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Brands like Saatva, Casper, and DreamCloud lead the way in providing the best mattress options for side sleepers who have pain. See what these and others offer for better sleep.

A new mattress isn’t a cure-all for back pain. But if your current mattress is sagging and exacerbating your aches and pains, an upgrade may provide some relief.

In this article, we look at 10 of the best mattress options for people with back pain who primarily sleep on their side. These include mattresses with a medium-firm feel that may help provide pressure relief and help properly align the spine.

MattressPrice*WarrantyTrial periodFirmnessType of mattress
Winkbeds GravityLux$1,799lifetime120 dayssoft, medium, and firmmemory foam
Saatva Solaire Mattress$4,495lifetime365 daysadjustablehybrid
Saatva Loom & Leaf Mattress$2,395lifetime365 daysrelaxed firm, firmfoam
Casper Wave Hybrid Mattress$3,09510 years100 nightsmedium firmhybrid
Nectar Memory Foam Mattress $1,099lifetime365 nightsmedium firmmemory foam
DreamCloud Hybrid Mattress$1,332lifetime365 nightsmedium firmhybrid
Big Fig Mattress$1,89920 years120 nightsfirmhybrid
Helix Midnight Mattress$1,37310 years100 nightsmediumhybrid
Birch Luxe Natural Mattress$3,24825 years100 nightsmedium firmhybrid
Puffy Royal Hybrid Mattress$3,749lifetime101 daysultra plushhybrid

*Prices based on queen-size mattress; all prices are accurate at time of publish

When making our mattress selections, here are the main factors we take into consideration:

  • Company policies: We look for companies with extended in-home trial periods — because who wants to bet on a mattress being comfortable without trying it first? — and dependable shipping and return policies.
  • Company reputation and transparency: Brands included below have a positive reputation and no shady business practices. This also means they haven’t been involved in recent lawsuits regarding their products or customer service.
  • Customer reviews: Obviously, this is a biggie. Each mattress has rave reviews from customers. We also focused on mattresses with positive reviews, specifically from side sleepers with back pain.
  • Safety: All mattresses meet federal flammability requirements.

Back pain is a common complaint among U.S. adults. And trying to sleep with back pain is no joke. It can keep you up and night and reduce the overall quality of your shut-eye.

While you should avoid companies that make wild claims about their products — including promises to end your back pain altogether — there are some things to look out for if you’re wanting to alleviate pain while you sleep.

Consider firmness level

You may assume that a harder mattress is more supportive and therefore a better choice for back pain. But that’s not necessarily true.

Studies show that sleep quality and back discomfort are affected by factors like height, weight, age, and movement during the night.

Your preferences also come into play. Some people may like the feel of a softer mattress, while others may prefer something firmer.

If you’re not sure where you fit, opt for something that’s rated medium firm. It’s a good middle ground. And according to a 2015 research review, medium-firm, self-adjusted mattresses are ideal for helping with spinal alignment.

A medium-firm mattress is also a solid choice if you’re primarily a side sleeper. A too-firm mattress can create unwanted pressure points when sleeping on your side. Some softness allows your body to sink into the mattress a bit, helping correctly align your spine.

Keep type in mind

While some evidence points to foam as the superior material for back pain relief, some people just can’t stand memory foam’s feel.

Many mattresses nowadays combine the pressure-relieving properties of foam with the supportive feel of coils. Opt for a hybrid mattress if you’re looking for extra support.

Try before you buy

How can you tell whether a mattress will feel comfortable for your unique body? The only way to know for sure is to try it out.

Always pick a company that offers a trial period. The company should offer easy, no-hassle returns, so you can exchange or return it without a fuss if you dislike it.

If you live with back pain, the wrong mattress can exacerbate your discomfort. Likewise, the wrong mattress can cause back pain. When a mattress is unsupportive or not supportive enough, it can strain muscles, reinforce poor sleeping posture, and cause spinal misalignment.

Choosing the right mattress for your needs can help minimize back pain, which may help increase sleep quality. A comfortable, supportive mattress can help keep your spine aligned, which can help you rest throughout the night and help alleviate back pain the next day.

Although every mattress will feel different for each person, the Helix Midnight Mattress is a great option for side sleepers.

Consumer reviewers note that the Helix Midnight Mattress and the Nectar Memory Foam Mattress have helped side sleepers with shoulder pain relief.

Since every mattress will provide a different sleep experience for different people, there is not one mattress preference for lower back pain. However, reportedly, the Saatva Solaire, Saatva Loom & Leaf, DreamCloud Luxury Hybrid, and Birch Natural mattresses have been shown to reduce or eliminate lower back pain.

If your back is aching because of your mattress, it won’t just ruin your morning. It can interrupt your sleep and take a toll on your overall health.

Replacing your old, sagging mattress can help relieve back discomfort. If you sleep on your side, look for a quality mattress that offers medium-firm support and comes with a generous in-home trial period.


Steph Coelho is a freelance writer with chronic migraine who has a particular interest in health and wellness. When she’s not click-clacking away on her keyboard, she’s probably nose-deep in a good book.