Which mattress is best for back pain?

By Chirag Patel Updated 2 min read

A person lying on their back on a Sunday mattress with a level spine
In short

A medium-firm mattress. In a big study, people with back pain hurt less on medium firm than on firm. For most backs that is the Ortho Latex 4 Mattress, firmness 7 out of 10 (10 is hardest).

Medium firmbest in the research

Not hard, not soft. It keeps your spine level all night.

Your spine should stay level

Too soft. Your hips sink. Your spine bends all night.
Medium firm. Shoulders and hips sink a little. Your spine stays level.
Too hard. Only shoulders and hips touch. Your waist gets no support.

What the research found

Medium firm beat firm. In a 90-day study of 313 adults with back pain, medium firm gave less pain. A 2021 review agreed.

Which Sunday mattress for how you sleep?

On your back. Ortho Latex 4 Mattress. Medium firm.
On your side. Ortho Latex 4 Mattress. Like it softer? The Latex Plus 4 Mattress, firmness 6 out of 10.
On your stomach. Firmer, so your hips don't drop: the Ortho Memory 4 Mattress, 8 out of 10.

See the Ortho Latex 4 Mattress · Compare all three

You have 100 nights to judge

Give your back two to three weeks. Any new mattress feels different at first. Getting used to it

Still not right? Swap it once for another Sunday mattress, or return it for a full refund. How the swap works

When to see a doctor

See a doctor if the pain: does not ease after a few weeks, stops your daily work, keeps getting worse, or comes with fever.

Get help at once if both legs feel numb, tingle or go weak, or you lose control of your bladder or bowels.

A mattress is not a treatment. It helps your back rest.

Complete the bed

Your neck needs the same care. The Delight Pillow is for side and back sleepers, and does not go flat.

Questions people ask

Is a hard mattress good for back pain?

Not the hardest. In the Lancet trial, medium firm did better than firm for pain in bed and for disability.

Is latex or memory foam better for back pain?

The research compared firmness, not materials. Choose the firmness first: medium firm for most backs.

Will a mattress topper help my back pain?

A topper changes the surface, not the support. It can soften a mattress that feels too firm, but it does not fix one that sags.

Can a new mattress cure back pain?

No. If the pain lasts more than a few weeks, see a doctor.

Is the Ortho Memory 4 Mattress good for back pain?

If you like a firm bed and sleep on your back or stomach, yes. It is our firmest, 8 out of 10. Side sleepers find it too firm.

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5 minutes. The right mattress for your back, even if it’s the cheaper one.

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