Sciatica causes radiating pain in the lower back, hips, and legs that may make it difficult to get a good night’s sleep. Nerve pain from sciatica can disrupt your sleep, especially if you experience flare-ups at night. If you have sciatica, you probably know first-hand how difficult it can be to find a position in bed that can minimize your symptoms. 

Finding the right mattress is one way to make sure that your body gets the support that it needs to avoid exacerbating sciatic pain. Although not a cure-all for sciatica, a comfortable and supportive mattress can help you get more restful and restorative sleep.

Our list of the best mattresses for sciatica introduces the models whose performance stood out in our testing and covers key considerations to keep in mind.

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Best Mattress Overall

Luxury Firm WinkBed

9.0 /10

Test Lab Score

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The Luxury Firm WinkBed delivers balanced support that can help people with sciatica get the sleep they need. Its surface stays stable but can gently cradle the joints and lumbar spine to enhance spinal alignment.

Price

$1,499

Mattress Type

Innerspring

Firmness Options

Medium Firm (6)

Trial Period

120 nights (30 night requirement)

Full Details

Who it’s best for:
The Luxury Firm WinkBed delivers solid support for side, back, and stomach sleepers over 130 pounds. It’s also a match for people who want a mattress with strong edge support for sitting or sleeping near the perimeter of the bed.

Feel:
The Luxury Firm model of the WinkBed has a medium firm (6) feel that blends pressure-point relief with moderate bounce and pushback. It resists heat buildup and feels stable across the mattress surface.

What it’s made of:
The WinkBed has a base of durable metal coils. Above the coils are layers of polyfoam, including a layer of lumbar support and gel-infused polyfoam quilted into a Euro-style pillow-top.

What we don’t like:
The Luxury Firm may feel too hard for people under 130 pounds. Sleepers may feel vibrations when their bed partner moves around or gets in or out of bed.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

7.5/10

Above 230 lbs

6/10

We performed a meta-analysis on 8573 validated customer reviews of the Winkbed. This is what people who bought the mattress had to say:

  • Quality of Materials: The mattress is frequently described as well-made, with durable materials that contribute to a good night’s sleep.
  • Cooling Features: Some reviewers mention that the mattress does a good job of regulating temperature, providing a cooler sleep experience.
  • Edge Support: While generally satisfied with the support, a few reviewers note that edge support could be better.
  • Comfort and Support: Many reviewers praise the mattress for its comfort and support, often mentioning relief from back pain and improved sleep quality.
  • Firmness Options: Customers appreciate the variety of firmness options available, finding the right balance for their personal preferences.
  • Value for Money: Many users feel the mattress is worth the investment, offering good value for the quality and comfort provided.
  • Made in the USA: Buyers are pleased that the mattresses are made in the USA, supporting domestic manufacturing.

Best Value Mattress

Nectar Mattress

8.0 /10

Test Lab Score

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With the Nectar Adjustable Bundle, you get both a new mattress and a frame for modifying your sleep posture. This adjustable bed and pressure-relieving mattress can make it easier to find a comfortable sleep position with less strain on the lower back.

Price

$649

Mattress Type

Foam

Firmness Options

Medium Firm (6)

Trial Period

365 nights

Full Details

Who it’s best for:
Nectar’s Adjustable Bundle is a compelling choice for people with sciatica because it enables more experimentation to find an optimal sleeping position. The mattress tends to work best for side and back sleepers under 230 pounds.

Feel:
With a medium firm (6) mattress and a frame that can raise the upper and lower body, the Nectar Adjustable Bundle feels comfortable and supportive. For sciatica sufferers, this bundle may be a step toward pain relief and deeper sleep.

What it’s made of:
Nectar mattresses use memory foam in their top layers for excellent pressure relief. Depending on the model, the base layer is either dense polyfoam or metal coils. The adjustable frame is made of metal and controlled with a remote.

What we don’t like:
The bundle is not available in all standard sizes. Some sleepers over 230 pounds may find the mattress to lack firmness.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7/10

Above 230 lbs

5.5/10

We performed a meta-analysis on 10000 validated customer reviews of the Nectar Mattress. This is what people who bought the mattress had to say:

  • Pain Relief: Many users have reported significant relief from back, neck, and joint pain. The mattress seems particularly beneficial for those with chronic pain, contributing to better overall sleep quality.
  • Free Accessories: Nectar often includes free pillows, mattress protectors, and sheets with the mattress, adding value and convenience for new customers.
  • Suitable for All Weights: The mattress supports a wide range of body weights and sizes without losing comfort or stability, making it versatile for different users.
  • Temperature Regulation: Several reviews indicate that the mattress does a good job of staying cool throughout the night, which is a significant benefit for those who tend to sleep hot.
  • Customer Service: Positive remarks about Nectar’s customer service are common, with many customers feeling supported during the purchasing and setup process.
  • Durability Concerns: While many users find the mattress supportive and comfortable, there are occasional mentions of durability concerns, such as sagging or indentations developing over time, particularly from heavier users.

Best Mattress for Back Pain

Helix Dusk Luxe

9.3 /10

Test Lab Score

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The Helix Dusk Luxe is built to relieve stress and strain on the lower back, which can make a world of difference for people with sciatica. It softens impact around the joints without causing excessive sinkage, and, in the process, promotes a neutral spinal position.

Proprietary photo of the Helix Dusk Luxe in the SleepFoundation testing lab

Price

$1,899

Mattress Type

Hybrid

Firmness Options

Medium Firm (6)

Trial Period

100 nights (30-night requirement)

Full Details

Who it’s best for:
Our testing found that the Helix Dusk Luxe performed extremely well for side and back sleepers of almost any weight. Its sturdy edge support also makes it a good fit for people who frequently sleep or sit near the outside of their mattress.

Feel:
The Dusk Luxe is a medium firm (6) mattress, and its overall feel is a balanced mix of cushioning and pushback. Our testers also felt strong support around the edge and under the heavier parts of the body.

What it’s made of:
The hybrid design of the Dusk Luxe includes one layer of memory foam and two layers of polyfoam. The base of the mattress is constructed with bouncy coils and an underlying layer of shock-absorbing polyfoam.

What we don’t like:
The mattress can feel too soft to many stomach sleepers. Options for cooling covers come at an additional cost.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8.5/10

130-230 lbs

10/10

Above 230 lbs

8.5/10

Back Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Stomach Sleepers

Under 130 lbs

6.5/10

130-230 lbs

8/10

Above 230 lbs

6.5/10

We performed a meta-analysis on 1230 validated customer reviews of the Helix Dusk Luxe. This is what people who bought the mattress had to say:

  • Comfort Level: Many users find the Helix Dusk Luxe mattress to be extremely comfortable, offering a good balance of support and softness, which helps in reducing back and hip pain.
  • Pain Relief: Users have reported significant relief from back, hip, and neck pain, attributing this to the supportive nature of the mattress.
  • Durability Concerns: Some reviewers have expressed concerns about the mattress’s longevity, noting issues such as sagging and loss of support over relatively short periods.
  • Edge Support: Positive comments are made about the edge support of the mattress, allowing users to utilize the entire surface without feeling like they are going to roll off.
  • Cooling Features: The mattress is often praised for its cooling features, helping sleepers maintain a comfortable temperature throughout the night.
  • Customer Service: There are varying experiences with customer service; some report positive and helpful interactions, while others find it difficult to resolve issues through customer support.

Most Comfortable Mattress

Leesa Sapira Hybrid

8.9 /10

Test Lab Score

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If sciatica is affecting your ability to get comfortable, the Leesa Sapira Hybrid may be your ticket to better sleep. With carefully crafted layers, this mattress eases pressure in your lower back while keeping your body even and supported.

Price

$1,599

Mattress Type

Hybrid

Firmness Options

Medium Firm (6)

Trial Period

100 nights (30 night requirement)

Full Details

Who it’s best for:
Offering ample pressure relief, the Sapira Hybrid is great for side sleepers at any weight and back and stomach sleepers under 230 pounds. It minimizes overheating, making it a solid option for hot sleepers, too.

Feel:
The Leesa Sapira Hybrid is medium firm (6) and provides gentle cushioning for high-impact zones like the hips, midsection, and shoulders. At the same time, it has plenty of springiness and stability to resist sinkage.

What it’s made of:
The top section of the mattress uses four distinct layers of foam, including memory foam and ventilated polyfoam. The support core includes tall innerspring coils and a base layer of high-density foam for extra stability.

What we don’t like:
Back and stomach sleepers over 230 pounds often find the mattress to be too soft. Its price-point exceeds the budget of some shoppers.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

7.5/10

Above 230 lbs

6/10

We performed a meta-analysis on 2257 validated customer reviews of the Leesa Sapira Hybrid. This is what people who bought the mattress had to say:

  • Comfort and Support: Many reviewers mention the mattress’s blend of comfort and support, often highlighting its suitability for side and back sleepers, and its ability to alleviate or prevent pain (back, hip, or shoulder).
  • Temperature Regulation: Several users appreciate that the mattress does not retain excessive heat, making it comfortable for those who tend to sleep hot.
  • Durability and Longevity: Positive comments on how the mattress maintains its shape and comfort over several years without sagging or indentations.
  • Motion Isolation: Couples often point out the mattress’s ability to minimize motion transfer, allowing partners to move without disturbing each other.
  • Odor and Off-gassing: Some mention initial off-gassing smells upon unpacking, but most report that the odor dissipates quickly.
  • Edge Support: Good reviews on the edge support of the mattress, which is important for those who sit on the edge of the bed or sleep near the edge.
  • Value for Money: Many users feel that the mattress provides good value for the price, especially given its comfort and durability features.

Best Mattress for Side Sleepers

Nolah Evolution 15

8.8 /10

Test Lab Score

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The Nolah Evolution delivers essential support for side sleepers with sciatica. It has the right level of cushioning to keep the hips and shoulders aligned and reduce the risk of sciatica flare-ups.

Price

$1,624

Mattress Type

Hybrid

Firmness Options

Medium (5), Medium Firm (6), Firm (8)

Trial Period

120 nights (30-night requirement), $99 return pickup fee

Full Details

Who it’s best for:
The Nolah Evolution 15 is effective for most side sleepers, who usually prefer the luxury firm (6) feel. People under 130 pounds may prefer the medium (5) option, and some side sleepers over 230 pounds may want the firm (8) model.

Feel:
Our testing team found that the Nolah Evolution 15 has an inviting feel, supporting hot spots like the midsection and lower back. Firmness varies by model with medium (5), medium firm (6), and firm (8) options.

What it’s made of:
This mattress checks in at 15 inches tall. Its comfort layers include four layers of resilient polyfoam that create cushioning without sinkage. The support core is made with tall pocketed coils that are reinforced to bolster the heaviest parts of the body.

What we don’t like:
The mattress is taller than most and may require sheets with deep pockets. Nolah charges a $99 fee for return shipping.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

7.5/10

Above 230 lbs

6/10

We performed a meta-analysis on 897 validated customer reviews of the Nolah Evolution 15. This is what people who bought the mattress had to say:

  • Motion Isolation: Couples frequently mention that the mattress is good at isolating motion, making it less likely for one partner to disturb the other during the night.
  • Edge Support: The edge support of the mattress is frequently highlighted, with many finding it adequate for sitting or sleeping near the edge without feeling like they will roll off.
  • Softness: Many reviewers discuss the softness of the mattress. Some find it too soft, causing discomfort, especially for heavier individuals, while others appreciate the plushness.
  • Comfort and Support: Several users mention that the mattress provides excellent comfort and support, helping alleviate or prevent back and joint pain.
  • Heat Retention: A few reviewers note that the mattress retains heat, making it uncomfortable for some, particularly in warmer climates or for those who sleep hot.
  • Durability and Quality: Users often comment on the high quality and durability of the mattress, noting that it maintains its shape and comfort over time.

Best Mattress for Spinal Alignment

Bear Elite Hybrid

8.5 /10

Test Lab Score

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The Bear Elite Hybrid has a well-designed mix of layers that encourage healthy spinal alignment. As an added bonus, its specialty materials are crafted to sleep cool and contribute to overnight muscle recovery.

A picture of the Bear Elite Hybrid Mattress in Sleep Foundation's test lab.

Price

$1,499

Mattress Type

Hybrid

Firmness Options

Medium (5), Medium Firm (6), Firm (8)

Trial Period

120 nights (30-night break-in period)

Full Details

Who it’s best for:
This mattress is a top pick for sleepers looking for support, pain relief, and a comfortable sleeping temperature. Its materials work together to gently cradle the joints, aid spinal alignment, and combat heat buildup.

Feel:
Cooling comfort is a hallmark of the Bear Elite Hybrid. Coils create springiness and sturdiness while memory foam lightly cradles the body to relieve joint pressure. The overall feel varies based on the firmness option you select.

What it’s made of:
The mattress includes copper-infused memory foam and zoned polyfoam in its top layers. Dense polyfoam and thick coils serve as its base of support. The cover features a special fabric called Celliant intended to enhance muscle recovery and temperature control.

What we don’t like:
Some fitted sheets won’t fit this 14-inch-tall mattress. A noticeable smell from the foam materials usually lasts for up to a few days after unpacking the mattress.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7/10

Above 230 lbs

5.5/10

We performed a meta-analysis on 3703 validated customer reviews of the Bear Elite Hybrid. This is what people who bought the mattress had to say:

  • Comfort and Support: Many reviewers highlight the mattress’s balance of comfort and support, often mentioning relief from back pain and improved sleep quality.
  • Firmness Options: Customers appreciate the various firmness options, with some opting for firmer versions after experiencing discomfort with medium firmness.
  • Temperature Regulation: Several reviews note the mattress’s ability to stay cool, which enhances sleep quality, especially in hot weather.
  • Size and Upgrade Options: Customers are pleased with the availability of different sizes and the option to upgrade, which provides flexibility for different needs and preferences.
  • Quality of Additional Products: Positive remarks on the quality of accompanying products like pillows and sheets, which are often included as free additions.
  • Miscellaneous: Some mixed reviews on edge support and occasional comments about the mattress being too firm or too soft for some users’ preferences.

Best Mattress for Pressure Relief

Brooklyn Bedding Signature Hybrid

8.4 /10

Test Lab Score

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The Brooklyn Bedding Signature Hybrid offers people with sciatica a great combination of cushioning and support. This makes for a mattress that relieves pressure, especially around the lower back and hips.

Price

$999

Mattress Type

Hybrid

Firmness Options

Medium Soft (4), Medium Firm (6), Firm (8)

Trial Period

120 nights (30-night requirement)

Full Details

Who it’s best for:
This mattress is best for side and back sleepers who struggle with sciatica. With three firmness levels, most sleepers can find a model that feels comfortable and aligns with their sleep needs.

Feel:
The Signature Hybrid has a responsive feel, meaning you’ll notice a degree of bounciness in addition to modest cushioning. It will feel more like you’re sleeping on top of the mattress rather than sinking into it.

What it’s made of:
This mattress has a plush quilted cover which sits on top of two polyfoam layers that offer exceptional pressure relief. The pocketed coils make up a support core that provides essential support for your body weight.

What we don’t like:
There’s a $99 fee for returns. Foam materials can make it harder to move on the mattress, especially on the softer models.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7/10

Above 230 lbs

5.5/10

We performed a meta-analysis on 10000 validated customer reviews of the Brooklyn Bedding Signature Hybrid. This is what people who bought the mattress had to say:

  • Comfort and support: Many reviewers mention that the mattress is very comfortable and provides good support for various sleeping positions.
  • Improvement in sleep quality: Several users report a significant improvement in sleep quality, including better rest and reduced pain.
  • Firmness options: People appreciate the availability of different firmness levels, and some discuss their experiences with medium, firm, or pillow-top options.
  • RV suitability: A number of reviews specifically mention using the mattress in RVs, noting it as a substantial upgrade from typical RV mattresses.
  • Initial odor/smell: Some reviewers note a mild odor upon unpacking, but it typically dissipates quickly.
  • Edge support: The mattress is often noted for having good edge support, which is particularly valued by those who sit on the edge of the bed.
  • Price and value: Many reviewers feel the mattress is well-priced for the quality and comfort it provides.
  • Durability concerns: A few reviewers express concerns about how the mattress will hold up over time, although these comments are not widespread.

Best Luxury Mattress

Saatva Rx

8.7 /10

Test Lab Score

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The Saatva Rx offers multiple levels of luxury. Not only does its innovative design provide a regal, cloud-like sleep surface, but it comes with free installation for painless and stress-free setup.

Product page photo of the Saatva Rx

Price

$2,801

Mattress Type

Hybrid

Firmness Options

Medium Soft (4)

Trial Period

365 Nights ($99 Return Fee)

Full Details

Who it’s best for:
The Saatva Rx is a near-perfect match for side sleepers under 130 pounds. Its support and cushioning also works for many back and stomach sleepers under 130 pounds as well.

Feel:
The Saatva Rx has an inviting medium soft (4) feel that deeply cushions your body without feeling suffocating. A reinforced lumbar area creates support instead of sinkage around the lower back.

What it’s made of:
This mattress has a unique hybrid design. The top layers include thick polyfoam and lumbar padding with quilted fabric and gel-infused memory foam. Micro-coils rest on top of metal coils, each of which is topped with a small piece of foam that reinforces support and limits vibration on the mattress surface.

What we don’t like:
The plush feel lacks firmness for many sleepers, including most people over 230 pounds. The Saatva Rx has a luxury price-point, and Saatva charges $99 if you decide to return the mattress.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8.5/10

130-230 lbs

8/10

Above 230 lbs

8.5/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

7/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

7.5/10

130-230 lbs

7/10

Above 230 lbs

7.5/10

We performed a meta-analysis on 40 validated customer reviews of the Saatva Rx. This is what people who bought the mattress had to say:

  • Comfort and Support: A significant number of reviewers mentioned the comfort and support provided by the Saatva Rx mattress, particularly for those with chronic pain or orthopedic issues. Users reported significant improvements in sleep quality and reductions in pain.
  • Product Quality: Feedback on the quality of the Saatva Rx mattress was overwhelmingly positive. Reviewers felt that the mattress was well-made and worth the investment, often citing the materials and construction as superior to other brands.
  • Temperature Regulation: Some reviewers appreciated the temperature regulation features of the mattress, noting that it stayed cooler than other mattresses they had used, which contributed to a better sleep experience.
  • Issues with Firmness and Support: While most feedback was positive, a few reviewers noted issues with the firmness and support of the mattress, particularly concerning edge support and suitability for lighter individuals. These were minor compared to the overall positive feedback but were important for some buyers’ comfort.
  • Return and Exchange Policy: Saatva’s return and exchange policy was frequently mentioned as a positive aspect, with customers feeling reassured by the ability to return or exchange the mattress if it did not meet their needs. This policy enhanced customer confidence in making a purchase.

Best Mattress for Hip Pain

Birch Luxe

8.9 /10

Test Lab Score

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If you have sciatic pain that radiates around your hip, you may find relief from the balanced support of the Birch Luxe. Its combination of natural and high-end materials offers a soothing blend of responsiveness, joint cushioning, and support for the lower back.

A picture of the Birch Luxe Mattress in Sleep Foundation's test lab.

Price

$2,099

Mattress Type

Latex Hybrid

Firmness Options

Medium Firm (6)

Trial Period

100 nights (30-night requirement)

Full Details

Who it’s best for:
The Birch Luxe is a leading option for eco-conscious shoppers. It also provides high-end performance that suits side sleepers over 130 pounds and most back and stomach sleepers under 230 pounds.

Feel:
The Birch Luxe is medium firm (6) and gives light cushioning to the body, including targeted support for pain points like the hips. It has impressive edge support and sleeps incredibly cool.

What it’s made of:
The mattress includes multiple layers of organic wool on top of two different layers of responsive organic latex. The support core is made with pocketed coils and a base of wool batting. The cover is quilted with organic cotton and wool.

What we don’t like:
The bounce of the Birch Luxe can transfer vibrations from a partner’s movement across the surface of the bed. Its price may not be affordable to many shoppers.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

6/10

130-230 lbs

8/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

6.5/10

130-230 lbs

8.5/10

Above 230 lbs

8.5/10

Stomach Sleepers

Under 130 lbs

6.5/10

130-230 lbs

8.5/10

Above 230 lbs

8.5/10

We performed a meta-analysis on 163 validated customer reviews of the Birch Luxe. This is what people who bought the mattress had to say:

  • Organic and Eco-Friendly: The mattress is appreciated for being made from natural materials, which is a significant plus for environmentally conscious consumers and those sensitive to chemicals.
  • Heat Regulation: Several users have noted that the mattress does not retain heat, making for a cooler sleeping experience compared to other brands.
  • Motion Isolation: Couples have reported that the mattress does a good job of isolating motion, meaning that partners are not disturbed by each other’s movements during the night.
  • Heavy and Difficult to Set Up: Some negative feedback includes the mattress being heavy and difficult to set up, which could be a challenge for some buyers.
  • Price: The mattress is more expensive than other options, but many users feel that the quality and comfort justify the cost.
  • Customer Service: There are mixed reviews on customer service, with some customers experiencing great service, while others faced challenges, particularly concerning delivery and handling issues.

Best Mattress for Combination Sleepers

iSense Hybrid Premier

8.6 /10

Test Lab Score

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The iSense Hybrid Premier caters to people with sciatica who switch between different sleeping positions or whose firmness needs change along with their symptoms. With this mattress, you can adjust firmness in real-time to enhance comfort and spinal alignment.

Price

$3,999

Mattress Type

Hybrid

Firmness Options

Soft (3), Medium Soft (4), Medium (5), Medium Firm(6), Firm (7)

Trial Period

180 Night

Full Details

Who it’s best for:
Because its firmness level is adjustable, the iSense Hybrid Premier can meet the needs of almost any sleeper. It is especially suited to combination sleepers. Couples also love that each side of the bed can have a different feel.

Feel:
The iSense Hybrid Premier can feel anywhere from soft (3) to firm (7) based on how you set the firmness level. It provides light contouring for the joints and has above-average edge support.

What it’s made of:
This hybrid mattress has a top layer of gel-infused polyfoam above a 5.5-inch air chamber that can be inflated or deflated in the moment to adjust firmness. The support core includes pocketed innerspring coils that rest on a vibration-absorbing layer of dense polyfoam.

What we don’t like:
The price of this mattress puts it out of reach for many shoppers. It also can’t be set to extra firm (8-9) levels, which may disappoint some sleepers over 230 pounds.

Scoring Breakdown

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

9/10

130-230 lbs

8/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

9/10

130-230 lbs

8/10

Above 230 lbs

6.5/10

Stomach Sleepers

Under 130 lbs

8/10

130-230 lbs

7.5/10

Above 230 lbs

6.5/10

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Best Mattress Overall

Luxury Firm WinkBed

9.0 /10

Test Lab Score

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A strong all-around mattress that offers essential cushioning and support to people with sciatica.

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Best Value Mattress

Nectar Mattress

8.0 /10

Test Lab Score

Up to 50% off mattresses at Nectar

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An affordable solution for people with sciatica needing to upgrade their sleep setup.

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Best for Back Pain

Helix Dusk Luxe

9.3 /10

Test Lab Score

Up to 30% off mattresses + 2 free pillows

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Comfort, bounce, and back support create an appealing combination for people with sciatica.

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Most Comfortable

Leesa Sapira Hybrid

8.9 /10

Test Lab Score

Up to 25% off + 2 free pillows with mattress purchase

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Thoughtful construction plus quality materials equals a truly comfortable and supportive mattress.

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Best Mattress for Hip Pain

Nolah Evolution 15

8.8 /10

Test Lab Score

35% off mattresses + 2 free pillows

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Dependable cushioning of the hips and shoulders that enhances sleep posture for side sleepers.

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Best for Spinal Alignment

Bear Elite Hybrid

8.5 /10

Test Lab Score

35% off + 2 free pillows. Use code: SF35

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Pressure relief and targeted support combine to optimize spinal alignment.

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Best for Pressure Relief

Brooklyn Bedding Signature Hybrid

8.4 /10

Test Lab Score

30% off sitewide with code: FLASH30

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Meaningful pressure relief from a well-built hybrid with a spring in its step.

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Best Luxury Mattress

Saatva Rx

8.7 /10

Test Lab Score

Save up to $600

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Cloud-like comfort from a luxurious hybrid with a unique combination of materials.

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Best for Hip Pain

Birch Luxe

8.9 /10

Test Lab Score

25% off sitewide + 2 free pillows

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Robust, eco-friendly materials provide exceptional support to the hips and other joints.

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Best for Combo Sleepers

iSense Hybrid Premier

8.6 /10

Test Lab Score

20% off sitewide

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Adjusting firmness in real-time keeps you supported even when you switch sleeping positions.

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Watch Video: We Tested the Best Mattresses for Sciatica – Here Are Our Favorites

Watch the video below to get a closer look at some of our top mattress picks for sleepers with sciatica.

Read our mattress profiles below to learn more about our top picks and how they might benefit people who experience sciatica. We also offer a comprehensive buyer’s guide to finding mattresses that can help with sciatica pain. Our guide dives into the different ways a mattress can impact sciatica pain and provides tips on how to pick a mattress for your body type, preferred sleep position, and other factors.

Expert Tested. Sleeper Approved.

4,000 sleep products — and nearly 2,000 of them are mattresses. 

As product experts, we stay up to date on the latest news in sleep science and product trends. We use this knowledge to fuel our data-backed recommendations. Many of our testers have worked directly with mattress manufacturers and visited actual mattress factories. On occasion, a sleep health expert might stop by to tweak a firmness rating.

When we test a mattress, we collect data across six major performance categories and combine these results with real-world feedback. We use tools and tech to monitor features like heat retention, motion isolation, and pressure mapping. In order to ensure our findings are inclusive of all sleepers, our team consists of people with varying body types and sleep positions.

Mattresses aren’t one-size-fits-all. The perfect bed for you is going to depend on general points like your body weight and sleeping position, as well as unique points like if you have back pain, if you sleep hot at night, or if you just like the feel of latex over memory foam. Our goal at the Test Lab is to help take the guesswork out of your mattress-buying process.

What Does Someone With Sciatica Need From Their Mattress?

If you have sciatica, you need a mattress that properly cushions and supports your body to decrease the chances of waking up to a bad pain day. Sleeping with your spine in a healthy position is especially important. Spinal misalignment or prolonged contact with an unyielding surface during multiple hours of sleep can heighten pressure on the sciatic nerve in your back and may trigger or exacerbate pain

When shopping for a mattress, considering factors like pressure relief, responsiveness, edge support, and durability can help identify a mattress that helps reduce sciatic pain.

Pressure Relief

Pressure relief provides cushioning around impact points like your lower back, hips, and shoulders. Having enough cushioning can help take pressure off the sciatic nerve. That said, it’s important to balance pressure relief with support. Maintaining neutral spinal alignment in bed can help stop a pinch point from developing around your sciatic nerve. 

If you have sharp pressure points, you may want a material like memory foam that closely contours to your body, though polyfoam, latex, and innerspring coils can also provide beneficial pressure relief.

Responsiveness

A responsive mattress offers bounciness that makes it easier to move on the surface of the bed. If you have sciatica, responsiveness lets you quickly adjust your sleeping position to get comfortable. A bouncier mattress also helps keep you from feeling stuck in any one position. Latex and coils are known for being responsive.

Edge Support

Solid edge support can reduce stress on your lower back by making it easier to get in and out of bed. A reinforced perimeter also provides peace of mind that you have the stability and support you need, no matter where you lie down on the mattress surface.

Durability

Durability matters if you have sciatica because a worn-out mattress may develop body impressions or start to sag. A sagging mattress can’t provide proper cushioning or support, and this jeopardizes spinal alignment and raises the risk of placing excess pressure on the lower back and sciatic nerve. 

What Else Should You Consider in a Mattress for Sciatica?

We’ve found that considering a handful of specific factors can help you find the best mattress for sciatica. These include mattress type, firmness, sleeping position, body weight, and policies related to returns and warranties.

Best Mattress Types for Sciatica

Materials are the biggest driver of mattress performance. We classify mattresses based on their internal construction and layering. If you experience sciatica, knowing the pros and cons of each mattress type can help you pick the best option for your bedroom.

Foam

The layering of a foam mattress usually involves softer polyfoam or memory foams on top of a thicker and denser polyfoam base.

Memory foam offers impressive contouring that can help relieve pressure near the sciatic nerve, but some people find this material allows too much sinkage to feel supportive. By contrast, polyfoam can be formulated in different ways but tends to have less contouring and sink.

Hybrid

A hybrid mattress places materials like foam or latex above a thick support core made with innerspring coils. The performance of a hybrid can vary depending on its top layers, but these mattresses often appeal to people with sciatica because they offer a blend of responsiveness and pressure relief. 

Latex

A latex mattress involves one or more layers of either natural or synthetic latex rubber. Latex is known for being bouncy and durable, two important characteristics for a mattress for sciatica. Latex does not contour to the body as closely as other foams, but it provides solid support for many sleepers.

Airbed

An airbed’s support core is made of air chambers that can be inflated or deflated in real-time at the touch of a button. Adding or removing air changes the bed’s firmness level. This makes it possible for people with sciatica to zero in on the optimal firmness at any given moment. However, airbeds tend to be more expensive than other mattresses, and their overall performance can vary based on the materials layered on top of the air chambers.

Choosing the Right Firmness for You

For most people with sciatica, a medium to medium firm mattress is often the best option because it can properly cushion and support the area around the sciatic nerve in the lower back. A mattress that is too firm can cause excess impact in the lumbar area, and a mattress that is too plush may cause the body to sink, pulling the spine out of alignment. 

At the same time, firmness is inherently subjective. What feels most comfortable to you may not feel right for someone else. The ideal firmness can also vary based on your weight and preferred sleep position.

How Sleeping Position and Body Weight Play a Role

When you are experiencing sciatica, your sleeping position impacts your pressure points and support needs. 

Sleeping on your side can promote spinal alignment if your mattress can relieve pressure around your hips and shoulders. Since sciatica is usually worse on one side, sleeping on the other side may present a good solution for keeping pressure off tender areas. Sleeping on your back or stomach can strain the lower back unless your mattress has cushioning for the lumbar area along with enough firmness to keep the abdomen from sinking into the bed. 

Another factor that can determine the right firmness level is your body weight. If you weigh over 230 pounds, you will sink more deeply into many mattress materials, which means a firmer mattress usually delivers better support. If you weigh under 130 pounds, a softer mattress may be necessary to get sufficient cushioning and contouring.

Shipping and Delivery Services

Because sciatica can make it difficult to lift and maneuver heavy items, it’s worth thinking ahead about shipping and delivery of a new mattress. You may want to spring for White Glove delivery, which includes setup of your new mattress and removal of your old one. A few companies include this service for free, but usually it comes with an extra cost. 

If you can safely lift and move heavy objects, you can opt for free standard shipping that is offered by most online mattress companies. With this option, the mattress is compressed to fit in a box that is delivered to your front door. Once you carry the box to your bedroom and remove the packaging, the mattress gradually decompresses to regain its full size.

Sleep Trials and Warranties

A sleep trial gives you a period of time to try a mattress with the option to return it for a refund. If you have sciatica, this allows you to make sure the mattress provides the comfort and support you need before committing to it long-term. Most online mattresses come with a sleep trial of around 100 days, but some trials last as long as a year. 

A warranty is a type of purchase protection in case your mattress is faulty or defective. If your mattress starts to break down prematurely, it could trigger sciatic pain. If that happens, a robust warranty can help you get your mattress repaired or replaced without the significant expense of buying a new mattress.

Tips for Relieving Sciatica Pain During Sleep

Although dealing with sciatica can be a challenge, we’ve found that taking certain steps can complement the purchase of a good mattress and help provide relief for sciatic pain during sleep.

Talk to Your Doctor

Sciatica is usually caused by an underlying health issue, which makes it essential to work with your doctor to try to find pain relief. While upgrading your mattress may be helpful, it’s not a medical treatment, and only your doctor can provide tailored medical advice to address sciatica and enhance your sleep.

Use Pillows for Extra Support

To find the best sleeping position, it may help to have extra pillows that can support different parts of your body. This could include a pillow between your knees if you sleep on your side, a pillow under your knees when sleeping on your back, or a body pillow that you use to help you stay in a more comfortable position. Research suggests that elevating the upper body may help relieve sciatica pain.

Add a Mattress Topper or Pad

A mattress topper or pad can modify the feel of your bed in a way that may provide sciatica relief. 

A mattress pad is thin and normally only adds a touch of extra softness. A heated mattress pad has thin, built-in wires that provide moderate warmth, which some people with sciatica find comforting.

Toppers are several inches thick and can more dramatically change mattress performance, such as by adding contouring pressure relief or bounce. 

While a mattress topper or pad can be useful, remember that these products can’t make up for a mattress that is breaking down or sagging.

Do Stretches Before Bed

Light stretching may relieve tension before getting into bed. Be careful not to push too hard or do any stretches that make your pain worse. You can ask your doctor or a physical therapist for a personalized list of stretches. Generally, for sciatica, experts recommend stretches to improve spinal flexibility and strengthen the back and core muscles.

Dive Deeper – In-Depth Mattress Guides

Data-Driven Results You Can Trust

We don’t take mattress recommendations lightly. Our testing team specializes in understanding how mattress construction impacts performance for sleepers with different needs. We apply years of knowledge and experience as we personally research and test different mattresses. 

People on our testing team have different preferences, body sizes, and sleeping positions, which allows our team to provide the most well-rounded evaluations. We draw on this thorough methodology to determine the best mattresses for specific groups, including people with sciatica.

Frequently Asked Questions

How does sciatica affect sleep?

Sciatica affects sleep because it can cause significant pain and numbness. This discomfort can make it hard to fall asleep or stay asleep through the night. Many people find that sciatica pain flares up at night, worsening the impact of sciatica on sleep.

Can a mattress cause sciatica?

A mattress isn’t a likely cause of sciatica, which happens when the sciatic nerve in the lower back becomes damaged. This nerve damage can occur from an underlying problem, like a herniated or slipped disc. Even though a mattress might not initially cause sciatica, it may worsen the pain or contribute to the pressure placed on the sciatic nerve. 

Is a soft or firm mattress better for sciatica?

The optimal firmness for sciatica depends on your preferences, sleeping position, and body weight. In many cases, a medium or medium firm mattress is best for sciatica. A firm mattress may be better if you weigh over 230 pounds or sleep on your back or stomach. A softer mattress may be a better choice if you weigh under 130 pounds and sleep on your side.

What is the best sleeping position for sciatica?

There is no single best sleeping position for sciatica. Sleeping on your back, side, or stomach can be a good sleeping position as long as your body gets the right amount of cushioning and support to maintain proper spinal alignment. If your sciatica is worse on one side, you may find it more comfortable to sleep on the other side.

Still have questions?

Our product experts have extensive experience testing just about every sleep product on the market.

Send an email to [email protected] with your questions and we’ll help you find exactly what you’re looking for.

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