Choosing the Best Mattress for Back Pain

A good night’s sleep is crucial for overall health and well-being, and the right mattress plays a significant role in achieving restorative sleep, particularly for individuals experiencing back pain. The selection of a suitable mattress involves careful consideration of several factors, ranging from mattress firmness to support and material type. We’ll delve into what to look for in a mattress if you’re one of the millions of people suffering from back pain.

Understanding Back Pain and Sleep

Back pain is a prevalent health concern affecting millions of people worldwide. Chronic back pain can disrupt sleep quality and exacerbate existing discomfort. To address back pain concerns, selecting a mattress that provides proper spinal support and pressure relief is essential. A mattress that promotes spinal alignment and reduces pressure on sensitive areas can help alleviate back pain symptoms and improve sleep quality.

Mattress Firmness

Firmness is a critical factor when choosing a mattress for back pain. Contrary to common belief, a mattress that is too firm might not be the best option. A medium-firm mattress is often recommended by medical professionals for individuals with back pain. Studies have shown that medium-firm mattresses can provide a balanced level of support, maintaining natural spinal alignment while offering enough cushioning for pressure points.

Material Type

When considering the best mattress for back pain, the material type matters. Proper spinal alignment is crucial for reducing back pain during sleep. A mattress that supports the natural curves of the spine helps prevent excessive pressure on the lumbar region and shoulders. Memory foam and latex are often preferred for their pressure-relieving properties and ability to support spinal alignment. Hybrid mattresses, combining memory foam or latex with an innerspring core, can also be a suitable option for those seeking the benefits of both materials.

Personal Preference and Sleep Position

Personal preference and sleep position play a significant role in mattress selection. While evidence suggests medium-firm mattresses are generally beneficial for back pain, individuals may have different preferences. Side sleepers might benefit from a slightly softer mattress to accommodate shoulder and hip pressure, while back and stomach sleepers might find a medium-firm mattress more suitable.


Selecting the best mattress for back pain is a critical decision that can significantly impact sleep quality and overall well-being. Research supports the use of a medium-firm mattress with good pressure relief and spinal support properties to alleviate back pain symptoms. Memory foam and latex mattresses have proven effective in promoting spinal alignment and reducing pressure points.


Caggiari G, Talesa GR, Toro G, Jannelli E, Monteleone G, Puddu L. What type of mattress should be chosen to avoid back pain and improve sleep quality? Review of the literature. J Orthop Traumatol. 2021;22(1):51. Published 2021 Dec 8. doi:10.1186/s10195-021-00616-5

Kovacs FM, Abraira V, Peña A, et al. Effect of firmness of mattress on chronic non-specific low-back pain: randomised, double-blind, controlled, multicentre trial. Lancet. 2003;362(9396):1599-1604. doi:10.1016/S0140-6736(03)14792-7

Radwan A, Fess P, James D, et al. Effect of different mattress designs on promoting sleep quality, pain reduction, and spinal alignment in adults with or without back pain; systematic review of controlled trials. Sleep Health. 2015;1(4):257-267. doi:10.1016/j.sleh.2015.08.001

About the Author

Dave Harrison, MD

Dr. Harrison is a board certified Emergency Physician with a part time appointment at San Francisco General Medical Center and is an Assistant Clinical Professor-Volunteer at the UCSF School of Medicine. Dr. Harrison attended medical school at Tufts University and completed his Emergency Medicine residency at the University of Southern California. Dr. Harrison manages the editorial process for