Choosing a Mattress for Back Pain

How to Choose the Right Mattress for Back Pain

Your mattress could be the reason you're waking up in pain. Here's what physical therapists Bob and Brad recommend.

Support First: S-Curve, Not C-Curve

Your spine needs an S-curve when lying down—not a C-curve. A sagging mattress creates that C-curve and throws your spine out of alignment. The base needs to be firm enough to support your spine in a straight position.

The Top Matters Too

A firm base isn't enough. The upper layer should be comfortable and reduce pressure on your hips, shoulders, knees, and ankles. If you can't replace your mattress yet, try a two-inch memory foam topper.

Medium-Firm Wins

Surprisingly, research shows medium-firm mattresses beat firm ones for back pain. You want a soft top layer with firmness underneath—the best of both worlds.

Body Type Counts

Smaller person? You'll tolerate a moderately firm mattress. You won't sink in as much.

Heavier person? Go firmer on the base, softer on top. You'll benefit from that pressure relief.

Check out our full Back Pain Program for more tips.