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Best Mattress for Hip Pain

Keith Cushner

Written by

Keith Cushner, Sleep Product Expert

Jenny Iyo

Medically Reviewed by

Jenny Iyo, Physical Therapist

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We personally test every mattress featured in our reviews and guides to provide accurate, data-driven recommendations. Learn More

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In light of some recent product tests, we've updated this page to feature the Helix Midnight as our top pick for side sleepers and the Brooklyn Bedding Signature - Soft as our best soft mattress. The WinkBed remains our best overall mattress for hip pain.

We may earn a commission through products purchased using links on this page. Products or services advertised on this page may be offered by an entity that is affiliated with us. Learn more about our process here

Sleep is a critical time for physical recuperation, but unfortunately, many sleepers find that their mattress contributes to pain in areas such as the hips. This often occurs with old mattresses that have worn out and no longer provide adequate support. If a bed’s firmness level isn’t well-suited to a sleeper’s body type or sleep position, it may create painful pressure points around the hips.

Our selection process for this list involved hands-on testing of many different mattresses to find the ones that are most suitable for addressing hip pain. A key criteria in our search was a bed’s ability to balance pressure relief and support, both of which are important for alleviating hip pain. We also considered factors such as firmness and quality of materials.

Best Mattress for Hip Pain Video

Watch the video below to get a closer look at some of our top mattress recommendations for sleepers with hip pain.

We awarded an accolade for each of our top picks based on criteria such as value, comfort, and other performance factors. If you’d like to learn more about finding an ideal mattress for hip pain, scroll down for our comprehensive buyer’s guide. We cover the specifics of how hip pain affects sleep, how mattresses can increase or decrease hip pain, and which types of mattresses are best for hip pain.

Product Details

Best Overall


Price Range: $1,149 - $2,049
Mattress Type: Innerspring
Firmness: Medium Soft (4), Medium Firm (6), Firm (7), Firm (8)
Trial length: 120 nights (30 night requirement)
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • People with painful pressure buildup in the hips and shoulders
  • Hot sleepers
  • Couples
  • Thick Euro-top cushions the body
  • Four firmness options
  • Reinforced perimeter boosts edge support
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Bottom LineThe WinkBed’s polyfoam layers, coupled with the zoned pocketed coils, provided the right balance of cushioning for the spine and support for the midsection. This mattress appealed to a wide range of testers.

The WinkBed is a hybrid mattress that provides an ideal balance of support and contouring if you experience hip or shoulder pain at night. The thick Euro-top made this a standout model for people on our team who prioritize plush, comfortable surfaces. It’s available in four firmness options, so you should be able to find a model that suits your body type and sleep preferences.

How It Performed

The four firmness levels correspond to medium soft (4), medium firm (6), firm (7), and firm (8). The softest model earned its highest ratings from our side sleepers, while the two firmest models best suited back and stomach sleepers and people weighing over 230 pounds. The medium firm option was the most versatile, suiting side sleepers between 130 and 230 pounds, as well as back and stomach sleepers weighing up to 230 pounds.

The combination of coils and polyfoam allowed the WinkBed to cushion our testers’ pressure points. This helped with spinal alignment without sacrificing bounce or permitting excessive sink, and it also prevented pressure from building up excessively. The SupportCell polyfoam gives an extra touch of support for sleepers who need it. Temperature regulation is above-average, which may appeal to you if you sleep hot.

What It’s Made of

The comfort layer in the three softer models is a Euro-top quilted with two to three layers of gel-infused polyfoam, depending on the firmness of the model. Beneath is a layer of SupportCell polyfoam, which has the contouring properties of conventional polyfoam but with additional firmness. The Softer Winkbed, the softest model, has an additional polyfoam layer to enhance cushioning. Meanwhile, the WinkBed Plus, the firmest model, has a comfort layer composed of polyfoam and latex, which provides generous support.

In all models, the support core features pocketed coils arranged in zones to deliver extra support to the heavier parts of your body. Reinforcements around the perimeter gave the WinkBed a standout level of edge support that kept us stable when lying or sitting near the edge. The bed is encased in a cooling Tencel fabric.

WinkBeds backs this mattress with a 120-night sleep trial and a lifetime warranty. Shipping is free to addresses in the contiguous U.S.

Best Value

Nectar Mattress

Nectar Mattress
Price Range: $399 - $1,138
Mattress Type: Foam
Firmness: Medium Firm (6)
Trial length: 365 nights
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Split King
Who it's best for:
  • Side sleepers
  • People who experience painful pressure buildup during sleep
  • Those seeking a foam bed that retains less heat
  • Phase change material helps reduce heat retention
  • Mixed-foam design provides even balance of contouring and support
  • 365-night sleep trial and lifetime warranty
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Bottom LineIf you like memory foam but need a firmer feel from your mattress, the Nectar should be right up your alley. None of us felt any added pressure buildup in the hips or other areas along the spine.

The Nectar Mattress is an all-foam model that offers very good pressure relief if you experience painful pressure buildup at night. An approachable price-point, year-long sleep trial, and lifetime warranty also make the Nectar a great value for budget shoppers.

How It Performed

The cushioning in the memory foam earned the Nectar high marks from our team’s side sleepers since this sleep position exerts pressure on the hips and shoulders. The foam cushions these areas to reduce pressure buildup that can lead to pain and discomfort. Our back sleepers up to 230 pounds also found the mattress comfortable. This sleep position doesn’t require quite as much cushioning as side sleeping, but the medium firm (6) feel of the Nectar provided enough support to keep our testers on an even surface.

While all-foam beds are known for trapping heat, the Nectar has several cooling features that minimized heat retention during our tests. Phase change material in the memory foam helps maintain temperature neutrality on the bed’s surface, and the quilted cover is designed with a fabric that feels cool to the touch.

What It’s Made of

The Nectar begins with a comfort layer made of gel-infused memory foam. This is followed by a transition layer of polyfoam that offers some contouring but is firmer than the memory foam. Beneath is a support core constructed with high-density polyfoam, which gives the mattress extra support and stability. The mattress stands apart by offering above-average firmness compared to other foam models we’ve tested, making it a good option if you need a balance of cushion and support.

Nectar offers a generous 365-night sleep trial and lifetime warranty. Shipping is free for mattresses delivered within the contiguous U.S.

Most Comfortable

DreamCloud Mattress

DreamCloud Mattress
Price Range: $799 - $1,499
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial length: 365 nights (30-night requirement)
Warranty: Lifetime, limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • People over 130 pounds
  • Sleepers who share the bed
  • Side and back sleepers
  • Quilted foam and cashmere top cushions the hips
  • Memory foam comfort layer spreads out weight to relieve pressure
  • Backed by a 365-night trial period and lifetime warranty
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Bottom LineThe DreamCloud’s adaptive contouring and pressure-relieving abilities are pretty rare for a hybrid model. The thick profile ensured plenty of room for deep foam layers that cushioned our pressure points without sacrificing overall support.

The DreamCloud is a memory foam hybrid mattress with a layer of polyfoam quilted into its cashmere poly-blend cover. This combination of materials made the bed extremely comfortable for many of our testers.

How It Performed

Thanks to its foam comfort system, pressure relief is a key strength of the DreamCloud. This, and the medium firm (6) feel, made the bed a good fit for our side sleepers, who benefit from cradling in their shoulder and hip areas to reduce pressure buildup. Our back sleepers found this bed comfortable, as well, due to the balance of support from the coils and gentle cushioning of the foam.

The reinforced edge prevented us from sinking when we sat or laid on the bed’s perimeter. The mattress also slept fairly cool during our tests, thanks to strong air circulation through the coils. Unlike most other hybrids – particularly those with latex – the DreamCloud felt relatively light and easy to lift and move. The foam layers also absorbed a good amount of motion transfer and noise, making it a solid choice for couples who value motion isolation.

What It’s Made of

The DreamCloud’s construction begins with a breathable cashmere cover quilted with polyfoam for a plush initial feel. Underneath is a memory foam layer infused with cooling gel meant to reduce heat buildup. A polyfoam transitional layer prevents you from sinking too deeply into the mattress. All three layers hug and cushion your body without sagging beneath the shoulders and hips.

Pocketed coils make up the support core, reinforcing the sleep surface and preventing excessive sinkage. The coils also create a supportive perimeter, so you can sleep or sit near the edges without experiencing “roll off.” The coils rest on a polyfoam base layer for stability.

The DreamCloud’s price-point falls beneath the average hybrid model. Free shipping is offered to all customers in the contiguous U.S., and White Glove delivery is available for an additional charge. The mattress is backed by a 365-night sleep trial, one of the longest mattress trials offered anywhere, as well as a lifetime warranty.

Helix Midnight

Best for Side Sleepers

Helix Midnight

Helix Midnight
Price Range: $799 - $1,549
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial length: 100 nights (30-night requirement)
Warranty: 10 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • Hot sleepers
  • Side and back sleepers
  • Value seekers
  • Balanced hybrid design combines adaptive foam layers with robust pocketed coils
  • Perimeter reinforcement limits sinkage when you lie or sit along the edges
  • Customers can upgrade to a GlacioTex phase change cooling cover
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Bottom Line

The Helix Midnight is specifically designed for side sleepers, and our testers who use this position agree the mattress reaches its intended goal. A balanced medium firm feel and gentle contouring from the foam layers should help alleviate pain and pressure in the hips.

Helix Sleep’s mattress line includes more than a dozen hybrid models, all designed with certain types of sleepers in mind. The Helix Midnight is specifically tailored to side sleepers between 130 and 230 pounds. That said, our tests show the balanced feel and strong support make this mattress suitable to a wide range of people across different body types and sleep positions.

How It Performed

During our hands-on tests, most side and back sleepers on our team felt comfortable and adequately supported on the Helix Midnight. Those weighing up to 230 pounds were particularly impressed. Our stomach sleepers weighing less than 130 pounds also awarded the Midnight favorable ratings.

We noticed minimal sinkage when testing the mattress for edge support, and this is largely due to the reinforced perimeter coils. Temperature control was another testing area where the Midnight performed well. The coils should generate enough airflow to keep the entire mattress reasonably cool, whether you use the standard or GlacioTex cover — though we recommend the latter if you’re an excessively hot sleeper or prone to night sweats.

What It’s Made of

The Midnight’s comfort system consists of a memory foam comfort layer over transitional polyfoam. We’ve rated this mattress as medium firm (6), so you should expect light contouring and little to no “hugging.” Pocketed coils and dense base foam make up the support core. The perimeter coils are reinforced to push back against your weight when you lie near the edges or get in and out of bed.

Standard Midnight models come with knit polyester covers. You can upgrade your order to include a cover made of GlacioTex phase change material, which is engineered to capture and release body heat on contact. This addition may be useful for hot sleepers and those who reside in exceptionally warm or humid climates.

The Midnight carries a much lower price-point than the average hybrid model, and shipping is free to all 50 states. Your order includes two Helix Dream Pillows at no extra cost. Helix Sleep’s trial period allows you to test the mattress for up to 100 nights before deciding whether to return it or keep it. If you opt for the latter, you’ll also receive a 10-year warranty against structural defects.

Nolah Evolution 15

Best Pressure Relief

Nolah Evolution 15

Nolah Evolution 15
Price Range: $999 - $1,699
Mattress Type: Hybrid
Firmness: Medium (5), Medium Firm (6), Firm (8)
Trial length: 120 nights (30-night requirement)
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • Side and back sleepers weighing up to 230 pounds
  • People who tend to sleep hot
  • Couples
  • Three firmness options
  • Graphite infusion and coil system promote temperature control
  • Lifetime warranty
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Bottom LineThe Nolah Evolution 15 succeeds largely because of its thick 15-inch profile. This allows for a total of four foam layers that cushioned and contoured to our bodies, as well as a robust coil system.

Nolah’s Evolution 15 is a pillow-top hybrid that offers top-tier pressure relief. Measuring 15 inches thick, this mattress earned high marks from our testers who enjoy the feel of a high-profile bed. The mattress is available in three firmness levels that correspond to medium (5), medium firm (6), and firm (8) on our firmness scale.

How It Performed

If you’re a side sleeper living with hip pain, you will probably prefer the medium or medium firm feels, depending on how much you weigh. During testing, the softest model earned its highest ratings from side sleepers weighing up to 230 pounds, while the medium firm suited testers who weigh more than 230 pounds. Meanwhile, the medium firm and firm should offer sufficient support if you sleep on your back or stomach.

Thanks to its softer feel, the mattress can reduce sleep disruptions if you share the bed with a restless sleep partner. The foams absorb movement when you or your partner change positions or get in and out of bed, resulting in limited motion transfer across the surface. Our heat guns also detected minimal heat buildup on the surface of the mattress, which should appeal to hot sleepers.

What It’s Made of

A Euro-top quilted with polyfoam begins the comfort system, giving the surface a plush feel. Underneath is a comfort layer composed of AirFoamICE, a proprietary polyfoam that contours evenly to your body without hugging too tightly. The foam is also infused with cooling graphite intended to prevent the buildup of body heat. An additional polyfoam layer provides transitional support to prevent excess sinkage.

The support core contains zoned pocketed coils that provide extra strength around your midsection and also reinforce the perimeter against sinkage when you sleep near or sit along the edges. The coils rest on a base polyfoam layer to prevent shifting. A breathable organic cotton cover infused with cooling ArcticTex fibers encases the mattress.

Nolah offers free ground shipping anywhere in the contiguous U.S. Your purchase includes a sleep trial that allows you to test out the Evolution 15 for up to 120 nights, along with a lifetime warranty should you decide to keep the mattress.

Bear Hybrid

Best for Spinal Alignment

Bear Hybrid

Bear Hybrid
Price Range: $1,248 - $1,998
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial length: 120 nights (30-night break-in period)
Warranty: Lifetime warranty
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • Side and back sleepers
  • Those who tend to run hot at night
  • People with active lifestyles or physically demanding jobs
  • Foam layers and coil system provide even balance of support and contouring
  • Cushioned surface generates strong pressure relief
  • 120-night sleep trial and lifetime warranty
Sleep Foundation Exclusive Offer!

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Bottom LineOne thing we liked about the Bear Hybrid was the adaptive yet responsive feel of its mixed-foam comfort system. This mattress is a safe bet if you live with frequent hip pain but don’t want a close body-hug.

Many hybrid beds we test run fairly cool, but the Bear Hybrid takes it a step further with features intended to optimize temperature regulation. The well-rounded design of this foam and coil mattress ensured proper alignment for most of our testers.

How It Performed

With a medium firm (6) feel and strong balance of support and cushioning, this bed was comfortable for most of our side and back sleepers. The comfort system was soft enough to cradle pressure points like our shoulders, hips, and spine, while the coils provided enough support to help us maintain healthy spinal alignment.

The coils allow air to circulate through the bed’s interior, and the Celliant fabric has temperature-regulating properties, earning it high marks in our temperature control tests. These features make the bed a great choice for hot sleepers. We also recommend the Bear Hybrid for couples who value responsiveness for sex. The coils give the mattress a bouncy feel that was easy for us to move across.

What It’s Made of

The mattress begins with a cover made of Celliant fabric, a specialized material intended to promote muscle recovery by converting your body heat into infrared energy. The cover is quilted with a layer of gel-infused polyfoam followed by a layer of adaptive memory foam. These layers together provide a well-cushioned surface that cradles your body.

A transitional layer of polyfoam maintains contouring but is firm enough to push back against your body and prevent deep sinkage. A pocketed coil system in the support core generates firmness and bounce. The coils rest on a base layer of polyfoam for stability.

Bear offers free shipping to locations within the contiguous U.S. All mattresses come with a 120-night sleep trial that allows ample time for customers to try out the bed. Those who decide to keep the mattress receive a lifetime warranty.

Saatva Latex Hybrid

Best Luxury

Saatva Latex Hybrid

Saatva Latex Hybrid
Price Range: $1,245 - $2,830
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial length: 365 Nights ($99 Return Fee)
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Split King
Who it's best for:
  • Eco-conscious shoppers
  • Back and stomach sleepers
  • Hot sleepers
  • Thick latex layer offers bouncy feel
  • Responsive latex and coils relieve pressure buildup
  • Wool and latex offer natural breathable properties
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Bottom LineWe rolled across the entire surface of the Saatva Latex Hybrid and noticed little to no sinkage, even along the edges where many mattresses buckle and dip. The mattress’ thoughtful construction ensured comfort for many of our testers.

The Saatva Latex Hybrid is a standout hybrid model made with high-quality materials. This mattress catered to our testers who prefer mattresses that reduce pressure along the hips, shoulders, and spine but don’t enjoy the close contouring of memory foam. Latex conforms more gently to alleviate aches and pains without the “body hug” many associate with memory foam.

How It Performed

With a medium firm (6) feel, the Saatva Latex Hybrid offers a balance of light cradling and sturdy support that felt most comfortable for the back and stomach sleepers on our team, especially those between 130 and 230 pounds. Side sleepers weighing at least 130 pounds also enjoyed the gentle cushioning for pressure points and supportive feel.

The mattress is well suited to hot sleepers. Latex is naturally breathable, and the coils circulate air throughout the interior to maintain a comfortable temperature. The fire barrier made of moisture-wicking organic wool helps the surface stay cool and keeps your body dry.

Eco-friendly composition is a major asset of this mattress. The latex has earned certifications from eco-INSTITUT and Rainforest Alliance, indicating the rubber trees used to produce the latex are sustainably grown and harvested.

What It’s Made of

The mattress has a Euro-top design that amply cradled our testers’ bodies. A breathable wool layer cushions your body and also wicks moisture. The comfort layer is made from Talalay latex divided into five firmness zones, resulting in added reinforcement around the midsection and cradling for the head, shoulders, and legs. The recycled steel coils in the Latex Hybrid’s support core have a zoned configuration that offers targeted support to your midsection and shoulders. The coils rest on a cotton-wool blend pad that enhances airflow and adds stability. A cover made from GOTS-certified organic cotton encases the mattress.

Saatva provides free White Glove delivery for all orders in the contiguous U.S. This service includes a scheduled delivery date, full assembly in a room of your choice, and removal options for your old mattress and box spring. Every purchase comes with a 365-night sleep trial, giving you plenty of time to test the mattress and a lifetime warranty that covers deep sagging and other structural defects.

Brooklyn Bedding Signature Hybrid - Soft

Best Soft

Brooklyn Bedding Signature Hybrid - Soft

Brooklyn Bedding Signature Hybrid - Soft
Price Range: $699 - $1,499
Mattress Type: Hybrid
Firmness: Medium Soft (4)
Trial length: 
Sizes: Twin, Twin XL, Full, Queen, King, California King, Custom Sizes
Who it's best for:
  • Side and back sleepers up to 230 pounds
  • Hot sleepers
  • People who often sleep near the edges of their mattress
  • Deep foam layers cushion the body to reduce pain along the spine
  • Pocketed coils are reinforced along the edges to limit sinkage
  • Below-average pricing for a hybrid model
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Bottom Line

The Brooklyn Bedding Signature Hybrid – Soft has a plusher, more adaptive feel than many of the other hybrid models we’ve tested. The mattress’ deep cushioning and close contouring should be a good match if you live with frequent pain in your hips and other areas along the spine.

Brooklyn Bedding’s Signature Hybrid is available in three firmness levels. All three have performed well during our tests, but we’re singling out the Signature Hybrid – Soft for people with hip pain. The mattress features thick foam layers that cushion and conform to your body, reducing pressure along the spine in the process, but thick coils with perimeter support help ensure you won’t sink too much.

How It Performed

Our team tested all three versions of the Signature Hybrid. The Soft’s most favorable ratings came from our side sleepers weighing up to 230 pounds and back sleepers weighing less than 130 pounds. If you’re a back or stomach sleeper who weighs 130 pounds or more, we recommend one of the Signature Hybrid’s firmer, more supportive designs.

As a medium soft (4) mattress, this model performed well in many areas where hybrids tend to falter. The foam layers absorbed movement well during our motion isolation tests, so our testers didn’t notice much transfer when lying side by side on the mattress. Testing the Signature Hybrid – Soft for pressure relief, our body sensors detected minimal pressure buildup. We also found that the mattress sleeps reasonably cool for a softer model.

What It’s Made of

The Signature Hybrid – Soft’s comfort system contains a top layer of memory foam over denser transitional polyfoam. The former is infused with cooling gel intended to dissipate body heat and help you sleep cool. In the support core, you’ll find 8-inch pocketed coils and a high-density foam base. The coils are reinforced along the perimeter to help you feel secure lying close to the mattress’ edges and reduce sinkage when you get in and out of bed.

Standard Signature Hybrid – Soft models are encased in breathable cotton covers quilted with a thin layer of foam for extra plushness on the surface. If you sleep exceptionally hot or reside in a warm or humid place, you can upgrade to a GlacioTex phase change cover that feels cool to the touch at all times. Adding the GlacioTex cover increases your sticker price by up to $200.

The Signature Hybrid – Soft is available in 14 different sizes. In addition to standard mattress dimensions, your options include a split California king for couples who share adjustable beds, an Olympic queen for those who need extra width, and several RV-friendly sizes. An approachable sticker price and free shipping for orders in the contiguous U.S. make the Signature Hybrid – Soft a good option for shoppers with limited budgets. Brooklyn Bedding’s sleep trial runs for 120 nights, and the mattress is further backed by a 10-year warranty if you decide to keep it.

Tempur-Pedic TEMPUR-Cloud

Best for Seniors

Tempur-Pedic TEMPUR-Cloud

Tempur-Pedic TEMPUR-Cloud
Price Range: $1,699 - $3,398
Mattress Type: Foam
Firmness: Medium (5)
Trial length: 90 nights (30-night requirement)
Warranty: 10 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Split King
Who it's best for:
  • Shoppers seeking pressure relief
  • Couples
  • Side sleepers weighing less than 230 pounds
  • TEMPUR memory foam relieves pressure points
  • Foam absorbs movement and reduces motion transfer
  • Lower price-point than Tempur-Pedic’s other mattresses
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Bottom LineThe TEMPUR-Cloud is the quintessential memory foam mattress. It cradled our bodies closely but felt more supportive than conventional memory foam beds. It’s perfect for seniors and anyone who needs cushioning for painful pressure points.

Tempur-Pedic is known for its high-quality foam mattresses. The TEMPUR-Cloud features the close-conforming memory foam that the company is known for – but at a lower price-point than other mattresses in the Tempur-Pedic lineup we’ve tested. Our testers enjoyed the foam’s generous contouring, which is ideal for seniors who need a bed that relieves pressure around sensitive or arthritic joints.

How It Performed

The TEMPUR-Cloud ranks as a medium (5) on the firmness scale. Our side sleepers weighing up to 230 pounds found the TEMPUR-Cloud a good fit. Side sleepers who weigh more than 230 pounds and stomach sleepers might find a firmer mattress is better suited to their needs. Besides pressure relief, the mattress excelled in other testing categories, namely motion isolation. The memory foam layers absorbed movement and limited motion transfer across the bed, which may benefit couples and those who toss and turn.

What It’s Made of

The TEMPUR-Cloud’s all-foam construction lends itself well to sleepers seeking pressure relief. The mattress’ comfort system has two memory foam layers, which work together to support and cushion the body. The comfort system sits atop a support core made from high-density polyfoam, resulting in a surface that alleviates pressure points while supporting the spine and lower back. The mattress has a stretchy, breathable, moisture-wicking cover.

Tempur-Pedic ships its mattresses for free to the contiguous U.S. It has a 90-day sleep trial, though customers must sleep on the mattress for at least 30 nights before returning it. Mattress returns carry a $175 shipping charge. The TEMPUR-Cloud Mattress comes standard with a 10-year limited warranty.

SpineAlign Luxury Hybrid

Best for Active People

SpineAlign Luxury Hybrid

SpineAlign Luxury Hybrid
Price Range: $1,249 - $2,250
Mattress Type: Hybrid
Firmness: Soft (3), Medium (5), Firm (7)
Trial length: 120 nights (30-night requirement)
Warranty: 10 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Split King
Who it's best for:
  • Athletes and active people
  • Shoppers who prefer to have firmness choices
  • Sleepers wanting excellent bounce with pressure point relief
  • Pocketed coils provide strong edge support
  • Thick comfort system cushions the hips while redistributing their force
  • Breathable foams minimize heat retention
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Bottom LineThe SpineAlign Luxury Hybrid offers substantial pressure relief and support geared toward athletes, as well as a wide firmness selection. Everyone on our team found at least one firmness level they enjoyed.

The SpineAlign Luxury Hybrid is a leading pick for athletes and active people with hip pain. Available in multiple firmness options, this bed performed well in several of our testing categories. Soft (3), medium (5), and firm (7) options are available, so testers in any position found a version to match their needs.

How It Performed

Depending on the firmness chosen, the SpineAlign suits different sleeper types. The softest model’s deep cushioning best suited our side sleepers weighing less than 130 pounds. Our side sleepers weighing up to 230 pounds, as well as back and stomach sleepers weighing between 130 and 230 pounds, enjoyed the medium model. The firmest model has an even and supportive surface that our back and stomach sleepers enjoyed. This model may also appeal to side sleepers weighing more than 230 pounds.

Each part of the SpineAlign works to stay cool through the night. The foams are infused with gel or copper, and the coils themselves provided plenty of ventilation during our tests. In addition, the cover has a phase change material that holds a comfortable temperature, drawing in or pushing out heat as necessary. Our heat guns detected little heat buildup on the surface.

What It’s Made of

The comfort system of the SpineAlign is 4.5 inches thick and made with three different foams. The top layer is 1.5 inches of copper-infused Energex foam, a latex-like polyfoam that can effectively cradle your hips and other pressure points. The copper infusion is designed to conduct and dissipate excess heat. Next is 2 inches of cooling ArcticPhase polyfoam for extra cushioning. The bottom layer is 1 inch of gel-infused memory foam that acts as a buffer between your body and the coils. The support core is composed of a tall, 8-inch layer of pocketed coils, and underneath the coils is 1 inch of high-density polyfoam. This support core delivers solid edge support and overall sturdiness.

SpineAlign ships free to customers in the contiguous U.S. and gives you 120 nights to test out the bed. A 10-year warranty covers defects in materials and manufacturing.

Why You Can Trust Us

Our team of experts consists of researchers and testers with years of experience in the sleep product industry. To evaluate each mattress, we rely on testers with different body types, primary sleep positions, and firmness preferences in order to create well-rounded product recommendations.

How We Evaluated These Mattresses

To pick our best mattresses for hip pain, we used sensor-based technology that monitors pressure buildup in our testers’ hips. The mattresses listed above earned the highest ratings from our testing crew, but the picks aren’t set in stone. We’ll continue to reassess these mattresses and evaluate new models to ensure all of our guides are accurate and up to date.

If you would like to know more about how we rank our mattress picks, read about our product research methodology below:

  • Motion Isolation: If you regularly experience sleep disruptions from your partner’s movement, a mattress that ranks highly in motion isolation may be a priority for you. Most of these mattresses have thicker comfort systems or foam layers to reduce transfer of movement.
  • Temperature Control: Temperature neutrality is especially important for sleepers who overheat or live in warmer climates. Mattresses made with breathable layers and phase change materials tend to rank higher in this category.
  • Pressure Relief: For sleepers with hip pain, pressure relief is a particularly important feature in a mattress. Thick comfort layers can closely contour the hips to reduce pressure buildup and prevent aches and pains.
  • Off-Gassing: Although off-gassing may be harmless and short-lived, the odors can be aggravating for some sleepers. These bad smells commonly emit from newly unboxed mattresses made from synthetic materials like memory foam or polyfoam.
  • Ease of Movement: This category refers to how easily a sleeper can move around the surface of the bed. Couples and combination sleepers often prefer a mattress with greater ease of movement.
  • Edge Support: Edge support refers to how well a mattress perimeter bears weight without excessive sinking. Supportive edges can be important for sleepers who experience joint pain or who have trouble getting in and out of bed.
  • Sex: This criteria can be an important selling point for sleepers who prefer a bed that helps facilitate movement during sex. Some factors to consider for this category include bounce, ease of movement, noise, and temperature regulation.
  • Body Weight: Body weight can determine the amount of support you need from a mattress. We encourage testing mattresses of varying firmnesses to find your preferred balance of cushioning and support.

How Hip Pain Affects Sleep

Hip pain can have a profound effect on your life. The hip is one of the largest joints in the body, and hip problems can interfere with your mobility and ability to carry out day-to-day tasks.

Unfortunately, hip problems affect a significant number of Americans. In one study, nearly 20% of adults between the ages of 65 and 74 reported suffering from recent hip pain. Around 27% of adults over 45 have evidence of hip degeneration on imaging tests, making them more susceptible to hip pain. Athletes frequently deal with this issue as an estimated 30-40% of them have chronic hip pain.

One consequence of hip pain can be reduced overall sleep quality. Discomfort can make it harder to get settled in bed, and hip pain has been found to be associated with sleep fragmentation and difficulty sleeping on three or more nights per week. Stress and anxiety can be provoked by pain, further affecting sleep. To make matters worse, lack of sleep can make you more inclined to perceive pain, contributing to a negative cycle of discomfort and sleeping problems.

All is not lost, though, because in many cases there are direct steps that can be taken to address both pain and poor sleep. However hip pain arises — acute or chronic, irregular or consistent — it’s helpful to learn more about what causes it and what can help relieve it.

Types and Causes of Hip Pain

Hip pain can occur as a result of a wide range of medical conditions. Some people experience hip pain as a short-term issue while others deal with it over an extended period of months or years.

The pain can be felt in the hip, which may be indicative of a problem inside the actual joint, or around the hip, such as in the buttock or thigh, which is more often associated with issues in the surrounding tissue. Some hip pain is also “referred” from other parts of the body, which means that the problem does not originate directly in or around the hip itself.

The following sections describe some of the most common causes for hip pain; however, this is not an exhaustive list. Because of its effects on quality of life and the possibility that it is connected to a larger health concern, it is important for anyone with hip pain to review their symptoms with a doctor.


Osteoarthritis (OA), commonly referred to as just arthritis, is the degradation of cartilage in a joint that leads to inflammation, pain, and deterioration of the bone. OA of the hip is a serious problem, especially among older adults, and it usually worsens slowly over time with additional wear-and-tear.

Cartilage cannot be regenerated, so treatment for OA is normally focused on managing pain and enhancing mobility through lifestyle changes, physical therapy, and medications. In more severe cases, it may be treated surgically with a procedure like hip replacement. People with OA of the hip are generally advised to avoid activities that can exacerbate pain or stiffness, so having a mattress that adequately cushions the joint and that contributes to stable, healthy alignment of the body can be beneficial.

Though less common, other types of arthritis, such as rheumatoid arthritis (RA), septic arthritis, and juvenile idiopathic arthritis, can also cause hip pain.

Physical Injuries

Direct physical harm to the joint can inflict pain on the hip. Bruising, dislocation, and fracture are examples of injuries that can occur from falls or other impacts. Older adults, who suffer more falls, are at a higher risk of these types of hip problems. People with a condition of thinning bones called osteoporosis are also more prone to hip fractures.

Other physical injuries that can affect the hip include strains and sprains of muscles like the hip flexor or hamstring; bursitis, which is inflammation of the fluid-filled sacs around the hip; tendonitis, which is inflammation of nearby tendons, including in many cases the iliotibial (IT) band that goes along the outer leg from near the hip to the knee; and labral tears, which affect the cartilage around the hip joint. Athletes are at an elevated risk of these types of hip problems because of repetitive use and/or overuse of the joint during training and competition.

With almost all of these physical injuries, it’s important not to aggravate the problem with excess pressure or poor posture. Sleeping on a mattress that is too soft may cause the body to sink out of alignment, straining the tissue around the hip. Sleeping on a mattress that is too firm may generate sharp impact at the joint itself.

Pinched Nerves

Nerves carry signals between the brain and the body, and if they become compressed or damaged, it can stimulate feelings of burning, numbness, and pain. Pinched nerves may cause a type of pain that radiates from one part of the body to another, such as sciatica, which radiates along the sciatic nerve that runs from the lower back into the upper legs.

In a condition called meralgia paresthetica, pressure on the nerve that runs to the skin of the thigh can lead to pain, including around the outer part of the hip. In sacroiliitis, the sacroiliac (SI) joints, which connect the pelvis and spine, are inflamed, which can induce radiating pain felt in multiple areas, including the hips.

Treatment for pinched nerves often involves medication and efforts to eliminate the nerve compression. This can require avoiding certain activities, postures, or positions, and a proper mattress that matches a patient’s body’s needs may play a part in preventing compression in areas with a pinched nerve.


While less common than arthritis, physical injury, and pinched nerves, a handful of other conditions can cause hip pain.

  • Some infections can take root in the bones and joints, causing pain in and around the hip.
  • Different types of cancer can spread to the bones, including in the hip, causing pain and bone degeneration. Leukemia, a type of cancer affecting blood cells, can also be associated with pain, including hip pain in some cases.
  • A lack of blood supply to the bones can cause decay of bone tissue, known as osteonecrosis or avascular necrosis, that results in tiny breaks in the bone and eventual bone collapse.

These issues tend to be related to broader health problems that are less likely to be tied to posture or sleeping position. Most hip pain is not caused by these serious problems, but it is important to review hip symptoms with a doctor who can best diagnose their most likely cause.

Can Sleeping Position Affect Hip Pain?

Sleeping position can affect whether you experience hip pain. Each sleeping position creates areas of vulnerability, and sleepers are wise to account for these when buying a mattress.

Side sleepers put the most pressure on their shoulders and hips, since these joints bear more weight and have direct impact with the mattress. If a mattress is too firm, it won’t accommodate these areas, potentially causing joint pain and throwing the spine out of alignment. If a mattress is too soft, these pressure points will sink in too deeply and fall out of line with the rest of the body.

Stomach sleepers tend to have the greatest vulnerability around the pelvis and lower back. Most people carry more weight around the abdomen, and on a soft mattress, that area can sink in deeply, contorting the lower back in a U-shape that can induce pain around the entire midsection. For this reason, stomach sleepers tend to do best with a firm mattress that has just enough contouring to cushion the pelvis.

Back sleepers are at risk of pain in the lumbar spine. A mattress that is too firm can’t account for the natural curvature of the lower back, but a mattress that is too soft will cause the spine to sink into a U-shape (similar to the risks for stomach sleepers). Improper positioning can cause muscle aches and nerve compression. Consequently, back sleepers generally prefer firmer mattresses with low-to-moderate contouring to cushion the pelvis and shoulders.

Body shape and weight should be considered along with sleeping position. People who carry more abdominal weight and sleep on their back or stomach are at an elevated risk of bad posture on a soft mattress. People who weigh under 130 pounds don’t sink as much into a mattress and can benefit from a plusher feel compared to people who have a higher body weight.

Can a Mattress Cause Hip Pain?

A mattress can contribute to hip pain if it doesn’t give your body the right amount of support. If you have sharp pressure points, it can cause irritation or even pinched nerves. In addition, if your alignment at night is out of whack, your muscles and other tissues can’t truly relax, generating stress and interrupting bodily recovery.

Many factors can contribute to pain, and it’s not always possible to pinpoint just one cause. As a result, it may be a challenge to know for sure if your hip pain is related to your mattress. If you find that the pain is worse when you get out of bed and gradually improves during the day, it may be a sign that your mattress is part of the problem.

Check out our video below to learn more about how a mattress with good pressure relief can minimize hip pain:

How to Tell if You Need a New Mattress

Sometimes, a worn-out mattress is a large contributor to hip pain and other types of pain. After years of use, mattresses will develop permanent impressions in the foam, sagging in the coils, and other signs of wear that can significantly diminish the amount of support a mattress provides. If you experience any of the following signs in addition to your hip pain, it’s likely time for a new bed:

  • You notice impressions, lumps, sagging, rips and tears, or other signs of wear in your bed
  • You tend to roll to the center of the mattress while sleeping
  • You find the couch or other places to sleep more comfortable than your own bed
  • It’s been more than 7 years since you’ve purchased a new mattress
  • You can’t remember the last time you purchased a new mattress

The average mattress lasts from 6 to 8 years, but mattress lifespan varies depending on the quality and materials it’s made of. Cheap memory foam and innerspring mattresses can last as little as 4 years, while higher-quality hybrid and latex models can last as many as 9 or 10.

Whether your hip pain is a direct result of your mattress or not, an old mattress isn’t helping. Most online mattress companies offer sleep trials, which allow you to try the mattress for at least 100 days before committing to it. We recommend making use of this to help ease your hip pain.

Which Type of Mattress is Best for Hip Pain?

The type of support that you get from a mattress is determined largely by the type of mattress that you use. There are five main types of mattresses on the market, and each has pros and cons. The following sections introduce these mattress types, but it’s important to note that performance isn’t uniform within each category. While there are consistent features, the performance of any given mattress will depend on the specifics of its construction, which can vary even within a mattress type.


Definition: The construction of a hybrid starts with its support core, which is made from innerspring coils. In modern hybrids, these are usually pocketed coils. Above the coils is a thick comfort system built with one or more layers. Those layers can include microcoils, memory foam, polyfoam, latex, and other textile materials.
A Bit of Everything: The inclusion of distinct components allows a hybrid to offer some of the best characteristics of other mattress types. The coils improve responsiveness and protect against excess sagging, and the comfort layers provide conforming to relieve pressure and support your spine.


Definition: A coil-based layer is the central component of an innerspring mattress. In the past, innersprings were the most common type of mattress available. These offerings have either no comfort system at all or at most thin layers of materials like foam, cotton, or polyester.
An Economical Base to Build On: Most people with hip pain won’t get enough support from an innerspring alone, but by combining an innerspring and a mattress topper, they can essentially arrange their own hybrid-type mattress to fit their preferences. With the lower cost of innersprings and toppers, they may save money in the process.


Definition: The components of a latex mattress are made with its namesake material. Latex, a type of rubber, can be produced using sap cultivated from rubber trees (natural latex), or it can be made synthetically (SBR latex). For mattresses sold online, natural latex is much more common and is made with either the Talalay or Dunlop process.
Blending Contouring and Resilience: Latex is a bouncy material, which means that these mattresses are easier to move on and generally don’t permit excessive sink. At the same time, they have the ability to compress to suit your body’s weight, conforming to protect your hips and minimize impact at pressure points.


Definition: An internal air chamber forms the support core of an airbed. Air is added or removed using a pump that is controlled by a remote or a smartphone app. The comfort system above the air chamber can be minimal or robust and may include foam, latex, and/or other textiles.
Max Adjustability: Airbeds offer the ability to easily adjust the firmness level, which means that a different feel for your bed is available in an instant. If hip pain flares up, you can make the bed softer to reduce impact, or if you need to sleep on your back or side, you can add air to make the bed firmer.


Definition: A bed is considered foam when all of its internal layers are made of memory foam or polyfoam, sometimes with thin layers of latex or a textile such as cotton, polyester, or wool. There are no innerspring coils in a foam mattress. Foams with more contouring and responsiveness tend to be used in the comfort system.
Outstanding Pressure Relief: Foam mattresses, especially those that utilize memory foam, typically provide excellent pressure relief because of the material’s ability to conform and give proportional cushioning based on how your body’s weight is distributed across the mattress. This reduces pain points and bolsters spinal alignment.

How to Get Relief on a Budget

infographic of reasons why people buy new mattresses

infographic of reasons why people buy new mattresses

If you’ve identified that your current mattress is contributing to hip pain, you’re likely ready to make a change. But at the end of the day, you have to be able to afford a mattress upgrade, and some people may worry that it’s just not in their budget.

Even if you aren’t able to splurge on a luxury mattress, you can still find relief. You can make the most of your spending with the following tips.

Consider Buying a Mattress Online

People who are looking for a mattress online are often surprised by how many affordable options are available. Buying a mattress online has become commonplace today and is consistently growing in popularity.

Part of the reason for this popularity is competitive pricing. Online direct-to-consumer mattresses are often less expensive since the manufacturer isn’t paying for showrooms and additional staff. These “mattress in a box” models are comparable to those sold in brick-and-mortar stores in terms of construction and performance. In addition, competition between sellers means that promotions and discounts are available to offer deals below the retail pricing.

Another benefit to shopping online is that you can take your time and fully research your options. In your living room, there’s no pushy salesperson looking over your shoulder, so it can be a much more pleasant and low-pressure shopping experience. In this context, it’s much easier to compare different options and seek out the best mattress for the money.

A common concern when buying online is that you can’t lie down on the bed before making a purchase. While it’s true that you can’t feel out a mattress through your computer, detailed descriptions and reviews online give a solid idea of what to expect for any given model.

Furthermore, virtually every online mattress comes with a sleep trial that lets you use the mattress at home with the option to return it for a full refund. These no-risk sleep trials usually last for 100 nights or more, and if you decide to make a return, most companies will even come and pick the mattress up from your home.

Shipping is almost always free and uses the “mattress-in-a-box” method. The mattress is compressed inside plastic packaging and mailed to your doorstep in a box. You simply need to move the box to your bedroom, cut away the packaging, and let the bed retake its original size. You can usually sleep on this new bed immediately or at the latest within a few hours.

Shipping the mattress in this way has no effect on its quality or durability, and it eliminates the cost and hassle associated with traditional mattress delivery and installation.

Dozens of brands have an online presence, and that includes many of the major mattress companies that originally built their reputation in brick-and-mortar stores. But no matter whether you’re intrigued by a new mattress brand or a long-time industry player, you can expect to find plenty of quality, affordable options online.

Mattress Toppers

Even if you conclude that a brand new mattress isn’t in your budget, that doesn’t mean you’re out of options. A mattress topper, which goes above your current bed, is another product that switches up the feel of your bed and often comes with a lower price tag.

As the name indicates, a mattress topper sits on top of your existing mattress and under your sheet. It is held in place by straps, an elastic band, or by your fitted sheet. Mattress topper thickness usually ranges from 1 to 4 inches, and most of the time they are made with only one type of material.

Memory foam is among the most popular materials in mattress toppers. It is known for its contouring, allowing the topper to cradle the hips and relieve other pressure points to improve spinal alignment. Polyfoam and latex toppers with slightly less contouring can also work to reduce hip and other pain.

While it’s more affordable, a topper won’t offer all the advantages of a new mattress. It won’t have the coordinated design and layers of a complete mattress, so you may not get all the benefits of materials like latex or memory foam. In addition, if your current mattress is sagging or suffering from other wear-and-tear, a topper won’t fix it; instead, the topper will just sag right along with your old bed.

Overall, a topper can be a useful stepping stone, letting you try out sleeping on a different material. It can also help with pressure relief in the short-term, buying time until your budget allows you to invest in a new mattress.

Try Changing Up Your Sleeping Position

Depending on the cause and nature of your hip pain, you can try to change your sleeping position. For example, if you’re a side sleeper dealing with a bruise or inflammation, sleeping on your back or side, or at the very least avoiding the injured side, may help fight pain.

If you’re a back or stomach sleeper with a soft mattress and can’t afford a new bed, you can try switching to side-sleeping. The softer mattress may be better at cushioning pressure points, including your hips, and keeping your lower back aligned.

Giving a new sleeping position a shot is worth a try, but it won’t always pan out. Many people involuntarily move back to their traditional sleeping position during the night, and in those cases, a long-term sleeping position change may fail to take hold.

Additional Sleeping Accessories for Sleepers With Hip Pain

Along with your mattress, a number of accessories, such as pillows and a bed frame, help shape your sleeping experience. If you don’t have the budget for a new mattress, you can invest in these lower-cost accessories to try to reduce hip pain. Or if you want to fully step up your bedroom, you can get a new bed frame and pillows along with a brand new mattress.


By itself, the wrong pillow can throw off alignment and have a snowball effect on the rest of your spine, including on the lower back area that can radiate pain to the hips. Keeping your head and neck supported and in line with your body is an important part of getting deep, restorative sleep.

The ideal type and size of pillow depends in part on the feel of your mattress. For example, on a plush mattress, your body is likely to sink in more than your head, which means that your neck could hyperextend if the pillow is tall (high loft). General recommendations for the combination of firmness and pillow loft are listed in the table below

Mattress Firmness Pillow Loft Recommended
Soft – Medium Soft Low
Medium Medium
Medium Firm – Firm High

Sleeping position also plays into the best pillow for any given person. The width of the shoulders means that side sleepers have a greater gap between their head and the mattress, making a taller pillow a better fit. Back sleepers want less loft, but a pillow that is too thin may be insufficient for support and can contribute to snoring. Stomach sleepers generally need a very thin pillow to avoid hyperextending the neck.

Sleeping Position Pillow Loft Recommended
Back Medium
Side Medium or High
Stomach Low

Pillows can help provide comfort and support when used in other ways besides just to support the head. When dealing with a physical injury, a light, thin pillow may help cushion any sensitive areas including the hips. Side sleepers who pull their legs upward often benefit from the use of a pillow between their knees. Some side sleepers also like a body pillow that can keep their torso from twisting, which can strain the muscles around the lower back and hips.

Back sleepers can try putting a pillow underneath their knees to take some pressure off of the lumbar area. Depending on their mattress firmness, stomach sleepers may use thin pillows under the abdomen or chest to promote alignment.

Bed Platforms and Bases

The base that your mattress sits on can affect its overall performance. If the bed frame or base is weak or poorly designed, your mattress may start to sag prematurely, reducing the support you need to combat hip pain.

When choosing a new bed base, it is essential to check with the mattress manufacturer about recommended options. If you don’t use the proper foundation, it may detract from performance and void the mattress warranty.

An intriguing option for many people with hip and back pain is an adjustable base. These frames are equipped with motors and a remote that allow you to raise and lower the head and foot of the bed. Some adjustable bases offer heat and massage options as well.

The benefit of an adjustable base is that you can modify your body’s positioning to improve alignment and comfort. For example, back sleepers may slightly raise the head and the legs to decrease pressure on the lower back and hips. A pressure-relieving “zero gravity” setting is available on many adjustable bases.

Not all mattresses are compatible with an adjustable base. Some innersprings are vulnerable to damage if you try to bend them in this way, and some foam or latex mattresses may wear out more quickly if compressed by an adjustable frame. For this reason, it is vital to check with the mattress maker before buying and using this kind of bed base.

Mattress Features To Look For to Relieve Hip Pain

When you get started shopping for a new mattress, you may find yourself confronted with a dizzying array of brands, models, and marketing jargon. Sorting out what’s truly important can be a struggle, but failure to do so can lead you astray, causing you to wind up with a mattress that exacerbates your hip pain.

To keep things simple, focus on certain key factors when considering your options. These can narrow your list down to just a few models that you can investigate in detail to make a final purchase.

  • Mattress Type: As we explained in a previous section, mattress type is a major indicator of likely performance. If you want more conforming to cushion your hips, more bounce to make it easy to move in bed, more firmness adjustability, or any other performance characteristic, look for the mattress category that best suits that preference.
  • Zoned Support: Not all parts of the body need the same cushioning, and this principle drives zoned material construction. Coils or foams can be made to have more give under certain parts of the body, such as the shoulders and hips. Materials with lots of conforming, like memory foam, produce a similar effect through their proportional compression and body cradling.
  • Quality Materials: If you want a mattress that is durable and helps relieve pain, it’s important to look for quality components in all layers of the mattress. Low-quality materials in even just one layer can be a weak link that drags down the bed’s overall performance.
  • Firmness Level: The right comfort level is a critical part of making sure that a mattress fits with your body and sleeping position. It’s also necessary so that your mattress is welcoming and puts you in the right mindset to drift off to sleep at bedtime each night.


Frequently Asked Questions

  • What mattress types are best for sleepers with hip pain?

    The best mattress for hip pain will provide the right balance of cushioning and support for the affected areas. Even contouring around the hips can improve spinal alignment – especially if you sleep on your side – and alleviate pressure points, but reinforcement is needed to prevent excessive sinkage that can exacerbate pain.

    The best practice is to choose a mattress with a firmness level that corresponds to your own weight. People who weigh less than 130 pounds tend to favor softer mattresses, those in the range of 130-230 pounds often prefer mid-level feels, and sleepers weighing more than 230 pounds typically require the added support of a firmer mattress.

    Sleep position is also important to consider. Side sleepers need extra padding around the hips, so a soft to medium feel usually does the trick, while back and stomach sleepers may prefer a medium to firm feel that delivers more support around the midsection. If your mattress feels too soft or too firm and is contributing to hip pain but you don’t want to buy a new bed, a mattress topper with a more suitable feel can be a cost-effective – albeit, temporary – fix.

  • What mattresses are best for side sleepers with hip pain?

    Side sleeping often leads to hip pain and other types of discomfort because this position does not promote spinal alignment as well as back or stomach sleeping. Lying on your side requires cushioning for the spine and added padding for the shoulders and hips to create that pain-relieving balance of contouring and support.

    All-foam and hybrid mattresses with memory foam layers often excel at hip pain relief because this material conforms evenly around the hips. Beds with latex layers don’t contour as closely, but the material is well suited to people who want more support from their sleep surface. That said, side sleepers should also take their weight into account and select a mattress with the right corresponding firmness level.

  • What mattress firmness is best for sleepers with hip pain?

    Since alleviating hip pain requires a balance of contouring and support, a mattress firmness level of medium soft to medium firm should be comfortable for most sleepers. Nailing down a specific firmness may require some trial and error, but beds that are too soft or too firm can contribute to – rather than relieve – hip pain.

    The best firmness also depends on your sleep position and body weight. Keep in mind that side sleepers and lighter individuals typically prefer soft to medium feels, while back and stomach sleepers and heavier people tend to find medium to firm surfaces more comfortable.

  • Can a mattress cause hip pain?

    Just as the right mattress can cushion the hips and alleviate aches and pains, the wrong mattress can exacerbate discomfort in this area.

    Whether a mattress reduces or worsens hip pain depends on a few factors. The best mattress should provide a balance of pressure relief and support, so your body weight and preferred position are just as crucial as mattress construction. Lying on a mattress that feels too soft for your body can lead to excessive sinkage around the midsection, and potentially create new hip pain in the process. If your mattress feels too firm, then you may not get enough cushioning to alleviate your hip pain.

    Side sleepers are more susceptible to hip pain than those who use other sleep positions, since lying on one’s side can interfere with proper spinal alignment. This is especially true for people who weigh more than 230 pounds because they often sink more deeply into their mattress. If you’re a side sleeper with chronic hip pain, we recommend a mattress that offers enhanced support around the midsection. Back and stomach sleepers with hip pain can also benefit from this type of mattress, though these positions are less likely to affect alignment.

Still have questions?

Our product experts have extensive experience testing just about every sleep product on the market. Send an email to [email protected] or call us at (877) 672-8966 with your questions and we’ll help you find exactly what you’re looking for.

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About Our Editorial Team

Keith Cushner

Sleep Product Expert

Keith is a sleep product expert with nearly a decade of experience researching, developing, and testing sleep products.

Jenny Iyo

Physical Therapist


Dr. Iyo is a Doctor of Physical Therapy at an orthopedic clinic in Seattle. She specializes in hands-on therapy and tailored exercise programs.