The Best Mattress for Back Pain – How To Choose The Right One?

Suffering from back pain for years? Took lots of medicine but still no improve? The actual problem is in your mattress. Yes, A bad mattress can be the reason for your worst back pain. Read our ultimate buying guide to choose the best mattress for back pain.

We all know that sleep is not just important for our body but also nourishes our brain. According to some experts, for an average adult, there is a requirement of 7-9 hours of sleep. If not taken enough sleep then it can hurt your health. Your mattress contributes to the lower back pain and affects muscles. According to the survey, about 80% of the population experience backache in their lives.

As per a study related to sleep quality, the use of a new mattress can significantly improve the chronic back pain. So, before you plan to buy any mattress keeps in view the components like its firmness, durability, material and of course the price.

In this write-up, we also present you the best mattresses for back pain so that you can decide one wisely.

How Does Back Pain Affect Sleep?

The major part of our back is our spine. This integral part is responsible for three different yet important functioning of our bodies. These major roles are:

  • One of its important functions is to provide the right posture to the upper part of our body. It keeps our posture straight by keeping our back in the right position.
  • It also gives protection to the spinal cord. This cord is the fundamental of a communication system that takes place in a human body. It takes and brings information from and towards our brain.
  • It assists in our tactile movement as well.

Now, if the person’s spine is unhealthy, it would not be able to perform any of the above-mentioned functions. Poor sleeping postures result in back pain.

Compare Best Mattress for Back Pain

Product Best For Type Layers Feel Warranty
Tuft & Needle Spine Alignment Adaptive foam 2 Medium-firm 10 years
Dreamfoam Bedding Rapid Response Cooling Gel 3 Medium-firm 10 years
Casper Back Support Memory foam 4 Medium-firm 10 years
Leesa Contouring Memory foam 3 soft 10 years (limited)
Perfect Cloud Sleeping Cool Memory foam 3 Medium soft 10 years
Bear Athletes Memory foam with others 4 Firm 10 years
Layla Flippable Firmness Memory foam NA Medium soft on one side firm on the other Lifetime
Nest Bedding Relieving Pressure Points EnergexTM breathable foam NA Medium-firm Lifetime
Find out more about The Best Pillow for Neck Pain in our complete review here.

Our Top Picks – Best Mattress for Back Pain

1. Tuft & Needle Mattress – Best for Spine alignment

Tuft & needle queen mattress made in usa

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  • 10 inches thickness
  • Bed in a box
  • Comes with a perfect firmness
  • 100 nights trial
  • 10 years warranty
  • Comes with two layers
  • Contains OEKO-tex certification
  • Certi-PUR US certified
  • Manufactured in the USA

The most eminent thing about Tuft & Needle mattress is their adaptive upper foam layer. It is designed uniquely to provide a great combination of comfort, support, and pressure-relieving attributes. It also eliminates the drawbacks of latex, memory foam, or the one with the egg-crate like structure. This feature is particularly helpful for those suffering from back pain problem.

The T&N Adaptive foam layer keeps sleeper cool by utilizing graphite element in their construction.  It also delivers bouncy effects to the sleeper to prevent them from sinking inside the mattress. In this way, back pain sufferers don’t feel difficulty in moving around.

This Tuft & Needle Mattress contains a unique adaptive layer that amalgamates the best features of latex and memory foam. It also keeps sleeper cool throughout the night making sure the restful night.

Why We Recommend It:

  • Because of its cooling gel and graphite element, it keeps the sleeper dry.
  • It responds quickly to the applied weight.
  • It gives pressure-relieving benefits.
  • It is manufactured using chemical-free and safe material.

You need to pay attention to It:

  • It is not suitable for those looking for a soft
  • Its two layers give the very distinguishing feel.
As back pain victims face a tough time falling asleep, they need something compelling in all attributes. T&N provides a great combination of firmness, comfort, bounce, pressure relief, and cooling effects. All these features together can make it the best product for people with special needs.

Read our comparison of Leesa vs. Tuft & Needle Mattress Review.

2. Dreamfoam Mattress – Best for Rapid Response

Dreamfoam bedding arctic dreams cooling gel mattress

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  • 10” thickness
  • Three layers
  • Medium comfort
  • Remarkable bounce
  • Contains cooling gel
  • Comes in a compressed box
  • USA product
  • Offers 10 years warranty
  • Certi-PUR US certified

The layer beneath the top quilting of this mattress is advanced visco-elastic layer known as Energex. Unlike conventional products, this Energex layer provides a speedy response to the applied pressure. It provides pressure relief and assists back pain victims to sleep comfortably.

All material used in its construction is free of hazardous chemicals and Certi-PUR certified. This fact can give peace of mind to the sleeper facing any ailment.

This Dreamfoam Bedding Arctic dream is 10 inches thick foam with multiple features. It contains durable base foam. Also, its top layer gives a quick response to the applied pressure that results in a good bounce.

Why We Recommend It:

  • This USA product comes with 10-years warranty.
  • Its quick response to the applied weight keeps sleeper on its top
  • It regulates temperature
  • Its high-density polyurethane foam gives durability and firmness to the mattress.

You need to pay attention to It:

  • It doesn’t come with the cover. You need to buy it separately.
  • It is not suitable for those looking for a very soft and comfortable sleeping-place.
With the back pain, the requirements become very restrictive regarding mattresses. This Dreamfoam Bedding Arctic Mattress delivers a nice combination of comfort and support along with outstanding responsive features make it a good choice for back pain sufferers.

3. Casper Sleep Mattress – Best for Back Support

Casper sleep mattress breathable unique memory foam

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  • Constructed using four foam layers
  • Combines the benefits of latex and memory foam
  • Free shipping
  • 100 nights trial with no risk
  • Free returns
  • Manufactured in the USA
  • Delivers in a box
  • 10 years warranty

This Casper Sleep Mattress contains four different layers to deliver what can make a person sleep comfortably. Its top layer that is made up of polyfoam that gives a super response and cooling effects. The back pain victim can get great relief by getting a quick response to its body weight.

The second memory foam layer of this mattress gives amazing supporting features along with pressure relief. It contours every curve of your body and gives optimum support. It thus aids people to get liberation from their backaches.

Unlike many other products, it contains a transition layer as well. It gives the smooth feel of changing the mattress feel from soft to the firmer one. This feature can play a significant role in adding further comfort to this mattress.

This Casper Sleep Mattress is one of the best mattresses for people suffering from back pain or other aches. It contains four different layers that serve different purposes.

Why We Recommend It:

  • With its transitional layer, it prevents abrupt changes in mattress feel.
  • With its top layer, it adds a massive bounce effect to the mattress
  • It allows proper airflow
  • It is very soft and comfortable

You need to pay attention to It:

  • It is expensive
  • Not suitable for those looking for firmer options.
Merely a soft or a firm mattress is not going to give adequate comfort to the back pain. The people with special needs like back pain sufferers need a sleeping place that provides everything in just the right amount. This Casper mattress provides breathability, support, and bounce with added comfort all under one product.

You can learn more about materials and comfort levels of Casper Mattress in our in-depth overview here.

4. Leesa Mattress – Best for Contouring

Leesa queen memory foam mattress

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  • Comprises three layers
  • It is a medium-firm memory foam
  • Little motion isolation
  • Super edge support
  • Contours your body
  • Retain heat

The memory foam by Leesa is quite cool because of the presence of Avena layer. It helps in maintaining the body temperature by retaining the heat. This mattress is of medium firmness which not only contours your body but also suits all kind of sleepers.

The three foam layers help in relieving the pressure plus alleviate discomfort while keeping you fresh every morning.

The Leesa mattress is famous for providing comfort level, durability, and affordability all at once. It renders universal adaptive feel also allow you to the liberty of movement.

[cbtabs][cbtab title=”Pros”]
  • Most of you face the difficulty of waking up sweaty in the morning. This mattress removes that complain by allowing the air to pass through the mattress easily.
  • Leesa makes sure to use premium quality materials which increase the life and durability of the mattress.
  • You can avail this versatile memory mattress in 6 sizes which include twin, full, twin-xl, king, queen, and California king.
  • The four stripe polyester cover of the Leesa contouring memory foam is removable so that you can clean it properly.
[/cbtab][cbtab title=”Cons”]
  • It might not be a suitable choice for side sleepers for the reason it features only a single level of firmness.

Why We Recommend It:

  • Most of you face the difficulty of waking up sweaty in the morning. This mattress removes that complain by allowing the air to pass through the mattress easily.
  • Leesa makes sure to use premium quality materials which increase the life and durability of the mattress.
  • You can avail this versatile memory mattress in 6 sizes which include twin, full, twin-xl, king, queen, and California king.
  • The four stripe polyester cover of the Leesa contouring memory foam is removable so that you can clean it properly.

You need to pay attention to It:

  • It might not be a suitable choice for side sleepers for the reason it features only a single level of firmness.
Without any doubt, Leesa is a luxurious bed while proffering 100 nights of trial time with 10 years of warranty. Above all this, it automatically adjusts to any body type and sleeping posture by balancing body weight. Despite the top of the line specifications, it takes care of your budget as well. Thereupon, you can get all such features in a quite affordable range.

Like the sound of Leesa mattress? Click here to read our full review.

5. Perfect Cloud – Best for Sleeping Cool

Perfect cloud atlas memory foam mattress

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  • Gel-infused foam
  • High point motion isolation
  • Bi-directional flow of air
  • Certified by CertiPUR
  • Factory treated foam

The mattress by Perfect cloud comes to you after the antimicrobial procedure from the factory. It in turns does not permit any micro-organisms, dust or mites to reside inside the mattress.

It is the viscoelastic foam which aids in lowering the pressure and countering the unnecessary movement. In this way, the gel beads inside the mattress will give you enough motion isolation.

The two layers of the foam have special construction to make air flow bi-directional. It is to solve the common heat discharge that occurs in a memory mattress.

Perfect cloud is among the topmost mattress manufacturing companies which you can buy as it comforts various sleepers. It possesses hybrid features so that you have restless sleep.

Why We Recommend It:

  • This version of the mattress by Perfect Cloud shows up with the gel-infused foam plus airflow
  • If you have a lower back issue this mattress helps in aligning of the spine so that you can sleep well.
  • This foam emits less volatile organic compounds in the surrounding to remove toxicity without giving off any smell.
  • Unlike others, this brand guarantees you 10 years of warranty to its customers.
  • You can easily wash the cover of this mattress in case of water spills.

You need to pay attention to It:

  • You might not be able to use this gel foam with the spring box.
  • There is some chemical scent after unboxing the mattress.
The Perfect cloud memory foam is an ideal option for those who don’t want to sleep cool. Moreover, it also accommodates sleeper up to 400 pounds so you can sleep well despite your weight.

6. Bear Mattress – Best for Athletes

Bear queen pressure relief mattress

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  • Celliant technology
  • Four types of foams
  • Goes well with a combination of sleepers
  • Improvement in your blood flow
  • No harmful chemicals
  • Rapid response mattress

After doing thorough research the bear mattress comes with a Celliant technology that no other brand has introduced yet. In turn, this will convert heat energy into infrared spectrum and create a source of renewable energy.

It tries to make the environment healthy by complying with the rules of health standards while containing certification of CertiPUR-US. In this mattress, you will not find the use of heavy metals like lead and mercury that make the environment toxic.

You can find four types of layers inside the mattress that differ from an indention load diversion. Because of the blend of these layers, you can feel the absolute comfort throughout the night.

So far Bear mattress is a new name in the market that aims to produce innovative memory foam, particularly for athletes. The addition of distinctive features helps you sleep better while enhancing your lifestyle.

Why We Recommend It:

  • The Bear mattress is by far the most suitable pick for the side and back sleepers due to its firmness.
  • It might not cost you a fortune for such outclass features instead it costs less than the competing mattress brands.
  • This mattress will render 8 years of durability because of the high-quality

You need to pay attention to It:

  • The edge support in this mattress is absent so it might fall you off while you sit on the corners.
In short, the Bear mattress varies from others in a way it proffers a great deal for those look for cool foam. It comes in various sizes to accommodate sleepers with different weights. Along with that, it gives you 10 years of warranty so its customers can buy one with confidence.

Learn more about Bear Mattress if you want to see the details before purchasing.

7. Layla Sleep – Best Flippable firmness

Layla sleep memory foam king mattress

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  • Copper-infused memory mattress
  • Flip to provide comfort
  • The USA manufactured
  • Soft polyester cover
  • Swift transition
  • Night trial of 120 days

The two firmness alternatives in one mattress which mean the Layla sleep foam can be firm yet soft.  Above all, the flappable option will cater to different sleeping position without hurting your back.

To provide the firm support and quick transition, it is equipped with the soft memory foam layer.

This Layla mattress shows up with temperature maintaining features and contains copper which does not allow heat to come inside.

Considering your bodyweight, spinal support and sleeping position this brand shows up with dual firmness mode. If you have arthritis or any other spinal problem then it must be your solution.

Why We Recommend It:

  • This mattress from Layla will allow you to breathe easily while you sleep, unlike other brands that do not.
  • To make you pain-free while relieving the pressure, it closely conforms to your body.
  • The design of the Layla foam has a pattern of light purple color. It adds beauty to its look and catches the eye of the buyer.
  • The brand renders 120 days trial period while offering a lifetime
  • After unboxing the Layla expands it to its fullest size in minutes. It is to maximize the fun and minimize any sort of discomfort.

You need to pay attention to It:

  • The flipping feature of the Layla mattress might create a hassle when an individual rest on it.
  • The pitfall of this memory mattress is the lack of edge support as it does not have a reinforced
After considering all of the above, Layla mattress seems to be durable and sturdy along with a top-class construction. Moreover, the high density of this mattress lets you maintain a natural body position while preventing muscle soreness. On top of all, you can choose to flip the mattress to enjoy two different firmness feels.

Learn more about Layla and its overall pros and cons here.

8. Nest Love and Sleep – Best for relieving pressure points

Nest bedding love sleep mattress queen medium mattress

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  • Visco foam layer
  • Diverse level of firmness
  • Less off-gassing smell
  • Lightweight mattress
  • Ample bounce and support
  • Comes in Various Sizes

You need to prepare yourself for the peaceful nights because the fabric will make rolling on the bed easier. In this regard, it will not cease your movement so that you can awake without muscle ache.

Where the off-gassing smell is the major issue of almost all the mattresses upon unboxing it.  However, the Nest love and sleep bed have controlled over the pungent scent gives off minimal or negligible smell.

As the firmness level differs from person to person because of the body types and sleeping postures. The good news is you can select your preferred firmness level as it proffers three firmness options for you.[/su_note]

In the list of the best mattress for the back pain, we have Nest love. We have chosen this sleep mattress because of its eco-friendly and luxurious outlook.

Why We Recommend It:

  • The superior quality cotton fabric has used while manufacturing this mattress considering the environmental elements into account.
  • For those of you who have allergic skin can use this mattress because of the organic products infused in it.
  • The color of foam is quite strong and it doesn’t lose its realness even if you wash it several times.
  • You will not face the difficulty of sinking in the bed because of the existence of memory foam in it.

You need to pay attention to It:

  • The fabric of the mattress isn’t alike silk which might be a turn off if you use silk mattress before
  • Its sheets are not reliable as it sheds on a first wash yet cost you several bucks.
Undoubtedly, you can never go wrong by choosing the Nest love and sleep mattress for yourself. From its ergonomic design to the fine construction it never disappoints you rather impress by reducing your back pain.

Want to learn more about the Nest Mattress? Read our complete review here.

Buying guide

Body Weight

The sleeper’s body weight plays a significant role on the overall feel of the mattress. Normally, people with less than 130 pounds body weight feel comfortable on a soft mattress that relieves pressure and contours their bodies.

On the other hand, those with more than 220 pounds feel better on the firm mattresses. The softer one would make them sink inside.

Sleeping position

The sleeping position is another important factor that contributes to finalizing mattress’s feel. All three positions react differently to the mattress firmness.

Those who sleep on their sides with lightweight bodies can do well with the mattress of 3-4.5 firmness. However, for a back sleeper with the same weight, firmness of 4-5.5 level can give a comfortable feel. The lightweight stomach sleeper also needs fewer firmness ranges between 3 and 4.5.

side sleeper firmness bed for body-vector

Now, for average weight sleepers, if they are side-sleeper, they should go for 5-6.5 firmness. Back sleeper with the same weight should opt for the same 5-6.5 options. However, average weight stomach sleeper should get a soft mattress with the range 4-5.5.

The requirements for heavy sleepers are more firm. The side sleepers should get 6.5-8 level firmness. Back sleeper can do well with 6-8 firmness, and stomach sleepers need a bit softer that is between 6 and 7.5.

Back sleeper Firmness

Spine Alignment

The spinal alignment in different sleeping positions is different. The firmness of the mattress also plays its role.

For side sleepers, as the spine is naturally aligned, the mattress you choose should maintain it. It is better to opt for some firmer option that prevents the sleeper from sinking.

For a back sleeper, it is important to get a mattress with medium firmness level to get a well-maintained spinal alignment.

For stomach sleeper, as there is no natural spinal alignment, one should go for the more firm option. It is because all weight is concentrated on the stomach. The soft mattress would make sleeper sink in and would distort the alignment.

Back pain generally falls into two categories

Back pain categories

We normally use word back pain for any type of main occurring in our back areas. It can either be a minor twinge or a devastating condition that ends cause the inability of other organs as well. Back pains are usually classified into two forms, one is acute and the other one is chronic back pain.

Acute back pain

It is a form of pain that stays for a period of fewer than 12 weeks. It is usually a result of an accident, improper action, or any other injury. You can easily cure this pain by resolving its actual cause.

Chronic back pain

On the other hand, chronic pain is the one that stays with you for the time of more than 12 weeks. It can also start as a result of some injury or another calamity. There can be serious causes of this pain like psychological problems scoliosis. The major problem with chronic pain is, it doesn’t disappear easily.

Find out more about Lower pain in our complete review here.

Common causes of acute and or chronic back pain

Muscle or ligament strain

If you carry any weighty object or move inappropriately, it will put a strain on your back muscles or spinal ligaments. It would then end up in back pain. The situation can be worsened if your physical health is not too good.

Bulging or ruptured discs

In our spinal region, there is intervertebral disc. These are positioned between vertebrae that are kind of basic calls of the spinal column. These discs create fibrocartilaginous joints. It then provides support and cushioning effects to help in absorbing shocks.

They are sturdy and bulky from the outside, and the inner filling contains a jelly-like filling structure. If these discs get rupture or buying, then they create twinge feel in contact with nerves.


Arthritis refers to the inflammation of a minimum one joint of the body. It results in pain and stiffness of joints. There are different forms of arthritis. These are:

  • Osteoarthritis also is known as degenerative arthritis. It weakens and degenerates bone cartilage prematurely.
  • Rheumatoid arthritis influences synovium material
  • Gout is inflammation of joints located at ankles, knees, or feet.
  • Psoriatic arthritis occurs because of sore skin.
  • Skeletal irregularities:

Skeletal irregularities are an abnormality of the spine or back that causes pain. There are different types of these irregularities including lordosis, scoliosis, and kyphosis.

You may be interested in The 3 Best Firm Mattresses for Spinal Stenosis.

And if you still want to learn more, go to our full review here.

Risk factors for acute or chronic back pain

low back painMedical specialists have defined the following risk factors associated with acute or chronic back pain.


Back pain can happen in people of any age group. However, most commonly, it affects people with the age of 30 above.

Lack of exercise

People who are not involved in healthy activities may have poor muscle health. These people are at high risk of back pain.


It is another common reason. People who carry excess weight especially around their abdominal region create more pressure and strain on back muscles.


Few diseases sometimes deadly, can also be a reason for back pain.

Excessive or incorrect lifting

People who inappropriately carry excessive weight are more exposed to back pain problems. Any weight lifting injury can also lead to chronic back pain ailment.

Mental health issues

Though unbelievable, it is a medical fact that people with anxiety or depression problems usually face more back pain issues than others.


Nutrients are an important part of our bodies. We also need adequate nutrients to let our back and discs grow properly. People who smoke make their bodies lacking in these important nutrients. It then results in back pain.

5 Regions of the Spine You Should Consider When Trying Out a New Mattress

To try out a new mattress, we should look for its proper support. We are going to highlight important regions in the table below that need your thorough consideration.

Region Cervical Spine Thoracic Spice Lumbar Spine Sacrum Coccyx (Tailbone)
Position Neck Upper back to the midsection Lower back Spine Base Spinal Column’s base tip
Vertebrae Number


Seven separate vertebrae Twelve separate vertebrae Five separate vertebrae Bone with a triangular shape and 5 merged sections Bone with a rounded shape and 3-5 merged vertebrae
Vertebrae Names C1-C7 T1-T12 L1-L5 S1-S5 Coccygeal vertebrae
Purpose It assists in the movement of the head It provides proper balancing by making the spine stable. Also protects important organs. Allows movement of the midsection along with supporting body weight Helps in learning and pelvic movement It is although linked with imperative muscles, ligaments, and tendons, the function is unknown

Wrap Up

After considering all of the above, it’s clear that back pain can be alleviated if the mattress has even and firm surface. For reducing the lower back pain, it is necessary to align the spine while maintaining the sleeping position. In this regard, the right type of mattress will give you other benefits rather maximizing the muscle soreness. It does not mean you can only get such features after paying a huge amount against it.

We try to come up with the most high-quality mattresses suitable for backache in the affordable range. Thus, it is time to level up your lifestyle without compromising your sleep.

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