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Best Mattress for Back Pain
Expert Tested and Sleeper Approved
Getting a bad night’s sleep when you already have back pain is like adding insult to injury, affecting not just your mood and energy levels the next day but your mobility and performance at work. In fact, back pain is a leading cause of people missing work in the U.S. If you have back pain — either occasionally, like I do, or chronically, like millions of other Americans — the right mattress can dramatically improve the quality of your sleep.
In order to find the best mattress for back pain, our testing team narrowed down a list of over 1000 mattress we’ve tested to find the ones best for back pain. With a combination of hands-on testing, construction, and user feedback, we’ve compiled the list below.
Our Top Pick: The WinkBed
After hours of testing and data analysis, we ultimately chose the Winkbed as our top pick for sleepers with back pain. This mattress comes in four different firmness levels, ensuring a comfortable match for people across different body types and sleep positions, and the zoned coil system is particularly helpful for people with lower back or hip pain.
Our Top Picks
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Best Overall Mattress
:WinkBed
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Best Mattress for Side Sleepers
:Helix Midnight Luxe
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Best Value Mattress
:DreamCloud Classic Hybrid
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Best Mattress for Spinal Alignment
:Saatva Rx
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Best Mattress for Lumbar Support
:Bear Elite Hybrid
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Best Mattress for Couples
:Leesa Sapira Chill Hybrid
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Best Firm Mattress
:Plank Firm Luxe
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Best Mattress for Pressure Relief
:Nolah Evolution 15
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Best Mattress for Combination Sleepers
:Layla Hybrid
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Most Supportive Mattress
:Brooklyn Bedding Aurora Luxe With Cloud Pillow Top
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Best Organic Mattress
:Birch Mattress
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Best Mattress Deals Happening Now
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Save $771
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WinkBed
$1,799 (List Price $2,570) -
Save $480
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Helix Midnight Luxe
$1,919 (List Price $2,399) -
Save $1,020
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DreamCloud Classic Hybrid
$699 (List Price $1,719) -
Save $300
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Saatva Rx
$3,099 (List Price $3,399) -
Save $728
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Bear Elite Hybrid
$1,699 (List Price $2,427)
How We Tested the Best Mattress for Back Pain
Testing Criteria for Back Pain
When rating mattresses, we evaluate based on all of our performance categories, but for this list, we placed the greatest emphasis on the following criteria:
Support & Spinal Alignment: The most important thing to prevent back pain while sleeping is spinal alignment and proper support. Most bed-related pain issues come from the mid-section sinking below the rest of the body at night. Material, firmness, mattress zoning, and the sleeper’s position and weight all factor into proper support.
Pressure Relief: Excessive pressure on the shoulder and hips throughout the night often causes or exacerbates back pain. Mattresses with good pressure relief prevent this pressure build up.
How We Evaluated
Within our database of 1000+ mattresses, around 70 met our baseline construction requirements for back pain relief. We selected the top 25 of these to bring into our test lab for lab testing. In order to get this narrow list, we looked at the following factors:
- Overall rating of at least 8.0
- Either multiple firmness options or medium-firm
- A sturdy support core, preferably zoned
- Above average sleeper ratings for most common position and sleeper weight combinations
We then conducted hands on spinal alignment and pressure relief tests on each bed. Where possible, we also brought in quantitative commentary from our field tests, where our team had brought home bed for multi-week periods.


We finally narrowed the list down to the 11 you see here now, which represents a well rounded list that should accommodate a variety of different people’s needs. We assigned each an accolade based on particular areas they excel at.
Our Testing Team
Logan Foley
Editorial Director
Full Bio
Mary Fenton
Head of Product Content
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Jeremy Klein
Senior Product Testing Manager
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Brad Nehring
Senior Product Analyst
Full Bio
Colin Simpson
Product Research Manager
Full Bio
Best Mattresses for Back Pain
Best Overall Mattress
9.4 /10 Test Lab Score
WinkBed
High end hybrid bed providing ample support, cushion, and cool sleep.
Key Details
- Who It’s Best For: Most body types and sleeping positions, people struggling with back pain.
- Feel: Responsive give and take coupled with a plushness in the top layers gives you balanced support and comfort for your back, hips, and shoulders.
- What It’s Made Of: Zoned pocketed coils with thicker springs around the edge of the bed. Most models feature an adaptive polyfoam surface layer and a layer of denser foam. The Plus models feature zoned latex.
- What We Don’t Like: Can be too firm for some. Heavy and can be difficult both to move and to find sheets that won’t pop off during the night.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
All four firmness options offer above-average motion isolation compared to other hybrids we’ve tested. The Softer, Luxury Firm, and Firmer models have polyfoam layers that significantly absorb vibrations, preventing motion from traveling across the surface. The Plus features latex, and does not isolate as much motion – though it still received high marks from our team. Although the coil core gives the mattress some bounce, the foam layers are substantial enough to dampen motion transfer.
Pressure Relief
Like with many hybrid models, the WinkBed’s strong contouring can help relieve painful pressure points. Using pressure-mapping sensors, we found the Softer, Luxury Firm, and Firmer versions of the mattress generously cradle your body and ease pressure off sensitive joints, thanks largely to the multiple foam layers. The Plus version uses polyfoam and latex layers, which offer gentle contouring as well.
Temperature Control
The WinkBed’s Tencel cover wicks heat and moisture away from the sleeper’s body. In the Softer, Luxury Firm, and Firmer models, polyfoam infused with cooling gel helps to minimize heat retention. The Plus version uses latex, a naturally breathable material that resists heat buildup.The coil core also promotes significant air circulation. All of these components make the WinkBed one of the best cooling mattresses on the market.
Edge Support
While many hybrid models have sturdy edges, the WinkBed’s perimeter is exceptionally strong . Thanks to extra reinforcement along the edges, our testers noticed minimal compression when sitting along the edge. Most sleepers should feel secure enough to sleep or sit on the full surface of the mattress without worrying about rolling off.The edge of the Softer model may not seem quite as sturdy as the Luxury Firm, Firmer, and Plus versions, due to its plusher design.
Ease of Movement
The three softest versions of the WinkBed Mattress feature polyfoam comfort layers. Polyfoam is more responsive than memory foam, so the WinkBed won’t hug your body as closely as hybrid mattresses made with close-conforming memory foam. The result is strong ease of movement across the surface.The Plus model features a very responsive latex layer, so this option shines when it comes to ease of movement.
Full Breakdown
If you carry extra weight around the midsection, a mattress with zoned layers can be a solid investment. The WinkBed is a luxury hybrid available in four firmness levels to give you plenty of options for finding that sweet spot between comfort and support.
How It Performed
Testers on our team weighing less than 130 pounds found the medium soft (4) WinkBed most comfortable, particularly the side sleepers. The medium firm (6) design earned high marks from our testers weighing 130 to 230 pounds across all three position groups. Our back and stomach sleepers weighing 130 pounds or more also found the firm (7) design comfortable, and those over 230 pounds were impressed by the robust support of the WinkBed Plus (8).
Thanks to the zoned coils, the WinkBed scored high marks during our tests for edge support and ease of movement. Most of us could scoot across the surface of the mattress without feeling stuck — a common problem when support is lacking — and the perimeter felt stable as we mimicked movements associated with getting in and out of bed, tying our shoes, and changing positions near the edges.
What Makes the WinkBed Good for Back Pain
The WinkBed is available in multiple different firmness levels that are great for a variety of sleepers in different body types. In testing, we found that the dense foam design excelled at offering just enough plushness to be comfortable while being amply supportive. A thick layer of pocketed coils prevent sinkage and help with spinal alignment, also reinforcing the chest and hips. Standard WinkBed models are encased in breathable, moisture-wicking covers. If you’re a hot sleeper, an exceptionally cool “Frost” cover can be swapped in for an additional charge.
Construction Breakdown

The medium soft, medium firm, and firm WinkBeds feature adaptive polyfoam quilted into the surface, followed by a layer of denser foam to cushion and reinforce your body. WinkBed Plus models swap out the second foam layer for zoned latex, which is very bouncy and shouldn’t buckle too much beneath your body — even if you weigh more than 230 pounds.
All WinkBeds feature zoned pocketed coils in their support cores. Thicker coils line the perimeter to protect the edges from deep sinkage, and also rest beneath your chest and hips to push back against your extra weight in these areas. A cover made of eucalyptus-derived Tencel fabric encases the entire mattress.
Trial, Shipping, and Warranty
Your WinkBed purchase comes with a 120-night trial. As part of WinkBeds’ return policy, you may exchange your initial mattress for a softer or firmer model if you aren’t satisfied with how it feels. The replacement mattress comes with its own 60-night trial. All WinkBed mattresses are additionally backed by lifetime warranties, and shipping is free for shoppers in the contiguous U.S.
Best Mattress for Side Sleepers
9.7 /10 Test Lab Score
Helix Midnight Luxe
A premium quality, hybrid mattress created with side sleepers in mind.
Key Details
- Who It’s Best For: Side and back sleepers who weigh under 230 pounds. Hot sleepers and couples.
- Feel: Supportive in key areas of your body and a plush pillow-top feel like you’re being cradled instead of sinking in too deeply.
- What It’s Made Of: The top layers are three different types of foam. The support core is pocketed coils on top of a layer of dense foam.
- What We Don’t Like: Particularly strong-smelling upon opening.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
As a medium firm mattress with thick foam comfort layers, it’s no surprise that the Midnight Luxe tested very well for motion isolation. Our testers could barely feel any movement across the surface of the mattress when fellow testers rolled around on it.
Pressure Relief
All of the Helix Luxe models have thick foam comfort layers and conform fairly close to the body. Consequently, they’ve all performed well in our pressure mapping tests, with notably less pressure in the hips and shoulders than many hybrids. With it’s 6 out of 10 firmness, The Midnight Luxe in particular performs average among other Helix Luxe beds.
Temperature Control
The Helix mattresses perform about average for hybrids when it comes to sleeping cool. Memory foam is well-known for its tendency to sleep hot, as it often traps and retains heat through the night, but the coil cores of these beds promote airflow to help balance out heat retention.
Edge Support
All Helix mattresses feature a reinforced perimeter, meaning the coils on the edges are thicker than the coils in the middle of the bed. When putting this to the test, we found significantly less sinkage on the edge than the middle while applying weight.
Ease of Movement
Helix Luxe mattresses tend to be somewhat responsive and bouncy, and all tested pretty well for ease of movement. The Midnight Luxe in particular had a middle-of-the-road performance in our tests, as the medium firm surface conforms a bit to the body, but doesn’t fully provide that ‘stuck’ feeling and inhibit motion.
Full Breakdown
Many mattresses are suitable for side sleepers, but the Helix Midnight Luxe was specifically designed to accommodate this sleep position. While the target audience weighs 130 to 230 pounds, our testing team found the mattress is comfortable for most sleepers across different weight groups.

How It Performed
Our hands-on tests of the Midnight Luxe revealed the mattress is ideal for side sleepers between 130 and 230 pounds and back sleepers under 130 pounds. That said, the mattress earned favorable ratings from most of our team. The balanced medium firm (6) feel ensures ample cushioning for side sleepers, as well as sturdy support for back and stomach sleepers — though people who use the latter two positions and weigh more than 230 pounds may find the Midnight Luxe too soft.
During our temperature control tests, we found that the Midnight Luxe sleeps fairly cool and doesn’t retain much heat despite the deep foam layers. The Tencel cover gets much of the credit, as this material is known for breathability and moisture-wicking properties.
People who are exceptionally warm sleepers should consider the GlacioTex cover upgrade — this fabric is engineered to dissipate heat on contact and feel cool at all times. Other testing areas where the Midnight Luxe performed well include edge support, pressure relief, and motion isolation.
What Makes the Helix Midnight Luxe Good for Back Pain
Its hybrid construction delivers a fantastic combination of support and comfort for all different kinds of sleepers. When we tried out the Midnight Luxe, we loved that its three foam layers offered a huggable cradling sensation, while thick springs and dense base foam provided additional contouring along the body’s midsection.
Construction Breakdown

The Midnight Luxe’s Euro-top surface is cushioned with three foam layers, beginning with two layers of memory foam. You’ll notice a light bounce when you get into bed — this comes from the coils — but as your body settles, the foam molds to your figure for a cloud-like cradling effect. Transitional polyfoam provides additional cushioning, but this layer is denser to create some pushback against your weight.
The support core contains pocketed coils over dense base foam. Thicker springs rest below your torso and hips to deliver extra reinforcement for heavier areas of your body. The perimeter coils are also lower-gauge to prevent deep sinkage when you lie or sit along the edges.
Standard Midnight Luxe models include a moisture-wicking Tencel cover. For an added charge, you can upgrade to a cover made of GlacioTex phase change material. You can also add the “ErgoAlign” layer for an extra fee, which consists of dense multi-zoned foam that rests on the surface. This feature is especially helpful for people with severe back pain.
Trial, Shipping, and Warranty
The Midnight Luxe is reasonably priced for a luxury hybrid and standard shipping is free throughout the contiguous U.S. You’ll also receive two complimentary pillows with your order. Helix’s sleep trial runs for 120 nights. If you decide to keep the mattress after the trial ends, Helix further backs your purchase with a lifetime warranty.
Best Value Mattress
8.5 /10 Test Lab Score
DreamCloud Classic Hybrid
An all-around great hybrid mattress at an affordable price.
Key Details
- Who It’s Best For: People struggling with back pain and couples.
- Feel: Medium firm that is very plush and soft on top. Supportive enough to keep you from sinking in too deeply.
- What It’s Made Of: Breathable knit cover, polyfoam surface layer, followed by memory foam and polyfoam layers. Support core is pocketed coils.
- What We Don’t Like: Reports from customers of indentations and sagging with this mattress after a few years. Also not the easiest to move around on if you toss and turn.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
During our hands-on evaluations, the DreamCloud provided impressive motion isolation. The layers of foam in the comfort system, including a top layer of memory foam, conform to the body and help prevent vibrations from spreading across the mattress surface. This makes the DreamCloud a good choice for anyone who shares their mattress with a partner.
Pressure Relief
Most of our testers appreciated how much pressure this mattress alleviated without feeling excessively soft or enveloping. Its ability to cushion the shoulders, lower back, and hips make it particularly appealing for side sleepers between 130 and 230 pounds and back sleepers up to 230 pounds.
Temperature Control
We found that the DreamCloud Classic delivers above-average temperature control, especially for a mattress with two layers of adaptive foam. A cooling gel infusion in the top layer further reduces heat retention, and air flows easily through the coils for ventilation. Although not the coolest mattress on the market, the DreamCloud Classic offers enough temperature control that even hot sleepers can stay comfortable through the night.
Edge Support
Our testing found that edge support from the DreamCloud was solid. The coils are reinforced around the perimeter, making it easier to feel supported anywhere on the mattress surface. This results in minimal compression when you sleep close to the edges of the mattress or get in and out of bed.
Ease of Movement
We found sufficient ease of movement on the DreamCloud Classic, and there was not much resistance because of its bouncier support core. The memory foam in this mattress gently conforms around the heavier parts of the body. That can make it harder to move on the mattress surface, but our testers didn’t feel like they were stuck in place.
Full Breakdown
The DreamCloud Mattress is a luxury hybrid with adaptive comfort layers with a strong support system. A medium firm (6) feel ensures plenty of cushioning for your shoulders, lower back, and hips, but we also found the bed’s thick pocketed coils maintain an even surface and reduce sinkage around the midsection — a common source of aches and pains. Approachable pricing and a generous sleep trial sweeten the deal even further if you’re shopping on a budget.

How It Performed
While the DreamCloud’s strongest ratings came from our side sleepers between 130 and 230 pounds, the mattress was well received by most of our testers across different body types and sleep positions. Ample cushioning prevented our side sleepers from feeling sharp pressure points in their shoulders and hips, which often occur for people who use this position. Back sleepers on our team didn’t sink too much despite the thick foam layers.
Temperature control was another high point for the DreamCloud during our tests. The above-average cooling comes from both the moisture-wicking cashmere blend cover and steady air circulation through the coil system. Thanks to the thick foam layers, the mattress also performed better than many competing hybrids in testing categories like motion isolation and pressure relief.
Why Makes the DreamCloud Classic Hybrid Good for Back Pain
Polyfoam, memory foam, and pocketed coils all work together to provide cushioning right along pressure points located at the shoulders and hips, making this a great option for side sleepers. Although its surface may feel a bit plush at first, its dense layers offer comfortable support to relieve pain at your hips and lower back.
Construction Breakdown
The DreamCloud begins with polyfoam quilted into the cover, followed by memory foam and polyfoam comfort layers. These materials make the mattress invitingly plush when you get into bed, but each layer is progressively denser and you shouldn’t sink too deeply as your body settles. The support core contains pocketed coils over a high-density foam base. A cover made from a breathable cashmere blend encases the mattress.

Trial, Shipping, and Warranty
Shipping is free if you reside in the contiguous U.S. Each order comes with a sleep trial that spans an entire year, giving you plenty of time to test the mattress and decide whether it’s right for you. Should you decide to keep the bed, you’ll also receive a lifetime warranty against structural defects.
Best for Spinal Alignment
8.5 /10 Test Lab Score
Saatva Rx
The Saatva RX is a luxury model specifically designed for individuals with chronic pain conditions
Key Details
- Who It’s Best For: Side sleepers and people with lower back pain.
- Feel: Ultra-plush surface and foam-tipped coils with minimal responsiveness.
- What It’s Made Of: Euro-top layer, memory foam pad. The support layer contains foam-tipped pocketed coils made of recycled steel.
- What We Don’t Like: Can be too soft for back and stomach sleepers.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
We found that the Saatva Rx excels at isolation movement and preventing motion transfer. The memory foam comfort layer helps absorb surface vibrations, while the microcoil layer is encased in high-density polyfoam to further isolate movement. In addition to wrapping the support core’s individual coils in fabric — a standard feature of most hybrid mattresses — Saatva includes 2-inch foam caps on top of each coil. This helps muffle vibrations when pressure is exerted on the coils.
Pressure Relief
Designed by Saatva specifically for those who need extra pressure relief, our testers reported that the Rx delivers on their claims. The memory foam lumbar pad promotes spinal alignment, which can reduce lower back strain.We found the medium soft (4) surface relieved the most pressure for side and back sleepers under 230 pounds. The mattress compressed too much for stomach sleepers over 130 pounds, putting pressure on the lower back.
Temperature Control
The mattress’ temperature control is on par with most quality hybrids on the market, with a breathable cotton cover and wool flame barrier that help regulate surface temperature.The support core also has a number of temperature-regulating features. The Rx Foam Module has an open-cell structure that’s more ventilated than traditional polyfoam. It also contains graphite infusions and thermally conductive fibers designed for cooling.
Edge Support
Our testers sit and lie near the edges of a mattress to determine how sturdy its perimeter is.The Saatva Rx’s firmer coils along the perimeter keep the mattress from warping at the sides, so couples should be able to sleep comfortably near the edges of the mattress. That said, the mattress is pretty soft and some sinkage along the perimeter is to be expected.
Ease of Movement
A mattress that facilitates movement is helpful if you have joint or muscle pain. It’s also an advantage for sleepers who toss and turn at night.Our testers could easily move on the Saatva Rx despite its plush surface. Responsive microcoils prevent the comfort system from overly conforming to sleepers. Additionally, the strong pocketed coil core helps the mattress’ surface regain its shape more quickly.
Full Breakdown
Saatva’s mattress line has expanded over the past decade, but the luxurious Saatva Classic is still a fan favorite. One of the first mainstream innersprings to incorporate a coil-on-coil design, the Classic is available in three firmness levels and two profiles to accommodate a wide swath of sleepers.
How It Performed
The soft (3) design provides deep contouring, and was a hit among our side sleepers weighing up to 230 pounds. At the other end of the spectrum, the firm (8) model cushions very little and feels exceptionally supportive. Our back and stomach sleepers weighing at least 130 pounds preferred this model. If you’re looking for a balance of conforming and stability, you should consider the medium firm (6) design — this one earned favorable ratings from our testers across different weight and position groups.
All three Saatva Classics scored high ratings for edge support and ease of movement. The dual-coil construction creates a nice bounce on the surface, so you shouldn’t sink or feel stuck when getting in and out of bed. Reinforced perimeter coils also push back against your weight when you’re sitting or sleeping along the edges. Both coil layers circulate air, so the mattress also nabbed solid ratings for temperature control.
What Makes the Saatva Rx Good for Back Pain
Another hybrid mattress, Saatva’s Rx bed is made with foam, plush fibers, and coils. Most notably, there’s a memory foam pad that’s specifically meant to relieve pressure in your lumbar region. You can choose from two heights: 11.5 inches with 4 inch support coils or 14.5 inches with 7 inch coils, both of which boast a transitional layer of minicoils to help provide even more midsection support.
Construction Breakdown
The Saatva Classic’s Euro-top cover is cushioned with foam and plush fibers. A memory foam pad located beneath the lower back is intended to support your lumbar region and minimize pain, while transitional minicoils offer extra reinforcement without creating too much motion transfer.
The support core contains sturdy hourglass coils made of recycled steel. You can opt for an 11.5-inch mattress with 4-inch support coils, or a 14.5-inch model with 7-inch coils. We recommend the latter if you need extra support to sleep comfortably. A cover made of breathable organic cotton helps the surface stay cool.
Trial, Shipping, and Warranty
The Classic’s sticker price is reasonable compared to other high-end innersprings and hybrids. Saatva is one of the only online mattress brands to offer free White Glove delivery to all customers in the contiguous U.S. This service includes full setup in a room of your choice and removal of your old mattress and box spring upon request. All purchases are backed by year-long sleep trials and lifetime warranties.
Best Mattress for Lumbar Support
8.5 /10 Test Lab Score
Bear Elite Hybrid
A close-conforming memory foam hybrid offering great pressure relief.
Key Details
- Who It’s Best For: Couples
- Feel: Slight bounce with a soft and plush top layer that is super comfortable to lay on.
- What It’s Made Of: Two layers of foam at the top of the mattress, one polyfoam and one memory foam that is infused with copper to keep it cool. These layers sit on top of coils that are thicker around the edges.
- What We Don’t Like: This is not the best option for stomach sleepers. It won’t provide adequate support, especially for those with back pain.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The Bear Elite Hybrid shows considerable ability to prevent vibrations from traveling across the surface of the mattress. Its memory foam layer only reacts where weight is directly applied, which helps keep movement from causing ripple effects that spread to the other side of the bed.However, the bounce of the coils can cause some motion transfer, especially on the firm model that has a reduced amount of contouring.
Pressure Relief
The Bear Elite Hybrid offers excellent pressure relief that stems from its comfort system and the zoned, pocketed coils in its support core. In our testing, it was side and back sleepers who tended to get the best pressure relief and support. That said, stomach sleepers liked the firm (8) model that maintained a flat, stable surface with just enough cushioning for the midsection.
Temperature Control
This mattress doesn’t feel overwhelmingly hot, but it also probably shouldn’t be the top choice for hot sleepers. The copper-infused foam makes it slightly cooler than some other memory foam mattresses, but heat can still collect in and around the foam. The risk of overheating is highest on the Luxury Plush model because it has the closest contouring around the skin, which may make it harder for heat around the body to dissipate during the night.
Edge Support
Reinforced edges in the support core help give this mattress a solid rating for edge support. While you’ll notice foam compression around the perimeter, it’s not so significant that you’ll feel like the mattress is giving out beneath you.Of the three different firmness options, edge support is clearly strongest in the firm (8) model and weakest in the one with a firmness level of medium (5).
Ease of Movement
When you need to switch your sleeping position or adjust your body’s alignment on the mattress, you generally won’t encounter much resistance. Sleepers over 230 pounds may find that there’s less ease of movement, especially on the softer models. But in most cases, the springiness from the thick layer of pocketed coils enables relatively easy movement on the surface of the Bear Elite Hybrid.
Full Breakdown
Most of our testers found the Bear Elite Hybrid comfortable thanks to adaptive foam layers that reduce pressure, a supportive coil system, and cooling components that cut down on heat buildup. The mattress is also available in three firmness levels — and if you opt for a split king size, Bear lets you choose a different firmness for each side of the bed.

How It Performed
The medium (5) Elite Hybrid design was most popular among our side and back sleepers weighing up to 230 pounds. This model contours closely to the body for optimal weight distribution, even alignment, and pressure relief along the spine.
If you’re seeking a slightly more supportive build, you should consider the medium firm (6) — this one earned rave reviews from our side sleepers between 130 and 230 pounds and sleepers up to 230 pounds. The firm (8) feel provides light cushioning and robust support, making it most comfortable for testers over 230 pounds.
The Elite Hybrid’s zoned transitional layer maintained an even surface for our bodies and prevented uncomfortable sinkage below the chest, stomach, and hips. Our thermal sensors didn’t detect much heat buildup during temperature control tests, and we noticed a good deal of pushback along the perimeter when testing the mattress for edge support.
What Makes the Bear Elite Hybrid Good for Back Pain
A transitional polyfoam layer ensures optimal support for your chest, stomach, and hips while zoned coils offer great edge support and limited sinkage. Choose between three firmness options, which offer more support as you go up: The medium (5) is best for back and side sleepers up to 230 pounds, the medium firm (6) is best for side sleepers between 130 and 230 pounds and combination sleepers up to 230 pounds, and the firm (8) is best for combination sleepers over 230 pounds.
Construction Breakdown

All versions of the Elite Hybrid begin with a memory foam comfort layer, followed by transitional polyfoam. The memory foam is infused with copper to help keep the surface nice and cool. The coils also generate steady circulation throughout the interior, and a cover made of Celliant-blend fabric prevents the mattress from retaining too much heat. The coils are zoned to be thicker and sturdier along the edges, allowing you to sleep along the perimeter and get in and out of bed without sinking.
Trial, Shipping, and Warranty
All customers in the contiguous U.S. receive free ground shipping. The Elite Hybrid is backed by a 120-night sleep trial and a lifetime warranty against structural defects. You may purchase additional protection that covers stains and other types of physical damage for up to 10 years.
Best Mattress for Couples
9.0 /10 Test Lab Score
Leesa Sapira Chill Hybrid
A foam hybrid that cushions your body without trapping heat.
Key Details
- Who It’s Best For: Available in three firmness levels, the Sapira Chill should be able to accomdate sleepers of any weight or position. It also has great motion isolation and edge support, making it great for people who share a bed.
- Feel: With pretty deep foam layers, the Sapira Chill some of that close-conforming foam feel, but it’s also farily bouncy and supportive.
- What It’s Made Of: Four layers of polyfoam and memory foam, on top of a pocketed coil support core.
- What We Don’t Like: Beds with thick foam layers can be a bit hard to move around in, especially for heavy sleepers.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
In our tests, the Sapira Chill Hybrid’s foam-heavy comfort system absorbed most motion with ease. Even when one tester shifted positions or got up, the other hardly noticed — especially on the medium and medium firm models. For couples, this mattress is a standout in motion isolation for a hybrid.
Pressure Relief
Pressure relief was a top-scoring category across the board. Our side sleepers noted significant cushioning in the hips and shoulders, and even our back sleepers experienced a nice balance of support and contouring. The plush top layers adapted closely without making us feel stuck.
Temperature Control
Though it contains multiple foam layers, the Sapira Chill didn’t trap as much heat as we expected. The open-cell construction and airflow from the coil core helped maintain a neutral sleep temperature for most of our testers — particularly on the firmer options where we didn’t sink in as deeply.
Edge Support
We were impressed with how well the Sapira Chill held up around the edges. The reinforced perimeter coils gave us a stable feel when sitting or lying near the sides of the bed, which is especially helpful for co-sleepers or anyone who likes to spread out.
Ease of Movement
Movement on the Sapira Chill felt smooth, especially for a hybrid with four foam layers. While the softer model had a bit of a “sink-in” feel, the underlying coil support and responsive transition foam made it easy to shift positions or get in and out of bed on all three firmness levels.
Full Breakdown
The Sapira Chill Hybrid builds on Leesa’s standard Sapira design with extra elements to help your sleep surface maintain a comfy temperature throughout the night. These include cooling fibers woven into the cover, a gel infusion in the top foam layer, and coils that promote ample airflow throughout the interior.
How It Performed
Our team tested all three of the Sapira Chill Hybrid’s firmness levels, and we found each option is best suited to certain types of sleepers. The medium (4) – or “Plush” – design is a solid match for side sleepers under 130 pounds. If you sleep on your side and weigh 130 pounds or more, or you prefer the back and stomach positions, you’ll probably prefer the balanced medium firm (6) or supportive firm (7) models. These designs sink less and keep your body on a more even plane.
Thanks to the thick foam layers in its comfort system, the Sapira Chill isolates motion very well and alleviates pressure in sensitive areas like the shoulders, lower back, and hips. These qualities are most pronounced on the softer design. With the two firmer models, you’ll get stronger edge support and be able to move across the mattress surface more easily. All three earned high marks for temperature control.
What Makes the Leesa Sapira Chill Hybrid Good for Back Pain
Thick layers of gel-infused polyfoam, memory foam, and pocketed coils help alleviate pressure in the shoulders, lower back, and hips. The support core also works to promote a sturdy, supportive feel right beneath your midsection.
Construction Breakdown
The Sapira Chill Hybrid’s comfort system begins with 2 inches of adaptive, gel-infused polyfoam quilted to the Euro-top cover. Additional polyfoam and memory foam layers provide extra cushioning to create a cradling effect for your entire body. However, excessive sinkage shouldn’t be an issue – the pocketed coils in the support core are zoned to feel sturdier and bouncier beneath your midsection.
Cooling fibers woven into the cover are engineered to capture and release body heat as your skin comes into contact with the mattress surface. At 14 inches tall, the Sapira Hybrid is on the thicker side and you may need to upgrade to a deep-pocket fitted sheet.
Best Firm Mattress
8.2 /10 Test Lab Score
Plank Firm Luxe
High-end flippable bed that’s firm on one side, and even firmer on the other.
Key Details
- Who It’s Best For: Back and some stomach sleepers who weigh more than 230 pounds. People who prefer a firm mattress.
- Feel: When lying on this bed, you feel like you’re sleeping on top of it rather than sinking into it. The foam layers offer very little hug.
- What It’s Made Of: The Plank has two sides: a firm and an extra firm side. The firm side has layers high-density polyfoam and TitanFlex, which feels similar to the bounce of latex. The extra firm side doesn’t feature the TitanFlex foam and has a thinner layer of polyfoam. The shared support core is a layer of pocketed coils.
- What We Don’t Like: Not recommended for sleepers that have severe pressure points, especially side sleepers.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The Plank Firm Luxe has lower ratings for motion isolation than most hybrid mattresses.Because of its firmness and bouncy coils, the Plank Firm Luxe has limited ability to absorb motion that happens when there’s movement on another part of the mattress. With less cushioning, the extra firm (9) side tends to permit more motion transfer.Couples who are worried about sleep disruptions from movement may prefer a mattress with foam materials that better absorb vibrations.
Pressure Relief
A lack of pressure relief is one of the main drawbacks of the Plank Firm Luxe Mattress. The firm (7) side has limited ability to cradle the joints, and the extra firm (9) side offers even less cushioning.That said, this mattress isn’t built to hug sleepers and provide a cloud-like feel. Instead, it is meant precisely for people who need or prefer a harder sleep surface. Based on our testing, the mattress appeals most to back and stomach sleepers.
Temperature Control
We found that the Plank Firm Luxe offers above-average temperature control. None of our testers complained about overheating, especially when using the extra firm (9) side. Since sleepers don’t sink into the mattress, there’s plenty of room for airflow around the skin, which helps the body naturally regulate its temperature.For hot sleepers who want extra cooling features, the optional cooling cover can make it even easier to avoid waking up in a sweat.
Edge Support
Because of its firmness, the Plank Firm Luxe has excellent edge support. The extra firm (9) side of the mattress is particularly supportive around the perimeter, but both sides allow you to comfortably sit or sleep near the edge of the bed. Strong edge support also makes getting in and out of bed easier.
Ease of Movement
Our testers had very few problems when they wanted to move around on the surface of the Plank Firm Luxe. The firmness level means that you don’t sink into the mattress, so there’s little resistance when you want to adjust your body’s positioning. The bounce of the coils also contributes to the high marks for ease of movement for the Plank Firm Luxe.
Full Breakdown
Many mattress brands advertise their beds as “soft” or “plush,” but the fact is some people benefit from less cushioning and a firmer feel. These sleepers are great candidates for the reversible Plank Firm Luxe, which features a firm (7) feel on one side and an extra firm (9) feel on the other. The latter is one of the firmest surfaces we’ve tested in our lab, and should be suitable for anyone who has found other foam hybrids too soft.

How It Performed
The Plank Firm Luxe earned its most favorable ratings from back and stomach sleepers weighing at least 130 pounds. The majority of our testers preferred the firm side, but a few of us weighing more than 230 pounds appreciated the extra firm surface’s light contouring and robust support.
As is often the case with firmer mattresses, the Plank Firm Luxe performed exceptionally well during our edge support and ease of movement tests. The mattress also sleeps quite cool thanks to consistent airflow through the coil layer. You can opt for a phase change panel on each side if you tend to overheat in bed or sweat in your sleep.
What Makes the Plank Firm Luxe Good for Back Pain
Extra firm materials (latex-like TitanFlex foam and polyfoam) found in the Plank Firm Luxe Good offer minimal cushioning. Pocketed coils located at the support core are also helpful for supporting your midsection, making this a great option for back and stomach sleepers or sleepers in larger bodies.
Construction Breakdown

The Plank Firm Luxe’s firm side features a layer of quilting material, followed by latex-like TitanFlex foam and high-density polyfoam. These materials provide a small measure of cushioning without sacrificing firmness or support. The extra firm side does not contain any TitanFlex and the polyfoam layer is thinner, so this surface conforms very little. A shared support core of pocketed coils rests between the comfort systems.
In addition to the standard model, you can order phase change panels to be sewn into both sleep surfaces. Phase change material is engineered to dissipate body heat on contact and maintain a cool, comfortable surface at all times.
Trial, Shipping, and Warranty
The Plank Firm Luxe is reasonably priced compared to other hybrid models and ground shipping is free within the contiguous U.S. You’ll receive a 120-night sleep trial with your purchase, and a lifetime warranty against structural defects if you decide to keep the mattress.
Best Mattress for Pressure Relief
9.2 /10 Test Lab Score
Nolah Evolution 15
A cloud-like experience with a plush euro-top in multiple firmnes options.
Key Details
- Who It’s Best For: Side and back sleepers across most weight groups, as well as couples and hot sleepers.
- Feel: Available in medium (5), medium firm (6), and firm (8) designs. The foam layers sink a bit when you move across the mattress, and you’ll notice a close contour as your body settles with pushback from the zoned coils.
- What It’s Made Of: Four foam layers that are progressively denser from top to bottom. Pocketed coils that are reinforced along the perimeter of the mattress and zoned for targeted support below the chest and hips.
- What We Don’t Like: Thick profile requires a deep-pocket fitted sheet. $99 return fee.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
Thanks to its thick polyfoam layers, the Nolah Evolution 15 Hybrid absorbs enough movement to prevent most sleep disruptions. However, there is still some motion transfer because of the bounciness of the coils. You can expect the most motion transfer on the firm (8) model and the least on the plush (5) option. Across the board, though, our testers noticed only light motion transfer across all three firmness levels.
Pressure Relief
The combination of zoned coils and multiple polyfoam layers, including zoned AirFoam, enable the Nolah Evolution Hybrid to cushion pain points and provide above-average pressure relief. Choosing the right firmness option can optimize pressure relief. While individual preferences vary, a plush (5) or luxury firm (6) model works best for most side sleepers under 230 pounds, while the luxury firm (6) or firm (8) are better suited to the majority of back and stomach sleepers.
Temperature Control
Like many hybrids, the Nolah Evolution 15 excels at temperature regulation. Cooling fibers in the cover are engineered to draw heat away from the body, and the aerated polyfoam layers help reduce heat retention. The coil layer also promotes steady ventilation.In our testing, all three models resisted heat retention. That said, compared to the firm (8) model, the plush (5) and luxury firm (6) permit more sink and allow slightly less cooling airflow around the skin.
Edge Support
The sturdy 8-inch coils gives the Nolah Evolution Hybrid a reliable level of edge support. While there can be some sink from the foam layers, resilient polyfoam prevents instability around the perimeter of the bed.Edge support does vary based on the firmness level. Our team noticed a reduction in edge support between the firm (8) and the luxury firm (6) and plush (5) models. Even on the softer models, though, you get solid edge support from this mattress.
Ease of Movement
The Nolah Evolution 15’s foam layers don’t sink or hug excessively, and the bounce of the coils facilitates movement on the surface. This makes this mattress a solid fit for combination sleepers or anyone who hates feeling stuck in place when lying in bed. With its softer surface, the plush (5) model restricts movement a bit more than the other two. The firm (8) model provided standout ease of movement to all of our sleepers.
Full Breakdown
A mattress that promotes spinal alignment can be invaluable if you wake up with pain or sore spots in your shoulders, back, and hips. The Nolah Evolution 15 contains four foam layers to cushion and contour to the body, evenly distributing your weight to improve your alignment, while a zoned coil system pushes back against extra weight from your midsection and reduces perimeter sinkage.

How It Performed
The medium (5) Evolution 15 conforms closely, and we found it best suited to side sleepers weighing up to 230 pounds. Our back and stomach sleepers under 130 pounds felt comfortable on this design, but also gave higher marks to the medium firm (6) feel. For the firm (8) model, our testers weighing more than 230 pounds received adequate support and didn’t sink too much.
The Evolution 15 uses open-cell foam layers engineered to keep the surface cool. Our temperature control tests showed very little heat buildup. The zoned coils also allowed the mattress to perform well during our tests for edge support and ease of movement. The two firmest models were particularly strong in these categories.
What Makes the Nolah Evolution 15 Good for Back Pain
Complete with four foam layers that get denser the higher up you go, the Nolah Evolution 15 is specifically designed to promote better spine alignment. Its thick coils are also zoned below your chest and hips for additional support, providing minimal sinkage and additional reinforcement where you may carry more weight.
Construction Breakdown

Four foam layers encased in a Euro-top cover make up the Evolution 15’s comfort system. These layers are progressively denser from top to bottom, so you’ll feel plush cushioning when you get into bed but the underlying foams keep your body on an even plane.
The zoned support core features thicker coils along the perimeter and beneath your chest and hips. This helps you move across the surface without feeling stuck, and also helps ensure you’ll feel extra pushback around heavier areas of the body. The cover is made of proprietary ArcticTex fabric that feels cool to the touch.
Trial, Shipping, and Warranty
Nolah offers free ground shipping within the contiguous U.S. Each Evolution 15 purchase includes a 120-night sleep trial, but you can opt out of the trial period and reduce the sticker price by as much as $150. A lifetime warranty backs each mattress. For additional protection, you can purchase an accident protection plan that covers stains and other types of physical damage not covered in your standard warranty.
Read Our Full Nolah Evolution 15 ReviewBest Mattress for Combination Sleepers
8.5 /10 Test Lab Score
Layla Hybrid
A close-conforming, flippable hybrid with a different firmness on each side.
Key Details
- Who It’s Best For: Side and back sleepers.
- Feel: The softer side of this mattress feels more like the mattress is “hugging” you. The firm side doesn’t allow for as much sinkage, giving more support.
- What It’s Made Of: The softer side is topped with a thick layer of copper-infused memory foam. It sits on top of a layer of polyfoam that provides support. The firmer side’s memory foam layer is thinner, allowing you to feel that firmer polyfoam underneath.
- What We Don’t Like: Too soft for stomach sleepers, especially those who weigh more than 230 pounds. For a flippable mattress, it is pretty heavy and difficult to move.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The Layla Hybrid has better motion isolation than the average hybrid mattress, especially on the soft side. Since the mattress uses memory foam in the comfort system, it absorbs movements and prevents them from transferring across the bed. The coils in the support core are pocketed, meaning they respond individually to pressure and minimize motion transfer. The firm side still isolates motion well since it incorporates memory foam in its comfort system.
Pressure Relief
A thicker memory foam layer on the Layla Hybrid’s soft side conforms closely to the body and cushions pressure points at the shoulders, back, and hips. This is especially helpful for side sleepers and sleepers under 130 pounds.The firm side is better for back and stomach sleepers who weigh 130 pounds or more. This side gently contours to the body but has less foam padding and provides more support. This side is likely too firm to reduce pressure for sleepers under 130 pounds.
Temperature Control
The Layla Hybrid doesn’t sleep as hot as other memory foam hybrids, but how cool it feels depends on which side you’re using. Both sides incorporate copper-infused memory foam that draws heat away from the body. The coils add airflow and dissipate heat. The soft side of the mattress conforms more closely and can restrict airflow around the body. The firm side of the Layla Hybrid allows more air to circulate more easily around the body. Hot sleepers should prefer this side.
Edge Support
The Layla Hybrid has lower gauge coils around the perimeter to bolster the edges of the bed. Having sturdy edge support increases the usable surface area of the mattress. Sleepers should feel supported sleeping near the edge of the bed. Those who often sit near the edge of the bed and those who need additional assistance getting in and out of bed will also notice the robust edge support of the mattress.
Ease of Movement
The soft side of the mattress has thicker memory foam and softer polyfoam, so it returns to its original shape more slowly when pressure is removed. This can inhibit movement to a certain extent, but it also provides traction.The firm side of the mattress has more bounce, so sleepers will find it easier to change positions. This side is less conforming so it does not restrict movement. This is beneficial for couples and combination sleepers.
Full Breakdown
The Layla Hybrid is flippable with a different firmness level on each side. Our preferred surface varied by tester, but overall we found that this mattress excelled at pressure relief and motion isolation while also sleeping cool and providing adequate support for a wide variety of sleepers.
How It Performed
Our tests show the Layla Hybrid’s medium soft (4) side was best suited to sleepers who weigh less than 130 pounds while the firm (7) side was a better option for sleepers who weigh at least 130 pounds. The coils reinforced the edges and made it easy for our testers to move around on the firm side of the mattress. Although memory foam tends to trap heat, air flows through the coils to help the mattress sleep cool.
What Makes the Layla Hybrid Good for Back Pain
Completely unique in its construction, the Layla Hybrid can be flipped for two different firmness options depending on your pain level. One side is medium soft (4) while the other is firm (7), with the former ranking higher for combination sleepers who weigh less than 130 pounds and the latter being better suited for combination sleepers over 130 pounds. The medium soft side boasts dense copper-infused foam, which offers incredible pressure relief, while the firm side features zoned polyfoam for ample support.
Construction Breakdown

The medium soft side has a 2.5-inch copper-infused memory foam comfort layer. The foam contours closely and alleviates pressure in sore spots along your spine, and the copper infusion is meant to keep the surface cool. This layer rests on 2 inches of zoned transitional polyfoam that provides varying amounts of support to different areas of the body.
In contrast, the firm side has a thinner memory foam layer over 1.5 inches of zoned polyfoam — this makes the surface feel much more supportive. The mattress is encased in a breathable cover with vinyl handles on the sides for easier flippability. The shared support core consists of 6-inch pocketed coils.
Trial, Shipping, and Warranty
The Layla Hybrid comes with a 120-night sleep trial and is backed by a 10-year warranty. Shipping is free to the contiguous U.S.
Most Supportive Mattress
9.1 /10 Test Lab Score
Brooklyn Bedding Aurora Luxe With Cloud Pillow Top
Luxury hybrid with deep foam layers and cooling technology.
Key Details
- Who It’s Best For: This bed is ideal for people with pain issues, as well as people who want a bed with thick foam layers that doesn’t overheat too much. Three firmness options make it good for most positions and weights.
- Feel: The Aurora with the pillow top has a very plush surface, even in the firmer options, but there is a responive base that provides good support lower down the bed.
- What It’s Made Of: The cover is made of a proprietary fabric that’s cool to the touch. Under that is a foam euro-top, polyfoam comfort layers, and a coil support core.
- What We Don’t Like: The thick foam surface can be a bit hard to move around in, especially for heavier sleepers.
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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
Pressure Relief
Temperature Control
Edge Support
Ease of Movement
Full Breakdown
If you sleep hot and struggle with back pain, the Brooklyn Bedding Aurora Luxe can help you address both issues. This memory foam hybrid contains adaptive comfort layers infused with cooling materials, zoned coils to support your torso and hips, and a cooling cover engineered to prevent heat retention. Adding the optional Cloud Pillow Top results in extra cushioning and temperature regulation – and even with the upgrade fee, the sticker price is still on par with most competing hybrid models.
How It Performed
Our testing team evaluated all three of the Aurora Luxe’s available firmness levels. The medium soft (4) design was most popular among our side and back sleepers under 130 pounds. At the other end of the spectrum, the firm (7) model earned stellar ratings from back and stomach sleepers over 230 pounds. Those seeking a balance of contouring and support should consider the medium firm (6) design – it was the most popular option among our team, especially those weighing 130 to 230 pounds.
We were impressed with the Aurora Luxe during temperature control tests. Unlike many other memory foam hybrids, this model effectively reduces heat buildup with a cover designed to feel cool at all times and infusions of copper and gel in the upper layers. Motion isolation is another major strength. The foam layers are thick enough to absorb movement and prevent it from rippling across the surface, so you shouldn’t disturb your partner with position changes and other movements – and vice versa.
What Makes the Brooklyn Bedding Aurora Luxe with Cloud Pillow Top Good for Back Pain
Thick, adaptive comfort layers (polyfoam and transitional memory foam) deliver a hug-like cradling sensation that helps with pressure relief. Beneath that, there’s a layer of pocketed coils, where the thickest of the springs are located directly beneath your midsection for additional support and minimal sinkage.
Construction Breakdown

The Aurora Luxe’s comfort system consists of adaptive polyfoam quilted to a Euro-top, followed by additional comfort layers of polyfoam and transitional memory foam. These materials create a cradling, cloud-like surface that contours to your body’s unique curves, promoting even alignment and alleviating pressure points in the process. With the Cloud Pillow Top, you’ll get an additional 2 inches of foam cushioning.
The pocketed coils are divided into three zones, with the thickest springs resting beneath your midsection. This helps ensure sturdy reinforcement for the areas of your body where the most weight is concentrated, so you shouldn’t sink too much – but choosing the right firmness for your body type is still crucial. A cover made of cooling GlacioTex fabric encases the mattress.
Best Organic Mattress
8.8 /10 Test Lab Score
Birch Mattress
Latex hybrid with quality, zoned support for great alignment.
Key Details
- Who It’s Best For: Couples, hot sleepers, and people who weigh up to 230 pounds.
- Feel: Medium firm (6) construction with a buoyant, responsive surface and sturdy coil core.
- What It’s Made Of: A comfort system with layers of organic cotton natural wool batting over a layer of GOLS-certified organic Talalay latex, followed by pocketed coils and a dense base layer of blended wool and rayon.
- What We Don’t Like: This mattress is quite heavy, so moving and repositioning can be difficult. Tests show most people over 230 pounds sink too deeply into 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.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The Birch Natural Mattress definitely has more bounce than contouring, which in our testing lab meant more motion transfer. Vibrations from movement on one part of the bed could be felt at least lightly on other parts of the bed. For most couples, a little motion transfer doesn’t create significant problems. But if you’re easily awoken during the night, you may encounter more sleep disruptions from your bed partner’s movement when sleeping on the Birch Natural Mattress
Pressure Relief
The Birch Natural Mattress offers effective pressure relief for many sleepers, but it may not be the top option for people who want deep contouring around their body.The wool and latex layers of the Birch Natural Mattress lightly cradle the joints and heavier parts of your body, but these materials do not hug you closely. In most cases, the cushioning from the latex is enough to relieve pressure, but it may be lacking in this category for people with very sharp pressure points.
Temperature Control
We found that the Birch Natural Mattress offers excellent temperature control. It has several components that promote cooling and temperature neutrality. Wool and cotton are highly breathable to wick away moisture and dissipate heat. Latex does not heat up the way foam does, and the coil support core promotes plenty of ventilation.The responsiveness of the mattress also keeps you from sinking in too far. As a result, airflow can reach your skin and help cool you down.
Edge Support
The Birch Natural Mattress offers solid edge support that comes from the bounciness of its materials and its thick layer of pocketed coils. The coils are reinforced around the perimeter to give the mattress a more stable feel when sitting or lying down near the edge.
Ease of Movement
The Birch Natural Mattress keeps you from feeling stuck in one position. Our testers observed that, thanks to its responsive materials like latex and coils, you can easily adjust your sleeping position, roll over, or get up out of bed.The ease of movement on the Birch Natural Mattress makes it a good fit for combination sleepers and anyone else who prefers to feel like they are sleeping on top of the bed rather than “in” the bed.
Full Breakdown
If you live with frequent back pain and want to purchase an eco-friendly mattress, the Birch checks both boxes with a soothing, pressure-relieving surface and organic construction. The mattress also sleeps quite cool thanks to breathable, moisture-wicking materials in its comfort system and support core.

How It Performed
As a medium firm (6) latex hybrid, the Birch Mattress is best suited to back and stomach sleepers up to 230 pounds. Our tests also indicate side sleepers between 130 and 230 pounds should receive adequate support on the mattress. Conversely, most of our testers who weigh more than 230 pounds sank a bit too much.
Temperature control proved to me one of the Birch’s major strengths during our hands-on tests. This can be attributed to moisture-wicking wool and cotton directly below the surface, a breathable organic cotton cover, and steady airflow through the ventilated latex comfort layer and open coil system. Since latex is naturally responsive, we also gave the mattress high marks for ease of movement.
What Makes the Birch Mattress Good for Back Pain
Talalay latex cushions the body while a supportive layer of pocketed coils limit uncomfortable sinking. Its base layer of blended wool and rayon is just plushy enough for back and stomach sleepers.
Construction Breakdown

The Birch Mattress contains layers of natural wool and organic cotton batting, followed by a layer of organic Talalay latex. The latex has earned certification from the Global Organic Latex Standard (GOLS). These materials combine to create a balance of cushioning, breathability, and bounce.
The support core consists of pocketed coils and a base layer of blended wool and rayon. Thicker coils line the perimeter for extra support when you lie close to the edges of the mattress or get in and out of bed. An organic cotton cover encases the mattress.
Trial, Shipping, and Warranty
Birch ships the mattress free of charge to customers in the contiguous U.S., and charges an extra delivery fee for those in Alaska, Hawaii, and Canada. The sleep trial spans 120 nights in length. Should you decide to keep the mattress after the return period ends, your purchase is further covered under a lifetime manufacturer’s warranty.
Read Our Full Birch Mattress ReviewVideo: We Tested the Best Mattresses for Back Pain — Here Are Our Favorites
What to Consider When Shopping for a Mattress for Back Pain
Growing up, I heard “Stand up straight!” whenever my parents or teachers caught me slouching. But I’ve learned that good posture is just as important when you’re sleeping. The best mattress for back pain will keep your head, neck, spine, and hips aligned, regardless of your body weight or sleeping position.
That doesn’t necessarily mean you need the firmest mattress possible (unless that’s what works for you), just one that balances spinal support with pressure relief.
“When it comes to back pain, there’s no one-size-fits-all solution,” says one of our medical experts, physician Dustin Cotliar, M.D. “The key is finding a mattress that provides both support and pressure relief in the right areas for your specific needs.”
How you find that Goldilocks mattress depends on how you answer each of the following questions.
Where Do You Have Pain?
Where you feel back pain — whether it’s in your lower, middle, or upper back — can help guide you toward a mattress with the right firmness and support zones to target that specific area.
After plenty of conversations with our medical experts and hands-on testing with our team, we’ve landed on three main things to focus on when shopping for a mattress if you have back pain:
- Pressure Relief: Your mattress should cushion key pressure points. As a side sleeper, that means my hips and shoulders. For back sleepers, it’s the shoulder blades and lower back. And for stomach sleepers, the chest and hips need extra love.
- Firmness Level: While the right firmness level comes down to personal preference, your mattress still needs to support your spine. Even if you love a soft, cloud-like feel, it should be firm enough to keep you aligned. Some research suggests that a medium-firm mattress may help with back pain , though individual needs can differ.
- Zoned Support: Some mattresses I’ve tested offer zoned support, which means they’re designed with varying firmness levels across different areas to provide extra support — like firmer foam under the lower back and softer cushioning around the shoulders and hips. If you’re one of the more than 600 million people with lower back pain, lumbar support is especially important .
What’s Your Sleeping Position?
Your preferred sleep position plays a big role in how your mattress should support your back. “Sleeping position can be an important consideration for people with back pain,” Dr. Cotliar says. “It’s essential to choose a mattress that supports your preferred sleep position while maintaining proper spinal alignment.”
Back Sleeper
A soft mattress is the worst enemy of back sleepers. Trust me, I know from experience. Even if you don’t think you want a mattress with the word “firm” in it, believe me, you want something firm enough to keep you from feeling like you’re sleeping in quicksand. Back sleepers need a mattress that supports the natural curve of the spine, especially in the lower back. And usually, that means a medium-firm mattress.
Side Sleeper
If you sleep on your side (like me and the majority of sleepers), your shoulders and hips press more deeply into the mattress. The best mattress for side sleepers keeps your spine straight, which, again, usually means medium firmness. Too-firm beds can put excess pressure on your hips and shoulders, while too-soft beds may let the hips sink too much, throwing the spine out of alignment.
I also sleep with a pillow between my knees to keep my spine and hips in place and take some of the pressure off my shoulder.

Stomach Sleeper
I hate to break it to you, but sleeping on your stomach is generally considered the worst position for your back. If your mattress is too soft, your belly will sink and curve your spine. Plus, keeping your head turned sideways all night really does a number on your neck.
That doesn’t mean you need to train yourself to sleep in a different position (though that’s certainly an option if your back pain doesn’t go away), you just need a mattress firm enough to keep your hips elevated and prevent your midsection from dipping too deeply.
How Much Do You Weigh?
Body weight is another important factor to consider when choosing your mattress, as it plays a huge role in how comfortable a mattress’s firmness level feels. Plus, if your mattress doesn’t properly support your weight, you risk sinking no matter what sleep position.
In general, if you weigh 230 pounds or more, a firm or extra firm mattress will probably help you sleep better. People 130 and under are less prone to sinking and can get by on a softer bed. However, if you have back pain, medium-firm is still a good idea. For reference, I’m 180 pounds, and I sleep most comfortably on a medium firm.
Other Things to Consider
During my search for the perfect mattress, even after I accounted for body weight, sleeping position, and location of my back pain, I was still left with a lot of options. I relied on our testing team’s list of other criteria to help me narrow down my search.
- Ease of Movement: On nights when my back pain is particularly bad, changing positions feels like torture. I’ve found that a responsive innerspring or latex mattress makes switching positions easier, can help reduce strain, and improve comfort.
- Edge Support: Strong edges make it easier to sit or sleep near the perimeter without slipping or sinking — a useful feature if you have back pain and need extra stability getting in and out of bed, like me.
- Quality Materials: High-quality materials provide better support, resist sagging over time, and maintain proper spinal alignment — all key for managing back pain long-term.
- Motion Isolation: I admit this one isn’t directly about back pain, but if you sleep with a restless partner, strong motion isolation helps you stay asleep through their tossing and turning and feel well-rested in the morning.
- Temperature Regulation: If you sleep hot, overheating can disrupt your rest — and quality sleep is essential for managing back pain. A mattress with breathable materials or cooling technology can help you stay comfortable and undisturbed through the night.
What Type of Mattress Is Best for Back Pain?
| Mattress Type | What they’re made of | What they can do for your back |
| Innerspring | Innerspring mattresses are probably the ones you slept on as a kid. I know I did. They’re composed almost entirely of metal coils, though sometimes there might be a thin layer of cotton, polyester, or foam above the coils. | Innerspring coils are responsive, meaning they’ll bounce back to help prevent sinking. They’re also easier to move in case you switch sleeping positions. |
| Latex | Latex mattresses are made completely with latex, which is a type of rubber. Most use natural latex from trees, but they can come in synthetic or blended latex. | Most latex beds we’ve tested have moderate contouring effects, which means they cushion the body but are firm enough to prevent an excessive amount of sink, which is especially good for the lower back. |
| Memory Foam | Memory foam mattresses are made from synthetic materials known for their thickness and elasticity. The more dense the foam, the firmer the mattress. | I’ve found that memory foam mattresses do a great job of holding me in place, keeping me from tossing around and twisting my back, and cushions my shoulders and hips to keep my spine aligned. |
| Hybrid | Hybrid mattresses have innersprings coils covered with layers of foam, latex, microcoils, cotton or fiber fill, down, and/or wool. | Hybrids combine an innerspring support core and foam layers. They’re soft enough to feel plushy, but supportive enough to relieve pressure on your back, hips, and shoulders. I’ve had the best luck with hybrid mattresses because of this. |
| Airbeds | Airbeds use adjustable air chambers for support, often layered with foam, latex, or fabric covers for added comfort. Many models allow you to control mattress firmness levels with a remote or app, and some include dual firmness for couples. | The ability to fine-tune firmness makes airbeds a great option for people with back pain. You can adjust the support to your needs on any given night — and some models offer zoned air chambers to better support the lower back and other pressure-sensitive areas. |

How a Bad Mattress Can Cause Back Pain
If you’re like me and regularly wake up with back pain that improves as the day goes on, your mattress may be part of the problem. In general, it’s best to avoid these types of mattresses if you’re prone to back pain:
- Overly soft mattresses
- Very firm mattresses without cushioning
- Old or sagging mattresses
- Low-quality foam mattresses
- Innerspring mattresses without a comfort layer
Whenever I’ve crashed with a friend on their sofa bed or saggy guest room mattress, I know I’m going to wake up with back pain. That’s because an overly soft or unsupportive mattress can throw your spine out of alignment while you sleep, putting excess pressure on key areas like your lower back, shoulders, or hips. If your mattress is too soft, your body may sink too deeply, causing your spine to curve unnaturally.
On the flip side, if it’s too firm, it might not provide enough cushioning at your pressure points, leading to stiffness and soreness in the morning. Over time, these nightly imbalances can aggravate existing pain and make it harder for your body to fully rest and recover.

Best Sleep System for Back Pain
Creating the right bedroom setup for my back pain went beyond choosing a mattress — a mattress topper, adjustable bed base, and even the right pillow played a significant role in reducing my back pain and promoting better sleep.
Pillows
The right pillow plays a big role in reducing back pain by supporting healthy spinal alignment from the top down. Your pillow should keep your head, neck, and shoulders aligned with the rest of your spine, depending on your sleeping position.
As a side sleeper, I typically need a thicker, firmer pillow to fill the space between my head and shoulders, while back sleepers benefit from a medium-loft option. Stomach sleepers usually need a soft, low-loft pillow — or none at all — to avoid straining the neck and upper back.
Mattress Topper
My back pain wasn’t going to pause just because I was searching for the perfect mattress. So as a stop-gap measure, I got a mattress topper designed for back pain. It was a simple, cost-effective way to add support or softness to my existing mattress, which was starting to sag a bit. It supported my spinal alignment and reinforced lumbar support.
So if a new mattress isn’t in your budget, look for toppers made with high-quality memory foam or latex for targeted contouring and durability.
Adjustable Bed Base
An adjustable bed base lets you elevate your upper or lower body to reduce pressure on your spine and ease back pain. For example, raising your legs slightly can take pressure off the lower back, while elevating your head can improve alignment and reduce strain.
Adjustable bases are especially helpful for people who struggle to get comfortable lying flat, and many come with features like massage or zero-gravity presets for extra comfort.
Tips for Sleeping With Back Pain
Finding the right mattress and sleep setup was a game-changer for my back pain. But I didn’t stop there. Here are some other things I’ve done to ease discomfort and improve my sleep.
- Stretching or light yoga before bed can help loosen tight muscles and release built-up tension. I’ve found that even a short, relaxed walk gets my blood flowing and helps me wind down.
- Since I’m a side sleeper, I place a pillow between my knees to align my hips and lower spine. Back sleepers can benefit from placing a pillow under the knees, while stomach sleepers (if you really can’t sleep any other way) may feel more supported with a thin pillow under the hips to prevent over-arching of the lower back.
- When I’m not testing mattresses, I’m spending all day at my desk, so I make sure I’m practicing good posture throughout the day.
- A dark, quiet, and cool bedroom can help promote deeper, restorative sleep. I use blackout curtains, and other members of our testing team swear by a white noise machine or a fan to reduce outside distractions.
- A warm bath, heating pad, or warm compress can help relax tense muscles, while a cold pack may help reduce inflammation if your pain is more acute.
- Talk to your doctor about underlying conditions and recommended therapies or medications that support both pain management and quality rest.
How We Test: Your Comfort Is Our Science
When we test mattresses, we’re not just flopping down on them for a couple of minutes to see how they feel. In our Seattle-based Test Lab, we use an objective, hands-on process to evaluate mattresses, and we’ve used that process to test over 2,000 mattresses in the last decade.
Our industry-leading product testing team cares deeply about improving your sleep. Since a bed’s comfort and feel depend largely on body weight and sleeping position, our team represents a wide range of body types, sleep positions, and comfort preferences.
During our testing, we draw on multiple sources of information that each enhance our overall perspective.

Construction analysis: Our ratings system is grounded in mattress design and construction. We look at how each layer of a mattress contributes to its overall feel and performance, and we account for special features like cooling technology.
Quantitative product testing: During in-lab testing, our team uses multiple tools and technologies to measure a bed’s performance in categories like motion isolation, pressure relief, and temperature regulation. We use the outcomes from these tests to calculate a score for each category.
Field testing: Our field testers (such as yours truly) sleep on mattresses in their own bedrooms. After weeks of at-home testing, each field tester provides a detailed analysis of how the mattress performed in a real-world setting.
User feedback: Beyond our team, we draw insight from surveys and verified customer reviews to identify problem areas, fine-tune our ratings, and better understand how each product performs over time.
How We Determine Our Overall Scores

When you look at our mattress reviews, you’ll see ratings for six key categories. Not every performance category is equally important to your overall satisfaction with a mattress, so we give some categories greater weight when determining an overall score. Here’s a quick breakdown of the categories and why they’re important.
Performance Categories
Motion Isolation
This is how much vibration a mattress absorbs when someone moves on its surface. We measure this with a vibrometer, and the results help determine whether you’ll be woken up when your bed partner rolls over or gets in or out of bed.
Temperature Control
No one wants to wake up clammy and hot, so we perform temperature tests with a heat gun to see how much a mattress heats up and how quickly it dissipates any built-up heat.
Pressure Relief
In this guide, I’ve already covered why pressure relief is important for people with back pain. We use pressure mapping technology that shows just how much impact occurs around the heavier parts of the body.
Edge Support
Mattresses with strong edge support provide a more dependable and reliable sleep surface. We perform tests measuring how much the edges sink when you sit or lie down near the perimeter and how long it takes for the edge to return to its original shape.
Ease of Movement
This category reflects how easy it is to move on the bed’s surface. Materials like latex tend to get higher scores for ease of movement. As with testing edge support, we use kettlebells to determine how deeply a mattress compresses and how quickly it bounces back.
Durability
This performance category takes construction and firmness into account, as firmer mattresses with strong support systems tend to hold up better over time than softer models. We’ll measure qualities like edge stability, contouring level, and responsiveness to movement, then make estimates on the bed’s lifespan based on these factors as well as its overall construction and industry averages.


More Mattress Guides
Still haven’t found your perfect mattress? For more help deciding which mattress is right for your specific needs, check out the guides below.
Best Mattress by Specific Purpose
Frequently Asked Questions
Is a firm or soft mattress better for back pain?
This really depends on you. Since back pain relief is all about proper support and spinal alignment, your sleeping position and weight will determine whether a firm or soft mattress is right for you. As a general rule of thumb, the heavier you are, the firmer a mattress you need. Back and stomach sleepers also tend to prefer firm mattresses, whereas side sleepers like something a little more plush. Refer to the “Sleep Ratings” section in the above product cards to see whether a bed fits your needs.
Can a mattress cure chronic back pain?
No, if you’re struggling with chronic back pain, a mattress will not cure it. That being said, the difference between a mattress that exacerbates your chronic back pain and one that eases it can be huge. Medical advice is necessary to get to the root of your back pain issues, but the right mattress can help you cope.
How often should you replace your mattress?
Generally, we recommend you replace your mattress every 6-8 years, but the type of mattress you have will affect this. Cheap foam beds tend to develop impressions over time and last shorter, while high quality latex beds can last upwards of 10 years. Most beds fall somewhere in between. If you experience any sort of sagging or indentation in your mattress then it’s time to replace immediately.
Can a mattress topper help with back pain
In some ways, a mattress topper can help with back pain, particularly by adding pressure relief to the surface of the bed. A close conforming foam or latex mattress topper can relieve pressure on your body, easing pain. That being said, most pain caused by mattresses result in poor support and spinal alignment, which a topper isn’t going to fix.
What is the best mattress type for back pain?
There’s no one best mattress type for back pain, but generally mattresses that provide a combination of pressure relief and support are ideal. This makes hybrids and latex hybrids good, since these beds tend to offer a close conforming comfort layer that relieves pressure, while at the same time having a study coil support core underneath. I would avoid soft all-foam beds or overly firm innerspring beds.
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References
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“Chronic Back Pain – Health Policy Institute.” Health Policy Institute, 13 Feb. 2019.
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Caggiari G, Talesa GR, Toro G, Jannelli E, Monteleone G, Puddu L. What type of mattress should be chosen to avoid back pain and improve sleep quality? Review of the literature. J Orthop Traumatol. 2021;22(1):51. Published 2021 Dec 8. doi:10.1186/s10195-021-00616-5
https://pmc.ncbi.nlm.nih.gov/articles/PMC8655046/ -
GBD 2021 Low Back Pain Collaborators. Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023;5(6):e316-e329. Published 2023 May 22. doi:10.1016/S2665-9913(23)00098-X
https://pubmed.ncbi.nlm.nih.gov/37273833/