Best Mattress For Back Pain 2021: Top 9 Picks For Upper And Lower Back Pain

best mattress for back pain

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Back pain is one of the most common complaints among the worldwide population. The World Health Organization also states that back pain is a major problem in terms of disability. If you frequently experience back pain, you may find that your daily abilities are limited. The best mattress for back pain may help to alleviate these symptoms by improving the alignment of your spine while you sleep. 

There are quite a few options available when looking to buy a mattress that will help with back pain. In this guide, you will discover how to choose the best mattress for back pain. We will look at the different options that are available and consider things to look at when you want to set up the best bed for back pain in your room. 

What Is The Best Mattress For Back Pain?

A lot of people with chronic back pain do not realize the impact that their sleeping surface has not only on their back but on the entire body. Sleeping on a mattress with inadequate support can make back pain much worse. In fact, if you have been sleeping on a poor quality mattress for a long time, it might be the cause of your back pain. 

The best mattress for back pain is a piece of furniture that includes layers of materials that aims to add better support for your back. These mattresses will generally not only support your back, but also contain support for your shoulders, hips, and the rest of your body. 

The main idea behind a mattress that may help to alleviate back pain is to improve the alignment of your spine when you lay down in bed. Improper alignment of your spine is a common cause of back pain. This is something that you will experience if your mattress is too old, sags too much, or does not offer the right amount of support for your body. 

By aligning your spine more appropriately, you may find that the right mattress can do wonders for your back. Doing some research to ensure you get the best mattress for bad back might even help you feel less pain and more energized when you get up in the morning. 

There are a lot of mattresses that might be good for back pain sufferers – but there isn’t a single one that will be suitable for every single person with these symptoms. This is because personal factors and preferences tend to differ. 

With this in mind, shopping for a mattress that can provide support for your back should really start with a few personal factors. Ask yourself a few questions:

  • How much money can you spend on the mattress?
  • Do you prefer a responsive or bouncy feeling?
  • Do you prefer an innerspring system or foam design?
  • Do you have problems with excessive sweating at night?
  • Do you sleep alone or with a partner?

All of these factors play a role in ensuring you are able to choose the right mattress. 

Here Is The Best Mattress For Back Pain In 2021

  1. Editor’s Pick: Amerisleep AS2
  2. Runner Up: Vaya Mattress
  3. Best Mattress For Lower Back Pain: Purple Mattress
  4. Best Hybrid for Back Pain: Zoma Hybrid
  5. Best Mattress For Upper Back Pain: Nest Bedding Natural Hybrid Latex Mattress
  6. Best Mattress For Hot Sleepers: Helix Dawn
  7. Best Firm Mattress For Back Pain: WinkBeds Luxury Hybrid Mattress
  8. Best Firm Mattress For Lower Back Pain: Saatva Classic
  9. Best Budget Mattress: Allswell Mattress
Editor's Pick

Amerisleep AS2

Runner Up

Vaya Mattress

Best Mattress For Lower Back Pain

Purple Mattress

Best Hybrid for Back Pain

Zoma Hybrid

Best Mattress For Upper Back Pain

Nest Bedding Natural Latex Hybrid

Best Mattress For Hot Sleepers

Helix Dawn

Best Firm Mattress For Back Pain

WinkBeds Luxury Hybrid Mattress

Best Firm Mattress For Lower Back Pain

Saatva Classic

Best Budget Mattress

Allswell Mattress

Best Mattress For Back Pain – Reviewed

When faced with too many options to choose from, many people find that they end up buying a mattress that does not deliver the results they expect. When it comes to relieving back pain, there are a lot of factors that need to be taken into account. Failure to ensure the mattress is able to offer your back the support it needs will mean you do not gain that relief you expect – or worse, your back pain may become more severe. 

After a lot of research and looking at top-rated mattresses, we compiled a list of the eight best mattress options that you should consider. These are all mattresses that can offer you the support needed to reduce back problems. Each mattress comes with its own construction, price, and feel – so make sure you consider your personal preferences to help you find the right one for your bedroom. 

1. Editor's Pick: Amerisleep AS2

Editor's Pick: Amerisleep AS2


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Next up is another excellent memory foam mattress for people who have back problems. The Amerisleep AS2 is one of the most popular mattress options from the Amerisleep brand. This is a particularly popular option among people who tend to sleep on their back or stomach, but it also offers adequate support for side sleepers.

The Amerisleep AS2 offers a medium-firm feeling and a 12-inch height profile. It was designed to offer better responsiveness than a traditional memory foam mattress. This is due to the special memory foam design that Amerisleep uses in its mattresses.

The company also ensured the mattress is durable, which is essential when it comes to investing in this type of product. The high-quality materials used, along with the expert craftsmanship, ensures the mattress will be able to last longer – and continue to offer you adequate support even after you have used it for over a decade.

You get a 20-year warranty when you decide to buy the Amerisleep AS2. This gives you adequate production against factory defects that you may detect during the first two decades of use. Amerisleep also gives you a 100-night trial offer when you buy the mattress. You get to sleep on the mattress for three months and ask for a refund if your back pain has not improved in this time.

2. Runner Up: Vaya Mattress

Runner Up: Vaya Mattress


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The Vaya Mattress is an all-foam model with a medium firmness, perfect for side sleepers with back pain. The ventilated cover prevents heat trapping and ensures the surface of the bed remains cool and inviting.

The top layer features Vaya’s unique comfort foam. While this material conforms close to the body, it also has a slight bounce to keep the hips and shoulders lifted on the mattress. This flexibility ensures the spine is always kept in a safe, neutral positions so the back muscles can fully relax and heal during sleep.

The base of the Vaya features their stable support foam. This material is strong enough to prevent sagging and indentations, while also providing spinal support. With this durable base, you can place the Vaya Mattress on most modern bed frames and mattress foundations.

The Vaya Mattress comes with a 100-night sleep trial, allowing you to test out the mattress in the comfort for your home. They also include a 10-year warranty, covering manufacturing and structural defects.

3. Best Mattress For Lower Back Pain: Purple Mattress

Best Mattress For Lower Back Pain: Purple Mattress


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If you are looking for a memory foam mattress that will help with your back pain, then the original Purple Mattress is a great option to consider. The main factor that makes the Purple Mattress such a unique entry in our list is the unique technology used by the company. The technology is called the Purple Grid system. This is a special type of memory foam that was designed to offer superior features to the more traditional design used in the manufacturing of memory foam material. 

The Purple Grid system offers a much more responsive feeling when you lay down on the mattress. This, in turn, helps to ensure the mattress can provide better contouring for any sleeping position. The mattress is great for side sleepers, as well as combination sleepers. It also offers superior support for people who sleep on their backs. 

The Purple Mattress also focuses on being a more budget-friendly option. Many memory foam mattresses today come with expensive price tags. The company behind this mattress designed a mattress that offers a premium experience without such a high price tag. 

The mattress is also able to provide cooling features. This is due to the breathability offered by the Purple Grid system. If you are a hot sleeper, then you will find that the Purple Mattress reduces the temperature in your bed at night. There are thousands of channels that allow air to flow through the mattress when you sleep. 

The mattress comes with a warranty for the first decade of use. You also get a 100-night trial to test the mattress and see if it is the right option for you.

Read our full Purple Mattress Review here.

4. Best Hybrid for Back Pain: Zoma Hybrid

Best Hybrid for Back Pain: Zoma Hybrid


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The pocketed spring coils in the base of the Zoma Hybrid provide even weight distribution and spinal support. With this stable base, the spine is less likely to bow during sleep, so the muscles can remain completely relaxed.

The top layer of the Zoma Hybrid features their gel-infused memory foam. The cooling gel within this material draws heat and moisture away from the surface of the bed to prevent over-heating and uncomfortable night sweats. This infusion makes the Zoma Hybrid perfect for hot sleepers and those who experience night sweats.

Between the top layer and base is Zoma’s Reactiv™ foam. This material has an elastic quality that helps reduce excess sinking and alignment issues. When the joints are cushioned and the spine is neutral, those with back pain can relax and drift off to sleep naturally. 

The Zoma coil base supports both of these layers and limits motion transfer. This advanced mattress comes with a 100-night sleep trial and a 10-year warranty. 

5. Best Mattress For Upper Back Pain: Nest Bedding Natural Hybrid Latex

Best Mattress For Upper Back Pain: Nest Bedding Natural Hybrid Latex


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The next option on our list is good if you are looking to buy the best firm mattress for back pain – and especially if you constantly find yourself experiencing pain in your upper back region. The Nest Bedding Natural Hybrid Latex uses a combination of natural materials to help you get a safer, comfortable mattress in your room. 

Latex is the primary material used at the surface area of the mattress. This is a naturally bouncy material that is also known to be safe and free of harmful toxins. Since natural latex is used, you can expect less of responsiveness, and more of a supportive bounce when you sit down or lay down on this mattress. 

The mattress does not only use latex, however. The Nest Bedding Natural Hybrid Latex features an innerspring system at the bottom too. Pocketed coils are added to the middle layer of the mattress. An additional layer of durable foam is also added to the bottom layer. The layers were developed to provide superior comfort and the ability to find the best sleeping position instantly – without the need to wait for the mattress to first take shape. 

You can choose between three different firmness options when you buy the Nest Bedding Natural Hybrid Latex Mattress. These include soft, medium, and firm. If you have back pain, then we would highly recommend you consider the firm option, as it adds better support. 

There is a lifetime warranty that comes with the mattress. Additionally, you also get a 100-night comfort guarantee. During the first 100 nights, the manufacturer is willing to offer you a refund if the bed does not help you sleep better and experience less back pain.

Read our full Nest Bedding Reviews here.

6. Best Mattress For Hot Sleepers: Helix Dawn

Best Mattress For Hot Sleepers: Helix Dawn


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Helix is a brand that has become known for offering a massive variety of mattresses. The company ensures they truly have something for every person – whether you are heavy, sleep on your side, or experience back problems. The Helix Dawn is a great option for hot sleepers with back pain. This is quite a unique mattress that is able to contour to your body and offer support for any kind of sleeping position. 

The Helix Dawn is a bed-in-a-box product. This means it is delivered in a relatively small box, making the transit of the mattress more affordable and convenient. Setting the mattress up is easy – simply take it out of the box and allow it to expand fully before sleeping on it. 

The firm feel ensures you do not sink into the mattress. The base of the mattress is also solid, offering better support than many of the alternative mattress options you will find. The product has body contouring features, thanks to the use of the Helix Dynamic Foam. There is also added support for stomach and back sleepers. 

The Helix Dawn Mattress is accompanied by a 100-night sleep trial offer, as well as a 10-year limited warranty period. These add more value to the money you invest in the best mattress for back pain.

Read our full Helix Mattress Reviews here.

7. Best Firm Mattress For Back Pain: WinkBeds Luxury Hybrid Mattress

Best Firm Mattress For Back Pain: WinkBeds Luxury Hybrid Mattress


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If you long for a luxurious experience when you lay down in bed, then there really is a no better option that the WinkBeds Luxury Hybrid Mattress. One thing that sets this mattress aside from its competitors is the fact that it is a handcrafted mattress. A lot of care and detail goes into the manufacturing of every single mattress that WinkBeds sell. This means you are given assurance that your mattress will offer you exceptional quality and support. 

The WinkBeds Luxury Hybrid Mattress comes in various firmness options – although we find the Luxury Firm bed to be the best option for people who suffer from back pain. The mattress also offers a hybrid design. On the inside, you find layers of high-quality foam. At the top, memory foam is used to allow more comfort. The innerspring system contains individually wrapped coils, which adds to the contouring functions of the WinkBeds Luxury Hybrid Mattress. 

Another thing that really makes the mattress stand out is the lifetime warranty the manufacturer offers. While there are several terms you need to understand about the warranty, your purchase is protected against manufacturing defects for as long as you are the owner of the mattress. You are also given a period of 120 days as part of the trial – sleep on the mattress during this time and ask for a 100% refund if it does not feel like the right mattress for you.

Read our full WinkBeds Reviews here.

8. Best Firm Mattress For Lower Back Pain: Saatva Classic

Best Firm Mattress For Lower Back Pain: Saatva Classic


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If you have lower back pain, then a firm mattress is a great option to consider. The Saatva Classic Mattress is one of the best options that you can invest your money in. This particular mattress was designed to offer you an innerspring feeling, but without the pressure that springs can sometimes put on your body. 

A dual spring system is used in this mattress, making it quite a unique entry on our list. The Saatva Classic uses individually wrapped coils – with over 1,000 coils – as the middle layer of the mattress. Below these wrapped coils, there is a more traditional innerspring system. At the top, a EuroTop pillow layer is added. This layer uses memory foam to give you a more comfortable experience when you sleep. 

The Saatva Classic Mattress comes with a 15-year warranty, as well as a 120-night trial. Give the mattress a try for up to four months – then decide if you want to continue sleeping on it or rather request a refund on your purchase.

Read our full Saatva Mattress Reviews here.

9. Best Budget Mattress: Allswell

Best Budget Mattress: Allswell


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The last option on our list is the Allswell Mattress. This is your best option if you have a limited budget. While the price of the mattress is lower than most of the competitor options, the mattress is still able to deliver a premium experience. It is also a bed-in-a-box solution, making the shipping and setup of the mattress easy. 

This mattress features a hybrid design. It uses pocketed coils to give your back better support. The coils can contour to your body, which is also an essential feature when improving the alignment of your spine. A memory foam layer is added to the top for better comfort. This layer is infused with both copper and charcoal, adding antimicrobial and cooling features to the mattress. 

You get a 10-year limited warranty when you buy the Allswell Mattress. The company also offers a 100-night trial offer with the mattress. 

Best Mattress For Back Pain Buying Guide

We shared our selection of the best mattresses that you can buy to help relieve back pain. Even when you are provided with a shortlist of the top mattresses, there are a few questions you may still have. You do, after all, still have to filter through these to find the mattress that you will be investing in. 

In this section, we will offer you a buying guide. We take a look at some important questions that people ask when they need a mattress that can help relieve their back pain. We also share a few tips to help you understand what you should look at to ensure a mattress is able to help with your back problems. 

Why Do Some Mattresses Cause Back Pain?

There are a few reasons why your mattress might be a cause behind your back pain. Sometimes, a mattress can lead to the development of back pain symptoms. In other cases, it may rather be a contributing factor to a worsening of back pain you already experience. 

The number one reason for a mattress to cause back pain is age. If you sleep on the mattress for a decade or two, it will eventually start to wear out. Some areas of the mattress started to sag, and the springs do not offer the same support it once did. 

When this happens, lying on the bed means your spine will be out of alignment. This can cause many problems with your back – and, in turn, you start to experience back pain symptoms. These symptoms can affect any area of your back. Lower back pain is a rather common problem, but upper back pain can also happen. 

Another reason why a mattress may cause back pain is due to poor design – or the mattress you bought was manufactured for a different purpose. Some mattresses are made for people who enjoy a particularly soft feeling but do not suffer from back pain. This is only one example. 

Not all mattresses will specifically state that it is appropriate for back pain sufferers. You need to learn what to look for, such as the firmness level and considering features like pressure relief. 

Best Mattress Firmness For Back Pain

One of the first things you need to discuss when looking to buy the best mattress for lower back pain sufferers, or in a case where you experience upper back pain, is the firmness of the mattress. 

If you buy a mattress that is too firm or too soft, it means you are simply going to aggravate your existing problem with back pain. You need to consider what the most appropriate firmness will be to support your back. This differs from one person to another. 

To understand what mattress firmness you should choose, you will need to consider two important things:

  1. How much do you weigh?
  2. What is your preferred sleeping position?

If you have low body weight and you prefer sleeping on your side, then choosing a somewhat softer mattress is an option you can consider. Still, do not opt for a mattress that is too soft. When it comes to back pain, your body needs more support compared to a person without these symptoms. 

Heavier people also need extra support from their sleeping surface. With this in mind, if you are heavy, make sure you opt for at least a medium-firm option. A firmer bed will give your body more support, ensuring you do not sink into the mattress. This also ensures your spine can be properly aligned at night and gives you better support for a combination of sleeping positions. 

What Is The Best Mattress Type For Back Pain?

Mattress type can make a difference. In one study, researchers found that the design of a mattress affects various aspects of sleep. Certain mattress designs are able to provide better alignment of the spine. In turn, this may help to promote a better quality of sleep. A better mattress design also yielded a reduction in pain among the participants in the study. 

There are a few different mattress types and designs that you are able to choose from. Some of them are able to offer more support for your back. When it comes to mattress design, you need to take a closer look at yourself and your sleeping situation before making a decision. Your own personal preferences should be taken into consideration too. 

The primary mattress types that you are going to find include:

  • Foam-based mattress designs
  • Innerspring mattresses

Innerspring mattresses are considered more traditional since they have been around for hundreds of years. Many companies have taken the innerspring mattress and advanced it to provide better comfort and support. When you buy an innerspring mattress today, you will find that many companies use coils that are individually wrapped in a type of foam. This helps to reduce the hardening effect that springs can sometimes have on a mattress but still gives you the support that this type of sleep system is known to offer. 

Different materials are also used in these mattresses today. Most foam mattresses will contain at least a thin layer of memory foam. This is a responsive material that is known to provide exceptional comfort. Gel memory foam is often used to offer the same responsive effect, but also help to make your bed cooler at night. 

Hybrid mattresses are also making waves. These mattresses use an innerspring or coil-based system at the base. They also offer thicker layers of foam at the top. Memory foam or latex is used in the upper layers of the mattress. This adds a cushioning effect above the springs, helping to offer you comfort and a plush feeling on top of the supportive layers. 

Considering some factors can help you decide what type of mattress is good for your back pain. Heavier people often find that an innerspring mattress offers them better support. There are a few foam-based mattresses with a high-density base. This type of mattress may also offer adequate support. Some people do not like the feeling of standard memory foam. In such a case, opting for latex instead may offer a great alternative.

Are Memory Foam Mattresses Good For Back Pain?

Memory foam mattresses have become exceptionally popular today. They are relatively affordable and come in many different sizes, designs, and even firmness options. The question that remains is whether or not memory foam mattresses are appropriate for people with back pain. 

The good thing about memory foam is its ability to contour. This is a very responsive material. Some companies have taken memory foam and also created unique materials. This allowed them to create memory foam mattresses that offer even better contouring properties. 

When you lay down on a memory foam mattress, the upper layers will take the shape of your body. This helps to create a personalized sleeping experience. It also helps with aligning your spine properly at night. This is important, as spinal alignment plays a critical role in helping you experience a reduction in back pain. 

Memory foam is also able to offer full-body support. There are companies that also add pressure relief features to memory foam mattresses. This can add appropriate pressure relief at specific regions of your body. Most of these mattresses will focus on your hip and shoulder area. These are the areas that often cause your spine to become misaligned when you lay down. 

With all of these factors in mind, a memory foam mattress can be good for back pain – but this is not always the case. You do need to take a few things into account – such as how you sleep, your weight, and more. Some people simply feel better when they sleep on an innerspring mattress, for example. People who are very heavy may also find that a memory foam mattress is not able to offer them the same level of support for their back and their weight. 

Is A Hard Or Soft Mattress Better For A Bad Back?

When you shop for a mattress that is going to help to reduce back pain, firmness is one of the most important things that you will choose. Many people ask whether a hard or soft mattress is best for a bad back. 

The real answer is neither. When a mattress is too soft, you will sink into your own mattress. Some people describe it as feeling like they are drowning into the mattress. Your spine will be completely out of alignment. The result is a worsening of your back pain. 

On the other hand, choosing a mattress that is very hard can be just as bad. When a mattress is too hard, it feels like you are sleeping on a floor. This type of mattress also causes problems with your spinal alignment. 

The real firmness you want is something in between. Side sleepers often find that something between four and five works, but if you have back pain, consider opting for a mattress with a five or higher firmness rating. 

Heavier people should opt for something firmer. The same factor applies if you do not sleep on your side – or if you are a combination sleeper. Avoid getting a mattress with a firmness that is higher than eight, as going too high means the mattress may be too firm for your back. Ideally, something between six and seven would be great. Some companies will call this a medium-firm mattress. There are a few companies that offer a “luxury firm” option – these usually provide a relatively firm surface, but with added materials at the top that provides somewhat of a plush feeling. 

What Mattress Do Chiropractors Recommend?

When it comes to looking at the best mattress for lower back pain sufferers, it is important to consider what the medical industry has to say. Chiropractic care has been shown to provide an effective reduction in back pain symptoms. These professionals also understand exactly how the back works and what it takes to provide better alignment for the spine. 

There are various recommendations made by chiropractors when it comes to choosing a mattress for back pain patients. The most common recommendation, however, is an innerspring mattress. 

The springs used in these mattresses are able to offer better support at the sleeping surface. Many companies are also creating innerspring systems with more stable and durable metals. Some companies add padding to the innerspring system. These features help to provide even more support to the mattress. They can also help to provide better contouring features, which helps to ensure your spine can remain in proper alignment when you sleep. 

Is Pillow Top Mattress Good For Your Back?

Pillow top mattresses are also relatively popular today. These are mattresses that come with an additional layer at the top. Many people find that the added layer of foam on top of the mattress helps to provide a plush feeling, while also contributing to a more comfortable experience at night. 

Whether a pillow top makes a product the best mattress for lower back pain or upper back pain depends on the type of mattress below the pillow top layer. When the mattress itself is already soft, then the pillow top might not be a good idea. 

On the other hand, adding a pillow top to an innerspring mattress can be very helpful. It helps to reduce the pressure applied to your body by the innerspring system – but, at the same time, your body is still provided adequate support by the springs used in the mattress. 

It is also important to ask whether a top pillow mattress is really worth the money. The addition of this extra foam layer at the top of the mattress usually comes at a price. It is possible to buy a mattress with an integrated foam layer at the top – often at a much lower price. 

Thus, consider your budget if you are not sure if a top pillow mattress will be a good option for you. If your budget allows you to spend some extra money, then you can consider a mattress that comes with an extra pillow top. If not, then rather consider buying a mattress that can give you the same comfort without the need for a pillow top. 


Back pain can be a disabling problem. It can limit your physical abilities and make sleeping uncomfortable. With the best mattress for back pain, you can improve spinal alignment at night. In turn, this may be an excellent strategy to help reduce back pain symptoms. The right mattress may help to reduce lower and upper back pain symptoms. When buying a mattress, consider both factors related to yourself, as well as the mattress, before making a final decision. 

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