Despite newer and better materials, inner spring mattresses still rank below average for pain relief. Advancements in technology, design and materials have greatly expanded the market for mattresses in the 21st century. The primary function of any mattress is to provide comfort and relieve pain so your body can rest and rejuvenate. A good mattress provides adequate support where it is needed, while also cushioning pressure points. Comfort of the shoulders, hips and back is of particular importance in providing restful sleep. The best mattress for both support and comfort depends on your needs, as no single mattress type can cover everyone's needs. Addressing Shoulder Pain Most people tend to sleep in one of three positions, on their side, on their back or on their stomach. Although it's uncommon to stay in just one position all night, it's not uncommon to favor one position. Side sleepers may experience more issues with shoulder pain than those who spend more time on their back or stomach.
The American Academy of Orthopaedic Surgeons lists four common causes of shoulder pain: tendon inflammation, instability, arthritis and bone fractures. If you suffer from acute or chronic shoulder pain or spend most of your time sleeping on your side, you need a mattress with firm support that also conforms to your body to cushion your shoulder. Natural latex and memory foam contour to the body, relieving pressure points while also providing support, making them a good choice for shoulders. Lower Back Pain Mattresses that are too soft can exacerbate lower back problems. Sagging from compression of the material is a common problem, causing the lower spine to rest in an unnatural position. Support is an important factor in preventing and alleviating back pain. According to Sleep Like the Dead, an unbiased, independent research company that reviews and compares mattresses, traditional innerspring mattresses have the highest rating for causing pain and have the most problems with sagging. Waterbeds also tend to lack adequate support for the lower spine.
Memory foam provides good support, although it can also develop problems with sagging over time. Latex mattresses provide good support but some owners complain they are too firm. Airbeds rate the best for causing the least amount of pain, due to excellent support and adjustable firmness to suit personal preferences. Firmness and Sleeping Positions The best sleeping position for those with shoulder or back pain varies from one individual to the next. Medium to firm mattresses often work best for back sleepers. Pressure is more evenly distributed when you sleep on your back. Those who sleep on their side are more comfortable with medium to soft mattresses, as it helps relieve pressure on hips and shoulders. Stomach sleepers need medium firmness to avoid too much pressure on the knees. Too much softness can make it difficult to breathe if you have sunk deep into the mattress and may also cause neck pain. Additional Options Compare pros and cons of mattress types before comparing brand names.
You can upgrade the comfort and support of an innerspring mattress by adding a mattress topper, which comes in a variety of materials such as memory foam, featherbeds, latex, fiber and wool. However, these products also have pros and cons. Mattresses that rank high in pain relief and support, such as an air mattress or memory foam used on an adjustable bed, may help with certain conditions such as osteoarthritis and spinal stenosis. Finally, research customer reviews of brand name mattresses before heading out to mattress showrooms to try them out yourself. "Consumer Reports" recommends laying on a mattress for 15 minutes, altering the positions you sleep in most to determine a mattress's comfort level. References Spine-Health: Choosing the Best Mattress for Lower Back PainSleep Like the Dead: Best Mattresses for Pain Relief and Bad BackPlushbeds: Best Mattress for Shoulder PainConsumer Reports: Mattress Buying Guide Photo Credits Hemera Technologies/PhotoObjects.net/Getty Images Suggest a Correction
Ratings > Mattresses and Bad Back Problems Unbiased Comparisons Based on 22,478 Owner Experiences Some mattresses perform significantly better than others in preventing / relieving pain, including back, hip and shoulder pain. Before discussing which are best, three interrelated terms are important to understand: support, conforming ability, and firmness. Support refers to how well a mattress keeps the sleeper's body on a flat and level plane. Owner experience data shows that support is a key factor in preventing and alleviating pain, especially back pain. Support can be undermined by excessive softness and excessive firmness – but it is most often undermined by sagging of the mattress. Sagging is the top complaint of mattress owners overall with at least 30% reporting a significant problem. Sagging occurs when part of a mattress, usually the middle, becomes compressed and lower than the rest. Sagging often puts a person's spine into an unnatural position – especially for side and stomach sleepers.
Consequently, mattress owner experience data shows a clear connection between sagging and pain, especially back pain. The greater the sagging depth the more likely it is that sagging will cause a person to have discomfort or pain in bed and possibly out of bed. * especially for side and / or stomach sleepers. It should be noted that despite the fact that back pain for many people may occur with less than 1.5 inches of sagging depth, many mattress warranties cover sagging only if it has a depth greater than 1.5 inches. Conforming ability refers to how well a mattress conforms or molds to the contours and curves of a person's body. A mattress has good conforming ability if all of one's body is supported equally by the mattress. A lack of conforming ability means there are gaps in support. The result can be that at least one part of the body – such as the lower back – is placed in an unsupported, unnatural and therefore stressed position which can cause pain.
A lack of conforming ability also often results in some parts of the body – namely shoulders and hips of side sleepers – feeling more pressure than other parts because of unequal support. Such pressure can be a source of significant discomfort. Having the right firmness is an important factor in preventing / relieving pain. Learn more: Mattress Firmness Guide & Comparison. The graph below shows the pain-relieving ability of the different mattress types based on actual owner experiences. The types that are better at reducing (back, hip and shoulder) pain are more supportive, less likely to sag and more likely to have effective conforming ability. Keep in mind that the chart represents what is often but not always the case; model or individual mattress may go against these findings somewhat. Sagging and loss of support (barring mechanical breakdown) is usually less of a problem with airbeds compared to most other bed types. And the air chambers inside an airbed provide at least fair conforming ability and allow for adjustable firmness / support to suit personal preference and sleep position.
Airbeds, however, with little or no comfort layer can be too firm on hips and or shoulders of small- to average-sized side sleepers. While memory foam mattresses can develop problems (sagging, excessive softness, and loss of support) these problems tend to not be as common or serious as they can be with innerspring-based mattresses (memory foam's main competition). Memory foam also provides good conforming ability for average- to large-sized people. Firmness levels tend to be mostly medium to medium-firm. Smaller-sized people may experience excessive pressure points as they tend to not exert adequate pressure on the mattress to benefit from the foam's conforming ability. Latex can develop body impressions and soften to some extent, but these problems tend to not cause widespread pain problems. Latex often conforms moderately to the body. Firmness tends to be medium to firm (but soft varieties are available). Hybrid mattresses often provide above-average support, but such support breaks down for at least 18% of owners within three years due to sagging.
Conforming ability tends to be good if at least two inches of memory foam is present. A variety of firmnesses are available. While waterbeds are often highly conforming, their support is questionable. At least 15% of owners claim that their waterbed causes back pain because of poor support. Firmness can be adjusted somewhat by adding or removing water. Innerspring mattresses often provide at least fair support, but such support breaks down for at least 20% of owners within three years due to sagging. Models with a significant comfort layer often provide fair conforming ability, while models with a minimal comfort layer often provide poor conforming ability especially for small- to average-sized people. Futon mattresses offer mostly fair support and conforming ability. Futons tend to be more firm than soft. While mattress support, mattress conforming ability, and mattress firmness are crucial factors for preventing / relieving pain, they are not the only factors. One's choice of pillow is important as well.