The Best Mattresses for Back Pain – Selecting the Right One Based on Advice from Bone Specialists and Rest Researchers

Spinal problems are an increasing problem in Britain, with government data indicating that close to one million individuals are off work due to neck and back conditions. Charitable organizations state that millions experience intense spinal discomfort each year. The roots of back problems are multifaceted, and many treatments often fail to provide relief, especially when discomfort is long-term and debilitating.

While upgrading your mattress may not cure persistent spinal discomfort, and medical professionals should be consulted if pain affects daily life, studies indicates that selecting the right mattress for your physique and sleeping position may assist. Firsthand testing confirms that using an ill-fitting bed can lead to temporary backache, while switching to a more suitable model frequently provides relief and improved sleep.

This article will help you choose the perfect bed for your back, whether you already experience pain or wish to prevent it. Professional opinions from osteopaths and sleep scientists have been incorporated, along with a close look at the frequently misapplied “orthopedic” label.


Are Firm Orthopedic Mattresses Best for a Bad Back?

Not necessarily. Harder does not always mean better, and the term “orthopaedic mattress” is largely advertising language. While bone specialists have treated bone and muscle disorders for hundreds of years, in the context of bed marketing, the term “orthopaedic” holds no clinical endorsement.

“The term was created by bed producers,” says a prominent rest researcher. “It was intended to sound medical, because at the period, physicians were advising people that a hard bed was best for a painful spine. More recent studies has shown this to be incorrect, however.”

The notion that your spine needs a bed only a bit more cushioned than a kitchen floor has been debunked since at least 2003, when a prominent health publication stated that medium-firm mattresses had superior results for patients suffering from spinal discomfort. “Medium-firm mattresses repeatedly come out on top in research into spinal issues,” says an bone and muscle expert. “Comfort matters as much as firmness, and moderately firm mattresses strike a better balance than hard or plush options. This assists to enhance rest as well as reduce pain.”


Maintain Your Spine in Line

The key to keeping your back healthy and pain-free is “spinal alignment”, according to health experts. Also called spinal alignment, this means the way your backbone relaxes in a straight-ish line when you’re resting on a mattress that’s neither too firm nor too soft. It’s not just about your spine, either: your skull, neck and joints should all align properly, neither dipping down nor sticking up. If misaligned, you could suffer from discomfort in the spine, neck, and shoulders.

Your back muscles can’t fully relax on a mattress that’s excessively hard or soft, and you’ll soon notice the consequences, says a rest specialist. “When your spine is misaligned when you sleep, you’re engaging muscles at a time when they ought to be at rest and recovering from the day. The pains you experience from the occasional night of poor support are your tissues holding you in that position when they should be resting.”

In the long term, spinal discomfort can also result from your backbone not replenishing fluids at night. “Throughout the day your back compresses,” explains the specialist. “This is completely normal, and it’s due to force compressing each spinal disc between the vertebrae.” At night, these pads reabsorb fluid and decompress, she explains – but only if you’re resting properly. “If the spine is twisted due to insufficient firmness, chances are discs are still being compressed.”

You might not notice the effects of compressed discs for a long time, states the specialist. “Over a night or two of your spine being curved into improper alignment, you may feel a some discomfort, but over a prolonged period, this can become serious back pain that impacts you during the day.”


How to Choose the Best Mattress for Spinal Discomfort

The most reliable method to spinal neutrality while you sleep is to choose a mattress that’s neither too firm nor too soft for you. Mattress hardness varies by individual, so don’t just go for a mattress that’s labelled “orthopedic”. Rather, choose one with the perfect mix of softness and support for your physique and sleeping position.

Generally speaking, the bigger you are, the harder your bed will should be to provide adequate firmness for your spine. Side sleepers require a bit more cushioning to accommodate their pelvis, knees and shoulders, while people who mostly sleep on their back or front need a little more firmness.

“If you’re a petite person, with small hips and slim upper body, an extra-firm orthopaedic mattress is likely not the best choice,” notes a sleep scientist. “Your physique wouldn’t be heavy enough to let the mattress contour to your shape, and that’ll change your spinal alignment. Find the firmness that suits your shape rather than due to seeming clinically correct.”

The only way to be certain is to sleep on a mattress for a few months, which is why numerous bed companies now offer lengthy trial periods. But you can also get a good idea of what you require in a store, or indeed on your current mattress, by lying down (ideally on your side) on a mattress and having a person take a photo of you from the rear. You ought to visualize a relatively straight line down your backbone, starting at your head through the neck bones of your cervical area, all the way to your knees and ankles. If this imaginary line dips at your pelvis and upper body, the mattress is excessively plush for you. If the alignment rises at those areas, it’s too firm. Both are recipes for spinal discomfort.

Personal experience shows that medium-firm is effective for smaller side sleepers. One model provided just enough cushioning to let the back relax. A different mattress described as medium-firm featured different levels of support: harder sections that give stronger support for your back, and more cushioned parts to support pressure points such as your pelvis and upper body. This was less suitable for a smaller physique, which suffered spinal discomfort after a several evenings on the bed’s hard top. The sectional support may, however, be ideal for those with a more standard size. Its hard top may also provide the additional firmness required if you sleep on your back.

Best for Those Who Sleep on Their Side

One Recommended Model, standard double


Ideal for Back Sleepers

A Different Bed, standard double

Additionally, it’s important to note that softer memory-foam mattresses do work well for certain individuals with discomfort. The marshmallowy sensation of an all-foam option left one tester craving more support, but some people love it for pain management. Its powerful pressure relief – basically, the manner it supports you as though you’re floating in a cloud – can be transformative if you’ve had difficulty finding ease in bed after an injury.


Best for Pressure Relief

Another Recommended Bed, standard double

Don’t forget about the surface your mattress is on. A sprung-slatted base has greater flexibility than a solid foundation, and will make a mattress feel softer as a consequence. If you have a flexible base and your bed seems overly plush for your back, {try it on the floor|test it on a hard

Scott Murphy
Scott Murphy

Tech enthusiast and science writer with a passion for exploring emerging technologies and their societal impacts.