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Best Mattress for Back Pain: Top Picks to Consider

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Written By Connie

CPD Sleep Consultant

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17 April 2024 16 min read

Waking up fresh and rested, without any back pain, should be the way you always wake up. If you can’t seem to do that, don’t worry – we’re here to help!

Most of us lead a busy, fast-paced lifestyle and sleep is the only rest we get. With that in mind, it's easy to understand how unfortunate it is that some of us wake up even more tired and in more pain than we were in the night before. Some people find it very hard to get a good night's sleep. Their sleeping position is off, the body is not supported or aligned when they lie down and all of that results in a back ache from the moment they open their eyes in the morning.

What if we were to tell you that you alleviate those aches and pains simply by sleeping on the right mattress? A quality mattress can offer you more than you can possibly imagine. Not only can it relieve you of pain, but it can also improve the quality of your life by significantly improving your sleep quality.

To deal with back pain, just make sure to get a mattress that fits your sleeping position, offers plenty of zoned support, and can take the pressure off your back and joints. On that note, we've decided to provide you with a list of top-tier, quality mattresses that will help you get rid of the annoying back pains, find the best mattress for back pain and have you feel good again.

Our top picks

Now that we’ve covered pretty much all you need to know before you go out looking for the best pain-alleviating mattress, let us give you our picks for some of the best ones you can find on the UK market. We’ve done our research and all of the products we’re about to list are great in their own way, so if you wish to narrow down your search, you can start with our picks and work your way from there.
    Mattresses 1
    Hypnia Supreme Memory Mattress
    Best Overall
    Mattresses 2
    Image of a TSA reviewer reviewing the simba hybrid pro mattress
    Simba Hybrid Pro Mattress
    Best Quality
    Mattresses 3
    Product image of the Origin Hybrid Mattress
    Origin Hybrid Mattress
    Best Value
    Mattresses 4
    a product image of dormeo octasmart hybrid mattress
    Octasmart Hybrid Mattress
    Best Hybrid
    Mattresses 5
    Image of the TSA reviewer Connie sleeping on the Emma Luxe Cooling Mattress
    Emma Luxe Cooling Mattress
    Best Cooling
    Mattresses 6
    An image of a TSA reviewer sleeping on the Simba Hybrid Luxe mattress
    Simba Hybrid Luxe Mattress
    Best Design
    Mattresses 7
    OTTY Aura Hybrid Mattress
    Best Edge Support

Best Overall: Hypnia Supreme Memory Mattress

For our number one pick, we had to go with the Hypnia Supreme Memory Mattress!
Best Overall

If you’re looking for a mattress that prioritises comfort as well as helping your back pain then this is the one for you. That’s why we have awarded it with the Best Mattress for Back Pain 2024.

The Hypnia Supreme Memory Mattress is an all-foam mattress that’s soft enough to keep you comfortable but supportive enough to relieve pressure. It uses a premium memory foam layer to cocoon your body and take the pressure off of certain points to reduce any pain. It has different zones that adapt to parts of the body so you can feel correctly supported. This is reinforced by the durable foam base. It’s a long-lasting base that supports every body and has zones to relieve the shoulders and hips – which in turn, takes away the pressure on your back.

Take a look at our full Hypnia Supreme Memory Mattress review.

  • Size: Single, Small Double, Double, King, Super King
  • Type: Memory Foam
  • Warranty: 15-year guarantee
  • Depth: 25cm
  • Firmness: 5.5/10
  • Trial: 200 nights


An icon depicting the product is side sleeper friendly
Great for side sleepers
You'll sink in enough to keep your body aligned while being supported.
An icon presenting perpetual motion balls indicating low motion transfer
Good motion isolation
Have an undisturbed sleep with no unwanted movement waking you up.
an icon depicting a removable cover
Removable cover
And washable cover that you can keep fresh and clean as often as you like.


An icon depicting off gassing
This is totally normal, especially with a memory foam mattress, but it'll soon go.
An icon depicting a non-firm & supportive surface
Edge support could be better
Overall support is good but not so much on the edge.

Best Quality: Simba Hybrid Pro Mattress

A top quality mattress that will ease pain in your back.
Best Quality
Image of a TSA reviewer reviewing the simba hybrid pro mattress

The Simba Hybrid Pro is a medium-firm mattress which is ideal for those who suffer from back pain. It’s not too soft and not too firm – balancing pressure relief and spinal alignment. The top half focuses on the comfort (cradling feeling) whereas the bottom half is all about support and that’s what helps with back pain. Within the mattress, there are 13 zones of support so it targets specific areas of the body that need to be hugged and adapted for the best sleep.

This mattress has a double layer of Aerocoil springs which are the part of the mattress that provide tailored support for spinal alignment and pressure relief. This is followed by a stabilising core foam for structural support, pocket barrel springs for edge-to-edge support and a ReGen foam base for more stability and reinforced support.

Check out our full Simba Hybrid Pro Mattress review.

Shop Now £929
Free Next Day Delivery
  • Size: Single, Small Double, Double, King, Super King, EU Double, EU Queen
  • Type: Hybrid
  • Warranty: 10-year
  • Depth: 28cm
  • Firmness: 7.5/10
  • Trial: 200 nights


Handles for rotation
An important design feature is lifting the mattress with ease.
an icon depicting a removable cover
Has a removable cover
This makes the cleanliness and maintenance of the mattress much simpler.
An icon presenting perpetual motion balls indicating low motion transfer
Good motion isolation
No motion transfer so you won't feel your partner moving during the night.


an icon depicting that the product is not suitable for everyone
Not as practical for combination sleepers
It's not too quick to bounce back to shape so it takes time to adjust to change of position.
An icon depicting a non-firm & supportive surface
Initially quite a firm mattress
It takes a little time to soften and for you to sink into the mattress.
An icon depicting off gassing
Slight off-gassing
But it is bearable and will soon air out.

Best Value: Origin Hybrid Mattress

A cheaper mattress to solve your problems.
Best Value
Product image of the Origin Hybrid Mattress

Next up, we have the Origin Hybrid Mattress that features around 3000 steel springs to encourage spinal alignment. They have been designed by orthopaedics to be sturdy and durable without being noticeable while you sleep – and of course, to say goodbye to back pain. They adjust to the weight put on them to give tailored pressure relief. Each spring is thinner at the top than the bottom so heavier parts of the body sink deeper with better support and other areas receive gentler support.

This is a medium firm mattress which is recommended for back support. As well as the springs, this mattress has a Hexagrid layer for deep pressure relief. It offers more support in the centre, where most of your bodyweight lies, for ideal back and joint relief.

  • Size: Single, Small Double, Double, King, Super King
  • Type: Hybrid
  • Warranty: 15-year
  • Depth: 26cm
  • Firmness: 6.5/10
  • Trial: 200 nights


an icon depicting a money bag, illustrating an affordable product
One of the cheaper alternatives.
an icon depicting that the product is supportive
A large number of springs support from beneath.
An icon depicting a medal indicating a warranty
15-year warranty
A higher warranty than most mattress brands offer.


An icon depicting a non pro quality
Not as high quality
The quality is not as good as those that you'd pay more for.

Best Hybrid: Octasmart Hybrid Mattress

Springs and memory foam work together to give optimum support for your back.
Best Hybrid
a product image of dormeo octasmart hybrid mattress

The Octasmart Hybrid Mattress is another great option for those with back pain. It uses three body zones to give you the suitable balance of comfort and support. The individual Octasprings are placed in a specific way to create these support zones so you can have correct spinal alignment. All of these little springs work together to cradle the body and adapt to relieve pressure from your back, hip and shoulders. In turn, this helps to reduce any back pain you may experience.

There’s another layer of taller pocket springs that work with the Octasprings to provide extra support and a bouncier feeling to keep it comfortable. Above the spring layers, there’s an Aerocell memory foam with the purpose of keeping the mattress breathable and allowing air to flow through. However, it is also great for relieving a little pressure on your body. It gives a medium firm support which is what you’ll want for back pain.

  • Size: Single, Double, King, Super King
  • Type: Hybrid
  • Warranty: 18-years
  • Depth: 22cm
  • Firmness: 7/10
  • Trial: 60 nights


An icon depicting a good value product
Good value for money
A fairly good quality mattress for a reasonable price.
an icon depicting that the product is supportive
Each layer from top to bottom provides support and pressure relief.
An icon depicting a leaf indicating hypoallergenic properties
Good for those who usually suffer from allergies.


An icon depicting no trial or warranty
Short sleep trial
Only 60 nights compared to others offering 200.

Best Cooling: Emma Luxe Cooling Mattress

Keep cool through the night while relieving any back pain.
Best Cooling
Image of the TSA reviewer Connie sleeping on the Emma Luxe Cooling Mattress

The Emma Luxe Cooling Mattress features 5 zones of pressure relief and support. You will experience the different support needed for each area as you sink further into the mattress. The hybrid design works well to tailor to your needs and the amount of pressure relief necessary. The further you sink, the more support you will get.

Within the mattress, there are a few foam layers that work alongside the springs to help alleviate back pain. One of which is the Halo Memory Foam that is used to adapt and mould to hug your body for comfort while targeting spine alignment and pressure relief. It provides both comfort and support in one and is designed to suit every body type. It has the zoned support we mentioned above, so you feel supported on the most important parts – particularly your back – with a softer feel on the shoulders and hips.

Beneath this is the spring layer that gives extra comfort and support for a long time. And right at the bottom of the mattress is a supportive base of HRX foam for evenly aligning your spine and giving maximum relief to the body.

Take a look at our full Emma Luxe Cooling Mattress review.

  • Size: Single, Small Double, Double, King, Super King, EU Single, EU Double, EU Queen
  • Type: Hybrid
  • Warranty: 10-year guarantee
  • Depth: 25cm
  • Firmness: 6/10
  • Trial: 200 nights


An icon depicting the product is side sleeper friendly
Great for side sleepers
Promoting proper spinal alignment.
An icon presenting perpetual motion balls indicating low motion transfer
Good motion isolation
You won't feel your partner fidgeting.
An icon depicting air passing through a fabric
Adapts to each individual so you feel your own benefits.


An icon depicting a money bag indicating an expensive product
Very pricey
One of the most expensive mattresses.
An icon representing a non eco-friendly concept
Not eco-friendly
Uses polyester for the cover.

Best Design: Simba Hybrid Luxe Mattress

A carefully designed mattress to suit your needs.
Best Design
An image of a TSA reviewer sleeping on the Simba Hybrid Luxe mattress

With this mattress having 11 layers, you’d hope it would solve all your problems. Well, the good news is it will definitely help with back pain. The Simba Luxe has three layers dedicated to their springs. In the upper half there are two layers of zoned Aerocoil springs. Having the double layer offers more tailored support and optimum contouring to your body. This is followed by another layer of Aerocoil springs in the lower half that further reinforce the support you need. It’s the ideal mattress for taking the pressure off of your back.

Right at the bottom of the mattress is the SupportBase with 1000 barrel springs to give edge-to-edge support too. The design has been carefully considered to give you the best support for each area of the body that needs it.

Check out our Simba Hybrid Luxe Mattress review.

  • Size: Single, Double, Small Double, EU Queen, King, Super King
  • Type: Hybrid
  • Warranty: 10-year guarantee
  • Depth: 31cm
  • Firmness: 7/10
  • Trial: 200 nights


an icon depicting that the product is supportive
Edge-to-edge support
Thanks to the high-definition Simba-Pure foam layers.
Very comfortable
Experience a great night's sleep from the breathable sleep surface to the foam base.
an icon depicting a removable cover
Removable cover
Easy maintenance with the convenient zip-off washable cover.


An icon depicting a heavyweight person, illustrating a product that is not suitable for overweight people
Not for heavier sleepers
The top layers of this Simba mattress are quite soft to sleep on so you may find yourself sinking in the wrong places.
An icon depicting off gassing
Slight off-gassing
It’s completely normal and the smell from this one isn’t as bad as others. It will air out overnight.
An icon depicting a money bag indicating an expensive product
Expensive when compared to similar products.

Best Edge Support: OTTY Aura Hybrid Mattress

You will feel support all across the mattress.
Best Edge Support

This mattress has six layers which is less than some of the others but each one of them works to give you the comfort and support you need. A couple of the layers are foam – one for comfort and the other for support. The first foam moulds to your body for comfort and cradles to your position to offer pressure relief. Underneath is a denser foam that gives extra support.

This is reinforced by the pocket spring layer that brings the medium firm firmness and minimises motion transfer. Underneath this is the dense foam base for a solid foundation. All of these layers can help to reduce any back pain and lessen the chance of waking up with aches and pains.

Take a look at our full OTTY Aura Hybrid Mattress review.

  • Size: Single, Double, King, Super King
  • Type: Hybrid
  • Warranty: 10-year guarantee
  • Depth: 23cm
  • Firmness: 6.5/10
  • Trial: 100 nights


Super comfortbale mattress to sleep on.
an icon depicting that the product is supportive
Supportive all throughout, along the edges as well.
An icon depicting a thermometer illustrating a good thermo regulating properties
It will adjust to suit your body temperature to keep you at optimum.


An icon depicting chain links indicating low durability
It's not the highest quality mattress we've tried so not as durable.

Types of back pain

Back pain is a very common problem but it isn't in one specific area or of a particular pain level. All of this can depend on the cause – whether it was an accident, age-related or anything else. Some pain can start in one place of your back and spread to another.

NICE recently announced a consultation on a new range of technologies to fight against the epidemic of back pain.

The reasons for back pain

There are a number of reasons why you might suffer from a type of back pain. Some of them will cause dull pain, others can be a constant ache, and sometimes it can be a much sharper pain.

We have broken it down so you can see the possible causes.

Structural problems

The most frequent cause of back pain is a structural one. These are the things that can affect the function of your spine. It could be related to the muscles, discs, tendons, ligaments or compressed nerves. Here are some examples;

Inflammatory problems

Inflammation can affect your joints and ligaments which then has an impact on your spine's movement. They can cause back pain and stiffness, especially if the tissue becomes inflamed. Overall, it can change the flexibility and function of the spine.

Other conditions

Some problems may not be associated with back pain initially but that's not to say it doesn't occur.

Features to look for in a mattress for back pain

Finding the perfect mattress is certainly much easier said than done. Since there is no universal, best mattress for everyone, you have to pay attention to several defining factors of a mattress such as firmness, material, bounciness, as well as body types, body weight and of course, your sleeping position. When it comes to alleviating back pain, you should mainly focus on the firmness, material and position you sleep in, as that will help you find the most comfortable mattress, as well as bring forth the best results.

How firm does my mattress need to be to ease back pain?

Back pain can come from unpleasant sleeping positions and the lack of support, or it may be due to a preexisting condition. If it's from an old mattress then it's time to consider a new mattress. On the other hand, if it is a back pain condition, you should be checking if the mattress you have is suitable.

So, when it comes to firmness, you should probably avoid a very soft mattress. However, that's only a general rule of thumb, so be sure to test out the mattress before committing to it. As you probably already know, firmness refers to the feel of the mattress, meaning how hard or soft it is.

An infographic showing the mattress firmness scale

In a way, it's a subjective feeling. Those who weigh more will most certainly benefit more from a firmer mattress, as that will offer a lot more support for their body weight. If we had to pinpoint an ideal range of firmness, we'd place it somewhere between 5 and 7, on a 1 to 10 scale, with 1 being the softest.

And research backs up this range, with mattresses that were perceived as medium-firm or custom-inflated showing the best results in terms of both comfort and spinal alignment. However, none of this is an exact science as the mentioned research relied on subjective comfort, with mattress brands not always being consistent about what is a firm or a medium firm mattress.

The firmness will also depend on the mattress type – one with supportive memory foam is firm enough to distribute the weight whilst still being comfortable, but that might not be the case with other choices. The aim is to have a mattress that keeps your neck, shoulders, spine and hips aligned.

This can be done with a mattress that contours to your body shape, therefore, you will be wanting one with a firm layer. It's good to get one with a softer layer too so the mattress remains comfortable and reduces the chance of your back pain getting worse. But if this all sounds a bit overwhelming, check out the table bellow and use it as a general guide.

An infographic showcasing different mattress firmness levels

How does the sleeping position affect back pain?

An illustrations of sleeping positions and back pain

Dr. George Cyril, a physiatrist at HSS, emphasises the importance of sleeping positions in relation to mattress comfort. He highlights that different sleeping positions, whether you are a stomach sleeper, a side sleeper, or a back sleeper, require varying levels of firmness for optimal comfort. Dr. Cyril's insights underscore the significance of aligning your mattress choice with your preferred sleeping position to ensure a comfortable and relaxing sleep experience

  • Side sleeping: Those who tend to be side sleepers, usually prefer softer mattresses since they allow for hips and shoulders to sink into them, thus keeping the body properly aligned. Side sleepers will need to find a mattress that relieves pressure points so you're not straining while you're asleep.

Does body weight affect back pain?

In short, yes, body weight can affect back pain. It is one of the most common causes of back pain and you will notice it particularly in your lower back. Depending on your weight, it will have an impact on your spine and the amount of pressure it'll need to take. It can give you poor posture which has a knock-on effect that leads you to suffer from back pain. It's always a good idea to do some exercises that can reduce back pain and strengthen the back.

For those who are heavier or muscular, and looking for mattresses for back pain, you want to be searching for a firmer mattress. Medium-firm mattresses could be right for you because getting one that is too firm can just become an uncomfortable mattress without a comfort layer. In fact, some studies even point to medium-firm mattresses as being the most adept at dealing with lower back pain. On the other hand, a soft mattress will just leave you sinking into the base and move your body out of alignment.

Light sleepers may choose a softer mattress, as they can still find them supportive of their body weight. A medium-firm mattress can be suitable for those who are lightweight without being too dense to sleep on.

Just remember the ideal way to find the best mattress is to try out the mattress once you think you've found the one you like most. Make the most of a free trial period to see how it supports your body weight.

Types of mattresses and back pain

a close up of a mattress

Your choice of a mattress can vary depending on the cause and the type of pain (as well as the other factors and mattress features we have mentioned). When looking for mattresses for back pain, we have to think about the material as well. In general, we have four types of mattresses – memory foam, innerspring, hybrid and latex. Each of these has its own defining features, so let's briefly go over them.

  • Memory foam mattresses are the softest of the four and they're ideal if you're a side sleeper and for those who don't move around a lot while they sleep. Also, they're great for those who get cold during the night as they can retain heat. Lighter sleepers can enjoy sleeping on a memory foam mattress as there's less chance of sinking too much. This is definitely one for someone who is looking for comfort layers above anything else. Most memory foam mattresses will mould to your body shape so those with back pain may like that they contour to your sleep position and relieve the pressure points.

How to relieve back pain

If you want a better night's sleep quality but struggle due to back pain or back ache, then it's time to find what can relieve the back pain. We have a few suggestions that could be the start of helping to eliminate the pain

1. Change your sleeping position

You should start by thinking about your sleeping style because some sleeping positions are not ideal for your back. Those who sleep on their front really need to consider switching to their back or side. Stomach sleepers will find that they're curving their back while they sleep and not achieving spinal alignment. The best and easiest thing you can do is encourage yourself to become a back sleeper.

2. Get a new mattress

It's not worth sticking with the same mattress if it's causing you discomfort. Using our suggestions above and trying out a mattress during the free trial period, you'll be able to work out what is most suited to you. A medium-firm mattress is a good place to start for both comfort and support on your back. Everyone is different so not one mattress fits every single person, you need to take into account the varying factors. Furthermore, you can look towards mattress toppers as well, as there is research that supports their effectiveness in dealing with back pain as well.

3. Try to start exercising more

Introducing a workout to your daily routine can be beneficial to your sleep quality and most importantly improve any aches and pains. Exercising can relieve any tension in your body, as well as strengthen too. Doing activities that will keep you fit and make you stronger will help you so you're not susceptible to back problems.


Now that we've gone over some of the most important information on the best mattresses for back pain, we will summarise what you should take away.

It's important to understand that just because it feels like a firm mattress to the touch, it does not mean it's better than all the rest. It's about your needs and what feels best for you. In addition to that, don't overlook the size. A mattress should fit the bed perfectly and you shouldn't have to lay across the bed to feel comfortable.

This is essential since we're not talking about a small investment here. You won't be able to properly test out the comfort and the effect of the mattress on your body directly in the store, make sure there's a free trial period, you can get your money back and return the mattress after a few weeks if it turns out not to be the one for you.

Also, don't forget about the accessories like mattress toppers or quality sheets. Those can improve your quality of sleep as much as anything else.

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FAQs about mattresses for back pain

As we’ve already mentioned, mattresses are a big investment and they will affect your life and health in a significant way. Considering that everyone has different needs, asking the right questions before buying a mattress can make all the difference between choosing the best mattress for back pain or ending up with a mediocre one.

What sleeping position is the best for back pain issues?

In general, sleeping on your back offers the best support and pain relief as it distributes the weight of your body evenly.

What type of mattress is best for back pain?

Hybrid mattresses are best for alleviating back pain as they offer the perfect combo of support and pain relief.

Can a bad mattress cause back pain?

A bad mattress can most certainly cause back pain and other health issues.

How long can I use a mattress for back pain?

A quality mattress should last you anywhere between 10 and 15 years, perhaps even more.

Is a firm mattress good for back pain?

It depends on your sleeping position and weight. A firm mattress can help deal with lower back pain if you're a stomach or back sleeper and/or are of a larger build.

Do you need a soft or a firm mattress for lower back pain?

It depends. Side sleepers of a smaller build will need a soft mattress to deal with lower back pain. However, larger individuals who sleep on their stomach or back will need a firm mattress instead.

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About the author

As a CPD certified Sleep Consultant I know how important sleep is. And as a combination sleeper, I have found it difficult to get products to suit my sleep style. I have more than 2 years product testing experience with The Sleep Advisors which means I have slept on, with and under more than 500 products with varying degrees of success. This is added to more than 2 years experience as a product reviewer for Closer, Heat and Grazia magazines, so I've got a rigorous process. I love sharing my sleep testimonials with our readers and hearing their experiences too.
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