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While sleeping on a good mattress is one way to help you get a better night’s sleep, a bad one can lead to a seriously sore lower back in the morning. It all comes down to support and alignment.

If you’ve been dealing with achy mornings and think your mattress may be the culprit, read on. We’ll help you narrow down your shopping list with these 10 best mattresses for lower back pain.

A mattress is a big purchase and should last you several years. That said, it might have been a while since you bought a new one, and all the lingo can be a little confusing.

The main types of mattresses you’ll see on the market are:

  • Innerspring. These mattresses are made with wrapped coils or springs, which serve as the main support system. They’re an old-school style and are usually pretty inexpensive.
  • Foam. The total opposite of innerspring, foam mattresses contain zero coils. Instead, they use memory foam or latex foam as the main support.
  • Hybrid. Hybrid mattresses meet innerspring and foam mattresses in the middle. They use both coils or springs and foam layers for comfort.
  • Airbed. Not to be confused with air mattresses, airbeds offer adjustable support with the ability to firm up or soften the mattress on command.

A 2015 study suggests that medium-firm, self-adjustable mattresses are effective for promoting comfort, so we looked for those in assembling our list.

We also considered:

  • Safety. Every mattress shared here complies with federal flammability regulations.
  • Brand reputation. All of these mattresses are manufactured by companies with good reputations, determined by their Better Business Bureau profile and lack of litigation issues.
  • Materials certifications. We prioritized picks with third-party material certifications, like CertiPUR-US and OEKO-TEX.
  • Company policies. It’s common wisdom that the best test of a mattress is sleeping on it for at least a few weeks. All of our recommendations offer free in-home trials and warranties.

Pricing guide

Prices on our list are based on a queen-size mattress.

  • $ = under $1,200
  • $$ = $1,200–$1,600
  • $$$ = over $1,600

Best adjustable mattress for lower back pain

Saatva Solaire Mattress

  • Price: $$$
  • Type: airbed
  • Height: 13 inches

With 50 firmness options, the Saatva Solaire Mattress means truly personalized comfort. The mattress is made with dual air chambers and features individual controls that allow you and your partner to choose your level of support on any given night. A five-zone latex layer also offers uplifting support in the lumbar region.

Saatva offers a 180-night trial and free white-glove delivery, which includes removal of your old mattress. The Solaire also comes with a 25-year warranty.

Buy the Saatva Solaire Mattress online.

Best mattress for stomach sleepers with lower back pain

Saatva Loom & Leaf Mattress

  • Price: $$$
  • Type: foam
  • Height: 12 inches

Stomach sleepers need a mattress that offers adequate spinal support and even weight distribution. With a choice of relaxed firm or firm, Saatva’s Loom & Leaf Mattress is made with layers of high-density CertiPUR-US foam for contouring and pressure relief. A breathable gel cooling layer is concentrated in the lumbar region for maximum spinal support.

The Loom & Leaf Mattress has a 180-night home trial, a 15-year warranty, and free white-glove delivery service.

Buy the Saatva Loom & Leaf Mattress online.

Best mattress for side sleepers with lower back pain

Helix Midnight Luxe

  • Price: $$$
  • Type: hybrid
  • Height: 14 inches

Helix made our list again with its Midnight Luxe mattress, which offers relief to side sleepers experiencing low back pain. Layers of CertiPUR-US certified memory foam are designed to provide pressure relief in the hips and shoulders and proper spinal alignment. Zoned lumbar support coils offer additional cradling and comfort right where you need it.

With an added pillow top, this mattress offers plush comfort and overall medium firmness.

You can try the mattress at home for 100 nights. It ships free in the United States and has a 15-year warranty.

Buy the Helix Midnight Luxe online.

Best mattress for people with more weight and lower back pain

Helix Plus

  • Price: $$$
  • Type: hybrid
  • Height: 12 inches

Designed with an additional support layer and the highest density foam, this mattress is made for comfort and support. A unique combination of memory foams, plus oversized wrapped coils with a reinforced perimeter, offer superior pressure relief and cradling for people with more weight.

This mattress leans toward the firm side of support, with an ultra-breathable cover for cooler sleep. It’s made in the United States with OEKO-TEX Standard 100 certified materials.

Helix has a 100-night sleep trial with free U.S. shipping and a 15-year warranty.

Buy the Helix Plus online.

Best cooling mattress for hot sleepers with lower back pain

Birch Natural Mattress

  • Price: $$
  • Type: hybrid
  • Height: 11 inches

If you deal with dual issues of sweaty sleep and lower back pain, consider the nontoxic Birch mattress. It’s made with natural materials like organic cotton, organic wool, and OEKO-TEX, eco-INSTITUT, and Rainforest Alliance certified latex for maximum breathability and support.

The mattress offers superior airflow and temperature regulation, plus pressure relief and contouring, thanks to a mix of foam layers and individually wrapped coils.

Birch offers a 100-night sleep trial, free shipping, and a 25-year warranty.

Buy the Birch Natural Mattress online.

Best mattress for lower back and neck pain

Casper Original Hybrid Mattress

  • Price: $
  • Type: hybrid
  • Height: 11 inches

Casper’s Original Hybrid Mattress is medium firm, with three zones of targeted support to keep your spine aligned. Softer CertiPUR-US certified foam around the shoulders cradles the upper body, while firmer foam supports the hips, waist, and lower back. A layer of springs adds support.

The mattress comes with a 100-night trial, free shipping and returns, and a 10-year limited warranty.

Buy the Casper Original Hybrid Mattress online.

Best mattress for multiposition sleepers with lower back pain

The DreamCloud Luxury Hybrid Mattress

  • Price: $
  • Type: hybrid
  • Height: 14 inches

Sleepers who go from their side to their stomach to their back can end up with low back pain if the mattress doesn’t adapt to their changing sleep shape.

The DreamCloud mattress features gel memory foam and individually wrapped coils. Together, they gently contour to your body and eliminate pressure point pain to keep your body properly supported, no matter how you’re sleeping.

DreamCloud comes with a full 365-night trial, and the mattress is guaranteed for life.

Buy The DreamCloud Luxury Hybrid Mattress online.

Best hybrid mattress for lower back pain

Amerisleep AS2 Hybrid Mattress

  • Price: $$
  • Type: hybrid
  • Height: 12 inches

Amerisleep’s AS2 Hybrid mattress combines the pressure-relieving benefits of memory foam with the support of pocketed coils. The result is a medium-firm mattress that contours to your body and relieves pain-causing pressure points.

The company says its proprietary memory foam is more responsive than traditional foam, so you don’t get that “stuck” sensation if you tend to roll around while you sleep.

The mattress comes with a 100-night trial period and free shipping and returns. It also has a 20-year warranty.

Buy the Amerisleep AS2 Hybrid Mattress online.

Best mattress for lower back pain and sciatica

Puffy Mattress

  • Price: $
  • Type: foam
  • Height: 10 inches

Like back pain, sciatic pain may benefit from a medium-firm mattress that supports the spine. The Puffy Mattress offers firm core support with thick layers of cushioning foam that cradle the body and keep your spine aligned, even as you move throughout the night.

The mattress is backed with a lifetime warranty, and you can test it out at home with a 101-night trial.

Buy the Puffy Mattress online.

Lower back pain takes a toll on people whether they’re awake or trying to sleep. A 2011 review of 17 studies shows that even chronic low back pain is associated with sleep disturbance. People dealing with lower back pain often have problems falling asleep and experience shorter sleep durations and poor sleep quality in general.

That’s likely because of a couple factors:

  • Difficulty getting comfortable. Accommodating lower back pain may mean trying out new sleeping positions, which can delay sleep.
  • Greater awareness of the pain. With fewer distractions at night, lower back pain may be more noticeable than usual, making it harder to fall asleep or stay asleep.

Some medications that may be prescribed for back pain, such as opioids, can also interfere with sleep. And if lower back pain is severe enough to limit regular exercise, that can also play a role in poor sleep quality.

If you’re dealing with lower back pain, the right mattress can make a big difference.

“A mattress that doesn’t hold up our body will cause pain in the lower back,” explains Dr. Lynelle McSweeney, a chiropractor in Reno, Nevada. “We need support to keep our joints from going into a stress point, which puts pressure on nerves and strains the muscles.”

In general, hybrid or innerspring mattresses will offer more support than all-foam options, which may be too soft.

The manufacturer’s firmness rating can also help you zero in on a supportive option. These ratings are based on a scale of 1 to 10, with 1 being the softest and 10 being the firmest. Medium-firm mattresses, which have a rating of 7 to 8, are typically recommended for lower back pain.

Keep in mind that the firmness of a mattress will depend on a few different factors, including your preferred sleeping position, your body size and weight, and whether you share your bed with a partner or pet. Personal preference plays a role too.

There is no single “right” mattress for everyone, but there are certain considerations when you’re dealing with lower back pain:

  • Mattress firmness. Soft or plush mattresses likely won’t provide enough support. Research from 2003 suggests medium firm mattresses are better for reducing low back pain than firm mattresses.
  • Adjustability. Adjustable mattresses that let you choose your firmness level from one night to the next can be a good option, but be prepared to pay a premium for this feature.
  • Zoned support. Some mattresses are designed with zoned support, offering more firmness in the lower back region.

Make a point of checking reviews so you can see what previous purchasers have to say about any mattresses you’re considering.

Comfort is highly individual, so take advantage of the free in-home trials that manufacturers offer to find a mattress that balances enough support for your lower back with overall comfort. Check the return policy and warranty, too.

“Sleeping on your back is generally considered best for the body,” says McSweeney. “But supporting your body in your preferred sleep position can also work. Getting sleep is the most important thing for your health and well-being.”

Whatever your preferred sleeping position, there are a few tricks that can minimize lower back pain.

If you sleep on your back, you can try putting a pillow beneath your knees. It will help maintain the natural curve of the spine. You might also try using a small, rolled-up towel beneath the small of your back for extra support.

If you’re a side sleeper, try tucking a pillow between your knees to keep your hips, pelvis, and spine better aligned.

You can also try curling into the fetal position, with your knees tucked toward your chest and your back slightly curved forward, to help make space between vertebrae. Remember to switch sides to avoid imbalances. Note that if you have an extension bias, or find that arching your back relieves your symptoms, then the fetal position will not help with lower back pain.

To avoid low back pain, stomach sleepers can try using a pillow beneath the pelvis and lower abdomen. The extra support may relieve some of the pressure that can build in your low back when you sleep on your stomach.

If you aren’t in a position to buy a brand new mattress, there are other things you can try to help alleviate lower back pain.

Try a mattress topper

Mattress toppers can offer a budget-friendly way to offer specific benefits, including relief from low back pain. If you suspect your mattress is contributing to your lower back pain, a good mattress topper is one way to test your theory.

Try putting your mattress on the floor

Support is critical for proper spinal alignment. You can try putting your mattress on the floor to see if a firmer mattress would be a better fit for you. It’s an easy way to check whether a firmer mattress will help alleviate your lower back pain.

Try putting a piece of plywood under your mattress

If moving your mattress to the floor isn’t an option, try sliding a piece of sturdy plywood between your mattress and your box spring or bed frame. This will help minimize movement and increase support.

Try an adjustable bed base

An inclined sleeping position may offer more relief from lower back pain than a flat sleeping surface. Swapping your standard base for an adjustable version gives you the option of elevating your upper body to alleviate lower back pain.

Use pillows

If you can’t invest in an adjustable bed base, a wedge pillow or a body pillow may help you adjust your positioning.

Can a mattress cause lower back pain?

Yes. A mattress that’s too soft, without enough spinal support, will cause pressure and pain in the lower back. But a mattress that’s too firm can also create lower back pain by not allowing enough “give” to pressure points, causing misalignment.

Can replacing your mattress improve lower back pain?

Yes. If your mattress isn’t offering enough support because it’s too soft or too old, swapping your mattress for a medium-firm option can help improve lower back pain.

You can also try moving the mattress to the floor, using plywood beneath the mattress, or adding a supportive mattress topper designed to alleviate back pain.

What style of mattress is best for lower back pain?

Medium-firm, adjustable mattresses are most effective for minimizing lower back pain. Look for hybrid or innerspring models with zoned support that offer greater firmness in the lumbar region.

What style of mattress is worst for lower back pain?

Mattresses that are excessively soft or overly firm will exacerbate lower back pain. All-foam options that lack zoned support may not be a good choice if you’re already dealing with lower back pain.

Lower back pain is a common complaint, and a mattress that doesn’t offer enough support will only make it worse, no matter how you sleep.

Look for a mattress that offers medium-firm support with layers of foam or a hybrid system, and always opt for a company that has a generous in-home trial period.

Jessica Timmons has been working as a freelance writer since 2007, covering everything from pregnancy and parenting to cannabis, chiropractic, stand-up paddling, fitness, martial arts, home decor, and much more. Her work has appeared in mindbodygreen, Pregnancy & Newborn, Modern Parents Messy Kids, and Coffee + Crumbs. See what she’s up to now at