s mattress lineup includes more than a dozen models, all of which are specifically designed for certain types of sleepers. We’ve tested every Helix Sleep mattress, and the Midnight Luxe is one of the company’s most balanced models. Although it is designed for side sleepers weighing 130 to 230 pounds, the medium firm (6) feel and Euro-top cushioning makes the Midnight Luxe an appealing option for many back and stomach sleepers as well.

Two layers of memory foam over a polyfoam transitional layer make the surface feel invitingly plush, but deep sinkage shouldn’t be an issue for most people. The coil system provides extra reinforcement thanks to a zoned design with extra support for the torso and hips, which are areas of the body where people tend to carry a disproportionate amount of weight. The coils are also sturdier along the perimeter to make you feel secure when sleeping near the edges or getting in and out of bed. Steady airflow through the coils and a breathable, moisture-wicking cover make the Midnight Luxe an excellent choice for hot sleepers, as well.

As popular as the Midnight Luxe was with our testing team, this mattress might feel too soft or too firm for you. We encourage all readers to complete Helix Sleep’s online questionnaire, which narrows down the best mattress options based on body type, sleep position, and personal preferences.

The Helix Midnight Luxe comes with a 100-night sleep trial and 15-year manufacturer’s warranty. Shipping is free of charge to customers in all 50 states.

“The Helix Midnight Luxe’s adaptive foam layers are great for relieving pressure points. Our testers who tend to sleep on their side felt little to no pressure buildup in their shoulders and hips.”
David Rubin
Lead Product Tester

Best Value

Nectar Mattress

Nectar Mattress
  • Mattress Type Icon
    Mattress Type:

    Foam

  • Price (Queen) Icon
    Price (Queen):

    $899

  • Firmness Icon
    Firmness:

    Medium Firm (6)

  • Warranty Icon
    Warranty:

    Lifetime, Limited

  • Weight Icon
    Weight:

    66 lbs.

  • Sleep Trial Icon
    Sleep Trial:

    365 nights

Highlights Icon
Highlights

  • Above-average support for an all-foam model
  • Excellent motion isolation and no noise
  • 365-night sleep trial

Ideal For Icon
Ideal For

  • Sleepers who need strong pressure relief
  • Couples
  • Shoppers seeking a long sleep trial

The Nectar is a budget-friendly mattress with a medium firm (6) feel, making it more supportive than the majority of its all-foam competitors. A memory foam comfort layer gives the surface a plush, adaptive feel that our testers have likened to sleeping “in” rather than sleeping “on” the mattress, but dense polyfoam transitional and base layers provide good stability and prevent you from sinking too deeply.

During our tests, the Nectar earned favorable ratings from side and back sleepers weighing up to 230 pounds. The mattress also scored high marks for motion isolation. All three foam layers absorb movement and practically eliminate transfer across the surface, so the Nectar is a great choice for anyone who loses sleep due to their partner’s movements in bed. The firmer-than-average feel of this mattress also ensures decent edge support for an all-foam model, while a cooling gel infusion in the comfort layer helps dissipate body heat.

Nectar’s 365-night sleep trial is among the longest available from an online mattress company, giving you plenty of time to test out the bed and decide whether it’s right for you. Those who keep their Nectar Mattress also receive a lifetime warranty against structural defects. Shipping is free of charge within the contiguous U.S.

“The Nectar Mattress is firmer than many other foam models I’ve tested, giving it a fairly balanced feel. An affordable price-point paired with a year-long trial and lifetime warranty make this a deal you don’t want to miss.”
Garen Glazier
Product Tester

Best Luxury

Loom & Leaf

Loom & Leaf
  • Mattress Type Icon
    Mattress Type:

    Latex Hybrid

  • Price (Queen) Icon
    Price (Queen):

    $2,099

  • Firmness Icon
    Firmness:

    Medium Firm (6), Firm (8)

  • Warranty Icon
    Warranty:

    Lifetime, Limited

  • Weight Icon
    Weight:

    93 lbs.

  • Sleep Trial Icon
    Sleep Trial:

    365 Nights ($99 Return Fee)

Highlights Icon
Highlights

  • All-foam design reinforced with dense transitional and support layers
  • Two firmness options
  • 365-night sleep trial

Ideal For Icon
Ideal For

  • Couples
  • Hot sleepers
  • Shoppers who would like their mattress set up for them

The Loom & Leaf by Saatva is a thoughtfully constructed all-foam mattress well suited to people with back pain. The top memory foam comfort layer features extra cushioning around the lumbar region to prevent sinkage and alleviate discomfort in the lower back and hips. A second memory foam layer along with high-density polyfoam transitional and base layers provide additional conforming while stabilizing the mattress and keeping your body on an even plane.

Saatva offers two firmness options for the Loom & Leaf. Side and back sleepers weighing up to 230 pounds should receive sufficient support from the medium firm (6) model, while the firm (8) feel is the better choice for people who weigh more than 230 pounds — especially those who sleep on their back or stomach. The Loom & Leaf’s all-foam design also excels at motion isolation, making the mattress a good pick for couples. Durability is another strength, as the dense foam layers resist impressions, indentations, and other types of wear and tear that often affect all-foam mattresses.

All Loom & Leaf orders within the contiguous U.S. qualify for free White Glove delivery. After scheduling a delivery date and time with you, White Glove couriers will assemble the mattress in a room of your choice and haul away your old mattress and box spring upon request. This service normally starts at around $100. You’ll also receive a 365-night sleep trial and lifetime warranty with your purchase.

“I really enjoyed the Loom & Leaf’s thoughtful construction and extra cushioning for the lower back. The mattress offered relief for my sore spots while the firmer-than-average feel prevented me from sinking too deeply.”
Garen Glazier
Product Tester

Most Comfortable

WinkBeds GravityLux

WinkBeds GravityLux
  • Mattress Type Icon
    Mattress Type:

    Foam

  • Price (Queen) Icon
    Price (Queen):

    $1,799

  • Firmness Icon
    Firmness:

    Medium Soft (4), Medium (5), Firm (7)

  • Warranty Icon
    Warranty:

    Lifetime, Limited

  • Weight Icon
    Weight:

    77 lbs.

  • Sleep Trial Icon
    Sleep Trial:

    120 nights (30 night requirement)

Highlights Icon
Highlights

  • Mixed-foam design offers a balance of cushioning and support
  • Zoned layers feel firmer around the midsection
  • Multiple firmness options

Ideal For Icon
Ideal For

  • Couples who need strong motion isolation
  • People who enjoy the feel of foam
  • Shoppers seeking a lifetime warranty

The GravityLux by WinkBeds is an all-foam mattress with a top layer of adaptive polyfoam over a second comfort layer of open-cell memory foam. These materials create a feel that is both adaptive and responsive. You’ll notice even contouring from head to toe, but the polyfoam layer has a slight bounce that facilitates movement across the surface of the mattress. The GravityLux also contains transitional and base layers of dense polyfoam, the former of which is zoned to provide extra reinforcement around the torso and hips.

Three firmness levels are available for the mattress. Our testers who sleep on their side or back and weigh less than 130 pounds found the medium soft (4) feel most comfortable, while back and stomach sleepers weighing at least 130 pounds preferred the firm (7) feel. The medium (5) option should provide adequate cushioning and support for anyone in the range of 130 to 230 pounds regardless of their primary sleep position. Couples should also be satisfied with the mattress thanks to its excellent motion isolation.

WinkBeds backs each mattress with a 120-night sleep trial that includes free exchanges. If you are not happy with your initial firmness selection, WinkBeds allows you to exchange the mattress for a softer or firmer model at no extra cost during the trial period. Shipping is free for all orders within the contiguous U.S.

“The GravityLux’s mixed-foam composition creates a more comfortable and responsive feel than other foam mattresses I’ve tested. I noticed minimal pressure buildup, and the zoned transitional layer prevented midsection sagging.”
Alison Deshong
Product Tester

Best Extra-Firm

Plank

Plank
  • Mattress Type Icon
    Mattress Type:

    Foam

  • Price (Queen) Icon
    Price (Queen):

    $1,274

  • Firmness Icon
    Firmness:

    Firm (7), Extra-Firm (9)

  • Warranty Icon
    Warranty:

    10 Year, Limited

  • Weight Icon
    Weight:

    70 lbs.

  • Sleep Trial Icon
    Sleep Trial:

    120 nights (30-night requirement)

Highlights Icon
Highlights

  • Exceptionally supportive on each side
  • Phase change material promotes cooling
  • Reversible design offers versatile firmness options

Ideal For Icon
Ideal For

  • Back and stomach sleepers over 230 pounds
  • Hot sleepers
  • Shoppers on a budget

Back and stomach sleepers who weigh more than 230 pounds need extra reinforcement from their mattress compared with other sleeper types. The Plank by Brooklyn Bedding is one of the firmest mattresses we’ve tested in our lab. This flippable all-foam model features two sleep surfaces: one that’s firm (7) and another that’s extra firm (9). Those who prefer light cushioning will probably prefer the firm side, while the extra firm surface is ideal for anyone who needs enhanced support and little to no contouring.

A shared support core of high-density polyfoam rests in the middle of the mattress between both comfort systems. At 70 pounds in a queen size, the Plank is relatively lightweight and easy to flip with a lifting partner. Since very little sinkage occurs on either side, the mattress also sleeps quite cool. Exceptionally hot sleepers can also order a panel of phase change material (PCM) to be sewn onto both sides of the mattress. PCM is engineered to capture and release heat before it reaches the surface of your mattress, allowing you to remain comfortable regardless of the room temperature.

The Plank is budget-friendly, especially for a flippable mattress, and shipping is free of charge for all orders in the contiguous U.S. Brooklyn Bedding offers the Plank in 14 sizes, including a split California king for couples who use adjustable beds, an Olympic queen, and several options designed for RVs. All Plank purchases include a 120-night trial period and 10-year manufacturer’s warranty.

“The Plank has a firm feel, making it one of the firmest mattresses we’ve tested. Our back and stomach sleepers, especially those over 230 pounds, greatly appreciated the even and supportive sleep surface.”
David Rubin
Lead Product Tester