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
Buying a new mattress can be expensive and daunting if you’re not sure what to look for… So I’m going to tell you exactly what I recommend (and don’t recommend) to patients who ask me what type of mattress is best. I’ll also share some additional mattress-buying tips which could save you up to $1,000 or more! The “best” mattress I know of probably isn’t one you’re interested in… That’s because it costs about the same price as a supercar ($150,000). From there, ultra-premium quality mattresses run anywhere from $4,000 to $15,000. Fortunately a good night’s sleep doesn’t have to be steep. The recommendations I give to people are much more affordable. Before I go into that, I must say that “comfort” is highly subjective. People can be comfortable resting in really cockamamie positions… So the recommendations I’ll make are based on my clinical knowledge of the spine, comments patients have shared with me over the past 12-years, and personal experience.
1. Waterbeds: Good mattresses allow for proper spinal alignment. Sleeping on a giant bag of water that’s always moving can’t do this for you. Waterbeds were actually invented in the late 1800’s to help prevent invalids from getting bedsores. 2. Air Mattresses: I’ve sat through the “pitch” at Select Comfort stores in the mall, and can confirm that the last bed they show you is much more comfortable than the first (sales trick). But at the end of the day, you’re still sleeping on a glorified air mattress. Several patients have complained to me about “Sleep Number” type beds and regret buying them. 3. Pillow Top Mattresses: These seem luxurious at first, but the material inside a “pillow top” is extremely flimsy and can break down in a few weeks. Eventually an indentation forms around where you sleep, and this can compromise spinal alignment. Mattress makers are fully aware of this, so they’ve started sewing a second pillow top on the opposite side of the mattress for you to flip…
That’s their way of admitting the problem. It’s a trap, don’t fall for it! 4. : I like memory foam, but there are four reasons I wouldn’t buy an entire mattress made out of it. First, the sheer number of patients who’ve complained about the visco-elastic material’s recovery time is alarming. Many describe the problem as feeling like they’re sleeping in a ditch. Second, this photo taken from one of their TV commercials makes me question the company’s understanding of the spine. They claim Tempur-pedic mattresses provide “perfect alignment,” but the blue dots I placed along the model’s spine aren’t aligned at all! The third reason involves the price tag ($1,200-$6,000). Purchasing an off-brand memory foam mattress topper can be just as relaxing for a fraction of the cost ($150 or less). Lastly, it’s because I don’t sleep in Outer Space (these beds were invented in the 1970’s for astronauts). If you absolutely insist on buying a memory foam mattress, get this one.
It’s a new form of “gel” memory foam that solves some of the heat retention problems of standard memory foam. First, determine if you really need a new mattress. If your current bed doesn’t dip or sag, you can save a lot of money by adding a high quality memory foam mattress topper. Be careful though, people make two mistakes when buying these. The first is buying the thickest topper they find. Since these are sold in different sizes (from 1.5-inches to 6-inches), it’s tempting to assume that 6″ is best… but it’s not! The second mistake is buying the toppers conveniently sold at Walmart, Target, and Bed Bath & Beyond. these toppers are over-priced and wear out very quickly. Density is more important than thickness. Every topper comes with three measurements: Size, thickness, and density. Pick the size you want (twin, queen, king), then buy the heaviest density you can afford. The denser the memory foam is, the longer it will last and the more resistant it is to wear-and-tear.
Quality toppers can last for 3-4 years. Cheap ones won’t even make it 3-4 months! A good rule-of-thumb is you want the density weight to be greater than thickness. Toppers that are 4″ thick with 2-lbs of density aren’t nearly as good as a 2″ topper with 4-lbs of density. I recommend buying a 2-3″ pad, with 4+ pound density. Anything higher than that runs the risk of being too thick. Full memory foam mattresses are typically 6-8″ of pure memory foam, but that’s what creates the “sleeping in a ditch” effect I mentioned earlier. If this sounds confusing, don’t sweat it. Here’s the kind I have at home. Doing this can delay the immediate need to buy a brand new bed, so try it before embarking on a mattress mission. If you’re on a tight budget, don’t assume you have to spend $600+ dollars on a mattress. When sawed in half, there’s not a significant difference between $300 and $600 mattresses. The $600 options probably have a pillow top and more touch-friendly fabric… but the “bones” of the bed will be eerily similar.
So you’re not missing much if you wish to purchase a “wallet-friendly” mattress. Just buy the heaviest mattress you can afford; something that doesn’t dip, bend, poke or squeak. The firmer the better. Then purchase the type of memory foam topper I described above. Your new economy mattress will feel much more expensive than it is… Now, if you’re willing and able to spend more money on a higher quality mattress, I have three different recommendations. First, take a look at Simmons Beautyrest. They’re very well-built and reasonably priced. I like them because they offer the right amount of firmness without being stiff, are surprisingly heavy, and promote healthy spinal alignment. Next, consider a Casper mattress. This company is taking the mattress world by storm, shipping mattresses that defy the laws of physics when they arrive on your doorstep. (If you’d like to save some money, there’s an alternative/cheaper version made by Tuft & Needle). Finally, you can now get mattresses made entirely of latex.
Here’s the best latex mattress that I’ve found – it has consistently high reviews on Amazon. Mattress Buying Tip #1: When purchasing a bed, the last person you want advice from is the guy hoping you buy it. Peer through the window of a free-standing mattress store and you’ll quickly notice that these are relatively low-volume businesses. Salesmen might work an entire shift and not have a single customer. So when someone does walk through the door, it’s “do-or-die” time. They have mouths to feed and might desperately need that sale! Mattress Buying Tip #2: Standard bed construction isn’t nearly as complex or intricate as the price tag indicates. I’ve spent time with manufacturers who build beds from scratch and they’ll be the first to tell you (if they’re being honest) how unsophisticated bed-building is… So remember this when you’re ready to buy. Consider going directly to a local mattress maker instead of an overpriced chain store. Skipping the middle-man can save you a nice chunk of change.