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Feb 14, 2025

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Finding a comfortable mattress is a very personal choice, but here are some guidelines:

• The base of the mattress should be firm enough to support your spine in a straight position (s-curve as opposed to c-curve).

• The mattress does not allow sagging. Look for sagging in the mattress to compare supine straight and supine sagging, side-lying straight and side-lying saggy, prone straight, and prone saggy.

• The upper layer of the mattress should be comfortable and conforming, reducing the pressure at the contact points.

• Medium-firm mattresses have been found to be better for back pain than firm mattresses.

• If you are a smaller person with less prominent curves, you will probably tolerate a moderately firm foundation mattress with a firmer top. You won’t sink into the mattress easily because of your size. And because you have less prominent curves you tolerate a firmer top.

• If you are a heavier person with prominent curves, you will probably require a firm foundation mattress with a less firm top. You will tend to sink into the mattress easily because of your size and because you have prominent curves you will benefit from a less firm top.

Check out the full Back Pain Relief Program series of videos along with downloadable guide sheets here: https://www.bobandbrad.com/health-programs/back-pain-relief-program

Bob and Brad discuss how to choose a mattress for back pain.