The American Chiropractic Association (ACA) recommends your mattress should support your body weight evenly, without gaps between your mattress and your body. However, there is no "one size fits all" type of bed, and choosing the best bed for your back depends on your preferences and condition. You may need to change beds if you gain or lose a lot of weight, become pregnant or change sleeping partners. If you sleep with a partner, an adjustable mattress may be best for your back because you can each select a firmness level. A bed that is too firm can increase pressure on parts of your body, decreasing your quality of sleep and making you wake up sore. Too-soft beds don't support your back properly, and your spine won't be aligned and rested as you sleep, cautions J. Talbot Sellers, D.O., of the spine-health website. A 2008 study performed by Harvard researchers at Massachusetts General Hospital found that people who could customise their mattress firmness to suit them slept better and experienced less back pain and soreness.
The National Institute of Neurological Disorders states that people with back pain should sleep on their sides on a firm surface. Sellers stresses that since choosing the best bed for your back is a matter of personal preference, you should test a mattress in the store. Buy from a store that has a return policy if you're not comfortable sleeping on it after two or three weeks. Ron Miller, PT, writing on the spine-health website, suggests that adjustable beds—also called semi-Fowler beds—can be very comfortable for people with back problems such as spinal stenosis or osteoarthritis in the spine, or after back surgery. Similar to some hospital beds, you can raise or lower an adjustable bed so your upper body is raised to 30 to 45 degrees. Put a pillow under the backs of your knees to keep them slightly bent and your spine at a natural curve and take pressure off your lower back. The Better Sleep Council suggests other options to a traditional box spring mattress. Futons are often quite firm, as well as being affordable and versatile since they can function as both a sofa and a bed.
Inflatable air mattresses can be filled to your comfort level, as soft or as firm as you like. Foam mattresses come in a variety of styles, from memory foam which molds itself to your body as you sleep, to layered or textured foam. Water beds are now designed to look and feel more like a traditional mattress, providing better support and insulation compared to the sloshing waterbeds of the 1970s. Gain 2 pounds per week Gain 1.5 pounds per week Gain 1 pound per week Gain 0.5 pound per week Maintain my current weight Lose 0.5 pound per week Lose 1 pound per week Lose 1.5 pounds per week Lose 2 pounds per week Mattresses & Back Pain The Best Mattress for Large Heavy Side Sleepers Recommended Mattresses for Children How to Alleviate Hip Pain in Pregnancy by Sleeping on the Side Are Memory Foam Mattresses Good for Your Back? How to Lengthen Your Spine With Sleeping Positions What Firmness of Mattress Is Best for a Toddler?
How Do I Know What Type of Mattress Is Best for Me? Exercises After ACDF Surgery for a Stiff Back With Lower Back Pain Hip Problems After Pregnancy Exercises Exercise & Lack of Sleep The Effects of Sleeping on Your Back While Pregnant Sleeping Positions to Reduce Back & Hip Aches Causes, Risk Factors and Prevention of Back Pain Ways to Incline While You Sleep With a Back Wedge Baby and Bed Bug Bites What Ages Are Toddler Beds Designed For? Leg Strengthing Exercises After Being Bedridden Bed Wetting and Child Abuse 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;