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If you’ve been dealing with aches and pains first thing in the morning and think that your old, unsupportive mattress is the culprit, you could be right.

“You can blame your mattress for low back pain if you awaken with pain or have trouble getting comfortable because of pain,” says Monica Moreland, physical therapist and owner of Moreland Physical Therapy.

When your mattress is saggy or uneven, your spine may not get the support it needs to remain in a neutral position while you sleep. That lack of support can mean lower back pain come morning.

It all comes down to support and alignment. “Your best bet is looking for a mattress that combines softness and support so pressure points can be relieved and spine can be neutrally aligned,” says Moreland.

So if you’re searching for the right mattress for a better night’s sleep and to remedy a sore lower back in the morning, this list of the best mattresses for lower back pain can help you narrow down your search.

A 2015 study suggests that medium-firm, self-adjustable mattresses effectively promote comfort, so we looked for those in creating our list.

We also considered:

  • Safety: Every mattress shared here complies with federal flammability regulations.
  • Brand reputation: All the mattresses are manufactured by companies that meet our content integrity and vetting guidelines, have good customer reviews, and are also 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 generally understood that the best test of a mattress is sleeping on it for at least a few weeks. All our recommendations offer warranties and free in-home trials.

Healthline checks the quality and safety of the products in our lists on multiple levels, considering industry standards, customer reviews, and other factors. We check and update product reviews regularly to make sure we’re using the most up-to-date information and customer feedback.

Read more about our selection and vetting process.

Types of mattresses

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 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. This is an old-school style, and they’re 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.
  • Air bed: Not to be confused with air mattresses, air beds offer adjustable support with the ability to firm up or soften the mattress on command.

Pricing guide

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

  • $ = under $1,700
  • $$ = $1,700–$2,000
  • $$$ = over $2,000

Best mattress for multiposition sleepers

The DreamCloud Luxury Hybrid Mattress

  • Price: $
  • Type: hybrid
  • Height: 14 inches
  • Firmness: luxury firm
  • Sizes: twin, twin XL, full, queen, king, Cal king
  • Who it’s best for: combination sleepers who share a mattress


  • caters to multiple sleeping positions
  • cooling, thanks to gel foam
  • lengthy sleep trial


  • may not offer optimal support for each sleeping position
  • some reviewers say it lacks edge support

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 position.

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 mattress for side sleepers

Helix Midnight Luxe

  • Price: $$$
  • Type: hybrid
  • Height: 14 inches
  • Firmness: medium
  • Sizes: twin, twin XL, full, queen, king, Cal king
  • Who it’s best for: side sleepers who share their bed with a partner


  • layered memory foam provides additional side support
  • includes a pillow top


  • high cost
  • shorter sleep trial than other options

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 promote proper spinal alignment. Zoned lumbar support coils offer additional cradling and comfort right where you need them.

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

Helix Plus

  • Price: $$
  • Type: hybrid
  • Height: 12.5 inches
  • Firmness: medium firm
  • Sizes: twin, twin XL, full, queen, king, Cal king
  • Who it’s best for: sleepers with more weight


  • oversized wrapped coils and reinforced sides
  • specifically designed for people with more weight


  • high cost
  • cooling cover costs extra

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, free U.S. shipping, and a 15-year warranty.

Buy the Helix Plus online.

Best mattress for sciatica

Puffy Mattress

  • Price: $$
  • Type: foam
  • Height: 10 inches
  • Firmness: medium firm
  • Sizes: twin, twin XL, full, queen, king, Cal king
  • Who it’s best for: combination sleepers with less weight


  • focuses on lower back support
  • great motion isolation


  • firmness may not be adequate for people over 230 pounds
  • memory foam may offgas

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.

Best adjustable mattress

Saatva Solaire Mattress

  • Price: $$$
  • Type: adjustable air
  • Height: 13 inches
  • Firmness: adjustable; 50 settings
  • Sizes: twin XL, full, queen, king, Cal king, split king, split Cal king
  • Who it’s best for: people looking for adjustability


  • customizable firmness
  • each side can be adjusted separately
  • free white-glove delivery
  • can support up to 500 pounds on each side


  • high cost
  • may not provide the best edge support

With 50 firmness options, the Saatva Solaire Mattress means truly personalized comfort. The mattress has 5 layers, including the quilted surface and a layer with dual air chambers that feature individual controls that allow you and your partner to choose your level of support on any given night. A latex layer with five zones also offers support in the lumbar region.

Saatva offers a 365-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

Saatva Loom & Leaf Mattress

  • Price: $$$
  • Type: foam
  • Height: 12 inches
  • Firmness: relaxed firm; firm
  • Sizes: twin, twin XL, full, queen, king, Cal king, split king, split Cal king
  • Who it’s best for: stomach sleepers who want a hypoallergenic mattress


  • choice of firmness plus cooling
  • made with CertiPUR-US certified foam
  • works with multiple bed bases


  • high cost
  • fee to return

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 cooling mattress for hot sleepers

Birch Natural Mattress

  • Price: $$
  • Type: hybrid
  • Height: 11 inches
  • Firmness: medium soft to medium firm
  • Sizes: twin, twin XL, full, queen, king, Cal king
  • Who it’s best for: people who want organic materials


  • cooling effect plus support
  • made with organic and nontoxic materials
  • works with multiple bed bases


  • no firm or soft options
  • no direct exchanges (only returns)

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
  • Firmness: medium
  • Sizes: twin, twin XL, full, queen, king, Cal king
  • Who it’s best for: back sleepers looking for targeted neck and lower back support


  • targeted support for multiple areas
  • perforated foam provides airflow


  • not great for side and stomach sleepers
  • shorter warranty period than other mattresses

Casper’s Original Hybrid Mattress has medium firmness, 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 hybrid mattress

Amerisleep AS2 Hybrid Mattress

  • Price: $
  • Type: hybrid
  • Height: 12 inches
  • Firmness: medium firm
  • Sizes: twin, twin XL, full, queen, king, Cal king, split king
  • Who it’s best for: combination sleepers who like the feel of foam


  • layered memory foam provides additional side support
  • made with CertiPUR-US certified foam
  • good motion isolation


  • adjustment time needed for optimal response
  • some reviewers say it sleeps hot

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 latex mattress

Nolah Natural 11”

  • Price: $$
  • Type: latex hybrid
  • Height: 11 inches
  • Firmness: medium
  • Sizes: twin, twin XL, full, queen, king, Cal king, split king
  • Who it’s best for: combination sleepers looking for support without feeling stuck in their mattress


  • latex offers good pressure relief and full-body support
  • has a breathable organic cotton and wool cover
  • works with multiple bed bases


  • latex adds weight, making this a heavy mattress
  • fee to return

With responsive latex layers and zoned support coils, the Nolah Natural mattress is made to support and cushion the spine. According to Nolah, Talalay latex has 33 percent more pressure relief than other types of latex.

Latex also has a more buoyant feel, so if you don’t like the sinking-in sensation of memory foam, this is a good option.

The company offers a 120-night trial, with free shipping. Plus, the mattress has a lifetime warranty.

Buy the Nolah Natural mattress online.

Best mattress for under $900

Molecule 1

  • Price: $
  • Type: foam
  • Height: 12.25 inches
  • Firmness: medium to medium firm
  • Sizes: twin, twin XL, full, queen, king, Cal king
  • Who it’s best for: hot sleepers on a budget


  • great mattress for the price
  • has a limited lifetime warranty


  • may be too firm for some sleepers
  • less springy than hybrid or innerspring models

The Molecule 1 mattress was designed as a recovery-focused mattress with temperature-regulating, spine-aligning benefits, and an affordable price tag.

The mattress is made with a proprietary, CertiPUR-US-certified foam for excellent pressure relief, a heat and moisture-wicking cover, and a seven-inch layer of firm support to encourage healthy spine alignment.

A contoured layer also offers self-adjusting support, and the mattress as a whole is a 6 on the firmness scale. The ends of the bed are softer for your head and legs, but the middle has a little extra firmness to support the lumbar spine. That makes it particularly suited to people with lower back pain and who are on a budget.

Molecule has a generous 365-night home trial, with free shipping and returns.

Buy the Molecule 1 mattress online.

The DreamCloud Luxury Hybrid Mattresshybridluxury medium$lifetime
Helix Midnight Luxehybrid medium $$$ 15 years
Helix Plushybrid medium firm $$15 years
Puffy Mattressfoammedium firm $$lifetime
Saatva Solaire Mattressadjustable airadjustable$$$25 years
Saatva Loom & Leaf Mattressmemory foamrelaxed firm, firm$$$15 years
Birch Natural Mattresshybridmedium firm$$25 years
Casper Original Hybrid Mattresshybridmedium$10 years
Amerisleep AS2 Hybrid Mattresshybridmedium firm$20 years
Nolah Natural 11″latex hybridmedium$$lifetime
Molecule 1foammedium to medium-firm$lifetime

Lower back pain takes a toll on people whether they’re awake or trying to sleep. A 2018 study found that people with chronic low back pain often also experience sleep problems like insomnia and daytime sleepiness. And their quality of life can lessen because of both. This may happen because of several factors:

  • Getting comfortable: Accommodating lower back pain may mean trying out new sleeping positions, which can delay sleep. For some, this could mean tossing and turning before feeling cozy enough to fall asleep.
  • Prominent pain: With fewer distractions at night, lower back pain may be more noticeable than usual, making it harder to fall asleep or stay asleep. For some, pain could be the only thing on their mind while they’re lying in bed.
  • Medication: Some medications that may be prescribed for back pain, such as opioids, can also interfere with sleep, according to a 2009 study. 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.”

Firmness options

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

“A good mattress is a medium-firm one that will allow for uniform pressure throughout the body and not cause excess pressure to bony prominences such as hips and shoulders,” says Moreland.

Soft or plush mattresses likely won’t provide enough support. And research concurs. A study from 2003 suggests that medium-firm mattresses are better for reducing low back pain than firm mattresses.

The manufacturer’s firmness rating can 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.

Sleeping positions

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.

Other things to consider

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

  • 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 when they’re available to find a mattress that balances enough support for your lower back with overall comfort. Check the return policy and warranty, too.

How we sleep can be a direct contributor to lower back pain. “When we sleep, we can be in one position for a long period of time, 2 to 3 hours, before moving,” explains Moreland. “If this position is a compromised one, 2 to 3 hours could cause misalignment or pressure on a nerve.”

If you’re dealing with low back pain and think your mattress is providing adequate support, Moreland advises two sleeping positions. If you’re a side sleeper, use a pillow between your knees or a body pillow between your arms and legs. If you’re a back sleeper, lay with a pillow beneath your knees for a slight bend.

“Both of these positions keep the spine in a neutral position and are good for long time spans,” she says.

McSweeney agrees. “Sleeping on your back is generally considered best for the body, 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, here are a few tricks that can help minimize lower back pain:

  • If you sleep on your back, use a pillow beneath your knees, as Moreland suggests. 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, tuck 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.

A word of warning if you’re a stomach sleeper — according to Moreland, it’s more likely to cause back pain than other sleeping positions because of the stress put on the spine.

“The ‘dead body position,’ in which someone is on their stomach with arms overhead and one leg cocked up, is the worst,” she says. “Falling asleep like this could be detrimental to a healthy spine and worse for an aged one.”

If lower back pain is interfering with your ability to get a good night’s sleep, and the problem is persisting, it’s time to see a doctor. The same is true if your lower back pain is making daily activities difficult, or if you’d characterize it as severe.

Some types of back pain are associated with other symptoms, like pain that extends into other body parts, tingling or numbness, or a fever. These can be signs of nerve irritation or infection, and it’s important to see a doctor for more information.

If you suspect that your mattress is to blame, a healthcare professional may be able to offer recommendations for better sleep positions to help.

If you aren’t able 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 are 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 because it’s too firm, a good mattress topper is one way to test your theory and help reduce common pressure points.

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 worsen 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.

Many people experience lower back pain. A mattress that does not offer enough support can make it worse, no matter how you sleep.

Consider looking 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 jessicatimmons.com.