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.
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:
- Amerisleep AS2 – plant-based memory foam and Celliant fabric
- Puffy – quality USA foams with Cooling Cloud technology
- Layla Sleep – dual-sided copper gel infusion memory foam and THERMOgel technology
- Bear Mattress – proprietary technology and gel-infused memory foam
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.
It 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:
- The C-shaped cervical spine that supports the head,
- The reverse C-shaped thoracic spine that holds up the upper body and,
- 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.
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
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 Puffy Mattress
Once dubbed “the Internet’s most comfortable mattress“, the Puffy is a high quality mattress with an accessible price tag.
Here are the most important facts, but you can read our detailed Puffy review here.
Even if all the materials are US made as well as the entire manufacturing process, the company has been able to keep prices low to pass by selling directly to consumers.
The strength of this mattress comes from the combination of foams of different density and characteristics, which results in a highly supportive bed with enough softness to make it extremely comfortable, even for side sleepers.
This is a very good combination to keep the spine aligned, minimizing nighttime movement stress thus reducing back pain.
In addition to the positive effect on neck and lower back pain, the mattress features Cooling Cloud and ClimateComfort, two separate cooling technologies to keep the sleeper at a pleasant temperature and humidity level all night long.
Puffy offers a long risk-free trial period of 101 days plus a lifetime warranty, so you have plenty of time to decide whether it’s the right mattress for you and you can be sure it’s going to last for a very long time.
The Layla Mattress
The Layla is a copper-infused memory foam mattress that helps you sleep cool, relieves joint pain and improves blood circulation.
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.
The 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.
You can try Puffy for 101 nights, with free return and and full refund.
Layla has the longest trial period of 120 nights, also with full refund and no return costs.
Bear offers a 10-year all-inclusive warranty and Amerisleep offers a 20-year warranty with 10 years of full replacement coverage in case of defects.
Layla and Puffy go 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.
Amerisleep commands 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.
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:
Established brand, eco-friendly materials
20 years warranty, 100 days returns
Great foam technology with raving reviews
Lifetime warranty, 101 days return
Natural healing thanks to copper, double sided.
Lifetime warranty, 120 nights return
The preferred choice among athletes
10 years warranty, 100 days return
As you can see the Amerisleep AS2 and Layla have our highest rating of the four.
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:
- 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.
- Puffy has proven itself to be a great all-round mattress, with clear benefits for back pain. Thousands of positive user reviews confirm that is a high quality product worth serious consideration.
- The Layla mattress provides noticeable benefits thanks to the natural 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 really change your life!