Back pain can quickly lead to disrupted sleep, often worsening your symptoms. The mattress you sleep on can make a big difference. For instance, you may want to find the best mattress for sciatica, the best mattress for arthritis, or the best mattress for a herniated disc. Even scoliosis, typically diagnosed in adolescence, impacts spinal health in 68% of adults over 60.¹ 

“Scoliosis can occur in older adults due to progressive degenerative changes,” said Larry Davidson, MD, FAANS, a spinal surgeon based in South Carolina. “While not always symptomatic, scoliosis can lead to significant issues, such as back pain and mobility problems.”

The best mattresses for scoliosis help reduce the extra strain the spinal curve can put on muscles and joints. “A good mattress for scoliosis needs to keep your spine as neutral as possible while you sleep,” said Gbolohan Okubadejo, MD, a spinal and orthopedic surgeon in the NYC area. “Too soft and you sink in, throwing your spine out of line. Too firm and it pushes against your body, causing pressure.” 

These five mattresses all fall into the medium-firm category. We also looked for mattresses with other features that may benefit someone with scoliosis, like some of the best orthopedic mattresses. Read on to discover the best mattresses for scoliosis according to our tests.

Our Top Pick

Saatva Rx: Best Overall for Scoliosis

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• Designed to help ease pain
• Strong pressure relief

• Reinforced support for lower back

Helix Midnight Luxe: Best for Lower Back Pain

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• Earned top back pressure and pain relief testing scores
• Reinforced support for the low back 

• Plush feel but still firm enough to support movement

Nectar Premier Memory Foam: Best for Side Sleepers

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• Can help relieve pressure on key joints
• High pain relief score

• Works with almost any adjustable base

Best mattresses for scoliosis in 2025

• Saatva Rx: Best Overall
• Helix Midnight Luxe: Best for Scoliosis and Lower Back Pain
• Nectar Premier Memory Foam: Best for Side Sleepers with Scoliosis
• Nolah Evolution: Best for Couples with Scoliosis
• WinkBed Plus: Best for Arthritis and Scoliosis
• Birch Natural: Most Accessible for Scoliosis

Only 1 out of 4 people with scoliosis have symptoms. For that reason, scoliosis is frequently caught on screening examinations. As one gets older, they can start developing pain in deformity sections of the spine.” 

— Dr. Michael Gerling, spinal surgeon

Comparing the best mattresses for scoliosis

Top features of the best mattresses for scoliosis

We looked for the following features when choosing the best mattresses for scoliosis in older adults

Pain relief score

Unique to NCOA, a high pain relief score refers to a mattress that eases pain and is easier to get in and out of due to a balance of bounce and support. 

Good pressure relief

Scoliosis creates an unnatural curve of the spine that can lead to uneven pressure points and muscle strain. We looked for mattresses that distribute weight evenly to relieve pressure under the back, shoulders, and hips.

Spinal support

Mattresses that help maintain a neutral spine position can help ease the strain on your back. Responsive materials such as memory foam that contour to the shape of your body can help maintain a neutral spine in any sleeping position.

Firmness

Some research has found that medium-firm mattresses (5-7/10) offer better overall comfort and sleep quality. The right firmness also offers improved spinal alignment, compared to soft or firm mattresses. A medium-firm mattress has also been shown to be most effective at easing back pain.²

Saatva Rx: Best Mattress Overall for Scoliosis

We chose the Saatva Rx as the Best Mattress Overall for Scoliosis because it is specifically designed for back support. It received some of the highest marks for back pain and pressure relief among all the mattresses we tested. Its Therapeutic Core and Lumbar Zone Quilting add extra support for your back. Our testers also reported that it does a great job of relieving pressure, regardless of their position.

Our Top Pick

Saatva Rx

Best Overall

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• Exceptional pressure relief on the back and side
• A mix of support and comfort helps ease pain

• Reinforced lower-back support to help keep spine neutral

Saatva Rx features

• Our pain relief score: 4.32/5
• Accessibility score: 4.04/5
• Mattress type: Hybrid
• Brand’s firmness rating: 3.5/10

Why we chose the Saatva Rx as the Best Overall for Scoliosis

The Saatva Rx was designed to relieve chronic back pain, and it delivers. In our pressure relief tests, it earned top scores for every sleeping position and perfect scores for back and side sleeping. It also had a high pain relief score (4.32/5) due to its combination of pressure relief, firmness, edge support, and bounce. These are among the reasons we named it the best mattress for pain relief in our roundup of the best mattresses. The Rx also scored above average for cooling, which can make for a more comfortable night’s sleep. 

Made with one layer of 8-inch steel springs and another layer of 1-inch microcoils, the Saatva Rx had a high degree of bounce. Bouncier mattresses are easier to move around on for those with mobility issues. Very few mattresses we tested had Saatva Rx’s consistently high all-around performance. It does come with a high price tag, but the Saatva Classic Luxury Firm had similar scores in our tests and is significantly more affordable. Both mattresses come with Saatva’s free white-glove delivery and 365-night trial period, as well as a lifetime warranty.

Saatva Rx pros and cons

Our testing experience with the Saatva Rx

The Saatva Rx is a hybrid mattress made with two layers of coils, an 8-inch set and 1-inch microcoils. It also features a layer of gel-infused memory foam just below the quilted cotton cover, which provides extra support to the lower back area. When our testers felt the surface of the Saatva Rx, they noted that it conforms to the fingers but bounces back quickly. They also noted that the cover felt cool to the touch and was made of soft organic cotton quilting that’s gentle on sore muscles and joints. 

Testers reported that the Saatva Rx was comfortable in every sleeping position they tried. But they gave it especially high marks for back pressure relief. On our pressure map tests, the Rx has the highest possible score, a perfect 5/5, for back support. Our older adult testers were also enthusiastic about how comfortable they felt lying on their backs on this mattress. “I feel like it's pretty even because the mattress is hugging my legs and shoulders,” said one. “I don't feel any pressure. My spine feels neutral, and I would enjoy sleeping on my back on this mattress.”

Another reason we named the Saatva Rx our best overall mattress for scoliosis is its responsiveness. This feature makes changing positions in bed easier for people with scoliosis or other chronic pain conditions. “It feels good switching positions, and the pressure is even throughout my body,” said one tester. Cooling memory foam reacts to your movement, providing support to soothe aches and pains related to scoliosis.

While the Saatva Rx did very well in most areas, it scored just slightly above average (3.5/5) for motion isolation. That means you’re more likely to feel movement if your sleeping partner gets up in the middle of the night. When we tested motion isolation in the Saatva Rx, testers said they could feel the movement, but that it wasn’t too disruptive. “I definitely can feel someone getting into bed, but I could probably sleep through it if I was all the way asleep,” one tester said. 

Who is the Saatva Rx right for?

The Saatva Rx may be a good choice for those with scoliosis or other chronic back pain. People who deal with pain and want more mobility support in bed may also like the Rx. Anyone who prefers a cool mattress can appreciate this mattress’s above-average cooling abilities. It is equally supportive in all sleeping positions.

The Saatva customer experience

• Trial period: 365 nights
• Shipping: Free
• In-home setup and mattress removal: Free
• Warranty: One-year limited

Customer service

You can contact Saatva customer service by:

• Phone: 860-452-3977, available 24/7
• Email: info@saatvamattress.com
• Live chat: Available via the chat icon on the website, 24/7
• Calling or visiting a viewing room

Payment options 

• Ways to pay
  • Visa
  • Mastercard
  • Discover
  • American Express
  • Google Pay
  • PayPal
• Discounts? Yes, find more information here
• Financing: Yes, Affirm

Helix Midnight Luxe: Best for Scoliosis and Lower Back Pain

We chose the Helix Midnight Luxe as our Best Mattress for Scoliosis and Lower Back Pain. We were impressed by its top scores for easing low-back pain and pressure, especially with the optional ErgoAlign layer ($259). It is made with zoned support for increased firmness beneath the lower back while maintaining a plush feel at the shoulders and hips. This design helps keep the spine in a neutral position.

Helix Midnight Luxe

Best for Lower Back Pain

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• High marks for back pressure and pain relief 
• Reinforced support for the lower back 

• Feels plush, but still firm enough to support movement

Helix Midnight Luxe features

• Our pain relief score: 4.21/5
• Accessibility score: 4.06/5
• Mattress type: Hybrid
• Brand’s firmness rating: 6/10

Why we chose the Helix Midnight Luxe as the Best for Scoliosis and Lower Back Pain

We chose the Helix Midnight Luxe as the Best Mattress for Scoliosis and Lower Back Pain due to its great scores for lower-back support. This mattress was among the best we tested for keeping pressure off the spine, especially for back sleepers. The optional ErgoAlign layer ($259) added even more lower back support. The impressive support in the Midnight Luxe can also be good for sore hips. This is one reason we rated it among our winners for best mattresses for hip pain.

The Midnight Luxe isn’t just supportive, it is also responsive, scoring a 4/5 for bounce. That quality helped prevent our testers from sinking too deeply into the mattress. Too much sinkage could emphasize the curve of their spine—a concern to avoid if you have scoliosis. A responsive mattress can also help with mobility, something that may be important if you have back pain. 

The Midnight Luxe’s strong back pain and pressure relief earned it recognition before. We rated it best for lower back pain in our roundup of the best mattresses for back pain.

Helix Midnight Luxe pros and cons

Our testing experience with the Helix Midnight Luxe

Our older adult testers could immediately feel the support in this mattress. Chris, 66, a higher-weight back sleeper with spinal stenosis, said that when lying on his back on the Helix Midnight Luxe, he felt fully supported. “My butt and hips feel aligned, and I don’t feel any extra pressure on my lower back or hips,” he said. He noted that the pressure relief was consistent regardless of sleeping position, even when lying on his stomach, a position he typically avoids. “My lower back feels aligned for the most part and not as curved,” he said. “My spine feels pretty good, and I don't feel any extra pressure.” 

Our independent tests confirmed this, finding that the support for the lower back was so good that it received a perfect 5/5 score. We measured this by using a pressure mat with sensors to detect pressure buildup. As you can see in the image below, the Helix Midnight Luxe has areas of low pressure (blue, green, and a little yellow) for the back sleeping position. That’s why it earned our highest back pressure relief score.

Great back support also factored into the Midnight Luxe’s well-above-average pain relief score (4.21/5). We calculated the score based on pressure relief, edge support, and bounce, three areas where the Midnight Luxe stands out. “Going closer to the edge, I still feel supported,” said Chris. “I don't feel at all like I'm going to slip off.” He rated the mattress firmness as slightly higher (8) than the brand claimed (6) and commented that the extra firmness makes it easier to move on.

If you plan on using the Helix Midnight Luxe with an adjustable bed, you may be somewhat limited. Adjustable beds are often recommended for people with scoliosis. Slightly raising the head or legs may relieve pressure on the lower back, depending on the location and severity of the spine’s curve. But hybrid mattresses like the Helix aren’t always the best fit for adjustable beds due to the strong coils and thickness of the mattress (13.5 inches). As you can see from the testing photo, the mattress appears to be a bit bulky. If you plan to use an adjustable bed, a thinner memory foam mattress might be a better choice.

Our testers rated the Helix Midnight Luxe as above-average for cooling. Some research has found that even short-term exposure to higher heat (as little as a five-degree increase) may increase inflammation. Increased inflammation can interfere with the body’s immune response, according to the American Heart Association.³ When we used a heat gun to measure the temperature increase of the mattress before and after use, there was only an 8.2-degree difference. The brand claims that its cooling layer of foam pulls 22% more heat away from the body. And pulling this heat will keep you cool continuously for over 12 hours compared to other mattresses. 

Although the Midnight Luxe performed well in other areas, it scored just average in motion isolation. Our testers could feel each other’s movements when sharing this mattress. They felt that movement might disturb lighter sleepers. “It made my body move and bounced me slightly,” said one tester.

It’s also worth noting that, while Helix offers white-glove delivery (delivery and setup of a new mattress and removal of an old mattress), prices for that start at $119. It can be a good option, because the Midnight Luxe weighs roughly 100 pounds. That weight (about the same as 10 cans of paint) can be a lot for people, even without chronic pain or mobility issues. 

Who is the Helix Midnight Luxe right for?

Due to its excellent back support and comfort, the Helix Midnight Luxe is a strong choice for those experiencing chronic pain. It offers good support for all sleeping positions and may be beneficial for those with mobility issues. It has decent airflow, but it wasn’t the greatest at limiting how much you can feel a partner’s movements. So if you’re easily awakened, you may want to keep looking.

The Helix Midnight Luxe customer experience

• Trial period: 100 nights
• Shipping: Free shipping
• In-home setup and mattress removal: $159
• Warranty: Limited lifetime

Customer service

You can contact Helix Sleep customer service by:

• Phone: 831-777-5976, Monday through Friday from 11 a.m. to 6 p.m. ET
• Email: help@helixsleep.com
• Live chat: Available via the chat icon on the website, Monday through Sunday from 10 a.m. to 10 p.m. ET
• Contact form: https://support.helixsleep.com/hc/en-us/requests/new
• Calling or visiting a viewing room

Payment options 

• Ways to pay
  • Visa
  • Mastercard
  • American Express
  • Discover
  • Paypal
  • Google Pay
  • Shop Pay
  • Amazon Pay
• Discounts? Yes, find more information here
• Financing: Yes, Affirm

Nectar Premier Memory Foam: Best for Side Sleepers with Scoliosis

We selected the Nectar Premier Memory Foam as our Best Mattress for Side Sleepers with Scoliosis. It earned the highest pressure relief score for side sleepers and received high all-around support scores. People with scoliosis may find that sleeping on their side relieves some of the pressure on their spine and helps ease back pain. The Nectar Premier Memory Foam also received high marks for pain relief and compatibility with adjustable bases.

Nectar Premier Memory Foam

Best for Side Sleepers

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• Had the highest possible score for side pressure relief
• Easier to move on than a lot of memory foam

• Great for pain relief
• Works with practically any adjustable base

Nectar Premier Memory Foam features

• Our pain relief score: 4.20/5
• Accessibility score: 4.06/5
• Mattress type: Memory foam
• Brand’s firmness rating: 6.5/10

Why we chose the Nectar Premier Memory Foam as the Best for Side Sleepers with Scoliosis

Scoliosis can cause the spine to curve in a way that puts pressure on it. Often, sleeping on the side opposite the curve can help relieve this pressure, as long as your mattress has the right support. The Nectar Premier Memory Foam mattress has that support, and more. In our pressure relief tests, it scored top marks for every position and earned a perfect 5/5 for side sleeping. That’s one reason it was our overall pick in the best mattresses for side sleepers roundup. 

The Nectar Premier Memory Foam mattress also scored highly in terms of pain relief. Its foam layers cushion sore muscles and joints. The bed also provides more bounce (testers rated it 4/5) than many memory foams, which makes it easier to move around on. This can be a plus for people with scoliosis or other chronic back pain that may affect their movement. The Nectar Premier Memory Foam was also compatible with a variety of adjustable bases. 

Nectar Premier Memory Foam pros and cons

Our testing experience with the Nectar Premier Memory Foam

Like many memory foam mattresses, the Nectar Premier feels soft and plush. It is made with two layers of pressure-relieving foam and a dense foam foundation. Someone with back pain from scoliosis may welcome that kind of cushioning. According to the brand, this mattress is medium-firm (6.5/10), which tends to offer the best support for people with scoliosis. But some of our older adult testers noted that this mattress felt more like a 4/10. 

“My lower back feels contoured and there isn't any pressure,” said Sheila, 70, an average-weight combination sleeper. “I would like a little more firmness in my mattress,” she said. Liking a plush mattress is a matter of personal preference. But if you prefer one that feels firmer, Nectar makes a Premier Hybrid mattress that our testers rated slightly higher.

While soft, the Nectar Premier memory foam mattress was also responsive. Testers rated the bounce as a 4/5, as high as many mattresses with springs. “Pushing down on this mattress, it bounces back quickly,” said Sheila. “The mattress doesn't feel too firm or soft when pushing down on it.” That ability to spring back can help with mobility issues and make changing positions easier. It was also a factor in the Nectar earning such high pain relief scores.

Memory foam can help ease pressure for side sleepers by contouring to the body while supporting joints. The Nectar Premier Memory Foam performed well in all positions, earning a perfect 5/5 for side sleeping in our pressure map test. The test showed only a slight pressure buildup (indicated by yellow, orange, and green) under the hips, shoulders, and knees, as shown in the image below.  “I feel really aligned,” Shelia said when lying on her side. “I feel no pressure at all on the hips and shoulders.”

Testers rated the motion isolation abilities of the Nectar Premier Memory Foam mattress as 4/5.  “I can feel the initial bounce, but that's it,” said one. “The energy of the bounce is absorbed by the bed's foam. I don't think it would wake me up. It was very light. It feels like a classic memory foam.” People with back pain from scoliosis may have difficulty finding a comfortable position. They may also be easily disturbed by jostling on the other side of the bed. Good motion isolation can help.

The Nectar Premier Memory Foam mattress could have performed better in terms of edge support and cooling. It was only slightly above average (3.67/5) for edge support. Our testers would have liked more stability. “I don’t feel like I’m sliding off, but it doesn’t feel secure,” one tester said. “I feel fine sitting, but because the edges are a little soft, it doesn’t help me stand up.” Memory foam tends to trap heat because it is so dense, and our heat gun tests showed around a 10-degree increase in temperature. If you prefer a mattress with better airflow, the Nectar Premier Hybrid mattress scored a 4/5. Our testers described it as "one of the best mattresses I’ve tested for cooling.” 

For more information, see our Nectar mattress review.

Who is the Nectar Premier Memory Foam right for?

Due to its excellent pain and pressure relief, the Nectar Premier Memory Foam is a great choice for those who sleep on their side or back, or with chronic pain or mobility issues. If you don’t sleep alone and want to minimize the movement you feel from your partner, this mattress has good motion isolation. If you want a cool mattress, the Nectar Premier Hybrid is a cooler option with similar features.

The Nectar Premier customer experience

• Trial period: 365 nights
• Shipping: Free
• In-home setup and mattress removal: $199
• Warranty: Lifetime

Customer service

You can contact Nectar customer service by:

• Phone: 888-863-2827, seven days per week from 8 a.m. to 4 p.m. PT
• Email: suppport@nectarsleep.com
• Live chat: Available via the chat icon on the website, 24/7
• Calling or visiting a viewing room

Payment options 

• Ways to pay
  • Visa
  • Mastercard
  • Discover
  • American Express
  • Amazon Pay
  • PayPal
• Discounts? Yes, military, first responders, and health care professionals
• Financing: Yes, Affirm and Splitit

Nolah Evolution: Best for Couples with Scoliosis

We chose the Nolah Evolution Luxury Firm as our Best Mattress for Couples with Scoliosis. It’s great for easing back pain and minimizing motion, so you won’t feel a partner moving in bed. This hybrid mattress performed as well in motion transfer tests as some of the top memory foam models. But it still has the responsive support of springs.

Nolah Evolution

Best for Couples

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• Great at isolating motion between partners
• Top marks for back pain and pressure relief

• Sleeps cool

Nolah Evolution features

• Our pain relief score: 4.31/5
• Accessibility score: 3.96/5
• Mattress type: Hybrid
• Brand’s firmness rating: 6.5/10

Why we chose the Nolah Evolution as the Best for Couples with Scoliosis

Couples where one or both partners may be easily disturbed due to scoliosis, back pain, or similar issues are often advised to choose memory foam. Memory foam’s density tends to absorb motion and prevent it from transferring to a partner in bed. But memory foam mattresses also retain heat and have limited bounce. The Nolah Evolution Luxury Firm hybrid mattress can be a great option for someone looking to minimize motion transfer. But it also offers the responsiveness and improved airflow of springs. In our tests, this mattress earned one of the top scores for motion isolation (4/5).

The Nolah Evolution also has solid support, including zoned support for the lower back, an area that can be affected by scoliosis. The mattress is rated for more than 1,000 pounds, so it can support most couples. It uses large-gauge steel coils to distribute weight evenly and take pressure off the spine. Individually wrapped springs help limit motion transfer while also responding to movement. The Nolah also earned very high scores for overall pressure and pain relief. 

Nolah Evolution pros and cons

Our testing experience with the Nolah Evolution

The Nolah Evolution Luxury Firm uses quality materials that evenly distribute weight and are rated to support over 1,000 pounds. Individually wrapped 8-inch steel springs are topped by layers of pressure-relieving foam. The areas beneath the shoulders, knees, and hips have extra support to keep stress off the joints and spine. This may help ease pain for anyone with lower back pain from scoliosis.

The Nolah Evolution is available in three firmness levels, and we tested the Luxury Firm. This is the medium-firm option, which is recommended for those with scoliosis pain. Testers described the mattress as “soft and springy, but not unstable.” 

“When I place my hand on the mattress, it bounces back instantly,” said one tester, Sheila, a 70-year-old average-weight combination sleeper. “It's really difficult to push past the topper and get to the second layer of memory foam.” 

The amount of bounce a mattress has can affect how easily you move on it, which may be important if you have scoliosis, back pain, or similar issues. Bounce also figures into how we calculated pain relief and accessibility scores. We tested the bounce by dropping a weight from a standard height and measuring how far it bounced back. The Nolah measured 4 inches, which was on the higher end of our tests, earning a 4/5.

Our older adult testers found the layers of memory foam in this hybrid mattress great at contouring and relieving pressure. When lying on her back, Sheila said, “This mattress is conforming to my body nicely. My spine feels aligned, and I feel really great.” Testers gave this mattress high marks for support in every position, including 4.5/5 when lying on their back. Our pressure map tests found that the Nolah Evolution is above average for back support. So it may be a good choice for people who sleep on their backs most of the time.

Testers were impressed with the Nolah Evolution’s ability to minimize motion from a partner and said they barely felt anything. “I felt the mattress bounce a tiny bit in my lower half, but my upper half was less affected and more isolated,” said one tester. “I didn't really feel the movement in my upper half at all. It bounced my body a little bit, but only my legs and butt. I don't think this would wake me.” 

Who is the Nolah Evolution right for?

For couples where one or both partners have scoliosis or other types of back pain, the Nolah Evolution Luxury Firm was great at minimizing motion but still helping with mobility issues. Testers found it relieved pressure in most positions, and the combination of zoned support and memory foam helped ease back pain. But it was only average for cooling and could have better edge support.

The Nolah customer experience

• Trial period: 120 nights
• Shipping: Free shipping, and in-home delivery is available starting at $150
• Warranty: Limited lifetime

Customer service

You can contact Nolah customer service by:

• Phone: 866-403-6615, available Monday through Friday from 8 a.m. to 5 p.m. CT
• Email: support@nolahmattress.com
• Live chat: Available via the chat icon on the website, Monday through Friday from 8 a.m. to 5 p.m. CT

Payment options 

• Ways to pay
  • Visa
  • Mastercard
  • American Express
  • Discover
  • Shop Pay
  • PayPal
• Discounts? Yes, find more information here. Military members, first responders, teachers, and health care workers can get an additional 5% off.
• Financing: Yes, Affirm

The WinkBed Luxury Firm: Best for Arthritis and Scoliosis

We chose The WinkBed Luxury Firm as the Best Mattress for Arthritis and Scoliosis. It has one of the highest pain relief scores of any mattress we tested. It was designed for higher-weight sleepers, so it distributes weight evenly and keeps pressure off achy joints.

The WinkBed Plus

Best for Arthritis

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• Helps ease joint and back pain 
• Made of breathable materials that stay cool

• Responsive support makes moving on it easier

WinkBed Plus features

• Our pain relief score: 4.78/5
• Accessibility score: 4.51/5
• Mattress type: Hybrid
• Brand’s firmness rating: 8.5/10

Why we chose the WinkBed Plus as the Best for Arthritis and Scoliosis

We chose the WinkBed Plus as the Best Mattress for Arthritis and Spinal Stenosis because it had one of the highest pain relief scores of all the mattresses we tested. Arthritis and scoliosis often occur together, and both conditions share pain as a primary symptom. Either condition can cause the other, and 30% of people with rheumatoid arthritis have scoliosis of the low back.³ 

The WinkBed Plus hybrid mattress earned perfect scores for back support and high scores for other positions. Its layers of memory foam cradle joints while reducing pressure buildup, and springs provide bounce. A high bounce score shows that a mattress is responsive and may be easier to move on. The WinkBed earned a 4/5 rating for bounce. People with chronic back pain due to arthritis, scoliosis, or both may benefit from anything that makes movement easier. 

The WinkBed Plus also had above-average scores for cooling. A cool mattress may soothe symptoms of inflammatory conditions like arthritis and scoliosis. “Quality sleep is important for healing inflammation in the spine,” said Michael Gerling, MD, a spinal surgeon and founder of The Gerling Spine Care and Research Institute. “This is especially true for scoliosis patients. Overheating is not good for sleep quality nor for soothing inflammation.” The WinkBed Plus earned a 4/5 for its ability to stay cool.

WinkBed Plus pros and cons

Our testing experience with the WinkBed Plus

The WinkBed Plus is a medium-firm hybrid mattress made of memory foam layers over individually wrapped steel coils. The innerspring layer has targeted support for the lower back, which can be helpful for people who have scoliosis back pain. The WinkBed earned one of the highest pain relief scores of any mattress we tested, a 4.78/5.

Our older adult testers appreciated the firm support of this mattress. They rated the pressure relief when lying on their backs and sides as a 5/5, the top score. They also commented on how the even support helped keep their spine in a neutral position. “Everything is lying lightly on the mattress and feels really good,” said Sheila, a 70-year-old average-weight combination sleeper who tested the WinkBed Plus. “There isn't much pressure in any one point of my body.”

Several layers of memory foam help cushion arthritic joints and contour to support the entire body without leaving gaps. “Even my legs and lower back are filled in with the plushness of the mattress,” said the tester. “The bed is soft and cradles my body nicely. Even the curve of my spine feels good.” She said she could lie comfortably on the mattress without a pillow and still feel that her spine was supported and aligned. “My body feels very nice and even,” she said.

For someone with chronic pain from arthritis or scoliosis, even switching positions in bed may be difficult. A firm but responsive mattress can help. The WinkBed Plus scored a perfect 5/5 for its responsiveness. “I was able to easily roll from one position to another,” said one tester, Sheila. “I didn’t struggle at all to change positions, and I didn’t have to use my arms to assist me. This bed feels very supportive.” 

Our testers also commented on the WinkBed’s ability to stay cool, which can feel soothing to arthritis joints and sore backs. “It feels colder to the touch than most,” said a tester. “There isn't much quilting or heavy fabric on the top that could trap heat. The top layer seems kind of airy. Overall, this one feels really nice for cooling.”

While the WinkBed Plus did well in many areas, it wasn’t great at motion isolation. If you are a light sleeper who may be disturbed by a partner’s movements, the WinkBed Plus may not be a great choice. “There was no absorption of the movement,” said one tester. “I was definitely bounced. It's a bouncy bed, I think it would wake me up.” Testers rated the motion isolation as 2/5. 

Who is the WinkBed Plus right for?

The WinkBed Plus strikes a good balance between pressure relief and bounce, making it an option for those with pain and mobility concerns. It may also be a good choice for higher-weight sleepers or those who sleep on their back. During testing, we found the motion isolation was below average. This could be a concern for people who are easily disturbed by a restless partner. 

WinkBed customer experience

• Trial period: 120 nights
• Shipping: Free shipping
• In-home setup and mattress removal: No
• Warranty: Limited lifetime

Customer service

You can contact WinkBed customer service by:

• Phone: Call 855-946-5233, Monday through Friday from 8 a.m. to 7 p.m. ET
• Email: info@winkbeds.com
• Chat: Live chat in lower right corner of website, available Monday through Friday from 8 a.m. to 7 p.m. ET
• Calling or visiting a showroom

Payment options 

• Ways to pay
  • American Express
  • Visa
  • Mastercard
  • Discover
  • Google Pay
  • Shop Pay
  • Apple Pay
• Discounts? Yes, the company currently offers an additional $50 off for military members and their families, first responders, law enforcement, and health care workers. This can be combined with other offers. 
• Financing: Yes, WinkBeds offers financing through Bread Pay and Katapult.

Birch Natural: Most Accessible for Scoliosis

We chose the Birch Natural as our Most Accessible Mattress for Scoliosis because its solid edge support and high responsiveness made moving on it easier than most other mattresses we tested.  Even switching positions can be difficult when you have back pain from scoliosis. This mattress also received high scores for back support. It’s made with natural and organic materials, which is a plus for anyone with sensitivities to synthetic chemicals.

Birch Natural

Most Accessible

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• Testers found it to be one of the easiest mattresses to get in and out of
• Strong, stable edges

• Made with natural and organic materials

Birch Natural features

• Our pain relief score: 4.55/5
• Accessibility score: 4.51/5
• Mattress type: Hybrid
• Brand’s firmness rating: 6.5/10

Why we chose the Birch Natural as the Most Accessible Mattress for Scoliosis

The Birch Natural is the only mattress on this list that uses latex foam, a natural, breathable material providing pressure relief and bounce. Along with strong, stable edges, those qualities make this one of the most supportive and responsive mattresses we tried. People with scoliosis may benefit from a mattress that provides pressure relief for the back. The Birch Natural received a 4/5 score for back support in our tests. Scoliosis pain can also make getting in and out of bed or even switching positions more difficult. The Birch Natural’s layer of individually wrapped coils and latex foam provides bounce to help move on top of the mattress. Its stable edges make it easier to get in and out of bed with less effort. 

The Birch Natural had one of the highest pain relief scores of any mattress we tested. Its even support helps to keep the spine neutral, which may benefit someone with scoliosis. This mattress is also made with natural and organic materials. It scores slightly above average for cooling but below average for motion isolation, so if you sleep with a partner, you may feel them move at night. That may be a dealbreaker if you have scoliosis pain or discomfort and find it difficult to fall back asleep.

Birch Natural pros and cons

Our testing experience with Birch Natural

A good bounce can be important for someone with scoliosis pain, which may make it more difficult to move around and get in and out of bed. We measured bounce by dropping a weight from a standard height and measuring the rebound height. The Birch Natural measured 22.5 inches, achieving a perfect 5/5 score. A responsive mattress will move with you, providing a gentle boost that helps make moving easier. 

Our testers found that to be the case. “It's easy to move around, I hardly need any effort,” said Chris, 66, a higher-weight sleeper with back pain and spinal stenosis. “Going to the side is really easy, and rolling over to my stomach is really easy.” 

Testers also found the solid edge support of the Birch Natural helpful. Whether sitting or lying on the edge, they felt stable and not like they would slide or roll off. “I don’t feel any need for extra support,” Chris said while sitting on the edge. “The edges bounce back quickly when I go from sitting to standing. It’s really firm on the edge.” Lying close to the edge had the same result. “I think this is very supportive and I feel very stable in this position,” Chris said. “I sleep on the edge a lot, so this mattress is definitely better than mine. It’s very comfortable. When I’m lying on the edge, I don’t feel like I’m going to roll off at all.” 

Our testers rated Birch Natural’s edge support as a perfect 5/5. When one of our average-weight testers sat on the edge, it only sank by about two inches. That’s better than the average amount of edge sinkage (3.1 inches) of the mattresses we tested. 

Testers also rated the Birch Natural highly (4/5) for its ability to relieve pressure on the back. When lying on their backs, testers found the bed comfortable and supportive. “I feel really aligned. My butt’s in line with my shoulders,” Chris said. “I feel maybe a tiny bit of pressure on my lower back, but nothing on my hips at all. My body feels equally supported all over.” That kind of even support is useful for maintaining spinal alignment, a plus if you have scoliosis. 

The Birch Natural also won accessibility points because it is compatible with several adjustable bases. Adjustable beds have been shown to help with spinal alignment, so it could potentially help ease pain for someone with scoliosis. You can read more about the best adjustable beds in our roundup. The Birch Natural had a 4.51/5 score for accessibility and a 4.55/5 for pain relief.

One area where the Birch Natural underperformed is motion isolation. “I can feel every single movement,” said one tester. “It feels like I’m getting bounced a little. It feels really springy and like none of the movement is dampened.” When we tested motion isolation using a seismograph, we saw several spikes as the motion rippled across the mattress. If you sleep with a partner, a mattress with better motion isolation might help prevent their movements from disturbing you. 

Who is Birch Natural right for?

If you're looking for a stable mattress with good back support that is easier to move around, the Birch Natural could be a good choice. Its use of natural and organic materials is a plus for people with allergies or sensitivities to synthetic materials or chemicals. If you sleep with a partner and are easily disturbed, you may want a mattress with better motion isolation, like the Nolah Evolution.

Birch customer experience

You can contact Birch customer service by:

• Phone: 917-540-5525, Monday through Friday from 11 a.m. to 6 p.m. ET
• Email: info@birchliving.com
• Live chat: Available via the chat icon on the website, every day from 10 a.m. to 10 p.m. ET
• Contact form: https://support.birchliving.com/hc/en-us/requests/new
• Calling or visiting a viewing room

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• Discounts? Yes, find more information here
• Financing: Yes, Affirm

Our process testing the best mattresses for scoliosis

Our team has spent thousands of hours researching and testing mattresses so you can feel confident in our reviews. We work with experts in sleep, physical therapy, and occupational therapy. So we know what features are most important when searching for the best mattress for back sleepers.

For this review, we personally tested 30 mattresses identified through our research to offer pain relief and ease pressure. Each mattress was subjected to rigorous testing by older adults with pain to ensure we have real-world data on how they perform.

We considered these important factors when testing the best mattresses for scoliosis:

Pain relief score

Unique to NCOA, a high pain relief score refers to a mattress that eases pain, and is easier to get in and out of due to a balance of bounce, support, and firmness. This usually indicates that a mattress is both firm and comfortable to move on. This is a great combination for people challenged by changing positions or getting in and out of bed due to scoliosis or other chronic back pain.

Pressure relief

Scoliosis creates an unnatural curve of the spine that can lead to uneven pressure points and muscle strain. Our pressure relief score reflects our testers’ experiences on the mattress and the results shown on our pressure map. The pressure map uses sensors to display the pressure the body feels when lying on the mattress, as well as in which areas. We looked for mattresses that distribute weight evenly to relieve pressure under the back, shoulders, and hips. 

Spinal support

Mattresses that help keep your spine in a neutral position can help ease the strain on your back, especially when you have scoliosis. A mattress offering strong spinal support contours to the body while offering enough resistance to press back into the curves of the lower spine. We looked for this kind of support from testers, and we confirmed it using our pressure map results. If a mattress lacks support in the lower spine, it shows white on the pressure map, indicating no contact or support in the area. 

Firmness

Some research has found that medium-firm mattresses (5-7/10) offer better overall comfort and sleep quality, as well as improved spinal alignment, compared to soft or firm mattresses.⁴ A medium-firm mattress has also been shown to be most effective at easing back pain. Past testing has shown that firmer mattresses sometimes feel softer to people of a higher weight. Personal preference may also play a role in how comfortable and supportive a mattress feels.

What to consider when buying a mattress for scoliosis

Scoliosis can vary a lot in severity and location, so what you need in a mattress will depend on your specific situation. Scoliosis can also worsen over time, so the mattress that worked for you before may not work for you eventually. “Although there is no one-size-fits-all approach, patients often find medium-firm mattresses beneficial, as they provide even weight distribution and help maintain spinal alignment,” said Dr. Davidson. “Adjustable beds may also offer relief by allowing for slight elevation of the head or legs, which can reduce pressure on the lower back depending on the person’s curvature.” 

Our testing and research with older adults confirm these are key features to consider when buying a mattress for scoliosis.

Mattress firmness

A medium-firm mattress has also been shown to be most effective at easing back pain. “Most people would go for a medium firmness if their back symptoms are controlled,” said Dr. Gerling. “If they have significant back pain, they may want to try something more firm, though modern medium-firm mattresses likely provide the added support they need.” 

Pressure relief

Scoliosis causes the spine to curve to the left or right, resulting in uneven pressure points and muscle strain. The best mattresses for scoliosis should distribute weight evenly to relieve pressure, especially under high-stress contact points such as the back, shoulders, and hips. 

Spinal support

“A good mattress for scoliosis needs to keep your spine as neutral as possible while you sleep,” said Dr. Okubadejo. “Too soft and you sink in, throwing your spine out of line. Too firm and it pushes against your body, causing pressure. “Spinal support means your hips and shoulders don’t drop lower than the rest of your body, and your back should stay straight when you lie on your side. One way to check is to lie down and have someone see if your spine curves unnaturally.”

Sleeping position

“Sleeping position makes a big difference when you have scoliosis,” said Dr. Okubadejo. “No matter the position, a mattress that holds your body in line without sagging is key.” Here are some strategies for reducing that stress in various sleeping positions.

• “Side sleeping is often the best choice, but you should keep a pillow between your knees to keep your hips level,” said Dr. Okubadejo. “It also helps to hug a pillow to support your upper body and reduce twisting.”
• “If you sleep on your back, putting a pillow under your knees can help reduce lower back strain,” said Dr. Okubadejo. “A small pillow under the lower back might also support the curve, depending on where the scoliosis is.”
• Stomach sleeping is usually the worst option, as it flattens the natural curve of your spine and twists your neck. “If you can’t avoid it, use a very thin pillow or no pillow at all under your head,” Dr. Okubadejo said.
• If you switch positions throughout the night, consider using a pillow for support as recommended above. It may help keep your spine in a neutral position and reduce pressure and pain on your joints. 

How to choose the best mattress for scoliosis

“Every scoliosis curve is different in their own way, and people have inflammation in different parts of the curved spine, depending on how they use their back. It's important not to put stress on areas of the spine that are hurting or inflamed,” said Dr. Gerling. “High quality mattresses should be able to support the spine and even way regardless of sleeping position.” Some other things to consider include:

Mattress construction

Different materials have different properties. “Latex and hybrids offer good support with some bounce, while memory foam molds to your shape but can trap heat and feel too soft,” said Dr. Okubadejo. “Innerspring might feel too firm or uneven unless it has a good top layer.”

Mattress features

• Zoned support can add extra support for the low back or other high-stress areas. This can be good if you have low back pain.
• Motion isolation may be a consideration if you share a bed with a partner. Mattresses with poor motion isolation may cause interrupted sleep.
• Edge support for safe entry and exit. “Edge support matters if you sit or sleep near the edge, especially if getting in and out of bed is painful,” said Dr. Okubadejo.
• Pain from scoliosis or any other source can make moving more difficult due to stiff joints or achiness. A responsive mattress may help. Latex and hybrid mattresses with springs tend to be best in this regard, but memory foam can also offer good support.
• Temperature regulation for comfort. “Breathability is important, so look for cooling covers, gel foam, or open-cell materials if you sleep hot,” said Dr. Okubadejo.
• Using an adjustable bed may help people with scoliosis better control the pressure on various parts of their spine. If you plan to use an adjustable bed, finding a compatible mattress is key.

Buying considerations

• Many mattress brands offer lengthy trial periods. Just make sure to read the fine print and know if you will be charged a fee for any returns and how they will be handled.
• Most quality mattresses come with a limited lifetime warranty against defects.
• Mattresses usually include free shipping in the contiguous United States, but not every company offers in-home set-up or will remove your old mattress and frame. Some offer this service, but at an additional cost. Be sure you know those details. 

Tips for improving sleep with scoliosis

Research has shown that chronic lower back pain, like the kind caused by scoliosis in older adults, is linked to poor sleep.⁵ Chronic back pain appears to both affect and be affected by lack of sleep, which led to the term “the sleep-pain cycle.” With proper medical treatment by a health care professional, some lifestyle changes may help you sleep better and end that cycle.

How much do the best mattresses for older adults with scoliosis cost?

The mattresses in this review of the best mattresses for neck pain range from $1,865–$3,399 for a queen-sized mattress. 

Factors that can affect the price of a mattress include the materials used, certifications, and features. While the mattresses we tested all offered free shipping, many brands charge an additional cost for white-glove delivery, a service that Saatva offers for free. 

How to save money on mattresses

Purchasing a mattress is a big investment, considering you spend seven to nine hours or more a night sleeping. You want to make sure you’re comfortable with it, especially if you’re trying to avoid or reduce neck pain or other chronic pain issues. 

Here are some ways you may be able to save some money on a mattress:

• Look for financing plans that many mattress companies offer. This might be a better deal than using your credit card. 
• Many brands also offer discount codes and other offers, like sales codes, to help reduce the price. 
• Purchase a mattress during holiday promotions, when most brands offer major savings. Labor Day, Memorial Day, and Black Friday are some of the more popular holiday sales. 
• Certain groups of people may be eligible for deals such as discounts for veterans, health care workers, teachers, and students. 
• You might find a good deal purchasing a “bed-in-a-box.” But if you have mobility issues or certain health conditions, setting up a mattress like this can be challenging. 
• You might find a discount if you purchase the floor model in person at a store location. 
• Look for long trial periods and warranties. Opt for lifetime or limited lifetime warranties, and longer trial periods (at least 100 nights, but 365 is best) so you can test out the mattress in your own home.

Frequently asked questions

Is a firm or soft mattress better for scoliosis?

In general, a medium-firm mattress (5-7/10) tends to be best for easing back pain from scoliosis or other sources, and for overall comfort and sleep quality, some research shows.²

Should I sleep without a pillow if I have scoliosis?

Sleeping with a pillow is a good idea if you have scoliosis. Without a pillow, your neck is unsupported, and your head can tilt too far back or to the side, making pain or stiffness worse. 

What are the symptoms of scoliosis?

Symptoms of scoliosis can include uneven shoulders or hips (one is higher than the other), back pain, leaning to one side when standing, limited range of motion, muscle spasms, and numbness or tingling in the legs. If you experience these or suspect you have scoliosis, see a health care professional.

Can I use an adjustable base with scoliosis?

Yes. Adjusting the height of the bed may help people with scoliosis control shoulder pain, upper back and neck pain, and find a more comfortable sleeping position.

Questions? Email us at reviewsteam@ncoa.org