Best mattresses for back pain (2026 guide)

Finding the right mattress can make a significant difference if you suffer from back pain. In this guide, we compare the best mattresses for back pain based on support, spinal alignment, and long-term comfort.

Back pain can be influenced by many factors, including sleep position, mattress firmness, and overall spinal support. While some mattresses work well for side or back sleepers, people with back pain often need more targeted support.

If you primarily sleep on your side or back, you may also want to compare this guide with our guides to the best mattresses for side sleepers and best mattresses for back sleepers.

BEST MATTRESSES FOR BACK PAIN – QUICK OVERVIEW

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Short on time? Start with our top mattress picks for back pain below.

  • Ideal firmness: Medium to medium-firm
  • Best for: Lower back support & spinal alignment
  • Recommended materials: Memory foam, hybrid, zoned support systems
  • Key focus areas: Support, pressure relief, durability
  • Not ideal for: Very soft or sagging mattresses

WHY MATTRESSES MATTER FOR BACK PAIN

A mattress plays a critical role in how your spine is supported throughout the night. When a mattress is too soft, the hips may sink too deeply, placing strain on the lower back. When it’s too firm, it may fail to support the natural curves of the spine.

The best mattresses for back pain strike a balance between support and pressure relief, helping keep the spine in a neutral position while reducing tension in sensitive areas.

WHAT TO LOOK FOR IN A MATTRESS FOR BACK PAIN

Support & Spinal Alignment

  • Keeps hips and shoulders properly supported
  • Prevents excessive sinking

Firmness Balance

  • Medium to medium-firm works best for most people
  • Avoid extreme softness or excessive hardness

Pressure Relief

  • Reduces tension in the lower back and hips
  • Helps minimize night-time discomfort

Durability

  • Maintains support over time
  • Resists sagging, especially in the lumbar area

TOP MATTRESSES FOR BACK PAIN (COMPARED)

Best Overall Mattress for Back Pain

Nestl green Tea Memory Foam Mattress, A supportive and comfortable memory foam mattress infused with green tea extract to help cushion pressure points and promote restful sleep – a solid choice for back pain relief.

A reliable choice for people with back painwho need consistent spinal support night after night.

Best Firm Memory foam Support

Lucid Memory Foam Mattress, A medium-firm gel-in fused memory foam mattress that provides solid support and comfort, hepling maintain neutral spine alignment and relieve back pressure.

Best Budget Memory Foam Support

Amazon Basics Memory Foam Mattress, A medium-firm memory foam mattress that supports healthy spine alignment while relieving pressure points – a solid and supportive choice for back pain sufferers looking for comfort and durability.

Best Pressure Relief

Ashley Medium Firm Mattress, A medium-firm hybrid mattress with supportive coils and pressure-relieving foam that helps maintain neutral spine alignment – ideal for reducing back pressure while you sleep.

WHO SHOULD (AND SHOULDN’T) USE THESE MATTRESSES

Who These Mattresses Are Best For

People with mild to moderate back pain who need consistent spinal support, balanced firmness, and pressure relief throughout the night.

Who Should Consider Other Options

Those who require medical-grade sleep solutions or who prefer extremely soft or very firm sleep surfaces may benefit from more specialized mattresses.

People whose back pain is closely related to their sleep position maybenifit from reading our guides for side sleepers or back sleepers instead.

FAQS ABOUT MATTRESSES FOR BACK PAIN

What mattress firmness is best for back pain?

Most people with back pain benefit from a medium to medium-firm mattress that supports the spine without creating pressure points.

Is memory foam good for back pain?

Memory foam can be effective when combined with proper support, as it contours to the body while maintaining spinal alignment.

Can a mattress cause back pain?

Yes. A mattress that sags or lacks proper support can contribute to poor spinal alignment and increased discomfort.

How often should you replace a mattress for back pain?

Most quality mattresses last between 7 and 10 years, but signs of sagging or discomfort may indicate earlier replacement is needed.

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