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.
If your pillow – specifically its loft or height – is not compatible with your mattress – specifically its firmness level – then neck, upper spine, head and shoulder discomfort or pain are possible. See our pillow loft guide and calculators to learn how much loft may be best for you.Everyday Solutions are created by Everyday Health on behalf of our partners. More InformationEveryday SolutionsBack Pain Management GuideIf you have chronic back pain or want to avoid it, the right mattress — not too hard, not too soft — is essential. These tips can help you select the best one. ThinkstockWe spend about a third of our lives asleep, so the right mattress is important. And if you have chronic back pain, the best mattresses for back pain relief are those that give your spine just the right amount of support, in all the crucial areas.“Any time our bodies are in the same position for more than 20 minutes, we ‘mold’ to that position a little bit more, so it’s important to spend 7-9 hours per night in a position that’s appropriate for what’s going on with your back” says Suzanne Tamlyn, DC, chiropractor and owner of Hudson Valley Whole Life Center in Newburgh, New York.To understand how to maintain the proper mechanics of your spine
, you need some spinal anatomy basics. Your spine supports your head, keeps your body upright, allows you the flexibility to bend and twist, and protects your spinal cord. Your spine has three sections and three normal, gentle curves that need to be supported when you are standing as well as when you are sleeping.Your cervical spine includes seven vertebrae, supports your head, and has a C-shaped curve. Your thoracic spine includes 12 vertebrae, supports your upper body and has a reverse C-shaped curve. Your lower back, or lumbar spine, is your back's foundation, includes five vertebrae, and also has a C-shaped curve. If you don’t maintain these curves, you increase the stress on the bones and muscles of your back, and that can lead to chronic back pain.Best Mattress Type for Back Pain“The best advice I could give is the ‘Goldilocks Method’ — not too hard, and not too soft,” says Dr. Tamlyn.Try these tips to help find the right mattress for you:Support. Mattresses for back pain must support the heaviest parts of your body where the natural curves are located.
These areas are the head, the shoulders, and the hips. Don't forget that you also need a good pillow to support your head.Back pain and bed selection. It's not just about the mattress. You also need a good bed foundation. Putting a new mattress for back pain on an old, worn-out bed spring is not a good idea. Most mattresses work best with a matching foundation or box spring.There are many mattress options, including springs, foam, water, and air. Any of these can work as a mattress for back pain, but you really can't tell what feels best for you until you lie down and try it. Generally, however, memory foam mattresses are able to reduce pressure points better than other types of mattress, according to the American Sleep Association.And it’s not all about the mattress, either. “Finding the appropriate pillow is also key to keeping great spinal hygiene while sleeping,” says Tamlyn. You can also try keeping a pillow between your legs when lying on your side or under your knees when lying on your back to help alleviate back pain.
When Do You Need a New Mattress?When it comes to mattress shopping, “usually, you get what you pay for,” says Tamlyn. “If you have a quality mattress and no underlying spinal dysfunction, you can sleep on it for many years without issue. But it’s rare that no one has some kind of spinal dysfunction.”Here are a few rules of thumb for knowing when it’s time to replace your mattress:The lifespan of your mattress depends on the kind of use your mattress gets, but you should evaluate your mattress for quality and support at least every 7 years, according to the Better Sleep Council. If you start waking up with aches and pains, especially chronic back pain, it is probably time to go shopping.Your mattress support needs may change over time. As you get older, you may need more support, as the spine experiences degenerative changes over time.Since the changes in your mattress occur gradually over time, it is a good idea to try out a new mattress after a few years to compare and feel the difference.