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Home / Best Mattress Toppers of 2021 / Best Mattress Topper for Back Pain

Medically Reviewed by:

Dr. Jenny Iyo


Written by

Lauren Fountain

A mattress topper is an extra layer of material that rests on top of the existing mattress to modify its feel. Purchasing a mattress topper can be an affordable way to transform your sleep surface without the investment or commitment of buying a new mattress.

Mattress toppers may be particularly useful for people experiencing pressure buildup on their existing mattresses. Most toppers provide extra cushioning and contouring, which can help spread out the sleeper’s weight to take some pressure off key areas, like the hips and shoulders.

Memory foam, polyfoam, latex, wool, cotton, and other materials may be used in a mattress topper. The materials and construction influence the overall cradling and support.

We’ll cover our favorite mattress toppers for back pain. We’ll also discuss other important factors to consider as you shop for a mattress topper.

The Best Mattress Toppers for Back Pain

Product Details

Viscosoft Select Memory Foam Mattress Topper

Best Overall

Viscosoft Select Memory Foam Mattress Topper

Viscosoft Select Memory Foam Mattress Topper
Price: $155
Firmness: Medium (5)
Who it's best for:
  • People who weigh over 130 pounds
  • Sleepers who like the close conforming of memory foam
  • Those who tend to sleep hot
  • Close-conforming memory foam redistributes weight to ease pressure points
  • Infused with gel intended to reduce heat buildup
  • Encased in a removable, washable cover designed to resist slipping
Viscosoft Select Memory Foam Mattress Topper

Use this link for the most current discount on Viscosoft mattress toppers

Thanks to its memory foam construction, the ViscoSoft Select Memory Foam Mattress Topper hugs closely to the sleeper’s body for notable pressure relief that may appeal to back pain sufferers.

The cover is constructed of a soft-to-the-touch, breathable bamboo-rayon material. It has four elastic straps to help secure it in place, and the cover can be removed and machine-washed. The topper uses a 3-inch slab of 3.5 pounds per cubic foot (PCF) memory foam, which can be considered low density. Lower-density memory foam like this tends to trap less heat and respond more quickly to changes in pressure than higher-density foam. A gel infusion in the memory foam helps to further cool the surface.

Its medium feel may make the ViscoSoft Select Memory Foam Mattress Topper a better match for sleepers who weigh over 130 pounds. Most individuals in this weight group should enjoy a strong fusion of contouring and support. Those who weigh less than 130 pounds won’t sink in as much, so they may not experience the same degree of pressure relief as heavier individuals.

Because memory foam absorbs motion well, the ViscoSoft Select Memory Foam Mattress Topper can help reduce the spread of motion. This can be beneficial for sleepers who tend to wake up when their partner stirs. Memory foam is often prone to trapping heat, but the ViscoSoft Select Memory Foam Mattress Topper has several adaptations that help it stay cool enough to satisfy many hot sleepers.

However, couples who enjoy a bouncy surface for sex may prefer a more responsive mattress topper. The ViscoSoft Select Memory Foam Mattress Topper can provide some traction but not a lot in the way of springiness.

ViscoSoft offers two special editions of this topper. One is infused with activated charcoal, a naturally antimicrobial material that also has cooling properties. The other is infused with a lavender scent designed to relax you before falling asleep. All versions of the ViscoSoft Select Memory Foam Mattress Topper come with 60-day money-back guarantees and 3-year limited warranties.

Company LoftAIRE Down Alternative Mattress Topper

Best Value

Company LoftAIRE Down Alternative Mattress Topper

Company LoftAIRE Down Alternative Mattress Topper
Price: $109
Firmness: Soft (3)
Who it's best for:
  • Sleepers who prefer exceptionally soft sleep surfaces
  • Hot sleepers
  • People who are allergic to authentic down
  • Plush down alternative clusters cushion the body
  • Stretchy anchor bands secure the topper in place
  • Machine-washable for easy cleaning
Company LoftAIRE Down Alternative Mattress Topper

Use this link for the most current discount on The Company Store Legends Hotel Ultimate Down Featherbed mattress toppers

For some people, a plush sleep surface is most effective at reducing aches, pains, and pressure points. These individuals should find the LoftAIRE topper from The Company Store quite comfortable. The topper is filled with clusters of down alternative fibers that mimic the naturally plush and fluffy feel of real down, but the material doesn’t absorb too much body heat and it won’t trigger symptoms for people with down allergies. Animal-conscious sleepers may prefer this synthetic material, as well.

In addition to temperature-neutral fill, the topper is encased in a cover made of breathable combed cotton. Hot sleepers should be able to rest comfortably without feeling too warm – a common issue with authentic down toppers. Due to its soft feel, the LoftAIRE is best suited to side and back sleepers.

The topper is also reversible, allowing you to rest comfortably on either side. Down alternative tends to flatten and clump with use, so flipping over the topper allows you to use it for longer periods between washes. When both sides have lost their shape, you can launder the topper at home and the shape will re-expand in the dryer.

The LoftAIRE is competitively priced compared to other quilted down alternative toppers, and The Company Store provides free ground shipping on all topper orders within the contiguous U.S. You can also return the topper within 90 days of your order, even if you’ve slept on it or cleaned it during that time.

Tempur-Pedic TEMPUR-Topper Supreme

Best Pressure Relief

Tempur-Pedic TEMPUR-Topper Supreme

Tempur-Pedic TEMPUR-Topper Supreme
Price: $399
Firmness: Medium (5)
Who it's best for:
  • Sleepers who weigh under 230 pounds
  • Those who wake easily when their partner moves
  • People who enjoy a close-conforming hug
  • Built of proprietary TEMPUR material for exceptional pressure relief and durability
  • Comes with a removable, washable cover designed to resist mold, allergens, and dust mites
  • 3-inch profile
Tempur-Pedic TEMPUR-Topper Supreme

Use this link for the most current discount on Tempur-Pedic mattress toppers

Its balanced contouring and support allow the Tempur-Pedic TEMPUR-Topper Supreme to provide standout pressure relief.

The core of the topper consists of 3 inches of proprietary TEMPUR material. This unique formulation of memory foam originally developed by NASA adapts to the shape of the sleeper, gently hugging their curves to redistribute their weight and limit pressure buildup. A removable, washable quilted polyester cover encases the topper for easy cleaning.

With a medium feel that rates around 5 on the 10-point firmness scale, the Tempur-Pedic TEMPUR-Topper Supreme can provide a strong combination of support and cradling for back sleepers who weigh less than 230 pounds. While it might also be comfortable for larger individuals, they may be more likely to notice a bit of sagging around their hips.

In addition to its notable support and conforming, the Tempur-Pedic TEMPUR-Topper Supreme also excels in terms of durability, motion isolation, and noise. The TEMPUR material should resist sagging, absorb vibrations so they don’t transfer across the surface of the bed, and remain whisper-quiet throughout the night. However, it may trap heat and lack the responsiveness couples often prefer for sex.

The Tempur-Pedic TEMPUR-Topper Supreme is available in the six standard mattress sizes. It comes with a 10-year limited warranty.

Molecule AirTEC Mattress Topper

Best Cooling

Molecule AirTEC Mattress Topper

Molecule AirTEC Mattress Topper
Price: $299
Firmness: Medium (5)
Who it's best for:
  • People prone to sleeping hot
  • Sleepers looking for spinal support
  • Couples looking for more motion isolation
  • Constructed of advanced materials designed for cooling
  • Multi-layer design engineered to support spinal alignment
  • 3 inches thick
Molecule AirTEC Mattress Topper

Use this link for the most current discount on Molecule mattress toppers

The Molecule AirTEC Mattress Topper includes a layer designed specifically for spinal support, which may make it a strong option for people suffering from back pain.

A cover of polyester and polyethylene transfers heat away from the sleep surface. This cover can be unzipped and washed in a machine using cold water on the delicate cycle. The first layer of the topper uses 1 inch of MolecularFLO, a proprietary polyfoam engineered to allow air to circulate through it even when it’s compressed.

Next, there is a 1-inch layer of AirTEC, a proprietary polyfoam. This material has an open cell structure to allow substantial airflow. It conforms to relieve pressure points while having a bouncier, more responsive feel than most polyfoam. The final layer uses 1-inch of RecoveryFLO, another proprietary polyfoam. This layer is crafted to give the support sleepers need to maintain proper spinal alignment.

The Molecule AirTEC Mattress Topper has a medium feel, giving contouring and cushioning without a lot of sinkage. Due to its advanced materials fabricated for cooling, the Molecule AirTEC Mattress Topper is likely to sleep exceptionally cool for most people. Polyfoam also tends to absorb motion well, so the topper may appeal to partners who don’t want to feel it when their sleep partner moves during the night.

While its medium feel is likely to accommodate most sleepers, some individuals who weigh over 230 pounds may sink in more than ideal, especially when sleeping on their stomachs.

If customers do not like their topper, they can contact Molecule to arrange to donate it for a full refund. A 5-year limited warranty protects the Molecule AirTec Mattress Topper.

Birch Plush Organic Mattress Topper

Best Organic Topper

Birch Plush Organic Mattress Topper

Birch Plush Organic Mattress Topper
Price: $400
Firmness: Medium (5)
Who it's best for:
  • Sleepers who like a plusher feel
  • People who prefer natural materials
  • Those who tend to sleep hot
  • Uses natural materials, including wool, cotton, and latex
  • Breathable design helps prevent heat accumulation
  • Combines plushness, support, and responsiveness
Birch Plush Organic Mattress Topper

Use this link for the most current discount on Birch mattress toppers

Constructed of natural materials, the Birch Mattress Topper adds softness and contouring without skimping on the support. This may give back pain sufferers a nice balance of pressure relief and support.

The cover of the Birch Mattress Topper uses organic cotton. This material is soft-to-the-touch, breathable, and slightly stretchy. A layer of organic wool serves as a fire retardant. Wool also has strong temperature-regulating properties, pulling away heat and moisture to help keep the sleeper cool and dry. Finally, a layer of natural Talalay latex gives plushness and pressure relief with a bouncy, responsive feel. Talalay latex is also very breathable to help the topper maintain a more neutral temperature. In total, the Birch Mattress Topper measures 3 inches thick.

Due to its medium firmness, the Birch Mattress Topper feels a bit plush. This may make it especially well-suited for sleepers who weigh under 230 pounds or who are looking for a softer sleep surface.

Latex has low point elasticity, which means that it compresses over a wider area rather than directly under the sleeper’s body. This lends to pressure relief without as much sinkage or hug as most synthetic foams, so the Birch Mattress Topper may also be a good choice for individuals who want pressure relief but prefer the sensation of sleeping “on” the bed to sleeping “in” the bed.

The Birch Mattress Topper comes with a 100-night trial period to try the topper at home. It also has a 10-year limited warranty.

Plushbeds Latex Mattress Topper

Best Natural Latex Topper

Plushbeds Latex Mattress Topper

Plushbeds Latex Mattress Topper
Price: $429
Firmness: Soft (3) Medium (5) Medium Firm (6) Extra Firm (7)
Who it's best for:
  • Sleepers with distinct firmness or thickness options
  • People who often sleep hot
  • Those who like natural materials
  • Comes in two thickness and four firmness options
  • Built entirely of natural Talalay latex that is breathable and responsive
  • Optional cotton cover available
Plushbeds Latex Mattress Topper

Use this link for the most current discount on Plushbeds mattress toppers

With four firmness options, the PlushBeds Latex Mattress Topper can give balanced support and pressure relief for sleepers from any weight group.

These four firmnesses are soft, medium, medium firm, and extra firm. Sleepers who weigh under 130 pounds may like the soft or medium versions of the topper. Those who weigh between 130 and 230 pounds are likely to favor the medium or medium firm. Individuals who weigh more than 230 pounds are likely to find the medium firm or extra firm options most supportive.

Customers can also select between two thickness options: 2 inches and 3 inches. The 2-inch version adds some cushioning and contouring, while the 3-inch option modifies the existing mattress more substantially.

The PlushBeds Latex Mattress Topper is constructed entirely of natural Talalay latex. This material is exceptionally breathable, and PlushBeds further amplifies the cooling by adding small holes in the latex for ventilation. Talalay latex relieves pressure points with a buoyant feel, which some sleepers say makes it feel like they are floating on the mattress. Since Talalay latex has more bounce than most materials used in mattress toppers, couples who prefer a springy surface for sex should opt for the PlushBeds Latex Mattress Topper.

While the PlushBeds Latex Mattress Topper does not come with a cover, an organic cotton cover is available for an extra charge.

The PlushBeds Latex Mattress Topper is not returnable and it comes with a 5-year limited warranty.

airweave Top Mattress

Best Luxury

airweave Top Mattress

airweave Top Mattress
Price: $830
Firmness: Firm (7)
Who it's best for:
  • Those who want to make their sleep surface firmer
  • People who sleep hot or reside in warm climates
  • Back and stomach sleepers who weigh at least 130 pounds
  • Proprietary airfiber material offers next-level support
  • Exceptional breathability for a cool feel
  • Firm feel is well suited to back and stomach sleepers
airweave Top Mattress

Use this link for the most current discount on airweave mattress toppers

Most toppers are designed to make excessively firm mattresses feel softer, but the opposite is true for the airweave Top Mattress. This topper is cushioned with a layer of airfiber, a proprietary material made of durable polyethylene. Thanks to a firm (7) feel and low 2-inch profile, the Top Mattress provides excellent support and is best suited to back and stomach sleepers who weigh 130 pounds or more, as well as anyone else who considers their current mattress too soft.

The airfiber has an interwoven composition that promotes air circulation very well, allowing the topper – and you – to remain cool throughout the night, even if you live in a relatively hot area. The cover, composed of a cotton-polyester blend, is also fairly breathable. airfiber material is hypoallergenic, so it should help stave off dust mites, mold, and other allergens too.

Six sizes are available for the Top Mattress, ranging from twin and twin XL to king and California king. The cover can be removed and laundered in your household machines, while the airfiber layer can be washed in the sink if stains or soiling occurs. The latter is very durable, so cleaning it as needed won’t affect the topper’s overall lifespan.

Although the price-point for the Top Mattress is a bit above-average, airweave will ship this item for free anywhere in the contiguous U.S. You’ll also receive a 100-night sleep trial with your purchase, and you can return the topper after testing it out for 30 nights in exchange for a full refund. A three-year warranty is included, as well.

Lift by Amerisleep Mattress Topper

Best Firmness Options

Lift by Amerisleep Mattress Topper

Lift by Amerisleep Mattress Topper
Price: $299
Firmness: Medium Soft (Comfort) Medium Firm (Support)
Who it's best for:
  • Couples
  • People who weigh up to 230 pounds
  • Shoppers hoping to invest in a memory foam topper with a decent lifespan
  • Dense, dual-layer all-foam design offers above-average durability
  • Excellent motion isolation for couples
  • 2 firmness options
Lift by Amerisleep Mattress Topper

Use this link for the most current discount on Amerisleep mattress toppers

For many sleepers with back pain, finding the right firmness for their sleep surface can make a world of difference. The Lift by Amerisleep is an all-foam topper available in two different firmness levels, allowing you to choose a feel that best suits your needs and preferences based on factors like body type and sleep position.

The medium soft (4) topper contours closely to cushion the spine and reduce discomfort in pressure-prone areas, as well as improve alignment for side sleepers. The medium firm (6) feel provides more overall support without sacrificing the even conforming and weight distribution of its softer counterpart. This will likely be the best option for back and stomach sleepers, especially if they weigh 130 pounds or more.

The Lift’s top layer is composed of Bio-Pur, Amerisleep’s proprietary memory foam. Bio-Pur has a dense composition that allows it to resist deep impressions and other types of wear and tear better than other memory foams. The base layer is constructed from high-density polyfoam to stabilize the topper. The topper is designed with five zones to deliver enhanced support from head to toe.

The foam layers absorb motion quite well, so you shouldn’t experience significant sleep disturbances when your partner changes positions or gets in and out of bed. The topper is virtually silent, as well. The cover is made of breathable polyfoam and features a no-slip bottom to help the topper remain in place without shifting during the night.

The sticker price for this topper is on par with that of the average memory foam model, making it a high-value pick due to its high-quality materials and construction. All orders in the contiguous U.S. qualify for free shipping, and you’ll receive a five-year warranty with your purchase.

How to Choose a Mattress Topper for Back Pain

As mattress toppers adjust the feel of the sleep surface, many of the same factors that you should take into account when choosing a mattress will also play a role in your decision on a mattress topper.

What to Consider When Purchasing a Mattress Topper for Back Pain

There is a wide variety of different mattress toppers on the market that claim to do a number of different things. Rather than getting caught up in jargon and marketing claims, we encourage shoppers to look at the specific factors that contribute to whether or not a mattress topper will feel comfortable for them. Below, we’ll share some of the most important things to take into consideration as you select a mattress topper.

  • Conforming Ability: Most mattress toppers are built to provide some added conforming. A mattress topper that conforms to the sleeper’s shape allows wider, heavier body parts to sink in more, which can help relieve pressure buildup on these areas while supporting the spine’s natural alignment. Thinner and firmer mattress toppers may conform less, while thicker and softer options are likely to conform more.
  • Price: Mattress toppers vary in price based on their materials and construction. Low-priced options frequently use materials that may break down more quickly, but they can provide a budget-friendly, short-term fix for an uncomfortable mattress. More expensive models typically use more durable materials that resist sagging and deterioration.
  • Sleeping Position: A sleeper’s preferred position influences which body parts put force on the mattress, where pressure may build up, and how well-aligned their spine is. Because sleep position is so impactful, shoppers should take how they prefer to sleep into account when selecting a mattress topper. We’ll discuss sleep position in more detail in the section below.
  • Quality Materials: A topper’s materials contribute to its performance and durability. High-end materials may have special characteristics, like temperature regulation or bounce, that could support a more comfortable night’s sleep. Many quality materials also last longer, extending the topper’s usable lifespan. Lower-quality topper components can also be comfortable, though they may not have the same potential benefits as higher-quality options.
  • Firmness Level: The firmness of the mattress topper can affect the level of conforming and support that you experience. As mattress toppers are a quick and easy way to adjust the feel of your bed, people who find their existing mattress too soft may like a firmer topper, while those who feel their mattress is too firm may prefer a softer topper. Body weight is also a significant factor when it comes to what firmness feels right. Sleepers who weigh over 230 pounds may sink too deeply into a soft mattress topper and feel the underlying mattress more, so they may prefer a firmer option. Those who weigh under 130 pounds may not put enough pressure on a firm topper to sink in and feel comfortably cradled, so they’d likely want to go for a softer topper.
  • Thickness: Mattress toppers usually range from 1 to 4 inches thick. The mattress topper’s thickness impacts how significantly it alters the sleep surface. A thin topper may add a bit of cushioning, while a thicker topper is likely to give more significant contouring and pressure relief.
  • Pressure Relief: A mattress topper can help alleviate pressure points by redistributing the sleeper’s weight more evenly over the surface. This can reduce pressure buildup near heavier body parts, like the hips and shoulders. Thicker toppers with more conforming are also likely to have more pressure relief.

How Does Sleeping Position Affect Back Pain?

Back pain can occur as a result of an underlying condition or sleep-related factors. The right mattress topper can help relieve pressure points and support natural spinal alignment, which could also help contribute to reduced back pain. However, each sleep position can affect the spine differently, so those suffering from back pain may want to consider the role of their preferred sleep position.

Side sleepers frequently prefer a slightly softer sleep surface that balances conforming and support. Too firm of a topper may not allow their hips and shoulders to sink in enough, while too soft of a mattress topper may let their hips and shoulders sink in too much. Either of these situations could put a strain on their spines and contribute to back pain. A thicker topper could be ideal for a bed that is too firm, as it can provide ample room for a side sleeper’s hips and shoulders to sink in. A firmer topper that helps prevent sinkage will be better for a bed that is too soft.

Back sleepers usually like a slightly firmer sleep surface that gives them the support they need to maintain their natural spinal alignment, so they may prefer firmer and/or thinner mattress toppers. A topper that is too soft could allow their hips to sink in excessively and make it difficult to keep their spine well-aligned. Too firm of a topper could also be problematic, leaving a gap between the bed and the sleeper’s lumbar region.

Stomach sleepers are often prone to sinking into their beds near their hips and stomachs since most people carry more weight near their midsections. This frequently puts a strain on the sleeper’s spine, which could contribute to back pain. A firmer, thinner mattress topper may be more supportive for stomach sleepers and reduce the likelihood of excessive sinkage.

Combination sleepers can experience the potential benefits and drawbacks of multiple sleep positions. Those who tend to change positions during the night should consider which position they sleep in most often as they select a mattress topper. If they divide their time relatively evenly between positions, a mattress topper with a mid-range thickness may be the best bet for a combination sleeper.

Which Type of Mattress Topper is Best for Back Pain?

Any type of mattress topper may have potential pros and cons. Depending on their personal preferences, back pain sufferers may enjoy different toppers.

As memory foam toppers conform closely to the sleeper’s body, many back pain sufferers find they give a good balance of pressure relief and support. These toppers also usually isolate motion well, so sleepers might not notice when their partner changes position. One potential drawback is that memory foam tends to retain heat, but some models are made with special features for added breathability and cooling. Memory foam is also usually slow to respond to changes in pressure, which can make it harder for sleepers to move around and change position.

Polyfoam toppers conform to the sleeper’s body without the close hug of memory foam. Additionally, this material tends to be more breathable and regain its shape more quickly than memory foam. Polyfoam toppers are also frequently budget-friendly options. While many sleepers find polyfoam mattress toppers comfortable, they’re often less durable than other types of toppers on the market. This is particularly true of toppers that make use of low-density polyfoam.

Latex is prized for its pressure relief, breathability, and durability. Mattress toppers constructed of latex usually cradle the sleeper’s body without much sinkage. Instead, its low point elasticity leads to the compression spreading over a wider area, creating more of a floating sensation. Natural latex also tends to be breathable and highly durable, so it can be a good option for back pain sufferers who sleep hot or want to enjoy their mattress topper for years to come. However, latex mattress toppers are often more expensive than other types of toppers.

Pillow top mattress toppers often use feather and/or fiber fill. These toppers typically provide a plush sleep surface. However, since they do not usually provide much in the way of support or pressure relief, they may not be ideal for back pain sufferers.

Since some individuals are prone to sleeping hot, many mattress toppers have special features designed for cooling. Memory foam can be infused with gel and/or copper to help wick away heat. Many polyfoam toppers use breathable open-cell foam. Memory foam, polyfoam, and latex mattress toppers can also be ventilated using hole punches to allow more air circulation.

Frequently Asked Questions About Mattress Toppers

Which type of mattress topper is best for lower back pain?

Memory foam, polyfoam, and latex toppers tend to be most popular with those who suffer from lower back pain. These types of topper mold to the sleeper’s body, relieving pressure while also supporting spinal alignment. Those with lower back pain should select the firmness and thickness of their topper carefully to ensure it has the right feel for their weight and preferred way of sleeping.

Can mattress toppers help with back pain?

In some circumstances, a mattress topper could help with back pain. A topper won’t make up for a sagging or unsupportive mattress, in which case a new bed may be the better option. That being said, if the firmness of your current mattress isn’t a good match, a mattress topper can adjust the feeling of the bed enough to help relieve back pain.

What’s the difference between a mattress pad and a mattress topper?

Mattress toppers and mattress pads are not the same thing. Mattress pads are thin layers designed to help protect the mattress, though some models provide a little cushioning. Pads can provide some added features like waterproofing or cooling. Mattress toppers are much more substantial. Rather than protecting the mattress, toppers are meant to modify the feel and firmness of the mattress.