Related to Back Pain Best Mattress for Lower Back Pain Study Disputes Long-Held Belief by Some Doctors That Firmer Bedding Is Better Nov. 13, 2003 -- For years, many people with back pain have been advised to sleep on a firm mattress. But a new study shows that might just add to the nightmare of their morning-after misery. Researchers in Spain say that people who sleep on a medium-firm mattress were twice as likely to report improvements in lower back pain compared to those sleep on more firm bedding. They reach this conclusion after replacing bedding of 313 patients with a history of back pain with new "firm" or "medium-firm" mattresses. The patients didn't know which mattress type they received. This study, published in the upcoming issue of the Lancet, is among the first to test the popular belief -- at least among some orthopaedic doctors -- that the firmer a mattress is, the better it is at preventing or relieving lower back pain. While there's little hard scientific data to support that firm mattresses are better -- only a handful of studies have been conducted -- the Spanish researchers say that about three in four orthopaedic doctors recommend firm mattresses to their patients.
In fact, a survey of Atlanta-area orthopaedic surgeons indicates that two in three said they recommend a firm mattress to their patients, and most believed that a mattress' firmness had a definite role in managing back pain. This finding, by Emory University orthopaedist Howard I. Levy, MD, was presented at the 1996 annual meeting of the American Association of Orthopaedic Surgeons. But chiropractors have long argued that firm mattresses are not the best choice, says George McClelland, DC, spokesman for the American Chiropractic Association. "Traditionally, what we have recommended is that a moderately-firm works best, or when using a firm mattress, you should add a 1½- to 2-inch thick padding on top of it," he tells WebMD. "It's wonderful to be validated by some form of research." McClelland says that this extra padding -- or using a medium-firm mattress without the extra padding -- better adapts to the natural curvatures in the spine. This padding is available at most stores that sell mattresses or bedding supplies.
"The spine is not a straight line, and padding or a moderately firm mattress 'gives' better to the concavities and convexities of the spine," he says. "A younger spine may tolerate a firm mattress perfectly well. But as we get middle years any beyond, when back pain is more prevalent, we find that more equalized support seems to be better." The researchers, led by Francisco Kovacs, PhD, who operates an independent medical research company in Palma de Mallorca, Spain, say that a medium-firm mattress leads to better "pressure distribution" when lying in bed, resulting in less pain while lying or after getting up. But McClelland and others say you also shouldn't use a soft mattress, because it doesn't provide enough support. "From my own perspective, if a mattress is soft or too hard, it's not comfortable," says orthopaedic surgeon Dana C. Mears, MD, PhD, of the University of Pittsburgh Medical Center. "Something in the middle works best for me -- a medium-firm mattress.
If a mattress is too firm, you might as well be sleeping on the floor." When buying a mattress, McClelland advises against relying on store ratings as an accurate guideline. "These numbers are all over the place," he says. "Individual companies use different rating systems, so you don't really know what you're getting." In fact, in the U.S., firm mattresses typically have a higher rating number; in Europe, a lower number goes to firmer mattresses. His advice: "When testing for a mattress, don't push on it or bounce up and down, as many people do. What's better is to lie on it for 10 minutes or so -- on your back, on your side, every way. It shouldn't be too hard. If it is, get some padding to place on top of the mattress."Sleep matters -- so much so that six in 10 Americans crave sleep over sex. And the key to rest that's good enough to forgo sex just might be the mattress: Nine in 10 respondents in a sleep survey cited their mattress as an important factor in getting that coveted good night's rest.
In 2010, Americans spent more than $5.8 billion on mattresses and box springs alone. But is this expense justified? How important are mattresses, really? Read on for the low-down on how mattresses affect health and sleep quality. 13 Legit Ways to Stop a Hangover The Most Common Yoga Injuries and How to Avoid Them 13 Social Good Mobile Apps for a Healthier You Mattress Matters -- The Need-To-Know The first "mattresses" (read: piles of leaves, grass or straw covered in animal skins) were invented by cave men and women. Thousands of years later, the Egyptian pharaohs discovered the luxury of raising the bedding off the ground (though common folk continued to sleep on piles of palm fronds). Today, many Americans enjoy the luxury of mattress-induced sleep. Even those who aren't up on their mattress history know the value of a good night's sleep. The average person spends about one third of her or his life sleeping. For those who sleep less than that, sleep deprivation can have serious health consequences, including a sour mood (what college student doesn't know this to be truth), slower metabolism and impaired immune function
There are lots of great tips for coping with sleep deprivation, but what if the cause is right under our backs? Low-quality, uncomfortable mattresses have been linked to sleep discomfort and pain, and chronic pain can prevent quality sleep. Fortunately, it's not all bad news. Improved “bedding systems” (a fancy way of saying “things you sleep on”) have been linked to decreased pain and discomfort, especially in women. Quality sleep on a good mattress may also help decrease stress. If we're comfortable, we have a better chance of sleeping well, and if we sleep well, we're more likely to stay healthy. Better Bedding -- Your Action PlanSome research suggests that foam mattresses create backaches; Some studies advocate for regular cotton mattresses while others say coils create backaches and that airbeds are the way to go. There's even controversy over the conventional thinking that a firm mattress is better for lower back pain. The reason for all this controversy is that sleep quality and comfort are so darn subjective.