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Sleeping on the wrong mattress can cause discomfort for anyone, especially those with back problems. Since scoliosis can cause stiffness and pain in the lower back, hips, and legs, it makes sense to look for a comfortable and supportive bed.

A good mattress, combined with pain management treatments, can make a significant difference in pain levels for people with scoliosis. In addition to improving sleep quality, therapies that may help include hydrotherapy, massage, exercise, and medication.

How long should you keep your current mattress?

Keep in mind that if you’re having pain with your current mattress, its age could be a factor. Over time, older mattresses of all kinds may start to sag and lose their ability to fully support the spine. This can cause back, hip, and shoulder pain.

Mattresses can be a significant expense but should last for 10 to 15 years.

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  • Pain relief: The mattresses on this list were chosen specifically for their ability to reduce or alleviate back pain and stiffness upon waking. We looked for mattresses made from materials that provide pressure point relief and enhance spinal alignment.
  • Transparent manufacturing: Each mattress comes from a manufacturer that provides information about material sourcing and doesn’t make unsubstantiated claims about disease prevention or cures.
  • Consumer protection policy: Every mattress comes with a warranty and has a risk-free sleep trial period of at least 90 nights. Many offer free returns.
  • Materials used: These mattresses are made from materials that are not flammable nor have they been treated for flammability. Some materials used have received awards or certifications that ensure consumers of their quality, such as CertiPUR-US certified foam.
  • Consumer reviews: We read dozens of user reviews on multiple sites, to get a clear picture of the pros and cons of each mattress.
  • Cost: We kept a wide range of budgets in mind.

Pricing guide

The mattresses on this list are priced in the queen-size category. Their cost does not include the base, tax, delivery charges, or setup fees.

We’ve listed costs as follows:

  • $ = under $1,000
  • $$ = $1,000–$1,500
  • $$$ = over $1,500

Best mattress for limiting movement

Tempur-Pedic TEMPUR-Cloud

Price: $$$

This compressed, bed-in-a-box mattress is made from memory foam with three interior layers. It’s also available as a hybrid with premium spring coils for added bounce. Both models provide medium support.

Foam mattresses can be hot. However, this mattress is covered in moisture-wicking fabric that promotes airflow, so it may be a good choice for hot sleepers.

Key features

The TEMPUR-Cloud offers deep contouring and support that both back and side sleepers find comfortable.

Reviewers, including those with mild scoliosis and other back issues, find this mattress significantly limits motion transfer from one side of the bed to the other, making it a good choice for couples, parents, and light sleepers who share the bed.

The manufacturer offers a 2-year payment plan, a 90-night sleep trial period, and a 10-year warranty.


  • 90-night sleep trial and 10-year warranty
  • free shipping to doorstep
  • doesn’t contain ozone depleters
  • all foams used are 100% Certi-PUR-US


  • deep contour may provide too snug a fit for some sleepers
  • trial and return policies may differ depending on seller (Check the fine print.)
  • heavy (Larger-sized mattresses may weigh over 84 pounds (lbs.) making moving and placing the mattress on a bedframe difficult.)
  • may sleep hot
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Best for petite users

Saatva Loom & Leaf

Price: $$$

The Saatva Loom & Leaf memory foam mattress comes with free white glove delivery and setup. You can choose between a relaxed firm or firm support option. Since it provides more give and less support, the relaxed firm mattress may be best for sleepers who weigh under 230 lbs.

Key features

A cooling spinal zone gel layer provides lumbar support and pressure point relief. A gel foam layer with a grid of pinholes can reduce heat retention.

The mattress has CertiPUR-US certified foam and is covered in quilted, organic cotton with natural, thistle flame retardant. These materials avoid that off-gassing smell.

The manufacturer offers a 365-night trial and a lifetime warranty.


  • 365-night trial plus a lifetime warranty
  • free delivery and old mattress and foundation removal
  • comes with a hypoallergenic, antimicrobial cotton cover


  • density and “hug” may feel too confining for some users
  • relaxed firm option may not provide as much cooling as firm option
  • may not supply enough bounce for some users (no springs)
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Best for medium-firm support

Purple Mattress

Price: $$

The Purple Mattress provides medium-firm to firm support, based on your body type and weight.

Key features

Purple mattresses are constructed with a proprietary technology called the Purple Grid. The gel-like grid provides a unique kind of cushioning and support compared to other mattresses on the market.

The mattress is designed to provide full back support while cradling the hips and shoulders. It also reduces motion transfer, according to many customer reviews, making it a good choice if you share your bed.

The manufacturer provides a 100-night sleep trial, a 10-year warranty, free returns, and free shipping.


  • 100-night sleep trial and 10-year warranty
  • economical choice for most budgets
  • breathable foams with airflow channels draw heat away from sleepers


  • significantly less bounce than comparable mattresses
  • weak edge support
  • heavy to lift and hard to transport for some people
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Best bounce

Tuft & Needle Hybrid Mattress

Price: $$

The Tuft & Needle Hybrid Mattress combines five layers of carbon fiber-infused adaptive foam with coil springs for bouncy, medium-firm support. It arrives compressed and vacuum sealed.

Key features

This mattress is supportive yet soft, thanks to a built-in pillow top cover.

It uses CertiPUR-US-certified foam and is UL GreenGuard Gold certified for safety from off-gassing.

It has significantly more bounce than all-foam mattresses. Many couples say this makes it great for sex, as well as sleeping.

It’s breathable, plus wicks away moisture and heat.

People with scoliosis may feel particularly achy upon awakening, making it hard to hoist out of bed without support. This mattress has extra coils along each edge, so getting in and out of bed should be easier to maneuver.

The manufacturer offers a 10-year limited warranty and a long-term monthly payment plan.


  • 100-night sleep trial and a 10-year limited warranty
  • significant bounce plus contouring
  • good edge support, making it easier to get in and out of bed


  • very heavy and hard to transport (according to some users)
  • too much bounce and not enough “hug” (according to some users)
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Best flippable mattress

Layla Hybrid Mattress

Price: $$

This flippable mattress provides medium-firm to firm support on one side, and soft support with more plushness to sink into on the other side. It’s made from copper-infused foam and has individually-wrapped coils in its core.

Key features

The firmer side is designed to provide added support to the back and cushioning to the hip and shoulder areas.

The copper-infused foam gives the mattress antimicrobial properties and keeps the foam from getting as warm during the night.

Reviews report that the coil system provides great edge support and durability.

Two free pillows are included.

The manufacturer provides a 120-night trial period and a 10-year warranty.


  • comes with a 120-night trial and a 100% money-back guarantee
  • free shipping and free returns
  • mattress cover zips off for easy washing
  • has handles on sides for easier flipping


  • soft side has more motion transfer than firm side, making it less viable for anyone who prefers a softer mattress
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Best for pressure point relief

Leesa Original Mattress

Price: $

The Leesa Original is an all-foam mattress that supplies medium firm support, plus pressure point relief.

Key features

This bed-in-a-box mattress has a three-layer foam design:

  • supportive base
  • memory foam core
  • and a soft pillow-top

It’s CertiPUR-US certified, low VOC, and free of off-gassing chemicals. It’s breathable and provides airflow, for cool sleeping.

This mattress provides hugging back support with bounce.

The manufacturer supplies a 100-night sleep trial, a 10-year warranty, and free, no-contact delivery. Financing is available.


  • 100-night sleep trial and 10-year warranty
  • very low to no motion transfer (according to some users)
  • memory foam is infused with copper, a known antimicrobial agent


  • starts to sag within a few years (according to some users)
  • heavy (queen-sized option weighs over 70 lbs. and may be difficult to move or place)
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Best luxury

Casper Wave Hybrid

Price: $$$

This luxury-priced foam and spring mattress is medium-soft. It’s designed to provide significant ergonomic support and was made specifically for people who experience aches and pains upon waking.

Casper mattresses are endorsed by the American Chiropractic Association.

Key features

This mattress is composed of three ergonomic zones that target the shoulders, lower back, and hip regions. Strategically placed gel pods in these areas provide firmer support at the pressure points where it’s most needed.

A spring base provides bounce, making it great for sex as well as sleeping.

Perforated, cooling gel foam promotes airflow, plus helps reduce temperature spikes during the night.

The fabrics used to cover the mattress are made from 121 recycled water bottles, per mattress. This fabric is known as recycled polyester.

The manufacturer offers a 100-night risk-free trial, free shipping, and a 10-year limited warranty.


  • 100-night risk-free trial and 10-year limited warranty
  • free shipping and free returns
  • ergonomic zone locations along the waist and lower back contain gel pods for pressure point relief and supportive spinal alignment


  • expensive (compared to similar mattresses)
  • too soft (according to some users)
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Best hybrid mattress

Avocado Green Mattress

Price: $$

This hybrid mattress, endorsed by the American Chiropractic Association, is medium-firm. It contains over 1,000 pocketed support coils situated across 5 zones, for maximum spinal support. You can add a pillow top if you prefer a cushiony feel with less support.

It’s made solely from organic components including wool, cotton, and latex. A vegan version is also available without wool.

Key Features

This mattress is needle tufted by hand, rather than glued, for longer life. A reinforced steel perimeter provides edge support for easy on and off access, and side handles make moving this mattress easier.

Twin and twin XL mattresses come with one free pillow, all other-sized mattresses come with two.


  • comes with a 1-year trial and a 25-year warranty (full warranty for 10 years, limited warranty from 11–25 years)
  • free shipping and returns
  • made from 100% organic materials


  • can be heavy to move and hoist (large-size weighs up to 130 lbs.)
  • more expensive than some comparable organic models (if you add pillow top)
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Best for edge support

The WinkBed

Price: $$

This hybrid mattress is available in four firmness levels:

  • softer
  • luxury firm
  • firmer
  • plus (for heavier people)

Users with scoliosis may get the most comfortable support from the luxury firm model. If you weigh more than 250 lbs., the plus mattress size may be a better choice.

Key features

Each mattress is hand-made to order in the U.S.

This mattress has a gel-infused pillow top for cushioning, and a Tencel cover sourced from eucalyptus plants.

Gel-infused foam is cooler than memory foam and may be more comfortable for hot sleepers. A thicker foam provides added support throughout the lumbar region, in the middle of the mattress

According to consumer reviews, this mattress gets high marks for edge support and motion isolation.


  • comes with a 120-night sleep trial and a lifetime warranty
  • manufactured with U.S.-grown, eco-friendly materials
  • medium-firm support option is available for larger-sized individuals


  • can be heavy to move, ranging in weight from 75–145 lbs.
  • delivery times may be long (each bed is made to order)
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Best for your wallet

Puffy Mattress

Price: $$

This medium-firm mattress is constructed from five layers of memory foam infused with cooling gel. It’s endorsed by the American Chiropractic Association.

Key features

This budget-friendly mattress comes with a stain-resistant and waterproof mattress protector, pillows, and a sheet set.

High density foam layers provide significant back support plus motion isolation. Some users say it gives firm support combined with a hug-like sensation.


  • 101-night sleep trial and lifetime warranty
  • cover is made from hypoallergenic materials
  • manufactured domestically
  • free shipping and returns (returns are donated to charity)


  • not enough bounce for some sleepers
  • less edge support than some comparable mattresses
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Relieves pressure points

Mattress comfort is highly subjective. In general, mattresses that provide pressure point relief, while supporting spinal alignment, may be most beneficial for people with scoliosis.

Supports your entire body

The mattress should not sag or give way underneath, so it doesn’t create gaps between your body and the mattress surface.

Is medium-firm

Several studies indicate that medium-firm mattresses may be best for alleviating back pain in general, and for providing sleeping comfort for people of various ages, heights, and weights. In one 2015 study, custom-inflated or adjustable, medium-firm mattresses provided the most benefits.

Includes foam layers

Layered memory foam mattresses can be a good choice for pressure point relief. Another cushioned option is a hybrid mattress, which combines memory foam, gel, latex, and/or textile layers with an innerspring coil system.

Comes with a trial period

New mattresses will be at their most firm when you first get them. Often, new mattresses that feel overly hard at first become cushiony and comfortable over time. Some all-foam mattresses, for example, need time for you to adjust and break them in from use.

Has a clear return and refund policy

Check the store and manufacturer’s return policies:

  • How many days do they give you to try out and return the mattress for a refund?
  • How do they require the mattress to be returned?
    • Are you responsible for moving and transporting or shipping the mattress back?
    • Do they provide a handling service for returns, and is there an additional fee?

Sitting on and lying down on mattresses in person may be the best way to find the most comfortable one for you. There are, however, drawbacks to this.

Remember that floor model mattresses have been “broken in” by repeated testing from customers, and they reflect the comfort level a mattress can achieve after some use.

The in-store shopping experience may be a little different these days. Most retailers should have simple measures and staffing in place to help people try out mattresses.

Make sure there is a trial period — and use it!

Whether you purchase your mattress in person or online, make sure it comes with a trial period that lets you try the mattress and return it for a full refund if it doesn’t work for you. You may have to spend several nights or more on a mattress, to determine if it’s the best one for you.

Look for mattress sales and discounts

Mattresses often go on sale throughout the year. If you have your heart set on a very expensive type, it may make sense to wait a few months. Mattresses often go on sale during holidays, such as Memorial Day, Presidents’ Day, and Independence Day.

Some manufacturers and stores offer payment plans or financing that can help you spread out payments over the course of many months.

Some brands, such as Tempur-Pedic, may only offer discounts and sales directly, through their own shopping sites.

Scoliosis can develop and worsen over time. You can have this condition for many years and not know it. Exercising is often enough to reduce scoliosis symptoms. However, daily pain that interferes with your everyday activities may still occur.

Scoliosis is diagnosed through imaging tests, such as an x-ray. See a doctor if you have these scoliosis symptoms:

  • back or leg pain that interferes with daily living
  • pain that wakes you up from sleep
  • changes in body symmetry
  • reduction in height

Scoliosis can often be treated and controlled through conservative methods, such as physical therapy, medication, and core-strengthening exercise. In some instances, surgery may be beneficial.

How should you sleep with scoliosis?

Since it twists your neck to the side, scoliosis pain can be made worse by stomach sleeping. It may take time to get used to, but try sleeping on your back, instead. You may also benefit from sleeping with a pillow underneath your knees. A cervical pillow that supports your head and neck may also be helpful.

Is a bad mattress the cause of scoliosis?

Old, sagging mattresses can cause back pain, but they won’t cause your spine to curve or deepen an existing curve. That’s not a reason to hang on to your old mattress, however. A bad mattress may not give you this condition, but it can worsen your symptoms.

Can a firm mattress be the best for scoliosis?

Studies indicate that medium-firm mattresses provide the best support and the most comfort for people with back pain of all types. However, there are variables to consider, such as body weight. The goal is to find a mattress that provides neutral spinal alignment. If you feel rested and supported after sleeping on a firm mattress, then that’s the best one for you.

Mattress preferences are highly personal. Typically, medium-firm mattresses will be best for people with scoliosis. Medium-firm mattresses are also good for alleviating back pain that is not associated with scoliosis.

Foam mattresses and hybrid mattresses may provide the most cushioning, pressure point relief, and support.

Corey Whelan is a freelance writer and reproductive health professional specializing in health and wellness content. She has spent much of the last two decades educating people about infertility and family building options. Whelan is a science nerd, and her heroes span the gamut from Temple Grandin to her wonderful mom. She shares her life in Brooklyn, NY with her all-grown-up, fascinating children and their wacky shelter dogs. Follow her on Twitter.