10 Best Mattresses for Back Pain in 2024

Mar 01, 2024
Fact Checked
Our Reviews Team selected the best mattresses for back pain based on factors like support and pressure relief. Through extensive in-person testing and analysis, we chose the Helix Midnight Luxe as our top pick. Read on to find out the top 10 mattresses for back pain.
Written by: Marten Carlson
Medical Reviewer: Raj Dasgupta, MD
1
Best Overall
9.3
Excellent
Helix Midnight Luxe
100-night trial period
Great lumbar support and body contouring
Free shipping
Price: $1,373.80–$2,873.80
Our Top Pick
2
Best Value Mattress
9.1
Excellent
The Nectar
365-night trial period
Gel-infused foam for temperature regulation
Free shipping
Price: $699–$1,399
3
Best for Mobility
9.7
Exceptional
Saatva Classic Mattress
365-night trial period
Made with eco-friendly materials
Free white glove delivery
Price: $1,295–$2,495

A new mattress won’t magically resolve your back pain, but it may be able to help. A 2021 study suggests that switching to a medium-firm setup could promote comfort, help ease low-back pain, and improve sleep quality. [1]Caggiari, Gianfilippo, et al. Journal of Orthopaedics and Traumatology. Dec. 8, 2021. What Type of Mattress Should be Chosen to Avoid Back Pain and Improve Sleep Quality? Review of the Literature. Found on the internet at https://jorthoptraumatol.springeropen.com/articles/10.1186/s10195-021-00616-5

“Body pain in the morning and sleep disruptions due to being uncomfortable are common signs that a mattress is having a negative impact on sleep. When a mattress starts to age and sag, typically in the middle where we place the most weight, it can lead to waking up with low back pain, stiffness, or sore muscles,” said Shelby Harris, a licensed clinical psychologist specializing in behavioral sleep medicine.

If your doctor has given you the green light to try out a new mattress, consider one of these 10 top contenders tested by our experts.

The best mattresses for back pain in 2024

What to look for

If you’re shopping for a mattress specifically for back pain, there are certain features to look for:

Compare the best mattresses for back pain, as of March 2024

Mattress type Hybrid Memory foam Hybrid Innerspring Hybrid Hybrid Hybrid Hybrid Hybrid Hybrid
Firmness Medium-firm Medium-firm Plush soft, luxury firm, firm Softer, luxury firm, firmer, plus Medium-firm Plush, luxury firm, firm Plush soft, luxury firm, firm Soft, medium, firm Medium-firm Soft, medium, firm
Trial period 100 nights 365 nights 365 nights 120 nights 365 nights 120 nights 365 nights 120 nights 101 nights 120 nights
Warranty 15 years Lifetime Lifetime Lifetime 10 years Lifetime Lifetime Lifetime Lifetime 10 years
White glove delivery No Yes Yes No Yes No Yes No N/A No
Cost of queen $2,373.80 $1,099 $1,995 $1,799 $1,199 $2,499 $1,995 $2,305 $2,849 $1,332

Best mattresses for back pain of 2024

Helix Midnight Luxe
Best Overall
9.3 Excellent
9.3 Excellent
Features
  • Price: $1,373.80–$2,873.80
  • Material: Hybrid
  • Firmness: Medium-firm
  • Trial period: 100 nights
  • Shipping: Free shipping
  • Warranty: 15 years
  • Sizes: Twin, twin XL, full, queen, king, and California king
  • Mattress height: 13.5″
Pros & Cons
Pros Great lumbar support and body contouring Motion isolation Luxury upgrades available Cons Pricey investment Not enough support for stomach sleepers
Additional Information

Our expert take

If you like your mattress extra fluffy, the Helix Midnight Luxe may be for you. The top layer of this hybrid, medium-firm mattress has a plush pillow top that supports the lumbar region and helps to take the pressure off the hips. Below are layers of individually wrapped coils and supportive proprietary foam layers to keep your spine aligned while reducing motion transfer.

While side-sleeping during testing, we appreciated how this mattress supported our spines without sinking in too much. It has zoned support to make the bed feel firmer in the center, right where your back needs it most. Between the pressure relief and body contouring foam that feels like it’s hugging you, you should feel supported in the right places without feeling stuck.

Beyond the comfort and back support, Helix doesn’t offer some of the same perks as its competitors. It doesn’t have as long of a sleep trial or a warranty, but there is still free shipping and full refund returns.

Our recommendation

Who will love it

  • Side sleepers may benefit from extra support in the lumbar region
  • Those who prefer a medium-firm mattress with spine-supporting coils

Who should avoid it

  • Stomach sleepers may want to look for a mattress with more support.
  • Those on a strict budget may want to try lower-priced options.

Customer reviews

Helix Sleep is BBB accredited and has an A+ rating along with 22 reviews and just 1.57 out of 5 stars. On Google, the mattress has 4.3 out of 5 stars with more than 16,500 reviews. Happy reviewers praised the comfort and quality, while negative reviewers complained about the mattress being too soft or losing support over time.

Customer service

You can contact Helix Sleep customer service by:

  • Phone: Call 831-777-5976, available Monday through Friday, 12 p.m. to 6 p.m. ET
  • Text: Text “HELIX” to 67069, available Monday through Friday, 12 p.m. to 6 p.m. ET
  • Email: help@helixsleep.com
  • Chat: Live chat via the bottom right corner of the website, available seven days a week, 10 a.m. to 10 p.m. ET
  • Submitting a contact form on the website

Payment options

Helix accepts payment from Visa, MasterCard, American Express, Discover, Shop Pay, Amazon Pay, PayPal, and Google Pay. Financing is available through Affirm.

Our Top Pick
The Nectar
Best Value Mattress
9.1 Excellent
9.1 Excellent
Features
  • Price: $699–$1,399
  • Material: Memory foam
  • Firmness: Medium-firm
  • Trial period: 365 nights
  • Shipping: Free shipping
  • Warranty: Lifetime
  • Sizes: Twin, twin XL, full, queen, king, split king, and California king
  • Mattress height: 12″
Pros & Cons
Pros Great motion isolation Gel-infused foam for temperature regulation Pressure point relief Cons Not enough spinal support for stomach sleepers
Additional Information

Our expert take

If you’re looking for a pain-relieving mattress upgrade that won’t break the bank, The Nectar is a good option. It offers layers of cushioned memory foams without the hefty price tag of other luxury brands. You get a denser foam base that keeps your spine supported and a gel-infused foam layer for temperature regulation.

During testing, we found The Nectar has a medium-firm feel, ranking 6 out of 10 on our firmness scale, with 10 being the most firm. Anyone who’s a fan of the slow-sinking feel of memory foam should enjoy how this mattress cradles the body and relieves pressure points at the hips and shoulders.

The foam also helps with motion isolation, making it a good pick for couples who don’t want to feel each other’s movements. But heavier people weighing more than 230 pounds and stomach sleepers who need more support may want to consider a hybrid or innerspring instead.

Our recommendation

Who will love it

  • Back and side sleepers may appreciate the pressure relief in their shoulders and hips
  • Recommended for couples due to its motion isolation properties

Who should avoid it

  • People weighing more than 230 pounds or stomach sleepers who need more support may want to consider a hybrid.

Customer reviews

Nectar Sleep is not BBB accredited but has an A+ rating, signifying the brand consistently responds to complaints. It also has 2.73 out of 5 stars on BBB, with 428 reviews. On Trustpilot, Nectar has more than 13,500 reviews and 4.2 out of 5 stars, with many positive reviews citing excellent delivery and great value. On Google, the mattress has 4.1 out of 5 stars with more than 80,000 reviews.

Generally, positive reviews mentioned the level of comfort they found with the mattress, while negative reviews mentioned some customer service issues with warranty and return requests.

Customer service

You can contact Nectar by:

  • Phone: Call 888-863-2827, available seven days a week, 8 a.m. to 4 p.m. PT
  • Email: shop@nectarsleep.com
  • Chat: Live chat available seven days a week, 8 a.m. to 4 p.m. PT

Payment options

Nectar accepts MasterCard, Visa, American Express, Discover, PayPal, and Amazon Pay. Financing is available through Affirm and Splitit and offers a lease-to-own option through Acima.

Saatva Classic Mattress
Best for Mobility
9.7 Exceptional
9.7 Exceptional
Features
  • Price: $1,295–$2,495
  • Material: Innerspring
  • Firmness: Plush soft, luxury firm, firm
  • Trial period: 365 nights
  • Shipping: Free white glove delivery
  • Warranty: Lifetime
  • Sizes: Twin, twin XL, full, queen, king, split king, California king, and split California king
  • Mattress height: 11.5″ (inches) or 14.5″
Pros & Cons
Pros Good back support Multiple firmness options Eco-friendly materials Cons $99 return fee Certain sizes aren’t compatible with adjustable bases
Additional Information

Our expert take

The Saatva Classic is a supportive, durable mattress that features high-end materials without a sky-high price tag. It comes with free in-home delivery and setup, which is helpful since mattresses are heavy and many bedrooms are on the second floor.

While sleeping on the Saatva, our Reviews Team noticed the base coils keep you from feeling like you’re sinking too far into the mattress, while the layer of microcoils Microcoils are steel wires that are individually wrapped in fabric. They are smaller versions of traditional innerspring coils that are more flexible and less resistant to pressure. conform to your body as you sleep, helping ease pressure points.

In addition to these coil layers, the mattress also has zoned and lumbar support—two research-backed features that can be helpful for back pain. Studies show that mattresses providing good lumbar support help keep the spine in alignment, which can prevent or relieve pain. [1]Caggiari, Gianfilippo, et al. Journal of Orthopaedics and Traumatology. Dec. 8, 2021. What Type of Mattress Should be Chosen to Avoid Back Pain and Improve Sleep Quality? Review of the Literature. Found on the internet at https://jorthoptraumatol.springeropen.com/articles/10.1186/s10195-021-00616-5

The Saatva Classic allows you to select between multiple firmness options and comes with a 365-night trial and lifetime warranty.

Our recommendation

Who will love it

  • Anyone looking for a traditional innerspring mattress with added lumbar and zoned support
  • Environmentally conscientious people will like the eco-friendly materials (like organic cotton) in their mattress construction

Who should avoid it

  • Side sleepers looking for a plush option may want to steer clear of this mattress in favor of a model with softer materials.
  • Anyone who prefers the feel of memory foam may find this mattress too bouncy and responsive.

Customer reviews

Saatva has an A+ grade and 4.77 out of 5 stars, with almost 1,700 reviews on the Better Business Bureau (BBB). On Trustpilot, the brand has 4.6 out of 5 stars, with more than 1,100 reviews.

Nearly all reviews were positive and suggested good experiences with both the product and customer service. According to one reviewer, the Saatva team offered them a mattress topper free of charge when they realized that the mattress they purchased was too firm for their liking. A few negative reviews stated their dissatisfaction with the mattress being too soft.

Customer service

You can contact Saatva customer service by:

If you enjoy testing a mattress before buying it, we recommend visiting a Saatva showroom if you have one nearby to test different firmness levels and ask questions about your sleeping position preferences.

Payment options

Saatva accepts Visa, MasterCard, Discover, American Express, Google Pay, and PayPal. Financing is available through Affirm.

Be sure to check the Saatva website for discounts that are offered all year long. Adults 65 and older, active duty military, veterans, health care professionals, first responders, government employees, teachers, and students can get $225 off purchases totaling $1,000 or more.

WinkBed
Best Cooling Mattress
9.4 Excellent
9.4 Excellent
Features
  • Price: $1,149–$1,999
  • Material: Hybrid
  • Firmness: Softer, luxury firm, firmer, plus
  • Trial period: 120 nights
  • Shipping: Free shipping
  • Warranty: Lifetime
  • Sizes: Twin, twin XL, full, queen, king, and California king
  • Mattress height: 13.5″
Pros & Cons
Pros Bouncy and responsive feel Extra lumbar support for the back Cooling materials Cons Pricey investment Doesn’t hug the body
Additional Information

Our expert take

The only thing worse than waking up with an achy back? Waking up sweaty with an achy back. If you’re dealing with both, the WinkBed might be your answer to a better night’s sleep. It earns our top pick for the best cooling mattress for back pain because of its eucalyptus-derived Tencel cover, individually wrapped pocket coils, and gel-infused foam layers that help to keep you cool.

But this bed isn’t just about keeping you moisture-free. Its medium-firm cushion supports proper spinal alignment, as well as zoned lumbar support for a firmer feel where needed. Bouncy and responsive, you won’t have any trouble moving around on this bed, and the pillow top makes it as cozy as it is cool.

Another win for the WinkBed is its firmness levels. While we love the luxury-firm feel, there are three other options you can choose: softer, firmer, and plus.

Our recommendation

Who will love it

  • Back and side sleepers may benefit from the medium-firm support and zoned lumbar support.
  • Hot sleepers may like this cooling mattress.

Who should avoid it

  • We don’t recommend this mattress for those on a budget.
  • People who prefer a softer mattress may not like this medium-firm option.

Customer reviews

WinkBeds is not BBB accredited, but it has a B grade. It also has 4.11 out of 5 stars with more than 170 reviews. On Trustpilot, it has 101 reviews and 3.7 out of 5 stars. On Google, the mattress has 4.6 out of 5 stars, with more than 1,700 reviews. Positive reviews praised the comfort of the mattress, while negative reviews varied, citing issues like the mattress not being what they expected.

Customer service

You can contact WinkBeds customer service by:

  • Phone: Call 855-946-5233, seven days a week, 8 a.m. to 7 p.m. ET
  • Email: info@winkbeds.com
  • Live chat

Payment options

WinkBeds accepts payments through MasterCard, Visa, American Express, Discover, Shop Pay, Google Pay, and Apple Pay. Financing is available through Bread Pay and Katapult.

Emma Hybrid Comfort
Best Mattress for Couples
8.6 Very Good
8.6 Very Good
Features
  • Price: $812–$1,649
  • Material: Hybrid
  • Firmness: Medium-firm
  • Trial period: 365 nights
  • Shipping: Free shipping
  • Warranty: 10 years
  • Sizes: Twin, twin XL, full, queen, king, and California king
  • Mattress height: 13″
Pros & Cons
Pros Supportive, bouncy coils Motion isolation for undisturbed sleep with a partner Suitable for larger sleepers Budget-friendly Cons Zoned support isn’t noticeable Not ideal for sleepers who weigh less than 130 pounds
Additional Information

Our expert take

Medium-firm is usually the sweet spot for back pain relief—but that doesn’t mean those who prefer a firmer mattress (with a little bit more motion isolation) are out of luck. The Emma hybrid ranks at about an 8 out of 10 on our firmness scale (with 10 being the firmest) thanks to its supportive coils and open-celled foam.

Waking your partner because you’re tossing and turning is a common issue for those who share a bed. The combined springs of the Hybrid Comfort isolate motion well, helping to reduce the disturbance when you or your partner moves.

While Emma claims the Hybrid Comfort has seven ergonomic zones to help keep your spine in proper alignment, we didn’t feel that zoned support as much as we would have liked. Still, it’s a great mattress for those who like a firmer feel and want the added bonus of responsive (but not overly bouncy) foam.

Our recommendation

Who will love it

  • Couples looking for motion isolation and a bouncy feel
  • It’s a good fit for heavy sleepers and those who prefer a firmer mattress.

Who should avoid it

  • This is not recommended for lightweight sleepers who may find the mattress too firm.

Customer reviews

Emma has minimal reviews on third-party sites, like Trustpilot and BBB. But on Google, the Emma Hybrid Comfort has 3.8 out of 5 stars, although it only has 30 reviews. Happy customers say the mattress has helped them sleep better and helped with back pain, while negative reviews came from people who found the mattress too hard or uncomfortable.

Customer service

You can contact Emma customer service by:

  • Phone: Call 855-580-3662, available Monday through Friday, 8 a.m to 6 p.m. GMT
  • Email: support@emma-sleep.com
  • Chat: Live chat, available 24/7 on the website

Payment options

Emma accepts MasterCard, Visa, American Express, Discover, PayPal, Google Pay, Meta Pay, Apple Pay, and ZipPay. Financing is available through Klarna.

Nolah Evolution
Best Mattress for Lower Back Pain
9.4 Excellent
9.4 Excellent
Features
  • Price: $1,499–$2,699
  • Material: Hybrid
  • Firmness: Plush, luxury firm, firm
  • Trial period: 120 nights
  • Shipping: Free shipping
  • Warranty: Lifetime
  • Sizes: Twin, twin XL, full, queen, king, split king, and California king
  • Mattress height: 15″
Pros & Cons
Pros Strong edge support Zoned coils for lumbar support Responsive Cons Expensive investment Missing that traditional memory foam feel some may prefer
Additional Information

Our expert take

When it comes to lower back pain, finding a mattress that provides proper lumbar support is crucial. Luckily, the Noah Evolution Mattress delivers a firm mattress center and zoned coil support that relieves pressure and should help support the natural curve of your spine.

This hybrid mattress leverages both individually wrapped coils and the brand’s proprietary AirFoam™. Nolah claims it’s more responsive than traditional memory foam, and we found that to be the case in our testing. In fact, we found this combination pressure-relieving and easy to move around on. Plus, the zoned coils make it so you really feel that lumbar support in your back.

While we’d put the luxury-firm option in the traditional, medium-firm category, there are two other firmness levels to choose from: plush and firm, so you can get the setting that’s right for your body type and sleeping style. People weighing more than 230 pounds or stomach sleepers may prefer the firm option, while side sleepers and people weighing less than 130 pounds might prefer the plush.

Our recommendation

Who will love it

  • People with lower back pain may benefit from this supportive, responsive mattress.
  • All sleeper types (side, back, stomach, and combination) can benefit from its versatility.

Who should avoid it

  • Budget shoppers may want to look for less expensive options.
  • Those who prefer a traditional memory foam feel may not like this mattress.

Customer reviews

Nolah Sleep is not BBB accredited, but it has an A+ rating, although the reviews are minimal. On Google, the Nolah Evolution has 4.7 out of 5 stars with almost 700 reviews. While most people are happy with their purchase, a few complained the mattress didn’t work for them.

Customer service

You can contact Nolah customer service by:

  • Phone: Call 866-403-6615, available Monday through Friday, 9 a.m. to 4 p.m. CT
  • Email: support@nolahmattress.com
  • Chat: Live chat available Monday through Friday, 8 a.m. to 5 p.m. CT

Payment options

Nolah accepts MasterCard, Visa, American Express, Discover, Shop Pay, and PayPal. Financing is available through Affirm.

Bear Mattress
Best Hybrid Mattress
9.4 Excellent
9.4 Excellent
Features
  • Price: $1,893–$2,762
  • Material: Hybrid
  • Firmness: Soft, medium, firm
  • Trial period: 120 nights
  • Shipping: Free shipping
  • Warranty: Lifetime
  • Sizes: Twin, twin XL, full, queen, king, split king, and California king
  • Mattress height: 14″
Pros & Cons
Pros Zoned support Plush feel Cooling cover and comfort layers Cons Expensive Not supportive enough for stomach sleepers
Additional Information

Our expert take

Hybrid mattresses are known for their combination of bounce and hugging contour, making them a favorite among sleepers who prefer the best of both worlds. The Bear Elite Hybrid takes this to the next level with a zoned coil system that delivers support to specific pressure points, helping keep your spine neutral.

We tested the medium-firm option of this mattress. But even the soft version of this model would be suitable for anyone with back pain who prefers their beds on the plusher side, like side sleepers. The blend of comfort and support you get from the memory foam comfort layer and a quilted cover is also good for side sleepers.

Thanks to how the coils are individually cased, this mattress also promotes a good amount of cooling airflow. So if you tend to sleep hot and want a bouncy mattress that won’t overheat, the Bear Elite Hybrid may be an option.

Our recommendation

Who will love it

  • People who love a plush feel won’t have to sacrifice support.
  • Side and back sleepers with chronic pain or discomfort may find this is the ideal mattress.

Who should avoid it

  • Strict stomach sleepers may need something more supportive for their hips.

Customer reviews

Bear is not BBB accredited and has minimal reviews across most third-party review sites. Google reviews gives us a more comprehensive look at Bear products, with more than 8,000 reviews and a score of 4.7 out of 5 stars. Positive reviews praised the quality of the mattresses and comfort, while negative reviews cited insufficient mattress support.

Customer service

You can reach Bear customer service by:

  • Phone: Call 844-311-0035, available Monday through Friday, 10 a.m. to 6 p.m. ET
  • Email: support@bearmattress.com
  • Chat: Live chat, available Monday through Friday, 10 a.m. to 6 p.m. ET

Payment options

Bear accepts MasterCard, Visa, American Express, Discover, PayPal, and Google Pay. Financing is available through Affirm and ShopPay.

Brooklyn Bedding Signature
Best Mattress for Older Adults
9.3 Excellent
9.3 Excellent
Features
  • Price: $665–$1,599
  • Material: Hybrid
  • Firmness: Soft, medium, firm
  • Trial period: 120 nights
  • Shipping: Free shipping
  • Warranty: 10 years
  • Sizes: Twin, twin XL, full, short full, queen, short queen, olympic queen, king, split king, short king, California king, split California king, and three size options for RV king
  • Mattress height: 12.25″
Pros & Cons
Pros Supportive edge to prevent sinking Pressure point relief Unique size options Cons No motion isolation
Additional Information

Our expert take

Back pain is common for older adults, but the right mattress can help make all the difference. Our top pick for older adults is the Brooklyn Bedding Signature mattress, thanks to its customizable firmness levels and balance of comfort and support.

The mattress features a 6-inch support layer of individually wrapped coils that give you a slight lift and contour to your body while providing pressure point relief at the hips and shoulders. This layer also supports the edge of the mattress, making it perfect for those who need assistance getting in and out of bed.

On top of the coils are two layers of responsive foam, which provide compression support without sinking too deeply. This is great for keeping your spine in a neutral alignment and helping to prevent any added back pain.

Depending on your preference, Brooklyn Bedding offers a few firmness options for this mattress. We tested the medium model in our sleep lab and found it a great option for older adults as well as most back and side sleepers of any age.

Our recommendation

Who will love it

  • Older adults may benefit from this supportive and customizable mattress.
  • Back and side sleepers with back pain or pressure point discomfort may like the compression support.

Who should avoid it

  • Couples who move around a lot may benefit from good motion isolation.

Customer reviews

Brooklyn Bedding is not BBB accredited but has an A+ rating. The brand only has 1.97 out of 5 stars with 29 reviews. Since the number of reviews is low, it doesn’t give us a great overall picture of the customer experience.

Customer service

You can contact Brooklyn Bedding customer service by:

  • Phone: Call 623-624-1222, available Monday through Friday, 11 a.m. to 9 p.m. ET, and weekends, 11 a.m. to 7 p.m. ET
  • Email: support@brooklynbedding.com
  • Chat: Live chat available Monday through Friday, 11 a.m. to 9 p.m. ET, and weekends, 11 a.m. to 7 p.m. ET
  • Submitting a contact form on the website

Payment options

Brooklyn Bedding accepts MasterCard, Visa, American Express, Discover, Shop Pay, Google Pay, and PayPal. Financing is available through Affirm.

Puffy Lux Hybrid Mattress
Best for Side Sleepers
9.1 Excellent
9.1 Excellent
Features
  • Price: $2,249–$3,049
  • Material: Hybrid
  • Firmness: Medium-firm
  • Trial period: 101 nights
  • Shipping: Free shipping
  • Warranty: Lifetime
  • Sizes: Twin, twin XL, full, queen, king, split king, and California king
  • Mattress height: 12″
Pros & Cons
Pros Pressure relief for side sleepers Spine-conforming coils Limited lifetime warranty Cons No options for in-home setup Pricey investment
Additional Information

Our expert take

The Puffy Lux Hybrid Mattress is considered “medium-plush” by the brand for a good reason. Thanks to its six CertiPUR-US-certified CertiPUR-US means the foam in the bedding or upholstered furniture has been tested to meet CertiPUR-US standards for emissions, content, performance, and durability. memory foam layers, responsive coils, and a cushioned topper, you should experience enough pressure relief to sleep on your side comfortably. Because the coils are individually pocketed, each one responds independently to conform to your body and reinforce a neutral alignment of your spine.

During testing, we liked the medium-firm feel, ranking it a 6.5 out of 10 in firmness, with 10 being the most firm. While medium-firm is the general recommendation for spinal alignment, side sleepers often require a more forgiving surface—especially around high-pressure areas, like the shoulder and hips. The coil layers of the Puffy Lux Hybrid give some bounce, so you won’t feel stuck in one spot all night.

Note that Puffy doesn’t offer an in-home setup option. A queen-size Puffy Lux Hybrid weighs 83 pounds, so you may want to plan for a someone to help you set it up when it arrives.

Our recommendation

Who will love it

  • Side sleepers looking for pressure relief and a plush feel
  • This is recommended for those who prefer a medium-firm mattress with spine-conforming coils.

Who should avoid it

  • We don’t recommend this mattress for those on a budget or looking for an in-home setup option.
  • Stomach sleepers may find it too plush.

Customer reviews

Puffy has mixed online reviews. On BBB, the company has 3.93 out of 5 stars with 44 customer reviews. On Trustpilot, the brand has 3.7 out of 5 stars with 94 customer reviews. On Google, the mattress has 4.9 out of 5 stars with more than 6,000 reviews.

Customers had different experiences with their mattresses. Some noted it didn’t provide enough support, while others were happy with the firmness level. Many positive reviews reported good experiences interacting with customer service, while some negative reviews cited delayed delivery times by several weeks.

Customer service

You can contact Puffy customer service by:

  • Phone: Call 800-430-8380, available Monday through Friday, 5 a.m. to 8 p.m. PT, and weekends, 8 a.m. to 5 p.m. PT
  • Text: 833-514-0644
  • Email: support@puffy.com
  • Chat: Live chat on the bottom right corner of the website, available Monday through Friday, 5 a.m. to 8 p.m. PT, and weekends, 8 a.m. to 5 p.m. PT
  • Submitting a contact form on the website

It’s easy to contact Puffy representatives. You’re connected to an agent almost immediately when calling or chatting online. You can also visit a store to talk in person and try out different mattresses.

Payment options

Puffy accepts Visa, MasterCard, Discover, American Express, and PayPal. Financing is available through Klarna.

Health care professionals, teachers, students, veterans, and active-duty military and their families are eligible for $825 off any Puffy mattress plus free additional bedding supplies worth $600.

Cost comparison of the best mattresses for back pain, as of March 2024

MattressTwin*Full*Queen*King*
Helix Midnight Luxe$1,373.80$1,998.80$2,373.80$2,873.80
Nectar Classic$699$949$1,099$1,399
Saatva Classic$1,295$1,895$1,995$2,495
WinkBed$1,149$1,499$1,799$1,999
Emma Hybrid Comfort$812$1,153$1,319$1,649
Nolah Evolution$1,499$2,299$2,499$2,699
Bear Elite Hybrid$1,893$2,108$2,305$2,762
Brooklyn Bedding Signature Hybrid$665$999$1,332$1,599
Puffy Lux Hybrid$2,249$2,649$2,849$3,049
*Cost of mattress excluding promotions, discounts, and shipping charges.

If you’re looking to save money on a mattress, check out our page on the best affordable mattresses.

How to pick the best mattress for your back pain

Sleeping position

How you sleep plays a key role in what you should sleep on. While some mattresses are versatile enough to accommodate different positions, others may be better suited for specific sleeping positions.

Firmness

A mattress firmness scale showing one is the softest and 10 is the firmest
Our testers rate the firmness of mattresses on a scale of 1–10, with 1 being the softest and 10 being the firmest.

The best firmness level for your mattress depends on your sleeping position, weight, and personal preference. Generally speaking, a medium-firm mattress is considered a good middle ground that can support most sleepers. But those who are lighter may prefer a softer mattress, while heavier people may find more comfort in a firmer one.

Mattress construction

Composition of foam, latex, innerspring, hybrid, and air adjustable mattresses
There are five different types of mattresses, each made of a combination of different materials, like latex foam, steel coils, and air-filled chambers.

Different types of mattresses, all with unique materials and constructions, can affect your comfort and support. Here are some of the most common types:

Pain management with support

In general, look for a mattress with good support that can keep your spine aligned and provide pressure relief for any specific problem areas, like the lower back, shoulders, or hips. Medium-firm mattresses tend to be a good option for those living with back pain. [3]Radwan, Ahmed, et al. Sleep Health. December 2015. Effect of Different Mattress Designs on Promoting Sleep Quality, Pain Reduction, and Spinal Alignment in Adults With or Without Back Pain; Systematic Review of Controlled Trials. Found on the internet at https://www.sciencedirect.com/science/article/abs/pii/S2352721815001400

It’s also crucial to understand how various features impact support. 

Zoned support targets specific areas of the body, like the lumbar region, which helps provide spinal alignment. Balanced foam distributes weight evenly to reduce pressure points, and contouring molds to your body’s natural curves for personalized support. 

These features work together to maintain proper spinal alignment and alleviate back pain, ensuring a restorative night’s sleep. When selecting a mattress, prioritize these elements to address your back pain concerns and enhance overall sleep quality.

Talk with your doctor before making a purchase, as they may have specific recommendations based on your medical needs.

Types of back pain

The right mattress for you may depend on the type of back pain you have. Here’s a look at different types of back pain and how to select the best mattress.

Remember, while these recommendations can guide your mattress selection, personal preference and individual needs should ultimately dictate your choice. 

It’s important to test different mattresses and consult with healthcare professionals to find the best option for managing your specific type of back pain.

Pressure relief

Effective pressure relief in a mattress is essential for addressing back pain, minimizing pressure points, enhancing blood circulation, and maintaining spinal alignment. Medium-firm hybrid mattresses with contouring features and lumbar support are recommended for people with back pain.

Cooling features

If you run hot while sleeping, look for mattresses with cooling features, like gel-infused foams or breathable materials. These can help regulate your body temperature and prevent you from waking up drenched in sweat.

Body type and weight

Your body type and weight also play a role in which mattress is best for you, due to the effects of gravity on the mattress materials. Heavier people (which we consider more than 230 pounds) may need more support and a firmer mattress to keep their spine aligned, while lighter people (which we consider less than 130 pounds) may prefer softer mattresses that can still provide adequate support without too much sinkage.

Sleeping next to a partner

Motion isolation The ability of a mattress to keep movement on one side of the bed from affecting the other side. is beneficial for anyone who shares a bed and is prone to waking up to their partner’s movements. Memory foam or hybrid options tend to have better motion isolation, which can help minimize disruptions.

In-store vs. buying online

While you can find a great mattress in a traditional store and online, you should consider what’s most important to you as a shopper. For the best prices and the widest selection, you’ll want to look online. If you prefer to test out a mattress in person before making a purchase, you may prefer a local store. Some online mattress companies also have in-person showrooms for testing, so you can test out mattresses and still purchase online for the best deals.

If you need to buy a mattress online, you may want to consider Nectar, Saatva, or Emma. All three brands offer 365-night trials, which gives you plenty of time to decide if the mattress is right for you. 

Nectar and Saatva provide lifetime warranties, while Emma’s warranty is limited to 10 years. If you purchase from Nectar or Emma, you can return the mattress for free, and they will handle pickup. Saatva charges $99 for mattress returns, which covers the cost of pickup. 

How to care for your mattress

Proper care and maintenance are important not only for the longevity of your mattress, but also for continued relief from back discomfort. 

Here’s how you can optimize the lifespan of your mattress:

Use a mattress protector

Invest in a high-quality, waterproof mattress protector. This barrier guards against spills, stains, and allergens, helping to maintain your mattress’s cleanliness and integrity. 

Rotate and flip regularly

Some mattresses benefit from flipping, particularly if they are double-sided. You can evenly distribute the wear and tear on your mattress by rotating it every few months. This practice prevents sagging and indentations, which can compromise spinal alignment and exacerbate back issues. 

Not all mattresses are designed to be flipped over to use the other side, though. Before rotating or flipping your mattress, check with the manufacturer to confirm they recommend these practices. 

Maintain proper support

Ensure your mattress rests on a sturdy, supportive foundation. Whether it’s a box spring, platform bed, or adjustable base, the foundation plays a crucial role in maintaining the integrity of your mattress. A sagging or inadequate foundation can cause the mattress to sag prematurely, leading to uneven support and potential discomfort.

Keep it clean

Regular cleaning helps remove dust, dead skin cells, and other debris that accumulate over time. Vacuum your mattress periodically using a soft brush attachment to prevent dust mites and allergens from settling in. 

For spot cleaning, use a mild detergent and warm water, but don’t saturate the mattress. Before cleaning your mattress with any solution, check the warranty. Some companies may void warranties due to staining. 

Avoid sitting on the edge

While it may be tempting to sit on the edge of your bed, especially when getting dressed or putting on shoes, this habit can strain the mattress and compromise its edge support. 

Try to avoid sitting or standing on the edge to maintain the mattress’s structural integrity and prevent premature wear.

Monitor for signs of wear

Watch for signs of wear and tear, such as sagging, lumps, or visible indentations. If you notice any deterioration in the mattress’s condition, address it promptly to prevent further damage and discomfort.

Bottom line

Living with back pain can hurt your quality of life, which is why it’s important you have a mattress that can offer the support you need. We’ve found that a medium-firm mattress can help, which is why we’re promoting these 10 brands. While our top three picks are Saatva, Emma, and Puffy, all mattresses in this review have been tested by us, so we can help you find the right one to suit your needs.

Frequently asked questions

No one type of mattress is universally recommended for back pain. But many doctors suggest medium-firm mattresses with good support and pressure relief. Speak with your doctor to see what they recommend for your specific needs.

The most comfortable mattress for back pain will vary from person to person, but in general, a medium-firm mattress with good support and pressure relief can provide comfort for those experiencing back pain. If you’re a side sleeper with hip or sciatica pain, a slightly softer mattress tends to better support those pressure points.

Side sleepers with back pain may benefit from a medium-firm mattress with good cushioning and softer body-hugging abilities to relieve pressure on the hips and shoulders.

A medium-firm mattress with extra lumbar support can be beneficial for those with lower back pain. Lower back pain can be caused or made worse by a non-neutral spine position as a result of an older or sagging mattress.

A medium-firm mattress is better than a stiff or soft mattress for supporting the spine and keeping it properly aligned.

Deciding between memory foam and spring mattresses for back pain depends on your preferences. While innerspring mattresses offer good support, they may lack the cushioning that can help to relieve pressure points—contact stress caused by resting on one part of the body for a long time. Memory foam excels in pressure relief and support but lacks breathability. Hybrid mattresses combine the benefits of both innerspring and memory foam, making them an excellent choice for comfort and pain management.

If you have lower back pain, you should sleep on your back, which is called the supine position, so your spine remains properly aligned. This can reduce stress on your spinal discs and surrounding muscles. For other forms of back pain, consider sleeping on your side with supportive aids, like pillows. We advise against sleeping on your stomach when dealing with back pain because this position puts the most pressure on the muscles and joints in your back, flattening the spine’s natural curve. The movement required by your neck when you sleep on your stomach may also cause pain in the neck, shoulders, and upper back.

Have questions about this review? Email us at reviewsteam@ncoa.org.

Sources

  1. Caggiari, Gianfilippo, et al. What Type of Mattress Should Be Chosen to Avoid Back Pain and Improve Sleep Quality? Review of The Literature. Journal of Orthopaedics and Traumatology. Dec. 8, 2021. Found on the internet at https://jorthoptraumatol.springeropen.com/articles/10.1186/s10195-021-00616-5
  2. What’s a Neutral Spine? The University of British Columbia Human Resources. Found on the internet at https://hr.ubc.ca/sites/default/files/wp-content/blogs.dir/21/files/Whats-a-neutral-spine.pdf
  3. Radwan, Ahmed, et al. Effect of Different Mattress Designs on Promoting Sleep Quality, Pain Reduction, and Spinal Alignment in Adults With or Without Back Pain; Systematic Review of Controlled Trials. Sleep Health. December 2015. Found on the internet at https://www.sciencedirect.com/science/article/abs/pii/S2352721815001400
Marten has been writing about mattresses and sleep health for over five years. He is the Lead Reviewer at Mattress Clarity where he reviews mattresses, bedding, and sleep accessories. In his time at Mattress Clarity, Marten has reviewed over 500 mattresses. In addition, he has written over 400 articles reviewing the quality of sleep and sleep products as well as sleep health. Topics have ranged from the impact of technology on sleep quality to the way sleep impacts cardiovascular health. He is especially interested in the correlation between proper sleep and mental health.
dr-raj-dasgupta
Raj Dasgupta Medical Reviewer
Dr. Raj Dasgupta brings his deep experience and compassion to our medical advisory board as Mattress Clarity’s Chief Medical Advisor. He’s an ABIM quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. Dr. Raj is also a fellow of the American College of Physicians (FACP), the American College of Chest Physicians (FCCP), and the American College of American Academy of Sleep Medicine (FAASM). In addition to his clinical work and research, Dr. Raj currently practices at the University of Southern California and serves as associate professor of clinical medicine, the associate program director of the sleep medicine fellowship at USC, and assistant program director of the internal medicine residency program. From his work at USC, he’s been awarded the Excellence in Teaching award six years in a row.
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