We consulted a product designer, a chiropractor, and more pros to weigh in. BY JOEY SKLADANY

Matresses For Back Pain


Reading up on Domino’s shopping guides is like having your own personal product concierge. We do the tedious part—deep-dive research, hands-on testing, and tapping experts for advice—so all you have to do is hit “add to cart.” That’s why we call them Simply the Best.

No matter how gorgeous that new velvet headboard may be, its design is practically irrelevant if the mattress it supports has you waking up with knots and aches. Instead of starting the morning thinking about phoning the chiropractor, consider switching out that concrete-esque slab with one of the best mattresses for back pain instead.

“Sleeping on a mattress that doesn’t provide adequate back support can force your back muscles to work overtime in an attempt to keep your spine in a neutral position or alignment,” warns David Cartilidge, senior director of product innovation for Mattress Firm. “Providing spinal support is the primary job of your mattress while you sleep.”

Looking to make a bedroom upgrade that’ll also improve the quality of your z’s? Check out our full list of the best mattresses for back pain, so you can start your day off as fresh as your space looks.

Our Favorites

  • Best overall: Saatva Classic Mattress
  • Best value: OSleep Gel Memory Foam Mattress
  • Best eco-friendly: Avocado Green Mattress 
  • Best memory foam: Casper Original Mattress
  • Best hybrid: The WinkBed Mattress
  • Best luxury: Tempur-Pedic Adapt Mattress

Best Overall: Saatva Classic Mattress

Sleep trial: 365 nights | Type: Innerspring | Firmness: Varies (plush soft, luxury firm, or firm) | Warranty: Lifetime

What we like:

  • Biggest range of options, from size to comfort levels
  • Add foundation (more support than a box spring) or adjustable base
  • Extreme attention to detail

Worth noting:

  • Some customers have noted that it may need be replaced in 10 years

Why we chose it: Boasting eight sizes, two heights, and three comfort levels, Saatva is not only the most comfortable on this list, but the most customizable. 

Don’t snooze on Saatva—there is no other mattress on the market that rivals this brand’s commitment to personalization and quality. Aside from its lifetime warranty, the company offers a whopping one-year sleep trial to truly allow you to determine if its best-selling innerspring mattress is a perfect fit for relieving your particular pressure points. The Classic model is best for back pain—manufactured with patented Lumbar Zone technology (including steel pocketed coils to provide extra support) that ensures healthy spinal alignment, as well as a plush, 3-inch Euro pillow top to soothe achy joints (no sagging allowed!) above a high-density memory foam core to encourage heavy snoozing. 

Best Value: OSleep Gel Memory Foam Mattress

Sleep trial: None | Type: Memory foam | Firmness: Medium | Warranty: 10 years 

What we like:

  • Comparatively affordable
  • Provides gel foam for cooling
  • Easy mattress-in-a-box assembly

Worth noting:

  • Cover is not removable

Why we chose it: Affordable, comfortable, and easy to assemble, Overstock’s OSleep Gel Memory Foam Mattress is ideal for anyone on a budget.

Compared to the other mattresses on our list, which carry a relatively steep price tag, this mattress-in-a-box is sold for just over $1,000 for a queen (and is often on sale for less than $500), but feels as if you spent thousands more. Not only does the 14-inch memory foam provide support for your spine, its gel top layer keeps your bed cool so you don’t overheat. If you’re one of two, the mattress also specializes in even weight dispersion, as well the elimination of motion transfer so that you don’t disturb your mate in the middle of the night.

Best Eco-Friendly: Avocado Green Mattress 

Sleep trial: 365 nights | Type: Innerspring | Firmness: Medium | Warranty: 25 years 

What we like:

  • Greenguard Gold certified
  • Made in the U.S.
  • Superb 1-year sleep trial
  • Fantastic edge support, thanks to a reinforced steel perimeter

Worth noting:

  • Some complaints about customer service

Why we chose it: One hundred percent certified organic mattress with materials sourced from farms co-owned by the company.

It’s no surprise that eco-friendly Avocado impresses with its Green Mattress. Aside from offering a product that is the perfect blend of gentle but firm, the company prides itself on the use of sustainably harvested materials like latex, wool, and cotton to produce a slice of sleep heaven with 1,414 (!) coils. It’s also needle-tufted by hand to ensure that the mattress maintains its shape and quality—tempered steel coils and layers of foam keep your back in check and your weight evenly distributed—so that the 25-year warranty is essentially unnecessary. The pillow-top style, adding 5 inches of latex foam to the mattress’s overall height, offers a greater amount of pressure-point relief. 

Best Memory Foam: Casper Original Mattress

Sleep trial: 100 nights | Type: Memory foam | Firmness: Medium | Warranty: 10 years 

What we like:

  • Ships fast and arrives in a box
  • Perforated foam for heat reduction and breathability
  • Compatible with adjustable bed base

Worth noting:

  • Can sink a bit, especially if sitting on the edge

Why we chose it: Casper has made a mark on the mattress industry with its line of memory foam varieties, and this highly breathable original model is what set the tone.

Featuring three ergonomic zones to help keep your spine aligned, Casper’s Original Mattress is an ideal memory foam option, especially for those who suffer from chronic back pain. Soft foam around the shoulders provides more relief to the upper body, while firmer foam under the hips, waist, and lower back helps to align your spine. Its material also includes tiny air channels (which the company has trademarked as AirScape) to keep things light and airy so that you’re not kicking off the comforter and turning on the fan. 

Best Hybrid: The WinkBed Mattress

Sleep trial: 120 nights | Type: Hybrid | Firmness: Four options (softer, luxury firm, firmer, plus) | Warranty: Lifetime

What we like:

  • 4 firmness levels
  • Science-focused manufacturing to promote better sleep
  • Made in the U.S.

Worth noting:

  • A bit firm, so aim for softer models

Why we chose it: Pocketed coils and luxuriously plush foam offer all the support and comfort you crave in a premium hybrid.

If you’re a sleeper who wants to completely customize your mattress and experience the best of many worlds, WinkBed gives you those options. This mattress is engineered for better sleep with a hybrid design that touts a Euro pillow top with gel-infused foam and hundreds of individually wrapped pocketed coils. It can also be purchased with a bevy of accessories like a platform, protector, and frame, so it’s a one-stop shop for all your bedroom needs. Every layer serves a purpose, from a lumbar-focused support in the center to an anti-sag edge, but the best innovation is likely the pocketed coils that not only help with pressure-point relief but keep your body in alignment while you snooze.