For many who suffer from back and joint pain, a lack of quality sleep can exacerbate pain and create a harmful cycle of pain and poor sleep. Sometimes, simply sleeping on the wrong mattress can trigger back and neck pain.

If you’re experiencing discomfort, you should speak with your doctor to assess the potential causes and treatment options. However, a quality orthopedic mattress that is suited to your body and sleep preferences can play a role in preventing mattress-related back, neck, and joint pain. The right model can help alleviate pressure and promote spinal alignment, reducing or preventing aches and pains and enabling a deeper, more restorative sleep.

Many shoppers struggle with selecting an orthopedic mattress due to the overwhelming number of options. We’ll highlight some of the best orthopedic mattresses and explain what to look for to help you find a model that will work best for your body and sleep preferences

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Best Mattress Overall

WinkBed

8.9 /10

Test Lab Score

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The WinkBed scores highly in almost every performance category, boasting liberal airflow, responsiveness, and stellar edge support for getting in and out of bed. It’s built with durable materials that resist sagging to stay supportive over time.

Price

$1,499

Mattress Type

Innerspring

Firmness Options

Medium Soft (4), Medium Firm (6), Firm (7), Firm (8)

Trial Period

120 nights (30 night requirement)

Full Details

Who It’s Best For

With four firmness options to choose from, including one conceived for sleepers over 250 pounds, the WinkBed is suitable for sleepers of virtually any sleeping position and body type looking for an orthopedic mattress.

Feel

The WinkBed lends a sturdy hand to support good posture as you sleep, with thick layers of cushioning in your preferred firmness to prevent pressure buildup before it happens.

What It’s Made Of

Construction among the different WinkBed models varies slightly. In general, the mattresses start out with a Euro-top containing several layers of polyfoam or latex with added padding under the lower back. All four models have a zoned coil support core with reinforced edges and a breathable Tencel cover.

What We Don’t Like 

Due to its hefty size and weight, people with limited mobility may need help rotating the mattress when needed. Some motion transfer can be expected when sharing the bed with a partner, especially on the firmer models.

Scoring & Reviews

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

Brooklyn Bedding Signature Hybrid

8.4 /10

Test Lab Score

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The Brooklyn Bedding Signature Hybrid soft and medium models perform predictably well for people under 230 pounds, but we find the bed stands out for its firm (8) model, which provides orthopedic-level support for stomach sleepers and people over 230 pounds. If you often have trouble finding a firm enough mattress, you’ll be pleasantly surprised with this model. The bed sleeps cool and boasts strong edge support, and is priced much lower than the average hybrid.

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

Side sleepers and those weighing less than 230 pounds receive strong pressure relief from the soft and medium models. In turn, the firm and medium models deliver needed spinal support for back and stomach sleepers over 130 pounds.

Feel

The Brooklyn Bedding Signature Hybrid offers moderate cushioning with a fairly bouncy surface for an easier time switching positions. Shoppers can choose between medium soft (4), medium firm (6), or firm (8) models.

What It’s Made Of

A quilted cotton cover followed by two layers of polyfoam relieve pressure points. In the support core, an 8-inch layer of pocketed coils and a thin layer of high-density polyfoam help provide structure and spinal support. For even more cushioning, you an add an optional cooling pillow-top.

What We Don’t Like 

If you sleep with a partner with vastly different firmness preferences, you may have trouble agreeing on a model. Sensitive sleepers may find themselves waking to their partner’s movements, especially on the firm and medium models.

Scoring & Reviews

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 Mattress for Side Sleepers

Helix Midnight

9.1 /10

Test Lab Score

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Designed with side sleepers in mind, the Helix Midnight features soothing layers of memory foam and polyfoam that cradle your hips and shoulders. The support core is reinforced along the sides, offering a secure surface that you can lean on when getting in and out of bed. The bed also sleeps cool compared with other memory foam mattresses.

Price

$1,099

Mattress Type

Hybrid

Firmness Options

Medium Firm (6)

Trial Period

100 nights (30-night requirement)

Full Details

Who It’s Best For

With its thick comfort section and flexible contouring, the Helix Midnight is best suited to side sleepers of all weight groups. Back sleepers between 130 and 230 pounds also give the bed high ratings.

Feel

The Helix Midnight has a medium firm (6) feel. Multiple foam layers form a deep pressure-relieving cradle, while the coils add support to prevent back and joint pain when lying on your side.

What It’s Made Of

The top layer of the Helix Midnight is memory foam, which contours to relieve pressure points. This is followed by two layers of polyfoam, which are more responsive and prevent the feeling of being stuck in the bed. In the support core, an 8-inch layer of pocketed coils provides back support and a thin layer of high-density polyfoam holds it all together.

What We Don’t Like 

Stomach sleepers may find the bed too soft. This can lead to the midsection sinking in further than the rest of the body, throwing the spine out of alignment and aggravating back pain.

Scoring & Reviews

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 6653 validated customer reviews of the Helix Midnight. This is what people who bought the mattress had to say:

  • Comfort and Firmness: Many reviews mention the comfort level of the mattress, indicating it is generally well-received for its balance between firmness and softness.
  • Heat Regulation: There are mixed comments regarding heat regulation, with some finding the mattress cool enough, while others still experience heat retention. We found the mattress to regulate temperature better than the average hybrid, but beds with foam comfort layers always run the risk of retaining body heat.
  • Pain Relief: A common theme is the relief from back, hip, or shoulder pain, suggesting the mattress is effective for those with chronic pain or side sleepers.
  • Durability Concerns: Some reviews express concerns about the mattress’s durability, noting issues like sagging or indentations over time.
  • Sleep Quality: Numerous reviewers state that their sleep quality has improved, mentioning deeper sleep and less discomfort during the night.
  • Edge Support: The edge support of the Helix received mixed reviews, but the overriding sentiment is that it’s firm enough to support your weight when sleeping near the edge. This backs up what we’ve found in our field and performance testing.

Best Mattress for Spinal Alignment

Nolah Evolution 15

8.8 /10

Test Lab Score

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The Nolah Evolution 15 is sold in three firmness levels that aim to provide the right level of back support to different sleeper types. Firmer foams and coils in the middle third of the bed hold up the lumbar area, while softer coils under the hips and shoulders flex to ease pressure and allow the spine to settle onto an even plane.

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

With a wide breadth of firmness choices, the Nolah Evolution 15 is able to accommodate sleepers of virtually any body weight or preferred sleeping position. Side sleepers will likely prefer the softest model, while back and stomach sleepers receive strong support from the firmest model.

Feel

Despite the ultra-thick comfort section, the Nolah Evolution 15 does a solid job of preserving spinal alignment and not allowing too much sink. It’s available in medium (5), medium firm (6), and firm (8) options, with the firmer models ranking especially well on edge support, temperature control, and ease of movement.

What It’s Made Of

The Nolah Evolution 15 has a Euro-top cotton cover woven with ArcticTex fibers and quilted with 2 inches of cushioning foam. Next is a layer of polyfoam with punched-out holes in the hips and shoulders to provide pressure relief while supporting the lumbar spine. Two more layers of foam help ease the transition onto the support core, consisting of zoned pocketed coils and a high-density polyfoam base.

What We Don’t Like

Measuring 15 inches thick, the Nolah Evolution 15 is considered a high-profile mattress that will probably require deep pocket fitted sheets. The firmer models may transfer some motion, while the plush model lacks edge support.

Scoring & Reviews

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 Chronic Back & Joint Conditions

Saatva Rx

8.7 /10

Test Lab Score

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The Saatva Rx packs in multiple features that address back and joint pain, including a dual-layer coil system and multiple lumbar reinforcements. Cylindrical-cut foams in the transition layer flex with each individual coil to enhance pressure relief and curb motion transfer. Sleepers can also expect strong temperature control, and with free White Glove delivery, you don’t have to worry about maneuvering the heavy mattress box.

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 really shines in its performance for side sleepers in all weight groups, as they benefit from the bed’s relatively soft feel. Despite being so soft, it also performs impressively well for back and stomach sleepers in all weight groups.

Feel

In terms of firmness, the Saatva Rx ranks medium soft (4). The mattress alternates layers of foam and coils for a progressively firmer feel that delivers targeted support to alleviate chronic lower back pain.

What It’s Made Of

The Saatva Rx has an organic cotton cover with a gel-infused memory foam lumbar pad. Next up is a zoned microcoil layer encased in high-density polyfoam. This is followed by a layer of open-cell foam with cooling phase change material, cut to mimic the shape of the coils below in order to maximize contouring. The support core consists of triple-tempered steel coils with reinforced edges on top of a thin base layer.

What We Don’t Like

Premium materials and patented designs in the Saatva Rx place this mattress at a higher price-point that may be out of reach for some people.

Scoring & Reviews

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 Couples

Leesa Sapira Hybrid

8.9 /10

Test Lab Score

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With strong ratings for sleepers across the board, the Leesa Sapira Hybrid is a good pick if you and your partner have different sleeping styles. The mattress also sleeps cool and features individually wrapped coils, which move independently of one another so movement on one side of the bed is less likely to affect the other side

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

The Leesa Sapira Hybrid excels for side sleepers and performs well for back and stomach sleepers between 130 and 230 pounds. We also recommend it for hot sleepers looking for an orthopedic mattress.

Feel

The Leesa Sapira Hybrid has a medium firm (6) feel with moderate cushioning and a slight bounce. Leesa’s decision to place the memory foam in the second layer helps avoid the sink and heat retention that are sometimes associated with this close-hugging material.

What It’s Made Of

Inside the Leesa Sapira Hybrid you’ll find layers of ventilated polyfoam, memory foam, and transitional polyfoam. The foams sit atop a 6-inch layer of pocketed coils with a reinforced perimeter and a thin layer of base foam. All this is wrapped in a viscose-rayon cover.

What We Don’t Like

Edge support in the Leesa Sapira isn’t quite as strong as we might have hoped. This may cut down the usable surface area when sleeping with a partner, so we recommend buying a slightly bigger size if you have the space.

Scoring & Reviews

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 Pressure Relief

Bear Elite Hybrid

8.5 /10

Test Lab Score

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The Bear Elite Hybrid is available in three firmness options. All three models feature softer foam layers over a zoned coil core, a design that’s intended to give way under sensitive areas in order to prevent pressure buildup. The firmer models offer good edge support to maximize the usable surface area, while the soft model absorbs motion so you and your partner can both sleep soundly.

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

Side sleepers under 230 pounds receive near-perfect pressure relief from the Soft model, while those over 230 pounds enjoy cushioning support from the Medium mattress. The Medium Mattress also performs well for back sleepers across the board.

Feel

The Bear Elite Hybrid provides initial cushioning that gently gives way to deeper support from the zoned coils. Sleepers can choose between medium (5), medium firm (6), and firm (8) models.

What It’s Made Of

The Bear Elite Hybrid has a quilted cover infused with cooling phase change material, followed by layers of copper-infused memory foam and transitional polyfoam. The support core contains zoned coils that are softer under the hips and shoulders. The coils are reinforced along the sides and rest on a thin layer of high-density polyfoam.

What We Don’t Like

At 14 inches thick, the Bear Elite Hybrid has a thicker-than-average profile that will require deep pocket fitted sheets. As with many memory foam mattresses, the Bear Elite Hybrid may not provide enough support for stomach sleepers.

Scoring & Reviews

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 Hip Pain

PlushBeds Botanical Bliss

8.4 /10

Test Lab Score

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The PlushBeds Botanical Bliss Mattress is made with certified organic materials that are naturally durable and built to provide long-lasting orthopedic support. The mattress features flexible pressure relief from wool and natural latex, resulting in a responsive surface that makes it easy to change positions in order to avoid placing pressure on the same hip for too long. The Botanical Bliss is offered in three height profiles to accommodate sleepers up to 275 pounds.

Price

$1,999

Mattress Type

Latex

Firmness Options

Medium Firm (6), Firm (7)

Trial Period

100 nights (30-night requirement)

Full Details

Who It’s Best For

The PlushBeds Botanical Bliss can accommodate sleepers with hip pain of virtually any body type or sleeping style, thanks to its multiple personalization options. The split queen and king models can also be made with a different firmness on either side to accommodate couples with incompatible sleeping styles.

Feel 

This all-latex model offers a buoyant and breathable surface that gently contours without feeling restrictive. The PlushBeds Botanical Bliss comes in two firmness options: medium firm (6) or firm (7).

What It’s Made Of

All of the PlushBeds Botanical Bliss mattresses have an organic cotton cover with wool batting, followed by layers of natural and organic latex in different permutations depending on the height profile and chosen firmness.

What We Don’t Like

Organic materials are more costly to source, so the PlushBeds Botanical Bliss is a steeper investment than the average foam or hybrid mattress.

Scoring & Reviews

Side Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7.5/10

Above 230 lbs

7.5/10

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 4442 validated customer reviews of the PlushBeds Botanical Bliss. This is what people who bought the mattress had to say:

  • Customizable Firmness: Customers appreciate the ability to adjust the firmness of the mattress by rearranging the internal layers to suit their comfort preferences.
  • Chemical-Free Materials: The mattress is praised for being made from chemical-free, organic materials, which is a significant plus for health-conscious buyers.
  • Heat Regulation: Several reviews highlight that the mattress does not retain heat, unlike many foam mattresses, providing a cooler sleep experience.
  • Pain Relief: Users report significant improvements in back and joint pain, suggesting that the mattress provides excellent support and pressure relief.
  • Durability and Quality: The high-quality construction of the mattress is frequently mentioned, with customers expressing satisfaction with the durability and overall build.
  • Customer Service: Plushbeds is often commended for their responsive and helpful customer service, assisting customers with questions and concerns efficiently.

Best Firm Mattress

Plank Firm Luxe

7.8 /10

Test Lab Score

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The Plank Firm Luxe is Brooklyn Bedding’s answer if you’re looking for a nice firm mattress that doesn’t make you feel like you’re lying on a rock. The bed sleeps cool, and people with limited mobility will appreciate the strong edge support when getting in and out of bed.

Plank Firm Luxe

Price

$1,149

Mattress Type

Hybrid

Firmness Options

Firm (7), Extra Firm (9)

Trial Period

120 nights (30-night requirement)

Full Details

Who It’s Best For

The Plank Firm Luxe is designed with back and stomach sleepers in mind, as these sleepers benefit from a firm surface to keep the hips aligned with the rest of the body. That said, firmness is a matter of personal preference and the softer side of the bed may appeal to some side sleepers.

Feel 

We found this mattress to have a sturdy, responsive sleep surface with a hint of cushioning. The Plank Firm Luxe is ideal for people who like to be able to relax into their mattress without sinking.

What It’s Made Of

The Plank Firm Luxe starts with a thin quilted top stitched in a close pattern to reduce loft. The firm side of this reversible mattress follows with layers of high-density and resilient polyfoams, while the less firm side uses thicker quilting and marginally softer foams. Both sides share a 6-inch pocketed coil support core.

What We Don’t Like

Sleepers under 130 pounds may develop sore spots from the lack of cushioning, particularly on the extra firm side. Couples may experience disruption when one partner changes positions.

Scoring & Reviews

Side Sleepers

Under 130 lbs

4.5/10

130-230 lbs

6.5/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

4.5/10

130-230 lbs

6.5/10

Above 230 lbs

8/10

Stomach Sleepers

Under 130 lbs

5/10

130-230 lbs

7/10

Above 230 lbs

8.5/10

We performed a meta-analysis on 1748 validated customer reviews of the Plank Firm Luxe. This is what people who bought the mattress had to say:

  • Comfort and firmness: Many reviewers discuss the comfort level of the mattress, often highlighting its firm feel. While all of those bought the mattress for its firmness, a few people still found the bed too firm.
  • Cooling features: Several reviewers mention the cooling features of the mattress, specifically the Glaciotex Cooling Cover, which is appreciated for providing a cooler sleep experience.
  • Pain relief: A recurring theme is the relief from back and joint pain, with many users noting improvements in their sleep quality and reduction in pain.
  • Dual firmness options: The mattress’s ability to be flipped for different firmness levels (firm and extra firm) is frequently mentioned and appreciated by those who have different firmness preferences.
  • Edge support: A lot of reviewers mention the strong edge support of the Plank Firm Luxe.
  • Off-gassing: A few reviewers note the presence of off-gassing when the mattress is new, but it typically dissipates after a few days.
  • Customer service: Experiences with customer service are generally positive, with reviewers appreciating the responsive and helpful support team.

Best Mattress for Combination Sleepers

Birch Mattress

8.4 /10

Test Lab Score

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The Birch leverages the natural bounce of coils and latex to deliver a breathable, responsive sleep surface that’s easy to move on. The coils are individually wrapped to help stop motion from rippling across the bed when sleeping with a partner.

Price

$1,499

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 Mattress falls at a 6 out of 10 on the firmness scale, or medium firm. This is considered a good universal fit that successfully promotes healthy posture for side, back, and stomach sleepers over 130 pounds.

Feel 

Sleepers describe the feel of the Birch Mattress as floaty. The natural latex cushions but doesn’t hug as tightly as memory foam, while the coils provide pushback to take pressure off the spine and facilitate movement.

What It’s Made Of

The Birch Mattress features an organic cotton cover with layers of resilient wool and natural latex. The support core is made with individually wrapped coils with reinforced sides and a thin wool base.

What We Don’t Like

If you’re used to a foam mattress or if you weigh less than 130 pounds, you may find the Birch Mattress a little firm for your needs.

Scoring & Reviews

Side Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7.5/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

6/10

130-230 lbs

8/10

Above 230 lbs

8/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

8/10

Above 230 lbs

8/10

We performed a meta-analysis on 1917 validated customer reviews of the Birch Mattress. This is what people who bought the mattress had to say:

  • Comfort and Support: Many reviewers mention the mattress provides excellent support and comfort, particularly noting improvements in back and shoulder pain.
  • Dual Firmness: The flippable design offering a choice between firm and soft sides is frequently appreciated, allowing users to customize their sleeping experience.
  • Quality of Sleep: Numerous comments focus on improved sleep quality, with users reporting deeper sleep and fewer disturbances throughout the night.
  • Temperature Regulation: Several reviewers appreciate the mattress’s cooling properties
  • Price: Opinions on the mattress’s price vary, with some finding it a good value and others considering it somewhat expensive.
  • Weight and Maneuverability: The mattress is noted to be heavy, making it difficult to move or flip without assistance.
  • Smell and Off-gassing: A few reviewers mention an initial off-gassing smell that dissipates over time.
  • Edge Support: Mixed reviews on edge support, with some some noting it could be improved.

Best Overall

WinkBed

8.9 /10

Test Lab Score

Get $300 off all mattresses at Winkbeds

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A robust hybrid with targeted lumbar support in four firmness options.

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Best Value

Brooklyn Bedding Signature Hybrid

8.4 /10

Test Lab Score

25% off sitewide with code: SUMMER25

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A competitively priced hybrid that cushions without restricting movement.

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Best for Side Sleepers

Helix Midnight

9.1 /10

Test Lab Score

Up to 30% off + 2 free pillows

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A pillowy hybrid that molds to your hips and shoulders.

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Best for Spinal Alignment

Nolah Evolution 15

8.8 /10

Test Lab Score

35% off sitewide + 2 free pillows with mattress purchase

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A hybrid mattress with multi-layer zoning for cradling spinal support.

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Best for Chronic Back & Joint Conditions

Saatva Rx

8.7 /10

Test Lab Score

15% off orders of $1,000 or more

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An innovative mattress designed to prevent aches and pains.

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Best for Couples

Leesa Sapira Hybrid

8.9 /10

Test Lab Score

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

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A sturdy, supportive hybrid with minimal motion transfer and appeal for a broad range of sleeping styles.

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Best for Pressure Relief

Bear Elite Hybrid

8.5 /10

Test Lab Score

35% off + free pillows with code: SF35

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A pressure-relieving hybrid that helps soothe back and joint pain.

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Best for Hip Pain

PlushBeds Botanical Bliss

8.4 /10

Test Lab Score

$1,250 off + free bedding credit at Plushbeds

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A springy latex mattress that gently contours to relieve hip pain.

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Best Firm Mattress

Plank Firm Luxe

7.8 /10

Test Lab Score

25% off sitewide with code: SUMMER25

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High-density foams and coils provide firm support where you need it most.

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Best for Combination Sleepers

Birch Mattress

8.4 /10

Test Lab Score

25% off sitewide + 2 free pillows with mattress purchase

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A supportive latex-and-coil design that performs well for back, side, and stomach sleepers.

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What Is an Orthopedic Mattress?

Orthopedic mattresses are designed to cradle and support the spine, back, and joints to promote good sleep posture and reduce aches and pains. They are popular with those who suffer from back and neck pain, seniors, and those recovering from injuries, but they can be a good fit for virtually anyone.

The term “orthopedics” refers to the branch of medicine that focuses on the skeletal system and related structures, including muscles, tendons, and ligaments.

Though many companies describe their mattresses as orthopedic, shoppers should be aware that there are no regulations or standards in place defining what qualifies as an orthopedic mattress. Because of this, orthopedic is often used as a marketing term regardless of whether a mattress is specially designed for optimal support. This doesn’t mean, however, that orthopedic mattresses aren’t beneficial to sleepers. That said, shoppers should select carefully.

How to Choose an Orthopedic Mattress

Chronic lower back pain is linked to greater sleep disturbance and reduced sleep duration, sleep quality, and sleep efficiency. A true orthopedic mattress should provide an excellent combination of pressure relief and support. This balance can help promote spinal alignment, reducing the aches and pains many sleepers experience after sleeping on an unsupportive or excessively firm mattress.

What to Look For in a Mattress

The most important things to take into consideration when looking for a mattress are your body type, sleeping position, and personal preferences. While some mattress companies may use terms like “best” or “most comfortable” to describe the feel, construction, features, or materials of their mattresses, only you can decide what is ideal for you. Features like the firmness level, contouring, and pressure relief can affect how comfortable your mattress feels to you.

Price
A true orthopedic mattress may be more expensive than other models on the market. This is because striking the right balance between pressure relief and spinal support often requires higher-end materials and/or special design features. While a higher price tag may be a turnoff for some shoppers, a mattress is an investment, so it may be worth spending a little more to get the best option for you.

Firmness Level
A proper orthopedic mattress offers an ideal combination of cradling and support. If a mattress is too firm, it could contribute to pressure points and make it difficult to maintain proper spinal alignment, potentially causing your muscles to tense. A mattress that is too soft won’t provide enough support, which could put more pressure on your lower back.

While orthopedic mattresses are often slightly firmer, the ideal firmness level will depend on the sleeper’s body type and sleep position. Sleepers who weigh less typically need a softer model to enjoy contouring, while heavier individuals generally need a firmer option for sufficient lumbar support. Similarly, side sleepers often prefer a slightly softer option to reduce pressure buildup, but back and stomach sleepers usually need something firmer to prevent their midsections from sagging.

Pressure Relief
Pressure point relief occurs when a mattress molds to the sleeper’s body and redistributes its weight to reduce the pressure around wider, heavier body parts. This can limit joint discomfort and promote spinal alignment. However, achieving optimal pressure relief also requires selecting the right firmness level for your body type and sleep position.

Quality Materials
Getting the most for your money may require choosing a model constructed with durable materials that will remain comfortable for years to come. Quality materials are more likely to provide sufficient support while limiting sagging, which may be especially beneficial for those with back pain. While orthopedic mattresses tend to be more expensive than other options on the market, many use quality materials that should resist signs of wear.

Motion Isolation
Motion isolation refers to how a mattress reduces the transfer of movement. Preventing the spread of vibrations across the surface can decrease disturbances from sleep partners or pets moving throughout the night. Generally, mattresses with substantial foam comfort layers excel at motion isolation.

Temperature Regulation
Temperature regulation refers to a mattress’ ability to remove excess heat or, conversely, keep you warm when it is colder. Individuals who sleep warm should be particularly attentive to this component, as it can make a notable difference in keeping you cool and comfortable throughout the night. Generally, a firmer mattress tends to allow more airflow, while a more conforming mattress may be more likely to trap heat, especially if it uses memory foam and does not include any features designed for cooling.

Edge Support
Edge support refers to the resistance provided around the perimeter of the bed. This can be an important component for those who sleep or sit along the side of the bed and active sleepers who toss and turn. Sleepers who suffer from joint pain who struggle to stand from a lower position may also want to consider a mattress with better edge support.

Contouring
The contouring of a mattress is what provides pressure relief by cradling your body and preventing your weight from pressing into the mattress in the wrong places. Good contouring can be key in preventing aches and pains. Most quality orthopedic mattresses have a foam-based top to shape to the body and encourage healthy sleeping posture, but keep in mind that each person’s body is different and you should experiment with what is most comfortable for you.

Sleeping Position
There are four main sleeping positions: back, side, front, and combination, which is any mixture of the first three. The position you sleep in can have a huge impact on what you need in a mattress because it affects pressure points and spinal alignment. Before purchasing an orthopedic mattress, take some time to consider how you sleep and what firmness may be the best fit for your body.

Mattress Type
There are four main types of mattresses: foam, innerspring, hybrid, and latex. Each type has potential pros and cons and can vary significantly in materials and construction. However, all mattress types can function as orthopedic models as long as they are designed to offer support to prevent aches and pains in the back, neck, joints, and muscles.

Mattress Types

Hybrid, innerspring, foam, and latex mattresses are widely available. Though models vary in their designs and performance, they tend to have a few consistent features. The term “orthopedic” does not mean that the mattress has any special certifications, and it can apply to any of the four types of mattresses. However, some may be a better fit than others for those suffering from chronic aches and pains.

Hybrid

Hybrid mattresses can use a wide variety of materials. The support layer consists of coils, and the comfort system may include polyfoam, memory foam, microcoils, latex, and/or fill composed of cotton, wool, or other fibers.

The primary difference between a hybrid and an innerspring mattress is the added thickness of the comfort system in a hybrid model, which typically creates a more conforming surface.

Hybrids are an excellent option for individuals who sleep warm but enjoy the contour of a foam bed. Coil cores generally provide airflow, bounce, and edge support, while a contouring comfort system can alleviate pressure on the back and absorb motion. Many hybrid orthopedic mattresses also incorporate zoned support systems to target pressure points and promote good posture.

Innerspring

Innerspring mattresses typically have a thin comfort layer of foam or cotton above a thick layer of metal coils. While some individuals prefer the springiness, ease of movement, airflow, and edge support provided by the coil system, others may find innerspring models lack the optimal amount of contouring and cushioning.

Whether an innerspring is right for you will likely depend on the nature of your aches and pains. If your discomfort is triggered by poor spinal alignment due to excessive sinkage, an innerspring model might be ideal. However, if pressure points are your main problem, you may prefer another type of mattress or pair your innerspring model with a mattress topper.

Foam

Foam mattresses use foam in both their support and comfort layers. Typically, high-density polyfoam makes up the support layer and a softer, more conforming foam is used for the comfort layer. Memory foam, polyfoam, and latex are all popular choices depending on the mattress’ intended levels of contouring, responsiveness, and breathability.

An orthopedic foam model may be an excellent choice for a sleeper who suffers from aches and pains where their body presses hardest against the mattress. The foam should mold to the body to relieve pressure while supporting the spine. However, foam mattresses are often more difficult to move on and frequently don’t have sturdy edges, which may be more challenging for sleepers with mobility issues.

Latex

Latex is often derived naturally from rubber trees but occasionally produced synthetically. Most latex mattresses use naturally derived material, but a synthetic or synthetic blend is not uncommon.

Latex is often used in orthopedic mattresses because it provides contouring without a lot of sinkage, creating a supportive surface that still relieves pressure points. Models constructed of latex also tend to be responsive, breathable, and durable. All-natural latex models are often popular with eco-conscious consumers.

Pros and Cons of Orthopedic Mattresses

For many, an orthopedic mattress can make a significant impact on the alignment of the back, neck, and spine, helping to reduce back and/or joint pain. Because of this, orthopedic models are often recommended to those suffering from arthritis. However, they are not the perfect solution for everyone, and for some sleepers, a mattress with a different design may be a better fit.

Pros

  • Enhanced Spinal Support: Orthopedic mattresses are specifically intended to promote spinal alignment.
  • Reduced Discomfort: The right orthopedic mattress should simultaneously support the spine while relieving pressure, potentially limiting the aches and pains sleepers experience overnight.

Cons

  • Relatively Expensive: Orthopedic mattresses tend to have a higher price-point than other mattresses on the market.
  • Difficulty Shopping: With many manufacturers marketing their mattresses as orthopedic, it can be difficult to find a truly orthopedic model.

How Does Back and Joint Pain Affect Sleep?

While you should talk to your doctor to explore the possible causes of joint pain and/or sleep problems, the two are often directly linked.

Those suffering from chronic back and joint pain experience discomfort that can cause tossing and turning, making it hard to slip into the deeper sleep stages and get a quality night’s sleep. Because the body’s restorative processes are most active as you sleep, a lack of deeper sleep impacts your body’s ability to repair itself, potentially exacerbating back and joint pain. This can create a vicious cycle in which pain causes sleep quality to deteriorate, putting you at a greater risk of getting sick or injured.

“Sleep and pain have a bidirectional relationship, and the current data suggest that the effects of sleep on pain are likely stronger than the effects of pain on sleep. Focusing on improving your sleep quality may help with your overall pain level. Common changes to sleep quality could include difficulty falling and/or staying asleep, more sleep fragmentation (i.e., more awakenings during the night), early morning awakenings, and unrefreshing/non-restorative sleep.”

Sarah Silverman, Psy.D., a licensed psychologist and holistic sleep wellness consultant who treats patients in New York and Florida.

Many conditions can affect back and joint pain, but one of the most common conditions is arthritis. Many with arthritis suffer from sleep problems, since their pain may prevent them from getting comfortable enough to fall asleep and stay asleep.

How to Get Better Sleep with Chronic Pain

Chronic pain can arouse your central nervous system, preventing you from drifting off to sleep. Several lifestyle changes can help calm your body and mind, making it easier to get the rest you need.

  • Meditation, deep breathing, mindfulness, or guided imagery may help reduce pain, making it easier to sleep comfortably.
  • Avoiding stimulants, such as alcohol or caffeine, can help you fall asleep more easily. Similarly, using devices, like your cell phone or tablet, too close to bedtime may interfere with sleep.
  • Healthy daytime habits, such as getting exercise, sunlight, and following a healthy diet, can help promote good sleep habits.

Another element to getting quality sleep with chronic pain is selecting the right mattress and bedding components to keep you as comfortable as possible throughout the night. What is best for you and your body will depend largely on your sleeping preferences and body type. Some important things to keep in mind are:

Sleep Position: The position you sleep in may contribute to your discomfort. While finding the right mattress can help, some positions are more prone to triggering pain than others. For instance, experts often advise against stomach sleeping because it often puts more strain on the neck and lower back. Experimenting with different sleep positions can help you determine what works for you.

Bedding: Some sleepers may not want or need a new mattress, particularly if their existing bed is still in good condition. A new mattress topper and/or pillows can be more affordable solutions. The ideal mattress topper can fine-tune the firmness of your bed so that it better matches your needs and preferences, while new pillows often provide more support for the neck.

Pillow Placement: While it is important to have the best pillow for your sleep position, strategic pillow placement can enhance alignment, thereby potentially reducing aches and pains. Side sleepers often benefit from a small pillow between their knees, back sleepers could use a pillow under their knees, and stomach sleepers may use a body pillow to prop themselves onto their sides.

It is always a good idea to talk to a doctor or physician about your sleep and pain management. They may be able to recommend solutions, such as therapies or medicine, to help you sleep better.

An orthopedic mattress can be a big investment, so it’s normal to have questions. We’ll answer some of the most common questions of orthopedic mattress shoppers.

Frequently Asked Questions About Orthopedic Mattresses

What are orthopedic mattresses made out of?

Because the term orthopedic can refer to any mattress designed to prevent joint and back pain, orthopedic models can be made out of any materials you'd find in other beds. There is no special certification or requirement that designates a mattress as orthopedic, and many manufacturers use the term to help sell their products. Therefore, it is important to pay attention to the materials, firmness, and design to assess whether a bed is a good fit for your body and sleep style.

What makes a mattress “orthopedic?”

Orthopedic mattresses are generally designed to relieve pressure points and support spinal alignment in order to reduce joint and back pain. Most orthopedic models are firmer and more supportive than average to promote healthy sleeping posture, but they also frequently have contouring comfort layers to redistribute the force of the sleeper's weight.However, shoppers should keep in mind that an orthopedic mattress has no true, consistent definition since no certifications or specific requirements are attached to the term.

How much do orthopedic mattresses cost?

Orthopedic mattresses come at a wide range of price-points starting at under $1,000 and reaching upward of $4,000. Most tend to be more expensive than other models on the market. However, those who experience chronic pain may find that an orthopedic mattress is worth the investment.

Where can you buy an orthopedic mattress?

Orthopedic mattresses are commonly sold online and in brick-and-mortar stores. Direct-to-consumer mattresses sold online 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. Because orthopedic mattresses are often more expensive than other models on the market, monitoring online sales can be a great way to find a high-quality option at a more affordable price. Shoppers should also note that buying directly from a manufacturer's website is often more budget-friendly than purchasing from a third party.

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