Chronic back pain affects millions of people worldwide every day. Along with chiropractic treatments, having a the best mattress for back pain seems to help the most for reducing chronic aches and pains—and preventing them altogether. So, it shouldn’t be surprising individuals everywhere are constantly searching for the most comfortable bed for support and comfort.
While identifying the best or perfect mattress remains a hotly debated topic, opinion polls and sleep professionals indicate specific types of mattresses are better than others when it comes to pain relief and support.
Business Insider calls the Amerisleep AS2 “The best mattress for back pain.”1 And we agree. Using high-quality and clinically-proven materials to fight back pain, the AS2 is our Editors’ choice.
Plus, Amerisleep is currently offering a $200-off promotion code on their mattresses, including the AS2.
In this guide, we’ll cover:
- Origins of Back Pain
- The Relationship Between Sleep and Pain
- Our Recommendations for the Best Mattress for Back Pain
- Why We Recommend Memory Foam
- Choosing Your Ideal Firmness
- Fighting Back Pain on a Budget
Origins of Back Pain
As back pain sufferers know, the pain can comes from many places, such as an injury, occupational strains, daily stress, sleeping on an uncomfortable mattress, or a combination of the above.
According to the Mayo Clinic’s research, the conditions most commonly linked to back pain are muscle or ligament strain, bulging or ruptured discs, arthritis, skeletal irregularities, and osteoporosis. It’s clear there is no singular cause, but there are common factors. Understanding these factors and using them to manage your discomfort is one of the most effective ways to alleviate back pain.
Many forms of back pain have one thing in common: they get worse after a bad night’s sleep. Whether it’s the result of a one-time injury, a chronic problem, or just the aches and pains of everyday life, back pain will only worsen on an uncomfortable mattress. Tossing and turning may aggravate the underlying cause. Too much pressure on the wrong part of the body can make you feel worse than when you went to bed.
While sleeping, pressure is gradually released from your vertebrae— because you’re lying down, your upper body is no longer applying pressure to your spine. When a person wakes up, they can be up to one inch taller than when they went to bed. As the day progresses, pressure returns with gravity, and various factors (like poor posture) compress your spine throughout the day.
The effects of poor sleep can be even worse depending on your sleeping position. Stomach sleeping, for example, places extra pressure and strain on the neck and spine.
In many cases, managing a chronic back problem comes down to finding the best mattress for back pain. Getting a good night’s sleep reduces stress, takes pressure off injured or strained areas of the body, and helps alleviate pain.
The 9 Best Mattresses for Back Pain
|Brand||Model||Type||Price (Queen)|| Rating
|Amerisleep AS2|| –Plant-based memory foam
–Clinically-proven support layer
–FDA-determined cover the promotes better sleep
|The Original Purple||–Hyper-elastic Polymer
|Leesa Mattress|| –Poly-foam
|Bear Mattress|| –Memory Foam
|Layla Mattress|| –Flippable
|Saatva Mattress|| –Innerspring
|Casper’s The Wave||–Memory Foam
|Simmons Beautyrest Legend Preston Luxury Firm Pillow Top||–Memory foam
|Sealy Optimum Elite Courage Plush|| –Gel Memory Foam
The Relationship Between Sleep and Pain
How much of an impact can back pain have on sleep? The facts might surprise you:
- Lower back discomfort is the single leading cause of disability worldwide. It’s one of the most common reasons for missed work. Up to 80% of us will experience it at some point in our lives, says the American Chiropractic Association.
- Pain is a key factor keeping many Americans from getting the quality sleep they need. Sleep disturbance is a top complaint among patients dealing with a chronic back or joint problem.
- It has been reported by the National Sleep Foundation that those suffering chronic pain in their back or joints get around 42 fewer minutes of sleep per night.
- People with pain feel like they have less control over their sleep, and are more likely to worry about whether they’re snoozing enough.
Better Nights for Better Days
The good news is, you do have control over your sleep quality. If back discomfort is a chronic issue, investing in the right mattress can significantly improve the quality of your sleep—as well as your well-being while awake. Even if an injury or chronic condition causes back pain, getting a peaceful night’s sleep with good support and alignment can be the difference between manageable pain and debilitating pain. Choosing a comfortable bed can lead to several significant improvements including reducing pain, facilitating better rest, and preventing new aches.
Sleeping on a lumpy or unsupportive surface can lead to discomfort. Sinking too deeply into a mattress can throw your joints out of alignment, causing them to twist and become uncomfortable as the night goes on. On the other hand, sleeping on a too-firm surface can interfere with the spinal cord’s ability to reach its proper alignment. Years ago, doctors recommended a firm mattress for people with back pain. However, recent surveys suggest people who sleep on very hard mattresses (sometimes called orthopedic mattresses) have the poorest sleep quality.
Finding a mattress with the right level of support, while also encouraging a comfortable and uninterrupted night’s sleep, can take significant stress off those pressure points and help your spine relax.
An Investment in Better Sleep
Memory foam or high-quality latex mattresses tend to rate the highest amongst customers with back pain, with spring beds performing poorly in reviews. Very thin and inexpensive beds also tend to have worse long-term customer satisfaction scores.
High-quality foam mattresses conform to your body’s shape, allowing the wider parts of your body, like your hips and shoulders, to sink in while the narrower areas of your body, such as your waist and feet, lay atop the mattress.
Sleeping with straight, natural alignment relieves the pressures commonly associated with many back pains. A mattress with poor conformity or support forces the body to rest at an unnatural angle and prevents tense muscles from fully relaxing.
The ideal bed will be based on each person’s sleep style and preferences. Some people have a preference for the feel of memory foam, while others prefer the feel of latex. Things like materials, layer thickness, and firmness will depend on your body weight, sleep style, and other factors.
Our Choice: Memory Foam
Traditional spring mattresses are often flat and plank-like, providing uneven support. Stiff springs cause you to lay unevenly, regardless of your preferred sleeping position. For back sleepers, plank-like surfaces force the spine to arch and leave the inner knee unsupported, preventing the lower back from decompressing and causing several types of strains and pains.
Let’s picture why this might be the case. The hips and the upper shoulders are the parts of the body that protrude the most, the heel of the foot does as well. While lying on your back, your hips and shoulders touch the mattress and your heels dig in.
However, on a firmer bed, the lumbar region of your back remains arched. On firmer beds, there might be noticeable space between the lower back and the mattress. Your inner knees barely have a supporting surface, and your head tilts uncomfortably backward. All of this adds up to a very uncomfortable night’s sleep.
By comparison, medium-firm memory foam or latex mattresses are better choices. These sleep surfaces perform well because they don’t force the spine to curve into unnatural positions while you sleep. Instead, they allow the parts of your body that need to sink to do so, while still giving support in the places that require it. Hips and shoulders are cushioned, while the lower back is fully supported and able to relax.
In short, looking for a firmer mattress that uses memory foam technology is a great way to help with lower back pain by promoting healthy spinal alignment.
Concerns With Memory Foam
Memory foam is designed to fully conform to your body’s natural curves, to provide support exactly where you need it. But does that benefit come with a downside?
As memory foam beds have become more popular, there has been a growing concern with their tendency to trap heat. Meaning, even if the bed is soft and comfortable, you’ll still be uncomfortable at night because you’re sleeping on a hot mattress. Though it is true some memory foam mattresses are made from synthetic materials and extremely dense foams can trap heat, many mattress brands are taking extra steps to ensure their beds won’t trap heat. Mattress manufacturers have also found memory foam mattresses made from natural, plant-based materials tend to offer cooler and more comfortable sleep.
When it comes to getting a memory foam mattress, it’s important to consider where the product is coming from and how it is made. This can be harder than you’d think. For example, Nectar mattresses settled FTC charages that claims of their product being ‘assembled in the USA’ were false. When looking at a company, read its reviews and read its website to find out as much as you can about the product quality.
Why Memory Foam is Our Recommended Option
Based on everything we’ve looked at, medium-firm memory foam mattresses are perfect for those suffering back pain. Memory Foam contours the entire body without any gaps unlike innerspring mattresses. Most often, medium-firm mattresses let the spine to rest in a natural position.
Our research indicates Amerisleep’s AS2 is a good choice for medium-firm memory foam. Amerisleep uses high-quality materials, ensuring pain-free sleep for many years.
A Quality Mattress Starts with Quality Materials
There’s more. The memory foam used in the AS2 and other Amerisleep mattresses recovers its shape faster. With typical memory foam mattresses, you might wind up “stuck” when you switch positions while you wait for your memory foam to adapt—which can take up to 60 seconds. The AS2 bounces back in just four seconds. So your mattress keeps up with you while you move at night. That makes it one of the best mattresses on the market.
And when it comes to reducing back pain, the AS2 also has Amerisleep’s HIVE®. HIVE® is clinically shown to reduce pressure points up to 49%. It works by grouping hundreds of six-sided foam supports into five comfort zones to provide targeted pressure relief.
For places where you need an additional cushion, like the shoulders, the HIVE® layer has more space between the foam hexagons. That way those zones will compress more. And for zones where you need more support, like your head and feet, the HIVE® layer has less space between the hexagons to provide more reinforcement.
Beyond quality materials, Amerisleep also uses the latest performance technology like Celliant®, an advanced fabric, to further improve your back pain. How? Celliant® is designated by the FDA3 to temporarily promote increased local blood flow at the site of application in healthy individuals. It does that by safely converting body heat to infrared energy. As a result, the energy penetrates into the muscle and tissue to promote a temporary increase in local blood flow. This can help increase comfort and promote restful sleep.
Amerisleep also offers a generous 100-night sleep trial. If you feel that your mattress isn’t a good fit, Amerisleep will refund or exchange it during the trial period. They’ll handle the pick-up and donate the mattress for you.
Choosing Your Ideal Firmness
Now that we’ve sorted through the different types of mattresses, it’s time to answer another essential question for sufferers of back pain— how firm should my mattress be?
Is it better to go with a soft and cloud-like sleep, or should you take the old advice that the firmest bed is best? The answer may be neither, or possibly a combination of both options.
It has long been believed that a firm bed is the best choice for people who suffer from a bad back. But in reality, firm mattresses remain a hotly contested debate between orthopedic doctors and chiropractors. Recent surveys have shown hard mattresses might not be the best choice. The majority of chiropractors were probably right in recommending their patients sleep on medium-firm mattresses.
Overall, medium-firm mattresses are the most recommended, especially for back sleepers. Still want to do some more research? Check out other mattress reviews to learn about other types of mattresses, the materials they’re made from, and their firmness.
In two separate studies, Oklahoma State University researchers found medium-firm mattresses are the most effective at reducing clinically diagnosed back pain, shoulder pain, and spine stiffness. Subjects who slept on medium-firm mattresses experienced better sleep quality overall and fewer sleep disturbances throughout the night.
People with pre-existing conditions sometimes require a moderately firm sleeping surface to heal properly from strains and other injuries. Side sleepers might prefer options in the medium range to better cushion their hips and shoulder.
Still not convinced a medium-firm mattress is a better choice than one that’s rock-hard? Here’s an easy way to see how it might feel to sleep on a very firm mattress— place a plywood board under your mattress, or put your mattress on the floor for the night. Doing this will make your bed less cushy, giving you a good approximation of how a very firm mattress might feel.
In the end, it comes down to what works best for your body and the way you sleep. If back pain is a recurring issue, medium-firm mattresses are often a good way to alleviate some of that pain. You may need to try a few different options to find the best bed for your back pain, though; that’s why it’s a good idea to buy from a mattress brand that lets you try the mattress risk-free at home.
How Temperature Can Impact Pain
Cooler sleeping experiences often facilitate deeper sleep than hotter ones. A good night’s sleep requires a 1°C loss of core body temperature. Deep sleep is synonymous with more restful sleep, so seeking ways to cool your sleeping experience makes sense. Think of it this way: even if the support is perfect and your spine’s pressure points are alleviated, what happens if you’re hot all night? You’ll likely toss and turn because you’re warm and sweaty, only making your pain worse.
Comfort is a complicated thing. Finding the best mattress for back pain means considering all the factors, from comfort and support to keeping cool.
Fighting Back Pain on a Budget
Of course, buying a new mattress is a big investment. Even if you’re not in the market to make a major purchase right now, there are still ways to improve your sleep surface to make it more comfortable.
Many chiropractors believe if the sleeper does not own a memory foam bed or if their current bed is too firm, the best thing to do is to lay a 1½ to 2½-inch thick mattress topper on their sleep surface.
It’s best to think of a memory foam topper as a small step towards an improved sleeping experience. Even this small step can have a big impact on back pain, especially if you decide to invest in a high-quality memory foam topper.
High-quality toppers are considerably less expensive than a new mattress, and with proper care, they can last for years. By adding a topper, you can get more use out of the mattress you already have—while boosting your comfort level in bed and keeping your back pain at bay.
Drawbacks to Mattress Toppers
Of course, foam toppers are not a foolproof solution. While a mattress pad aids comfort and can help with support, its thin profile doesn’t give the sleeper the deep advantages a memory foam or latex mattress does.
Compared with foam toppers, foam mattresses offer more pressure relief, mold and dust mite resistance, and longevity. The breathability and advantages of memory foam make it an overall good choice for pain, and it’s likely to be comfortable for most people.
In short, a mattress topper can help make your sleep surface more comfortable, but it won’t be as effective as a new memory foam mattress.
If you’re hesitant to purchase a new mattress outright, a memory foam mattress topper can be a good stepping stone. Knowing how your body responds to memory foam can inform your mattress decision when the time comes.
One thing to keep in mind— if you choose to use a mattress topper, make sure your current mattress isn’t already sagging. If your current mattress bows inward, the topper will likely do the same, so it won’t be able to provide you with the support to wake up pain-free.
Fight Pain by Changing Your Sleeping Position
Changing your sleep position can make a huge difference when you suffer from back pain. It’s a simple step that doesn’t cost anything but time and effort, and it can multiply the effects of a new mattress or mattress topper. The better you can train yourself to sleep, with your back relaxed and well-supported, the more you may feel relief from pain.
- According to the Mayo Clinic, side sleepers should draw up their legs slightly toward their chest and place a pillow between their knees.
- Back sleepers should place a pillow beneath their knees, and support their neck with a flat, rather than thicker, pillow.
- Stomach sleepers have the hardest time fighting back pain because sleeping on the stomach naturally stresses the spine. However, placing a pillow beneath the lower abdomen and using a thin pillow (or none at all) under the head can help reduce the negative impact of sleeping on your stomach.
These small changes in sleeping position can make a big difference, especially when they’re combined with a new and better sleeping surface. It can be hard to make the change, though, especially since you might naturally toss pillows away and roll back into your old position.
There is no single best position for back pain because there is no single source of back pain. Different people naturally sleep in different positions, and forcing a side sleeper to switch to their back can be difficult and uncomfortable. If you switch to a more supportive position but find yourself restless because of the new position, the disruption to your sleep might counter any benefits to your back pain.
Back pain is a struggle. But small changes to your sleeping position can make a real difference for some, especially if you choose to invest in the best bed for back pain.
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Are You Ready to Make a Decision?
Pain and stress feed on each other. When sleep gets interrupted, especially if it’s because the body is too hot, it can cause discomfort, making chronic back pain even worse. Pain causes your body to be stressed, which in turn can lead to even poorer sleep, which will worsen the pain. It’s a vicious cycle, but it can be broken.
A healthy and comfortable night’s sleep can be one of the best ways to reduce stress and combat chronic pain. Meaning, finding the best bed for back pain is critical.
Remember the key mattress features for back pain: comfort, pressure relief, and temperature control. A good night’s sleep can be a hard thing to find, so take proper time to choose a solution that’s right for you. The perfect mattress will have you sleeping soundly through the night, instead of tossing and turning or waking up in a sweat. Medium-firm memory foam mattresses assist vertebrae alignment, reduce muscle tension, as well as soothe and prevent aches. These factors, along with affordability, make memory foam the best mattress for a bad back.
You spend nearly a third of your life sleeping, so it’s important you don’t cut corners. Now that you have the facts about the type of mattress will help your back stay comfortable, it’s time to make your pick. Of course, you should factor in your own preferences as well as your budget by doing research on the best mattress for your lifestyle. But our top pick is Amerisleep’s AS2. It’s made of high-quality medium-firm memory foam that conforms to your spine’s natural curves to keep it properly aligned. So you’ll sleep more soundly now—and for years to come.
2 Milne, C. T. APRN, MSN, BC, CWOCN; et. al. Evaluation of a Variable Pressure Foaming (VPF) Mattress with Surface Modification Technology (SMT) for Prevention and Treatment of Pressure Ulcers in General Medical-Surgical Patients. 43th Annual Conference of the Wound, Ostomy and Continence, June, 2011
3 The FDA has determined that Celliant® products are medical devices as defined in section 201(h) of the Federal Food, Drug and Cosmetic Act and are general wellness products. Celliant® is determined by the FDA to temporarily promote increased local blood flow at the site of application in healthy individuals. Hologenix, LLC, the maker of Celliant®, states that Celliant® safely converts body heat to infrared energy. This energy penetrates into the muscle and tissue to promote a temporary increase in local blood flow and helps increase comfort and promotes restful sleep.