The Best Mattresses For Chronic Back Pain

Sleeping on the wrong mattress can lead to or worsen back pain. An ergonomic mattress encourages good sleeping posture, relaxes muscles and generally provides healthy, wholesome sleep.

Doctor explaining chronic back pain to patient

Of course, there is no such thing as a “perfect” mattress for everyone. It’s important to choose a mattress that fits your natural sleeping posture.

According to Jeffrey N. Katz, M.D., Professor of Medicine and Orthopedic Surgery at Harvard Medical School, and one of the most authoritative voices in the back pain field, changing your mattress can make a substantial difference:

According to one study conducted on 313 patients suffering from lower back pain, those using medium-firm mattresses reported less pain when lying in bed as well as less pain-related disability compared with those using firm mattresses.

This finding, which has been confirmed several times by other doctors, is an eye opener as it’s in stark contrast with the old-school recommendation to use a very firm mattress.

Dr. Katz goes on, recommending consumers try different mattresses and see which one feels best.

In the past, this meant going to a mattress store many times, spending hours lying on a range of random mattresses with an annoying salesman putting you under pressure to close the sale.

Today, however, thanks to the new approach of several mattress producers, you can order the mattress online and try it in the comfort of your home for a few weeks, and return it if you aren’t satisfied for little or even no cost at all.

So continue reading for a complete overview of the best beds for back pain – armed with the right information, you can make an informed decision and get rid of that bad pain once and for all!

The Back Pain Mattresses Comparison

Before we start, an important warning: this analysis is not a substitute for professional medical advice. Ensure you speak with your doctor before making any decision which could have an impact on your spinal health.

Our back pain mattress comparison takes a look at four of the most popular, high-quality mattresses of the new generation designed to offer relief to people who suffer from chronic back pain:

These are premium mattresses that command a higher price compared to budget foam or coil mattresses, but they offer quality, durability and warranties that make them great value in the long run, especially when you are trying to combat back pain.

If you suffer from an acute condition, you can scroll down to this dedicated section.

What to Look For in a Mattress for Back Pain?

When choosing a mattress for back pain, there are a few things to keep in mind:

  • Whether the mattress is firm enough to support your lower back if you are a back-sleeper, while being soft enough to contour to your body. In fact, too-stiff mattresses tend to push against the spine while too-soft mattresses don’t offer enough support. A medium firm mattress is ideal for this type of sleeper.
  • For side sleepers, a mattress with slight softness is necessary to cushion the shoulders and hips.
  • Stomach sleepers (who very likely sleep this way because of lower back pain) need a firmer mattress to keep them afloat.

Most sleepers tend to sleep with a combination of all these styles, leading to a lot of movement in the bed. The best memory foam mattresses, which have high motion isolation, while still being firm and variously soft (depending on the type) are ideal for these sleepers.

What is the Best Mattress Type to Relieve Chronic Lumbar Discomfort?

Good quality memory foam has been seen by the experts as ideal for ergonomic mattresses to provide relief for back pain.

Memory foam can come in a range of density, providing anything from a soft mattress to a medium firm mattress, depending on your needs.

The spine's 3 curvesIt cradles the body’s curves while being firm enough to support the back’s muscular and bony structures.

Your spinal cord has three gentle curves:

  1. The C-shaped cervical spine that supports the head,
  2. The reverse C-shaped thoracic spine that holds up the upper body and,
  3. The C-shaped curve of the lumbar spine (in your lower back) that is the foundation of your back.

It is important to maintain the alignment of the curves of the spinal cord when you are lying in bed – otherwise, you’re asking for chronic back pain.

Memory foam is the best in keeping the spine in alignment preventing back pain and discomfort in general by providing the necessary lumbar support.

However, it gets better as today there are several premium mattresses focused on pain relief which combine this great foam advantage with the well-tested, traditional comfort provided by coil springs.

These conform to the body (i.e. are soft enough) while still offering a firm surface not prone to sagging.

The ideal mattress for back pain is therefore something that is not too soft and not too hard, to minimize stress on your cervical, thoracic, and lumbar spine.

When it comes to purchasing the best mattress for lower back pain (or any back pain), the mattresses select below have an excellent reputation.

What if I Suffer from an Acute Condition?

People experiencing back pain from simpler causes, even when the pain level is high, can truly benefit from the mattresses we list below, but those suffering from more acute conditions need to go a step further and find a mattress designed specifically for their condition.

After receiving an enormous number of messages asking for help, we felt compelled to find a professional product we could recommend for those cases, and after a very lengthy research we identified Natural Form as the company with the right products for this audience.

Natural Form is a family owned business out of Vermont that has sold specialty mattresses for over 25 years.

They started in the mattress business by creating patented sleep products specifically designed for the medical industry, which include established institutions like the Mayo Clinic in Minnesota, Mount Sinai Hospital and Lenox Hill Hospital in New York City, Albert Einstein Hospital in Brazil and many more.

Natural Form has helped people suffering from complex conditions such as Degenerative Disc Disease, Spinal Stenosis, Fibromyalgia, Osteoarthritis and Herniated Discs, while also helping people with more common issues like chronic back, hip and  pain and neck problems.

What’s the secret behind this mattress? It’s a combination of Merino wool, memory foam and especially their patented support system, which offers the same support as the best springs without the excessive pressure.

the Natural Form mattress with air pads

This system, called Self Adjusting Technology, uses a number of independent air pods and doesn’t need pumps, sensors or motors, avoiding any kind of noise and the need for electrical cables.

The result is a perfectly supportive mattress that can change its profile instantly following your body, without leaving any hard spots causing discomfort.

In addition, the mattress can be easily fine tuned on both sides to suit a couple’s different firmness needs.

One of the things we liked the most about this company is that they want to speak with you even if you are already convinced to purchase, as they want to ensure you are picking the right mattress. They have a very long experience in advising customers with pain issues and will do their very best to find a tailored solution for you.

The Natural Form mattress comes with free delivery, 10-year warranty and 100-night sleep trial with 100% refund. The price varies between $2,800 and $3,400 depending on size. You can find out more on their website, and tell them Ted & Stacey sent you!

Our Best Picks for Lower-Back Pain Mattresses

If you don’t suffer from an acute condition, we suggest you consider the following mattresses as they have a very good reputation for improving back pain and similar issues.

The Amerisleep AS2

the amerisleep revere mattress in a furnished room

Amerisleep was one of the first brands to pioneer the online mattress concept, and also maintains affordability by selling directly.

Amerisleep mattresses offer a more eco-friendly approach to memory foam, pairing plant-based foams with luxury finishes.

With the AS2, Amerisleep pairs a thick layer of memory foam with a supportive, high-quality base layer.

This bed readily contours to you, cushioning you while supporting your body evenly over the surface to prevent pressure points.

It also helps ensure optimal spinal alignment to combat lumbar (and other back pain) problems.

Their signature series utilizes a unique memory foam made with a high proportion of plant-derived materials, manufactured in a zero-emissions facility.

This process also keeps the memory foam breathable and makes it highly responsive.

Amerisleep beds feature Celliant, a mineral-based fiber embedded in the fabric of the mattress cover.

This material is scientifically-proven to ease muscle pain and promote circulation, by taking excess body heat and converting it to beneficial infrared energy. You can learn more in our detailed Amerisleep AS3 review (as they share the same technology).

The AS2 holds an excellent reputation for comfort, with hundreds of reviewers who have positive things to say.

Many reviews specifically mention pain relief and reduced back pain, and several have used the As2 for many years.

The Amerisleep AS2 is a medium firm mattress, which is generally recommended as the best option for back pain.

Amerisleep offers other plusher and firmer options, though the balanced support of the AS2 is ideal for people looking for the best mattress for lower back pain.

Amerisleep offers a 100 day trial, completely risk-free, so you can test the bed out in your own home and if it doesn’t help you can return it at no cost.

The Saatva Mattress

Saatva mattresses are designed to be luxury coil mattresses at affordable prices in comparison to their competitors (they deliver much lower prices mostly by selling directly to the public).

saatva is a great luxury mattressThey use two sets of specially designed coils – the first set is tempered steel (to prevent long-term sagging) and comfort coils individually wrapped to contour to the body’s shape.

You can learn all there is to know in our detailed Saatva review here.

Aside from the pure comfort, confirmed by hundreds of positive reviews on their website and around the web, these mattresses are highly regarded as effective for persistent lumbar pain and recommended by orthopedics, chiropractors, and other serious back specialists.

If you want the best mattress for lower back pain, Saatva should be among your top contenders.

In addition, Saatva has become the official mattress of Healthbridge Sleep, the Northeast’s premier sleep clinic helping people with sleep issues.

There are three firmnesses available with Saatva: Firm (for back or stomach sleepers), Luxury Firm (suitable for most people) and Plush Soft (ideal for side sleepers).

For back pain issues, usually it is recommended that you choose the Luxury Firm, as it delivers the medium firm mattress feel you should look for when looking for the best beds for back pain.

The Layla Mattress

The Layla is a copper-infused memory foam mattress that helps you sleep cool, relieves joint pain and improves blood circulation.

In addition to that, the way the mattress is structured with gel particles ensures more support where needed, resulting in your spine remaining aligned in any position throughout the night.

The copper element does not only help ease joint pain and keep you from feeling stiff in the morning, but it is also antimicrobial, meaning that you get to sleep clean, cool and wake up refreshed.

Another important feature of the Layla is that is dual-sided, which means it can be flipped to change the firmness as one side is softer and the other firmer.

This is particularly helpful when your back pain is not related to a permanent condition (as in most cases), as you can use the firmer side to heal and then switch to softer once you feel good.

You can try your Layla mattress for 120 days, and if you don’t like it you can easily apply for a full refund at zero cost.

Plus, it comes with a lifetime warranty.

Read our in-depth Layla review here for more information.

The Bear Mattress

The fourth and last mattress for this comparison is another new concept which is having great success especially among active people who are suffering from back pain.

bear-mattress-bed1The Bear mattress has been designed to facilitate physical recovery of professional athletes, who need to remain at their peak performance level for days at a time with limited time to spend sleeping in bed.

Users of this mattress include marathon runners, triathletes and other hardcore athletes who treat their body pretty roughly every time they compete.

The engineers at Bear developed a new kind of fabric which can reflect back the natural body heat as infrared energy, helping muscles and joints substantially in the recovery process, without overheating the bed.

This mattress uses the same Celliant technology as the Amerisleep AS2; it’s embedded in the mattress cover and doesn’t require any particular attention. It feels exactly like a regular cover and can be easily cleaned.

If your back pain is of muscular origin, this mattress can make a big difference as the resting effect is strongly boosted.

Furthermore, the deeper layers have been built to provide the right level of firmness for a healthy back posture throughout the night, thanks to a mix of memory foam and gel-infused foam.

The innovative Celliant technology and medium firm support of Bear earn it a spot among the best beds for back pain.

The Bear Mattress can be tried risk-free for 100 days, so don’t hesitate to try it out if you feel it’s the right solution for you.

You can read our extensive Bear Mattress review here.

Comparison of Comfort Guarantee and Warranty

Amerisleep and Bear offer the same trial of 100 nights with a full refund, although Bear requires you to sleep on it for a minimum of 30 days to ensure you can feel the benefit.

Layla and Saatva have the longest trial period of 120 nights, also with full refund and no return costs.

Bear offers a 10-year all-inclusive warranty and Saatva comes with a longer warranty of 15 years with replacement during the first 2 years and free repair afterwards.

Amerisleep offers a 20-year warranty with 10 years of full replacement coverage in case of defects, while Layla goes even further offering a lifetime warranty.

Be careful to follow manufacture guidelines for placing your mattress on a suitable foundation to avoid voiding the warranties (more in our reviews).

How Much Do They Cost?

All four products are part of the new generation of mattresses sold directly to the public online, which means that a much lower price can be achieved by cutting out the middleman (and the usual pushy salesperson).

This saving is transferred directly to the buyer and that’s why the ticket price is a fraction of their competitor’s mattresses, like those made by Serta and Simmons.

Comparing the price for Queen size, currently the Amerisleep AS2 is the most expensive at $1,049 (with $250-off  thanks to our TS250 coupon), followed by Saatva at $999.

Layla is about 20% cheaper than that at $899 (with our $100-off coupon TED), and Bear is the cheapest at $780 (with coupon TED60 for $60 off).

Amerisleep and Saatva command a slight premium because they are more established brands, but the price difference isn’t that great and shouldn’t be the main criteria for your decision.

Our Verdict

Although all four mattresses are a great solution for people suffering from back pain, and they all enjoy many positive reviews of actual users who got rid of their lumbar pain problems, the differences are pretty strong.

This is a summary of our assessment:

The Amerisleep AS2

  • Our rating: 4.8
  • Established reputation
  • Medium-firm firmness
  • Plant-based memory foam + Celliant fabric
  • 100 days return, 20 years warranty
  • Price: $1,049 only with this link (apply TS250 code)

The Saatva Mattress

  • Our rating: 4.7
  • Endorsed by chiropractors
  • Medium firmness
  • Innerspring + memory foam
  • 120 days return, 15 years warranty
  • Price: $999

The Layla Mattress

  • Our rating: 4.8
  • Dual sided
  • Both medium-firm and medium-soft
  • Memory foam + copper + THERMOgel
  • 120 days return, lifetime warranty
  • Price: $899 (use TED code)

The Bear Mattress

  • Our rating: 4.5
  • Endorsed by athletes
  • Medium firmness
  • Gel memory foam + Celliant fabric
  • 100 days return, 10 years warranty
  • Price: $780 (use TED60 code)
TechnologyPlant-Based Memory Foam, Celliant FabricInnerspring, Memory FoamCopper Gel Memory FoamCelliant fabric, Gel Memory Foam
FirmnessMedium-FirmMediumMedium-Soft & Medium-FirmMedium
Warranty20 Years15 YearsLifetime10 Years
Home Trial*100 Days120 Days120 Days100 Days
NotesEstablished reputationEndorsed by chiropractorsDual firmnessEndorsed by athletes
Our Rating4.
Price $1,049
(use TS250 coupon)
$999 $899
(use TED coupon)
(use TED60 coupon)
* Various conditions and charges apply. Read our respective reviews to learn more.

As you can see the Amerisleep AS2 and Layla have our highest rating of the four.

The Amerisleep AS3, closely related to the AS2, is our current memory foam top pick in our popular Best Mattress guide, while Layla has been in the top spots for 2 years in a row.

In this comparison however, all four mattresses have their merits and they can all help you get rid of chronic back pain.

To help you choose, we can summarize the findings as follows:

  • The Amerisleep AS2 has a reputation for comfort with hundreds of reviewers, and an established track record. It’s designed with back support in mind, and should be suitable for most sleepers.
  • The Saatva mattress is well established and has the backing of the Congress of Chiropractic State Associations and the Healthbridge Sleep Clinic. It’s a great all around mattress that should help most people.
  • The Layla mattress provides noticeable benefits thanks to the natura action of copper, and it gives you the opportunity to change the firmness with just a flip.
  • The Bear mattress can work wonders if your back pain is the consequence of heavy physical work, tough sports or muscular and joint stress in general.

If you are reading this, it’s because you have been seriously suffering from back pain, probably for a long time.

We strongly suggest you pick one of these four mattresses today and try it out, since it doesn’t cost you a thing if it doesn’t work. Changing your current mattress can change your life!

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I have a seven-year-old queen Sealy coil mattress & boxspring which rests on top of a center-supported frame. I want to replace the mattress. If I buy one of the four recommended mattresses, can I continue to use my Sealy boxspring? I want to keep using my existing headboard/footboard structure and light the height with the boxspring. Should I modify the boxspring, such as by putting plywood on top of it, to make it more firm? What do you recommend?

Stacey Morgan – STAFF

Hi Dennis,

yes, these mattresses work fine on existing boxsprings. You could try it as it is, and if you feel it’s too soft in the middle, you can always add a piece of plywood.


Hi there,

I am 36 and have a severe case of lower degenerative disc disease, I believe it is around my L4 L5 area, Im not exactly certain of all the medical terminology, however, I do know that I wake up every morning and my lower back hurts so bad that I can not even get up out of bed and pick my 2 year old daughter up. Its a good 2-3 hours before my back stops hurting enough in the mornings that I can actually function. and I am a single mom, so this makes life very difficult.

I wish I could say that money is no object for a new mattress, but in reality, that is just not the case. So, I am in desperate need of a better mattresse, but I cannot afford any of the mattress that have been mentioned so far. I guess my question is what would you recommend , that is more affordable, but still offers the kind of support I need????

Thanks so much!


Hi Aubrey. Same for me. Two things I found most effective on a budget that _worked_ for my own low back arthritis and degenerative disc disease: Medium firm support could be found in a good used futon (but you have to be careful and super selective to get one that’s decent) and I discovered pure CBD oil – which averted surgery for me (2 days before my consult with the surgeon I took a single dose of a few drops of the stuff and woke up pain and inflammation free and only take it every few months, maximum. It’s amazing and no side effects – be careful not to get thc – the federal gov’t has made cbd oil legal everywhere). My cheap futon is a foam core wrapped in cotton (AVOID WOOL – it is not good for temperature regulation, in my experience). I tested it for deflection to make sure it wasn’t too firm and inspected it for uneven wear or compression. It should have absolutely no signs of compression or wear. There are futon buying guides Reading them is a good idea. You can also get a new one for a lot less than most mattresses. Futons do wear out via compression sooner than the expensive counterpart in the mattress world, though. I spent $1200 on a name-brand natural latex and memory foam mattress a few years ago and had to go to the cheap futon. The ‘firm’ latex would sink during the night to ‘cradle’ my body and killed my low back. The futon provided that ‘floating on top’ sensation my low back likes. Good luck! Again, shop smart, be careful, really spend the time looking and trying them. Don’t be shy about trying, coming back later, trying again, etc. Pass on anything that you’re not sure about. Don’t get frustrated and stay patient. It’ll pay off. Again, best of luck to you.


I am seriously considering a few of these, but want to get a sense for the “feel” of them (especially for the Natural Comfort, but also the rest). I like a firmness of 7 (Nectar is too soft, for example), a resilient top (rather than memory foam’s sinking feeling), polyfoam, side sleeping waist support, neutral spine, and not hot. The best (of 6 I’ve tried this year) is the Level mattress which is zoned, but the lumbar support is too low on the bed for me. My feel are at the bottom of the bed. Health issues: scoliosis, tendonitis, upper back and neck pain.

What does the Natural Comfort and others feel like and which is a good fit for me?

Thank you!


I have the older Natural Form SAT bed (that is now called the Garden Inn model). I liked it a lot in the beginning but in later years of owning it as sometimes single sleeper and sometimes sleeping with partner I always end up in middle of bed which has created a dip in the middle and shifted the air out towards side I bed. I am hesistant due to this center dip to get a Natural form again so am thinking of the Saavtra as I get low back pain easy


I have purchased a new mattress, I’m so disappointed with it, causing back pain and shoulder pain. IIt is a plush firm mattress. My husband and I both sleep on side and back. He also has a problem with lower back due to degenerative disc. Please help with this decision on finding a great mattress.


I have Kiopohile syndrome neck and back fusion. This would help my daughter also has neck issues


Hi, I have more soreness rather than pain all the way from my shoulders to lower back. We currently have a tempurpedic mattress. I’m a back and side sleeper and husband is a stomach sleeper. Any advise? I’m currently experimenting with pillows looking for relief.


I have been suffering from back and side pain sleeping on my mattress at home for some time. I just recently experienced a good night‘s sleep on a hotel mattress while out of town. The difference was so apparent that immediately I relized that we needed a new mattress. I am thinking about a saatva.


I just ordered a mattress from Natural Form after reading the above review. My wallet doesn’t like it but I think my back will. At least there is a Presidents a Day Sale!


How is the Natural Form working for you? I’m thinking of getting it. Does it feel hot and sinking like memory foam?


At age 53, my history started with 2 lamiadectorys about a year apart starting in yr 98. Then I was advised and waited to have disc replacment only to find it took longer in the US and finally received it in 2005. I also have 3 discs in my neck / cervical that are basically bone on bone and are every other disc. Also I suffer from the same in my mid back or thoracic. 10 years after the prosthetic disc was inserted in my S1/C5 area I my L5/L6 herniated only to become bone on bone like the rest. I am having problems finding a bed that can help all three spinal areas. I sleep on my back and right side only most nights. Any suggestions would be greatly appreciated. Regards, Paul Dougherty


Thank you for your reviews and this article. It’s been very helpful. Only the review of Layla notes that a box spring is an acceptable foundation. The other reviews for Amerisleep and Saatva mention a platform bed or other flat surface. Do you know if a box spring is acceptable by the other companies to prevent voiding the warranty? We bought a set in 2016 and the mattress is unacceptable. However, I would like to continue using the box springs. Thank you!

Stacey Morgan – STAFF

Hi Colleen,

as long as the box spring is in good condition (i.e. it’s not moldy and it provides even support), the warranty will not be void.


Hello, I have been experiencing neck and upper back pain when i wake up in the morning. I see these mattress’s are good for back pain, but are they also good for neck pain?

Stacey Morgan – STAFF

Hi Jennifer,

if your neck pain is sleep related, then one of these mattresses can probably help.


Have you evaluated the Purple mattress or the Nectar mattress? I first saw the Purple ads in December and the Nectar yesterday. I have 3 herniated disks and have numbness in my foot and daily pain for 1.5 years. I would have bought a new mattress last December but other problems have arisen. I need to buy a mattress ASAP and would like one that not only will help my back the most but is also the most natural and least offgassing (so that I am not injuring my body by being exposed to offgassing chemicals, while trying to help my back, and so that I am having the least environmental impact as well.) Purple appealed because of the ads with the weight and the eggs as well as the fact that it was made with “food grade plastic.” Of course the wool and plant-based memory foam of Amerisleep sound like they are better for the environment and my own human system that does not want chemicals. Thank you.


Hi, I’m similar (some what) to Brooke (wrote 28 Jul below). Not as much/serious back condition, but slept on OLD hand me down innerspring mattress for years. In middle age now, last 2-3 years more “pain.” Physical therapy for knee, shoulder, and lower (and mid) back, and neck/shoulders. Bulging disk (lumbar), degenerative joint disease, fluid in joint, etc.- inflammation from autoimmune issues, and now sciatic pain started this year…and had thoracic outlet syndrome (arms lose circulation (fully) while sleeping (sometimes)). After reading a lot online and trying in store mattresses, this site led me to take the plunge (finally) in August and get the Amerisleep you recommended, for lower back pain.

But since I’m mostly a side sleeper, and some on my backs (combo), they wanted me to try the AS3. I have it on an old box spring.

1 Nov my 100 day trial is up (for returning/refund). I like how it feels when I am laying on it, falling asleep – had to get used to memory foam feeling, BUT my lower back has been hurting constantly/daily, for last 3-4 weeks. Stiffness in a.m., sore, etc all day.

Suggestions please on if I should now try a Natural Foam or Sleep Number? (P5 or P6 or i series model)?


I am short and like my bed low to the ground. I current have a platform bed from IKEA that doesn’t use a box spring. Would any of your mattresses work with this type of bed frame?

Stacey Morgan – STAFF

Hi Gloria,

they all do work with a platform bed.


I have been suffering from chronic lower back pain for several years. I have structural issues with my spine as well. I have been using Orthopedic mattress bought from Sleep Country store which has a memory foam as well for past 7 years. The mattress has a10 years warranty. Presently, the memory foam has been sagging into the mattress and has resulted into severe pain on waking up. I am very uncomfortable getting out of the bed and it takes almost more than half a day before I experience some relief of pain. Also, throughput the night, I am tossing and turning to find a comfortable position. What are your recommendations? However, I live in Toronto.


Looking for a new mattress. The one we have now is a foam one we purchased from Ikea. It sits on a platform with slats for the frame. Both husband and I suffer from low back pain and are really not fans of spring bed. We both mainly sleep on side which do you recommend as he is much probably twice the size as me and also snores.

Stacey Morgan – STAFF

Hi Kim,

just go with any of these… it will surely be a big improvement over your current mattress. Or, you could try the Layla, which is double sided so you can adjust your firmness.


Do any of these manufacturers make a twin bed a/o full and what are the costs. Are the prices all inclusive ?

Stacey Morgan – STAFF

Hi S.,

they all come in those sizes. Follow the links to their websites for the full pricing info!


My situation is this, I sleep on my left side always. I’m 5’8 215lb. I’m 71 and most of my adult life I’ve given up my body for football, softball, avid golfer, pool player ( league ), still working and motorcycle rider. My back problem is upper thoracic and the pain goes around my rib cage. I’ll give a couple of your suggestions a try. Is there one that you think would help me ? Thank You.


As someone with herniated disks and some spinal compression (from a gymnastics injury), I have been suffering from constant pain and my current memory foam mattress is compounding my pain. As a side sleeper, what mattress would you recommend? Please note, I am absolutely unable to afford a mattress from Natural Form, which is too bad because I live in VT. I’m afraid to buy another memory foam mattress, because of the awful state of my current two year old mattress. I’m worried that the AS2 wouldn’t be good for me as a sidesleeper, and I’m also worried that if I buy a hybrid mattress, that it’ll start sagging on me causing more back pain.

Stacey Morgan – STAFF

Hi Brooke,

you could try the Layla, as it has two sides with different firmness. So if you feel it’s to hard you can just flip it (and vice-versa). And it doesn’t work at all, you can send it back for a full refund.


My main issues with upper back pain. Wondering if there’s any recommendations on mattresses that are best for upper back pain?

Patricia Mayfield

This has been a very informative review of top mattresses. I am considering a Saatva mattress set. We are a couple in our 70s with significant back issues.


I have had back surgery and still suffer from spinal stenosis, L-4,5,2 and 3 and s-1 all bad. Get epidurals , PT but sleep only 3-4!hrs a nt due to pain. Need a mattress that will help, but need it taken to bedroom on second floor

Do any of these companies deliver?

Stacey Morgan – STAFF

Hi Eilaine,

Saatva for example offers the free White Glove delivery service, which means they’ll remove your old mattress and place the new one wherever you want.

walter sandulli

I sleep on my side as a result of moderate sleep apnea. In the past few months, I have experienced hip pain sleeping my on my Sleep Number bed. I have adjusted the mattress pressure several times and have added a mattress topper which has helped somewhat. I am still unable to sleep comfortably for long periods of time. I have done a bit of online research to identify a replacement mattress. It appears that the Zenhaven matress from Sateeva may be a good choice. Are there other options that I should consider? I don’t want to waste a lot of time and money making a poor choice. Thanks


I have a recharge sagging mattress 3 yrs. suffering extreme lower back and hip pain. Confused what mattress I should get. I am a side sleeper. Was considering saatva but unsure. I was told memory foam best, but does it last? Then heard hot and can smell. Help!!!


11 years ago I blew out my L4-L5 disc in my back, after having surgery to fuse it which didn’t help a whole lot. It caused me to have nerve issues in my legs and feet. Anyhow I have been sleeping on a regular spring coil pillow top mattress for many years with an additional pillow top mattress cover on it. Because of me getting older and arthritis is starting to creep in all over my body, I have been not sleeping a full night through and wake up with lower back pain. I once tried the sleep number bed, slept on it for 4 hours and sent it back it was horrible. My physical therapist told me not to get a memory foam mattress, but most of the new mattresses have that. So I am at a point where I have to find something quick. Can someone help me out.


I just got a Natural Form and I’ve only used it for one night. But so far, I’ve loved it. I already have less back pain. See my post in Lynn’s thread.

Stacey Morgan – STAFF

Hi Michael,

the guys at Natural Form (see above) might truly help you. Give them a try!


Hello and thank you for such a candid and comprehensive mattress review! I’ve had chronic lumbar pain for years and mild scoliosis. But also a large obsticle for me in getting a good night’s sleep is that I tend to get really overheated at night. Even with a fan on me and no or a thin blanket. I am considering the Amerisleep S2 for my back pain, but my concern is will the memory foam make it even warmer for me? I’m currently using a firm spring mattress. Thank you!

Stacey Morgan – STAFF

Hi Laura,

the AS2 is one of the coolest memory foam mattresses. Give it a try… you can return it if it doesn’t meet your needs.


Do any of these companies make a twin mattress? I prefer a twin bed. Am I the only adult sleeping on a twin mattress. I have just been diagnosed with degerative disc disease, so I need a mattress that will make my sleep time more comfortable.

Stacey Morgan – STAFF

Hi Charley,

all of these mattresses also offer the regular Twin and Twin XL sizes.


Could you please suggest the best mattress for a side sleeper who has hip and back problems?


Puffy Lux.

Stacey Morgan – STAFF

Hi Kate,

for these particular issues I suggest you talk to the Natural Form guys (see above). They are great!


My mattress is only a year old and is bothering both me and my husbands lower back. After reading everything i would like to purchase either a AS2 or Helix. I have two questions-1) dose a memory foam make you hot? 2) do you think if I bought a memory foam topper to put on top of my existing mattress it might help our lower back?

Stacey Morgan – STAFF

Hi Johanna,

both these mattresses are very good and aren’t very hot. It’s true that memory foam is hotter than other materials, but most modern brands (including these) found ways to reduce the issue to a minimum.

I can’t answer the question about the topper as I don’t know what kind of mattress you are sleeping on currently. Is it too soft? Too hard? Is it on a boxspring? In which position do you sleep? If you don’t have other conditions and you just feel lower back pain when you wake up, it’s because the mattress is too soft (or too hard, but you’d have other pains as well).

So one quick tip if you have a boxspring would be to try putting your mattress on the floor and sleep on it for a couple of nights and see if that helps. If it’s too hard instead, you could indeed try a foam topper.


I was recently diagnosed with 2 herniated discs and a fracture in my lumbar spine. The result is severe sciatica. I unfortunately have arthritis and fibromayalgia. I am in my 40s. I started looking for a better mattress as we were sleeping on an old tempurpedic which was awful. I looked at dozens of mattresses and reviews. It seems hard to find real, unbiased reviews which is why I’m adding mine here. I purchased the Svvata luxury firm. At first it seemed very supportive and comfortable. But by the end of the first month it started sinking and felt lumpy. My lumbar pain intensified! I am about 5’4 and 175 pds. My husband is about 190. I began sleeping on the couch with some relief. I just requested a return. They were excellent and refunded me immediately. I would have gone up to the next level of firmness with Svvata but they charge $100 delivery fee each time. This annoys me as they were the ones who pushed the luxury firm model on me after I explained my size and ailments. I am going to order the Amerisleep A2 next and will do an update.


Hi I am hoping your can recommend the best bed for me. I had back surgery 9 years ago which left me with a rod in my lower back ( I have spinal stenosis) I know also now have pain in my hip area on both sides when I sleep on my side. I presently have a sleep number bed which I thought would help because of the raised legs but it does not seem to be helping and need to replace. Can you suggest which mattress would be best for me. Thanks in advance

Stacey Morgan – STAFF

Hi Kathy,

give a call to the Natural Form guys (see above). They are really good at helping in this kind of situations.


I have been pondering for almost a year about purchasing a mattress on line. I do have lower back problems. I want to thank you for the information you have given me on selecting a mattress. It is extremely helpful to me. Very much.


Is the Amerisleep available in Ontario, Canada?

Stacey Morgan – STAFF

Hi Merle,

for shipping info outside the US you need to call directly Amerisleep at (800) 500-4233.


Since being in misery with my lower back issue, I tried different mattresses until I was crippled again and again in the mornings and was advised by my son to sleep on the floor. I followed his advice and it helped me right away with my lower back pain. I asked my husband to put a plywood on our bed and put several blankets on top to soften it, but since we are side sleepers, it is hard for other parts of our bodies – lower back is doing well now, but upper back and hips are not. I would like to stick with the plywood idea since I dont trust todays mattress industry anymore with their support system – and what can be better support than a piece of flat wood? My question is what mattress topper (or maybe we need double layers – 2 of them) you can recommend to create a comfortable cushion? I looked at natural latex 3″ topper, but we think it wont be enough. We will appreciate suggestions, thank you in advance.

Stacey Morgan – STAFF

Hi Chana,

I’d consider switching to a mattress designed for more serious issues, like the Natural Form featured in this article.


What would you recommend for side sleepers, I just had back surgery and need a new mattress, help!

Stacey Morgan – STAFF

Hi Nancy,

in this case I’d go with a truly specialized mattress like the Natural Form featured above.


For back pain, do you recommend the Amerisleep AS2 over AS3?

Stacey Morgan – STAFF



I suffer from Chronic back pain do to a car accident as a child. I sleep on a pillow top mattress and at times I can’t get out of bed. What type of mattress would you recommend. I do have a herniated disc as well.

Stacey Morgan – STAFF

Hi Rose,

have a look at the Natural Form, as it’s designed exactly for this type of conditions.


I live in the UK. I need a 2.00m x 0.75 mattress for an adjustable base. Would any of your 4 recommendations suit? Would any of the listed brand ship to UK? Presumably that would exclude the 100 days home trial. I am desperate to find the correct mattress a I suffer from degenerative disc disease.

Stacey Morgan – STAFF

Hi Elisabeth,

unfortunately those brands don’t ship to the UK (as far as we know). You should source something locally.


Thank you for your reply. Will continue my search in UK.

Jennifer Mastroianni

Could you please send me more details and do you actually have bedheads that come with them or is it just the mattress?

Stacey Morgan – STAFF

Hi Jennifer,

we don’t sell these mattresses: you should visit the manufacturer’s site and check there for any options. Most offer the matching base, which you can use with your favorite bedhead.


I recently purchased a Tuft and Needle mattress and I’ve got to say my back pain has never been worse. I’m a male, 185 pounds and 6 foot two. I’m in excellent shape with no back issues until I got this bed. It’s also affecting my stomach which has been for the first time sore after sleeping. I do have shoulder issues from basketball and am a side sleeper. I travel and when I stay in hotels I generally do well on what I think our pillow tops or at least they seem plush. I would appreciate any suggestions. TIA

Stacey Morgan – STAFF

Hi Tim,

if you are positive it’s the mattress’ fault, than you should simply return it and try something a bit more hotel-like. Have a look at Saatva for example.


I read your article as I am in the market for a new mattress. I suffer from back pain due to Scoliosis and a herniated disc. My physical therapist recommended The Original Mattress Factory which I noticed was not mentioned in your article. What can you tell me about their mattresses?

Stacey Morgan – STAFF

HI Rita,

unfortunately we don’t have any experience with the Original Mattress Factory.


I currently have a Sleep Number bed. Can I use the box frame they use for the Amerisleep AS2?

Stacey Morgan – STAFF

Hi Ed,

that’s hard to say. If the box frame is really just an empty frame, you should measure it’s internal space carefully and have a chat with the Amerisleep customer service team. They are very responsive.


I would like to comment of the Purple mattress. I have had a CalKing Purple mattress for about 115 days. I was given an extra 30 days beyond the 100 trial days. I love how the bed sleeps. However, because it is very squishy it makes my husband and myself feel like we could fall out of the bed when sitting on the edge. He is a former athlete with good balance and motion. He is 62 yrs old. I am 68 yrs old with mobility and balance issues. I weigh 260lbs. I sit on the edge of the bed to do my exercises and to read. Apparently, there is such a dent left in the mattress after a few minutes of sitting on the edge that it feels like I have to climb uphill to get into the bed to sleep AND feels like I will fall out of the bed. It is challenging. I just returned this mattress yesterday. I cannot recommend this mattress to anyone with mobility and/or balance issues. The pillow started out good. They give you a booster that you have to blow up. I have not used the booster, then I used the booster, then no booster and I feel like I could still use the booster. I still have no conclusion.


I was sleeping on a seally posturpedic pillow top plush moelleux for over 10 years changed 1 month ago for a tempurpedic and begin to have back pain(cervical,upper,lower) they are supposely good matresses. I know I have 90 days to return it but the only choice I have is the beautyrest that I don’t know about. did it happened to someone else having back pain with tempurpedic


yes, my pain is when I get up in the night and first thing in the morning. I am stressed out deciding what to do about the tempurpedic and what to do about another mattress: what type etc.


YES! Avoid them, there isn’t proper support. You need good support without sagging. I am astonished that so many mattress “experts” (?) consider them a contender. Try an Aviya, although it take abot 45 days, or so to break in for a good comfort level. (At least for me)


Over the past year, I tried both a Sealy Posturpedic and a Stearns & Foster (which turned out to be another Sealy company). Both sunk in the middle and completely threw out my back. Over the past year, I’d also tried a latex Dreamfoam and a Saatva Luxury Firm, both of which seemed too squishy and unsupportive.

I just got a Natural Form. I’ve only slept on it for one night, but I couldn’t believe how amazing it felt. Since it uses self-inflating and self-adjusting air chambers, they won’t ever pack down or get compacted the way that other bedding materials can. Each air chamber is also replaceable, which means that if one goes out, they can ship you an new one and you can fix it, instead of having to replace the whole mattress. These are a bit spendy (my Full size was $2500 on sale) but it might be worth it if it saves trips to the chiropractor (I’ve spent over $750 on that in the past month) and if it lasts a long time.


Are these air chambers (that seem to keep going out per customer reviews) physically difficult to replace for the buyer/customer to do themselves?


I have had Cervical Dystonia (neck spasms, neck and shoulders get stiff and sore after sleeping) for 25 years now. I now also have a herniated disc (L5/S1) with sciatica nerve pain from my bum down my left leg to my foot. I bought a new mattress set this year after I got my herniated disc. It is a Serta LF Forest Landing mattress set (queen size). It feels like I am sleeping directly on the springs. I sleep on my stomach but end up tossing and turning all night trying to find a comfortable position so don’t get much sleep. I am planning on putting this set into my guest room and getting a new set for me but so many to choose from. HELP! PS Getting surgery on my herniated disc January 22nd so hoping to have a better mattress to recover on. Thanks much!


It’s not going to be easy trying to break in a new mattress following surgery. Ideally, one should purchase a new mattress and give it 45-60 days before hand. I’ve only owned one Serta and that was a miserable experience for me. I certainly would never recommend a memory foam either. Support, with no sagging, is important for anyone with serious back issues. The only one that seems to be fitting the bill for me is the Aviya Luxury Firm. It will feel too firm for approximately 30-45 days and then becoming much more comfortable, with no sagging. It has become virtually impossible these days to find a mattress built to support with no sag. Good Luck.


The Avila mattress you keep recommending is not even reviewed or recommended



It’s “AVIYA” and you can find some reviews, as I found them before I purchased. Try You Tube….It is a small family owned company that has been manufacturing mattresses for 70 years. Good luck.

Stacey Morgan – STAFF

You can read our Aviya review here.

Stacey Morgan – STAFF

It’s been reviewed here.


I tried Saatva, I have lower back pain. Mattress developed deep sinks on each side with a berm in the middle, within three months. We got a Purple next, it was great loved it for about three weeks, back pain returned with a vengeance. My husband got back pain from Purple, and he has no back problems. Sad because I really wanted to love it. Our current is a Serta extra-firm, innerspring for my back pain, to which we added a three inch latex topper. So far so good…but it’s going to be interesting how long it stays good without sagging.


I had tried a top of the line SleepNumber bed but was ready to throw it out the window by the time I finished setting it up. It just goes against everything I believe in to have to put together a mattress that retails for over $8k. It’s nothing more than a glorified air mattress. Thankfully, I had bought it @ QVC so I was able to return it and didn’t have to pay for S & H, either way. I found this site after my experience with the SN bed and had also heard good things about SAATVA from friends of hours. I ordered the Luxury Firm but it turned out to be too firm for my back problems, after sending it back and exchanging it for the Plush Soft, I’m now sleeping better. I used to wake up off and on throughout the night and now I can get 7 hours straight, which was an impossibility prior to this mattress. It is definitely not too soft, either, or what I would have considered a soft mattress prior to trying it. My son has the Luxury Firm but doesn’t have any problems with his back, just wanted a decent set and it was definitely the best mattress out there for the money. Hopefully he won’t develop any problems where he NEEDS a specific mattress type.

The service and delivery were excellent and when combined with the adjustable base, it turned out to be the perfect mattress. I was able to buy a Luxury Firm set for my son and my set while still having over $1k left from the money I spent on the SN bed. (it’s much cheaper online than it is in the store if you buy it from a shopping channel but it’s still not a good buy)


We bought a Helix and it’s good because when we bought the King we were able to make each side to my husband and my liking. My side is softer than his. I am not sure my lower back pain is better but I am not sure any bed can resolve back pain. I have considered going back to the old fashioned coil springs mattress with pillow top but I think we are finally adjusted to the Helix. We have had it about 6 months. I have heard great things about the SAATVA too but no personal experience nor do I know anyone personally that has one.


I have had a SAATVA for more than 1 year and have to say it sinks in and creates ripples. I have a serious back condition with needing ongoing fusions and am trying to find a mattress that will help with my constant back pains.


Do you have any information on the ergoflex mattress? Are they sold in the US?

Stacey Morgan – STAFF

Hi Francesca,

I think they are not here yet, but planning to.


I’m lying here in pain reading your article, and I’m leaning toward the Amerisleep due to the reviews and natural contents. Granted the article focuses (nicely) on back pain, my question extends to an another popular concern: Which mattress is best for “amorous activity?” Love making on the wrong mattress is most likely the true cause for my current back aches.

Can anyone address the topic of love making using these four mattresses? From personal experience, coils are better than memory foam because they provide bounce back instead of absorbing the motion. Here, however, I’m learning memory foam is the remedy to my lower back pain. I’d love to find a happy medium (pun intended) with your help. Thanks, JC from Dallas.

PS if nothing else, which of these has the best edge support?


Your review suggests the Amerisleep AS2, yet in several of the responses you suggest the Amerisleep Revere. What is the difference between the two and for which type sleeper and back issues do you recommend each. I had Tempurpedic and after a year or so, my lower back pain returned, so I am very nervous about getting another memory foam type.


Oops! Now I see that Revere is the same as AS2. Sorry. But still have the concern about memory foam. The Tempurpedic seemed to become uncomfortable on my shoulders and upper back and I still woke up stiff. I am a side sleeper, so AS2/Revere is supposedly for back/stomach sleepers. Would like to hear from long-time users of Amerisleep AS2 or Revere.


I’ve been sleeping on the king saatva for about two months and so far my back and neck are still terrible, plus I’ve been getting extremely hot. I’ve been tossing and turning all night. I will be returning as it has not worked for me. I hope their return policy will be as easy as they advertise.


I tried the Saatva now for almost two years and I’ll have to replace it. It appears to be wonderful for others, but I have to take pain medication before I go to sleep because of my back pain sleeping on it. My advice is, sleep on a mattress for 30 days and return it if it doesn’t work out. We were talked into keeping the Saatva through an extension on the trail, I see now that was a mistake. I’m now in the market for another mattress since I’m way out of my trail. The other odd thing is, we noticed I was sleeping at an angle, like down hill. So we rotated the mattress and that seems to have corrected at least the down hill sleeping.

Stacey Morgan – STAFF

Hi Liz,

please let us know how it goes!


I have scoliosis and tried the Saatva. Basically I like the mattress. It felt like good quality but because of the height and depth of the divots (bumps on the top side of the mattress) it didn’t work for me and I continued to have back pain and get contorted. If i remember correctly I also felt hot.

The return policy was amazing – no questions asked and no attitude, Just sorry it didn’t work for you. Let us know when to pick it up.

Next I tried a natural latex foam but wake up with backache repeatedly. I would like something natural, without the chemicals but just don’t know where to go next. Any suggestions are greatly appreciated.


Please tell us: do any of the matress companies you review compensate you in any way? I would like to know if these are completely 100% unbiased reviews. Thank you in advance for your honesty.

Stacey Morgan – STAFF

Hi Lisa,

as you can read in our disclosure, we receive a small commission for sales originated from this website, out of the seller’s pocket. Since this is valid for virtually all brands, there is no bias because of this compensation. Since we refuse to put annoying ads and pop-ups everywhere, without that income there wouldn’t be enough to pay the website’s bills.


Understood. And thank you.


Thank you much! I will look into that. Hopefully the cost is not out of reach for us.



I do not see a lot of information about any of these beds helping with hip pain for side sleepers. I spent a lot of money for what I thought was going to be a great bed but it turns out it’s actually too firm … but it took me a long time to figure it out and it’s too late to return it.

Which of your beds would give less pain on the side of the hips when sleeping on the side? Have many people reported on this ? I would really like to know I’m desperate . thank you so much

Stephanie Hester

I have the same issue w/ hip and back pain and was wondering the same. Let me know what you find that works.

Stacey Morgan – STAFF

Hi Diana,

I’m sorry about your pain. If money is no object, check out the ReST Bed, as we are getting good feedback about its smart features which make the mattress softer or firmer in different areas according to your wishes.


What mattress will help with upper and mid back pain for me. My wife has lower back pain. I have heard mixed reviews from friends on the Saatva mattresses. I stayed at Marriott hotel and both of us loved the bed after staying there over a weekend. Turns out the mattresses are Jamison foam (this mattress was manufactured in 2012). I learned that the mattress by Jamison is discontinued but they have one similar.

The Saatva I think is not an option. Would the revere be a good option?


Stacey Morgan – STAFF

Hi Ado,

the Revere has consistently generated very good feedback. I would give it a try, since you can return it for free.


Do either of these mattresses come in twin size? This is for a 96 year woman.

Stacey Morgan – STAFF

Hi Sue,

yes, they all come in twin size too.


So this “blog” is definitely very helpful. The review of multiple mattresses is also VERY helpful, I see some manufacturers on here that I hadn’t focused on since I’d been looking purely at SAATVA. Now that I see that Helix allows for customization on both sides I may need to reconsider. Anyone that is shopping for a bed with an adjustable base just needs to be aware that the adjustable base is not returnable. And they are typically not cheap. I’ve actually been thinking of ordering a mattress, testing it without the adjustable base and once I find the right one, assuming it’s ok for an adjustable base, then and only then ordering the base. In fact, I’ve now determined that there apparently are Firms that specialize in the adjustable base, so that may be an option also.

Thanks for all the comments from the people that have purchased. I’ll decide shortly because the Sciatica is KILLING me on my current Sleep Number bed and I have no desire to spend $10K on their latest model only to have it fail after 3 years like my current model!


I’ve had a couple chiropractors recommend Intellibed, a friend of mine bought one and it helped get rid of his back pain.


My new memory foam mattress is causing me back pains. I mean the first week felt great but my back and hip are now suffering. I previously had a $1,200 mattress from RTG that sagged and caused severe lumbar issues after only a few months. I’m not sure what to do. And by the way, who has the will to return a fully extended mattress that was shipped to you in a small box?

Stacey Morgan – STAFF

Hi Missy,

for most bed-in-a-box brands, the return process doesn’t require you to ship the mattress back. In most cases, they’ll ask you to donate it to a local charity or they’ll pick it up themselves at no charge. Check the details of the brand you like before buying, so you’ll know the details.

Busingye Kamusiime Jolly

Comment Text*I have been following different posts on this site.Am a lady aged 54 years from Uganda E Africa.I have back pain problems.How can I buy A saatva Matress of $899 and whats the total cost, shipment etc…?

Stacey Morgan – STAFF

Hi Jolly,

you’ll have to contact the manufacturer directly and ask if they ship overseas. I’m not sure if anybody does it though. The best bet would be to find an international forwarder active in your city and ask them to provide you with their US address. But I’m afraid is going to be very expensive.


I purchased Simmons Beautyrest Recharge 3 years ago and wanted to return it after the 1 year. The problem:

It has cooling gel in the middle. I looked like diagram 3 with the sagging if I slept in the middle. If I sleep on the edges, it was a bit better. yet not firm enough. The return policy was so taxing that I just said: “forget about it”. I thought, well Mattress-Firm lost a repeat customer. However, I was recently in a car accident where the person in back of me failed to stop and now I have sacrum and hip pain. I have turned the mattress(not recommend), and nothing helps. I sleep maybe 5 hours a night and it is not a comfortable rest. Which mattress would you recommend?

Stacey Morgan – STAFF

Hi SB,

I can’t tell you which mattress is right for you but the suggestion is to pick one of the above and try it out. They all offer free trials without any fuss (although Saatva doesn;t refund the shipping charge), so there is nothing to lose.


Thank you for the wonderful information here! I did not find a specific post for spondylosis (spinal arthritis), with which I have episodes of excruciating pain primarily upon waking. I believe my mattress must surely be contributing to the problem, which is usually initially triggered by raking leaves or similar type tasks.


Really very helpful post. The mattresses are very good. I have back pain from last two years. I will definitely try these mattresses. Please share some more tips or exercise or any thing else to get rid of this pain.


I have been sleeping on the Saatva Loom & Leaf Relaxed Firm mattress for 7 weeks. It almost immediately relieved my lumbar pain (sciatica) caused by osteoarthritis. I am a back sleeper who rolls to the side only to relieve back pain. However, both my cervical and thoracic pain (some arthritic, some muscular) have increased. My shoulders are rounded forward in this bed, and I get pain (even spasms, sometimes) in my trapezoids, deltoids, and even jaw muscles. I have traumatic osteoarthritis in my jaw and neck, and correct posture is critical to controlling those pains. Sleeping on this mattress feels like sitting in an airplane seat or car seat that throws my shoulders and neck forward; very non-ergonomic for the upper spine. I love that my lumbar pain is relieved, but the upper back, neck and jaw pain is just as bad. Is there a mattress that would be good for ALL areas of the spine?


It is 3:17 AM Central standard time and I am still awake. I have had two pain pills and two sleeping pills but to no avail. In November I had a total right hip replacement. Thought I was doing great then come to find out that a lot of my pain was caused by moderate scoliosis and degenerative disc at L3, 4 and five. I also have advanced osteoporosis. Now that I am weaker because I have not been able to fully exercise, it is difficult to turn over in bed I have had a sleep number adjustable bed since 2012. In 2014 I needed replacement parts to get the bed more comfortable. That helped my back for a while. Now I’ve noticed that there is a dip on my side of the bed about 2 inches. I am trying to sleep on the other side of the bed but I feel like I am rolling to the metal the bed. I am I am skeptical that this can get resolved again. My next rollover date for Prorating is July 29, 2017. They are starting with the sponge mattress just above the bladders. Somehow I do not think this is going to fix the problem. I do not want to simply spend a ton of money into a bed that is giving me fits since I got it. My back is serious enough now that I fear it will not recover. What are your thoughts on a bed for me. I have been a side sleeper. Well one of your bags fit the adjustable base? Please respond as soon as possible. It will be a great help to have some guidance I do have sensitivities to strong orders and wonder if that would be a problem? You so much


Hi, do you guys know where to buy a Saatva mattress in Toronto? Thanks!

Stacey Morgan – STAFF

Hi Tarek,

you can buy it online and they’ll ship it to you.



I purchased a firm mattress from Rooms to Go. It is the intercoastal grey Beauty Rest. I purchased the firm due to sagging issues with a prior mattress. I have back issues and this mattress does not help. I wake up with back pain. As I cannot get a refund I was approved to exchange for $150.00. Any suggestions on a mattress from Rooms to go. I have no choice but to buy at RTG or lose my $1,111.93.

Stacey Morgan – STAFF

Hi Fern,

sorry but unfortunately we are not familiar with the Rooms To Go offering.


Do any of these mattress require box springs or a specialized base? Thank you.

Stacey Morgan – STAFF

No they don’t. As long as the base is flat (slats allowed), smooth and dry they all work well.


Saatva offers the choice of two mattress thicknesses, 11.5″ and 14.5.” What is the difference, structurally? Are there any comfort differences?

Stacey Morgan – STAFF

Hi Glen,

the difference is purely aesthetic. The comfort level is identical.


I recently purchased a Simmons Beautyrest Black Hybrid mattress for my lower back pain. I also bought an adjustable base. I am 30 days into their 120-day free trial, and I am thinking about returning it, since it doesn’t seem to help as much as I’d hoped. It look like the Saatva can’t be used with an adjustable base. I have heard about Leesa, Ghostbed and Casper. How do these stack up against Amerisleep and Helix?


I bought a Leesa mattress about 6 months ago, after doing lots of research on Tuff/Needle, Caspar and the Purple mattress. I wanted a mattress for a back sleeper. This mattress ultimately is too soft, and I am experiencing mild lower back pain. I should also mention that I wanted it because I have 2 bulging cervical discs. It was recommended highly on a website called Sleepolis…but I feel like they should have noted that Leesa had a newer, firmer mattress coming out in 2018.

I have gone past the 100 day trial, so I am stuck now. I feel now like I will have to buy something “new” once I save some money.

Stacey Morgan – STAFF

The current Saatva model, sold for a few months now, can be used with adjustable bases too.


Hi, I have severe neck spasms and a huge knot under my right ear, which causes very bad headaches. I wake up with my back aching every morning. I try to sleep on my back but usually end up on my side or stomach. What would you recommend for me?

Stacey Morgan – STAFF

Hi Jessica,

first of all, in case you haven’t yet, I’d strongly recommend you get specialized medical attention. If the specialist can’t advise about a suitable mattress, I’d opt for the Helix as it can be customized pretty well to suit your needs. You can also ask for their advice as they are very helpful.


I have been to the doctor and specialists many times, they say there is nothing they can do and that I should just be less stressed. Thank you for the info!


Thank you!


Is the Amerisleep available in full size? I live in a studio apartment so a small mattress size is best. Thanks.

Stacey Morgan – STAFF

Hi Sandra,

sure it is.



I would like to know whether you deliver the mattress to Doha, Qatar.

Also, the size of the mattress is super King.

Stacey Morgan – STAFF

Hi Azizah,

most American brands don’t ship overseas, but you might want to check directly with them. The alternative is to use a forwarder, but it’s going to be very expensive.

As for the Super King size, it depends what you mean as sizes vary across continents.


Hi are these available in the U.K and if not can you advise what would be the best for lower chronic back pain. I wake up feeling like someone has given me a beating and i hurt allover. Thanks Jan

Stacey Morgan – STAFF

Hi Jan,

unfortunately most US mattresses are not available in the UK. However, you should check out Eve (UK made) and Leesa, both good mattresses sold there.


what about Loom&Leaf memory foam made by Saatva?

Stacey Morgan – STAFF

Hi Chuck,

Loom & Leaf is a very good overall mattress but we haven’t heard specific praise for back pain very often.


We have 4 requirements for a new matress. It must sleep cool for my husband. It must not canoe, it needs firm sides, and fourth it needs a pillow top type soft top. Do mattresses not flip anymore? That was a nice feature of the old coil mattresses you could flip them when they got lumpy. My husband and I both have bad back pain and are older so our old bones need help!!

Stacey Morgan – STAFF

Hi Mary,

the flexibility of Helix sleep’s configuration should allow you to find a good match. Give it a try!


Hi here. I have shoulder neck and hip pain in current memory from bed. It feels as it Im in a hole. One of the biggest problems is after a rare recruit to coxsackie it’s hard to put pressure on my wrists to get out of the bed. When I try to get out my hands sink so far down it kills my wrists and intend to try to roll out of bed. Lol. I need a mattress where I can push down on it me itbwill provide support, not sink my hands to China. :). Recommendations with these four. Also I don’t like harsh chemicals. Anyone mattress that is best for both


I recommend the Aviya Luxury Firm [note by Stacey: our Aviya review is here]. It has amazing support. It may feel too firm at the beginning, but it softens by day 30 and then more so by day 60. You will end up with a very comfortable medium comfort level, with no loss of support! Personally, I go through the mattress gymnastics, with purchasing a new one every two years, looking for back pain relief. I don’t care to bore anyone with my considerable health history, but I’m very impressed with the quality of the Aviya. I’ve owned 5 Tempurpedics, 2 Latex mattresses, a Saatva, King Coil, Beauty Rest, Restonic in a twenty five year period. The Aviya is, by far, at the top of my list.

Stacey Morgan – STAFF

Hi Robin,

although it’s not featured in this guide you could try out the Sapira, which has excellent edge support and we hear it’s pretty good for back pain in general, as it’s a medium-firm mattress with great features. Let us know how it goes!


Now that you have a review on the Purple Mattress, how would you rank it along with the other four.

Stacey Morgan – STAFF

Hi Tom,

we don’t have enough data yet to be confident that the Purple helps with lower back pain, so we can’t say. As they offer a no-fee trial though, why don’t you give it a try and let us know?


I have a tempurpedic for years now. I have mostly healed cervical, midthoracic and less severe lumbar spinal misalignments and mostly healed disk bulges in the thoracic. partly from a car accident years ago, partly congential arthritis, and partly just the way I’m built. The Tempurpedic has conformed to my body so much that there is this huge concavity in the middle of the bed, the edges are much higher. Its totally uncomfortable. I don’t know what type of mattress to buy to make this better. It just seems like another body-conforming mattress would be a big mistake. Any ideas for what my new mattress should be made of??

Thanks. IK


I have the same problems and I cannot tolerate Tempurpedics at all. I’ve tried five of them, already. Never again!….I would suggest the Aviya. It has amazing support and that is what you need. The luxury firm would be best, but I will warn you that it will be very hard for about the first 30 days, then it will feel much better. It will continue to break after that, as well. At the 6 week point, you will love it. I recommend putting a couple of toppers at the beginning and then shed them, one at a time, to get you through the break in period. This mattress seems to hold up without sagging , or impressions. Good luck.

Stacey Morgan – STAFF

Hi IK,

depending on the Tempurpedic model, your mattress could still be under warranty, as it’s not supposed to be deformed that badly.

In any case, the least deforming are usually the latex mattresses, but they aren’t necessarily the best for spinal problems. We hear more and more people praising the Purple Mattress, which uses completely different construction materials and is supposed to last longer than anything else. They too offer a 100-night free trial, so you might want to give it a shot.


I have been reviewing the purple mattress on-line. However, I didn’t see this brand mentioned in your blog. Can you give me any insight on this mattress?


Stacey Morgan – STAFF

Hi Sharon,

our Purple review is here.


Just bought a new mattress, awful. I have chronic Lyme, R.A.,fibromyalgia, osteoarthritis and degenerative disc disease. I have a lot of pain and since the new bed add horrible rib pain into the mix. Sleep comes a couple of hours at a time and is painful. I am also plus size and the thought of memory foam scares the heck out of me. I purchased a very expensive foam topper for my rock hard mattress only to find I can’t turn and am left with sagging spots that suck you into them. My husband has serious sleep issues, snoring, thrashing are the worst. I need an adjustable king with independent control for each side. Suggestions? I never considered buying online.


Have you considered an adjustable air bed? Can be expensive be it could be your solution. You sound like my brother in law, who now swears on those. Unfortunately I can’t afford it.


Have been reading everyone’s comments. I also have lower back issues that cause pain down both legs into the knees. Went mattress shopping and after 3-4 stores they all felt the same. We both ruled out the memory foam…just did not like the feel. Were leaning toward Sleep Number mainly for the ability to adjust the firmness. The price in King with adjustable base …we were looking at $8,000. We have ordered from Airbeds Unlimited out of Colorado. Better set up for just under $5,000. Expect to have it delivered next week. Fingers crossed it helps relieve some of the back pain.


How do I pick out the best frame to try these mattresses on? There are a lot of comments regarding lower back issues. I have chronic mid-back and shoulder pain. Has anyone with these conditions had good results with one of these mattresses?

Stacey Morgan – STAFF

Hi Jill,

all these mattresses are designed to provide their top comfort without extra help from the foundation. In most cases, the best solution is to have a flat platform bed, even without slats. That way, you can really tell if the mattress works for you. If you don’t have a platform, simply put the mattress on the floor on an even and dry spot.


I am a senior (female) who has had back and neck issues ever since a serious car accident 40 years ago. I have been sleeping very unhappily on a Tempurpedic mattress for about ten years. I never liked it, but my husband did, so we kept our side-by-side matching twin mattress sets, in spite of my discomfort. My husband has since passed away, and I desperately need new mattresses. How are these new, online memory foam mattresses different from the classic Tempurpedic brand?

I also find it very difficult to change position while sleeping, as well as to get out of my old Tempurpedic. I need serious muscle strength to pull myself out of it, or to move during the night.

And, the mattress is SO HEAVY, that it is super-difficult to change the linens, and impossible to “flip” the mattress.

Please address these specific points, which were not mentioned in your reviews.

Stacey Morgan – STAFF

Dear Avra,

Most quality memory foam mattresses are quite heavy, as the foam’s density is necessary to provide the required support. I can’t say anything about your injuries, but if I were in your shoes I’d try the Amerisleep Revere, as the satisfaction rate is very high. It won’t solve the weight problem, but at least you should be able to sleep comfortably.

Alternatively, if your budget allows it, you could try a premium latex mattress like the Astrabeds SerenityBed, which could help you with the your movements thanks to its firm bounce.


All these mattresses are ordered and bought in the United States and delivery to persons living there, with all kinds of trials options offered to them free of cost. What about persons, who are living in other countries and in the carribbean like myself, who are reading about all these wonderful help, and benefits these beds can do for back pain. Would it be possible for me to order one of these bed. without any difficulties, and gets the same trial offer, to determines which bed is suitable for me. This is the new generation technology, and i think this offered should be made available easily for persons living anywhere.

Stacey Morgan – STAFF

Hi Veronica,

we heard this complaint many times and we agree that it’s too bad that the rest of the world can’t easily access these great mattresses for back pain.
Although we are not speaking on behalf of any mattress produce, in our opinion is simply an economic matter: to ship overseas it’s way more expensive and offering free shipping and free returns would have a big impact on the mattress price.
However, if you really want to buy one of these mattresses, there are many forwarders who offer a US address and then will ship it further to you, and you pay only that part. It’s usually not cheap, but at least it’s a possibility.


Can I use the Saatva on the box springs I have? I have Simmons world class box springs less than 2 years old.

Stacey Morgan – STAFF

Hi Virginia,

if your box spring is in very good condition it will work just fine.


I came across this blog post while searching about mattress for relieving in backpain on Google. Its a great post on this topic and i like the information you have provided here in this post.Mattress are designed to provide the support and comfort you need to relax and rest. If you have best mattress then your sleep surface relieves pressure on joints and other areas of the body. if you want to back pain relief then you can use this mattress.


Thanks for the efforts it actually helps me too much to buy my next mattress for new year. I will keep visiting your blog please keep updating in future.



I generally have a problem of lower back pain. I thought sleeping on the floor would reduce it, but it never helped. While searching measures to cure lower back pain, I found your article. It was really helpful. I could realize that one of the reasons for my back pain would be usage of wrong mattress. I have bought this new mattress and fortunately my back problem has reduced to level that I can move around and sleep relaxed at night. Thank you for the help!

Thank you

Janna Jamieson


Which one did you buy?


Helix king with the top that can be designed with 2 different compositions. I like softer my husband likes firmer!

Stacey Morgan – STAFF

Hi Janna,

happy to help!


Never bought a bed in 27 years, and never thought about buying online. How do you get it? How do you return it if needed? Where do we find out if those mattresses fit adjustable bed frame. Do they also sell that as well.?

Stacey Morgan – STAFF

Hi Charlene,

buying a mattress online is a very simple process: decide on the model, add to cart, checkout and wait for delivery. Returns are less standardized, but in most cases (like for all the mattresses featured in this guide) you simply call the number indicated and somebody will soon pick up the mattress from your home.

As for adjustable bases, it depends on the mattress:
Amerisleep Revere: yes
Saatva: no
Helix: yes
Bear: yes

The important thing in many cases is that the adjustable bed frame is of the correct size and that it provides enough well distributed support not to damage the mattress. You’ll have to check if your frame can be a good match and don’t hesitate to contact the manufacturer directly to ask them. They are all very friendly.


I’m not sure you’re correct about Saatva. I’ve been contemplating ordering it and looked on line to see if it has an adjustable base option and it does. Just like the Sleep Number bed. The only downside is the adjustable base is NOT returnable


I was just doing some research and according to the website and the staff person I spoke to via chat, the Saatva is compatible with an adjustable base. Was I given the wrong information? That is currently my first choice and I prefer the adjustable base due to spending long periods of time in bed and needing to elevate my feet due to chronic disability and back pain.

Stacey Morgan – STAFF

Hi Anne,

yes, the Saatva model currently sold is compatible with an adjustable base (the previous version wasn’t).


OK all you experienced back pain sufferers: I have had 9 back surgeries, am fused from L1-S1, have a ruptured disk at L1-T12 and have chronic pain, from what the doctors call failed back syndrome. The Saatva seems to have many high recommendations, but I’ve seen some Saatva buyers describe how their mattress broke down in a short time … valleys from bodies and dents on the edge from sitting. What do you recommend for me? Laser Spine Institute recommends medium firm with a lumbar support. Thanks.

Stacey Morgan – STAFF

Hi Treva,

we still think the Saatva is a great choice. It’s true, there are a few disappointed users here and there, but there are thousands of positive reviews. What we usually suggest is to give it a try. However, you should also consider the Amerisleep Revere, which is getting a lot of good comments around.


It is 3:41 am and I’m desperate to find a new mattress! I can’t sleep from my back pain I’m online searching for relief. I currently own a top of the line Aireloom mattress that I’ve had for less than a year – the one the sales person talked me into because George Clooney and Oprah each own because it’s “so amazing”! Well, it feels great when you hop into it by the middle of the night your back hurts so bad you can barely move. I do have a history of back problems-ruptured L5 S1 eleven years ago and I’m now scheduled to have spinal fusion at the same level in six weeks. It’s absolutely imperative that I have the best mattress afterwards so that I can recover properly and support my back to prevent future problems. I’ve been getting so many different opinions from my doctor, my chiropractor, friends etc, but there isn’t one common recommendation. Has anyone been in a similar situation who found something that works?

Stacey Morgan – STAFF

Dear Anne,

I’m so sorry to hear about your back issues. As said several times, it’s almost impossible to give a detailed recommendation as the mattress characteristics are very personal. Our suggestion is to try out one of these mattresses for a couple of weeks and see if it helps.

If not, send it back for a full refund and try another one. We can’t guarantee you’ll find the perfect match, but by trying out a few, at least you give it a chance.


I have fibromyalgia n arthritis. also cervical and lumbar degeneration and yes pain, I go from bed to sofa and lastly back to bed all night. any idea on which mattress I should purchase/

Stacey Morgan – STAFF

Hi Cheryl,

our advice is to pick one and try it out. The all have risk free trial periods, so there is nothing to worry about. Pick the one you like most, sleep on it for a couple of weeks and see if it makes any difference.
If not, just select another one and return the first. It’s really worth trying a couple of them in a situation like yours. And of course, make sure to involve your doctor, as he might have some good recommendations, also based on the other patients’ experience.


Are they sold in Australia ?

Stacey Morgan – STAFF

Hi Amanda,

As far as I know they are only sold in the USA, but I might be wrong. Which one would you be interested in?


this is really not well researched, mattresses with coils are known for having much lower satisfaction ratings and are terrible for chronic pain sufferers, they do nothelp with reliving pressure points compared to other options. Air, latex and memory foam were rated as much better. Yet, latex, various gels (like intellibed uses), etc wasn’t even mentioned. Purple and luxi weren’t mentioned. it’s like this was written ten years ago. you don’t buy a firm mattress for back pain, that’s true… but you don’t buy any particular firmness… only whatever is most comfortable and supportive for you!

I have a chronic pain condition for over ten years as well as a rare sleep disorder, I’ve done my research, saatva might be a great bed for the average person but if you’ve got chronic pain… you’re not doing yourself any favors by relying on this article.


Teri then what mattress specifically are you recommending for lower back pain?

Stacey Morgan – STAFF

Hi Teri,

thanks for your feedback. According to the large amount of feedback we receive, a lot of people find comfort by the mattresses included in this article, although firmness is surely personal as you rightly stated.

I’m not sure what your research tells you, but Saatva for example is recommended by the Congress of Chiropractic which is a serious institution with a very high degree of competence about chronic pains. In addition, another study by the West Virginia University Exercise Physiology Department found it to be very helpful. The coil mattresses of 10 years ago might be inferior, but Saatva (and others) have nothing to do with that old design and perform much better.

Also, Purple and Luxi might be good mattresses but they are very recent and we don’t have enough data to claim they might seriously help. They both are under our radar, so we might add them to a future version of this article. Thanks for the suggestion.

Lastly, the key of this article is to encourage people with back pain to try out one or more of these mattresses, as it doesn’t cost them anything and many people reported immediate benefits. Maybe you could try them too and change your mind?


Stacy…I was tired of having my bed sag after 6 months to a year of use so I went to a mattress store and talked to the sales person and they told me that the tempur pedic bed was the best. After lying on several, I picked one….5,000 worth. After about 6 months I began sinking into the bed…..just like all of the others. I called them and told them I hated the bed and they said turn the mattress over. (Not what I wanted to hear) I turned the mattress over to the side that isn’t even designed to be slept on and am now sleeping on that side. It was good for about a year and now, once again, I’m sinking into the middle. I am so frustrated with beds! I have to have one that I can sleep “on top of” and not sink into. I am tempted to try the Saavta but am very reluctant because when I hear the words “foam, gel or memory” anything I associate it with anything “sinking” bed. By the way, I’m 120 pounds so it’s not like I’m heavy!!

Stacey Morgan – STAFF

Hi Kathy,

I feel your pain. Luckily, the mattresses featured here won’t have sinking problems as they are all suitable for people suffering from back pain. I’d suggest you give the Amerisleep Revere a try as it won’t cost you anything to send back in case you don’t like it. We keep on getting very good feedback about it.


I have an adjustable bed that I sleep with the lower part up all the way and the top up just a little. I still have to put two pillows under my legs to take the pressure of my arthritic back. Are any of these mattress available for an adjustable bed?

Stacey Morgan – STAFF

Hi CJ,

All these models are compatible with an adjustable base.


Do these work for cervical pain too? I live in a remote area and the nearest doctor (4 hour drive) has no idea.


My back looks exactly like the first picture 🙂 I hope this one helps!


The Bear is a great mattress. My son has one and keeps telling me how good it is… not sure about the others though.


This is an apple to orange to coconut comparison. Saatva is for the old generation, Bear is for rich hipsters and helix is for the smart. As easy as that 😉


You stole my words…


Have you heard of Bedford beds? Apparently they are also quite good for back pain.


According to my yoga instructor, the best way to heal back pain is to sleep on the floor. Then I asked her “what about sex”? And she looked me straight in the eye and told me “ah, for that I use a Saatva”. LOL! I swear it’s not made up!


The old school mattreseses are overrated. Bought one Comforpedic and had to return it… since I come from Tempur, I guess my best choice is Bear?


Did you buy it? How is it?


Nice informative guide, thanks.


my husband’s back problems have not improved, and i’m having lumbar pain now. we bought an amerisleep liberty, i think. we’re past the warranty period.


Is it only me or this doesn’t make much sense? Why should one even consider the other two mattresses when Saatva if $899 and has the best ratings?


Because the others are still great mattresses and some people prefer better known names.


Saatva #1. No kidding.


Just saw the Helix on TV, pretty cool. Can anybody share their experience?

Sarah Bergmann

Quick share: I ordered my Saatva queen-size using this guide 6 weeks ago and I soon found out it was the best mattress in the world. I came back here to order another one for my father who has been suffering with his back for years. Fingers crossed it will be as great for him too!


Sarah, which firmness did you choose? I have major back pain, but I am a side sleeper (all night I sleep on my side). 🙁


Would you mind giving an update on your level of satisfaction with the mattress? I’m having issues with my back to the point were I can’t sleep cause of lumbar pain and I’m doing a little research before buying… they can be a bit pricey and sooo many options makes it harder.

Thanks ?


Sarah my back is on you 😉 I was undecided and took the plunge after reading this message. Double fingers crossed!


Wow, 75 nights is way longer than my average girlfriend! I could get a new one every time 🙂


LOL, my doc keeps bitching about how good the air mattresses are for chronic lumbar pain. I’m gonna show him this.


I still don’t get if foam and memory foam are the same thing.


I can’t understand why experts keep recommending Tempur stuff everywhere. Sure the reputation is good but there are so many better mattresses around today, like these 4.




I’ve purchased five Tempurpedic mattresses. The first one purchased gave me a good 5 years. The last four failed before the end of the first year. NEVER AGAIN. I’m at a loss as to what to buy next.


I agree with you totally. We have had ours for two years and it is killing me….killing me. I’m at the point where I can’t even turn over during the night without unbearable pain. And if I just want to get out of bed to use the restroom, forget about that unless I grab the headboard and tug…..with unbearable pain. I don’t know why they’re supposed to be THE mattress to get…..I’m taking mine back and getting something that’s supposed to be beneficial. Thanks for sharing your thoughts…..I thought that was in my head too until my son came from Texas and slept in my bed one night. He got up and asked me what’s wrong with my bed because his back was killing him.


Yeah right… like IBM is still the best PC.


Essentia was just now on TV on Dr Oz. I thought it was the best in the world but it looks Saatva is even a better deal? Waiting for some cash to come in to do the purchase 🙂


Great info here. My back has been killing me everyday for more than a year now, except for the short time when I went camping with the kids. It could surely be the mattress… I just ordered a Saatva King, let’s see how it works!


Hi hope you are well . I was thinking of buying saatva king for my self as i have back pain problems . Kinldy gide me wether to buy the matress or not as you already have it ?

Thank you


so hows the saatva king treating ur back pain? how is it for middle sagging? need a mattress for back pain n not sure what brand to buy. any advice ? help !!!


I found Saatva to be very lumpy, both in coil and in memory foam.


Kurt, that happened to me too! No back pain when sleeping on a portable camping mat! I’m not sure which one to buy but I must decide quick as the pain is really bad now.