Best Bed Mattress for Lower Back Pain

Finding the best mattress for lower back pain starts with balancing support and pressure relief—not choosing the firmest option by default. Explore mattress options with your sleep position and comfort preferences in mind, looking for support that helps keep your spine comfortably aligned and cushioning that eases pressure around your hips and shoulders.

Sort & Filter

Beautyrest Silver BRS900 11.75" Extra Firm Mattress

3333

Starting at

$559⁹⁹

$1359⁹⁹

$800 OFF

Extra Firm Comfort, best for

Back, Stomach Sleepers
Temperature
Pain
Allergies
Bed Partner
Toss and Turn

FREE ADJUSTABLE BASE ³ with code ELEVATE

Stearns & Foster Estate 14.5" Firm Mattress

1859

Starting at

$3099⁰⁰

Firm Comfort, best for

Back, Stomach Sleepers
Pain
Bed Partner
Temperature
Allergies
Toss and Turn

Receive $300 Instant Gift⁴ with purchase.

Beautyrest BR800 13.5" Medium Pillow Top Mattress

1891

Starting at

$819⁹⁹

$1499⁹⁹

$680 OFF

Medium Comfort, best for

Back, Side, Stomach Sleepers
Toss and Turn
Pain
Bed Partner
Temperature

FREE ADJUSTABLE BASE ³ with code ELEVATE

Serta Perfect Sleeper Nurture Night 12" Firm Mattress

1223

Starting at

$859⁰⁰

$999⁰⁰

$140 OFF

Firm Comfort, best for

Back, Stomach Sleepers
Pain
Bed Partner
Temperature
Toss and Turn

FREE ADJUSTABLE BASE ³ with code ELEVATE

Serta Perfect Sleeper Oasis Sleep 12" Extra Firm Mattress

940

Starting at

$1109⁰⁰

$1399⁰⁰

$290 OFF

Extra Firm Comfort, best for

Back, Stomach Sleepers
Pain
Temperature
Bed Partner
Toss and Turn

FREE ADJUSTABLE BASE ³ with code ELEVATE

Serta Perfect Sleeper Nurture Night 14.5" Pillow Top Mattress

1171

Starting at

$979⁰⁰

$1249⁰⁰

$270 OFF

Plush Comfort, best for

Side Sleepers
Pain
Temperature
Bed Partner
Toss and Turn

FREE ADJUSTABLE BASE ³ with code ELEVATE

Tempur-Pedic TEMPUR-ProAdapt 2.0 12" Firm Mattress

5165

Starting at

$3349⁰⁰

Firm Comfort, best for

Back, Stomach Sleepers
Pain
Allergies
Bed Partner
Toss and Turn
Temperature

Receive $300 Instant Gift⁴ with purchase + Calm app 3-month free trial

Serta Perfect Sleeper Nurture Night 13.5" Plush Mattress

954

Starting at

$939⁰⁰

$1099⁰⁰

$160 OFF

Plush Comfort, best for

Side Sleepers
Pain
Bed Partner
Temperature
Toss and Turn

FREE ADJUSTABLE BASE ³ with code ELEVATE

Tempur-Pedic TEMPUR-Adapt 2.0 11" Medium Mattress

3761

Starting at

$1799⁰⁰

Medium Comfort, best for

Back, Side, Stomach Sleepers
Pain
Temperature
Allergies
Bed Partner
Toss and Turn

Receive $300 Instant Gift⁴ with purchase + Calm app 3-month free trial

Purple RestorePlus 13" Soft Hybrid Mattress

3559

Starting at

$3599⁰⁰

Plush Comfort, best for

Side Sleepers
Pain
Allergies
Bed Partner
Toss and Turn
Temperature

Tempur-Pedic TEMPUR-ProAdapt 2.0 12" Medium Mattress

3962

Starting at

$4199⁰⁰

Medium Comfort, best for

Back, Side, Stomach Sleepers
Pain
Allergies
Bed Partner
Toss and Turn
Temperature

Receive $300 Instant Gift⁴ with purchase + Calm app 3-month free trial

Purple Restore 11.5" Soft Hybrid Mattress

1683

Starting at

$2499⁰⁰

Plush Comfort, best for

Side Sleepers
Pain
Allergies
Bed Partner
Toss and Turn
Temperature

Tempur-Pedic TEMPUR-Adapt 2.0 11" Medium Hybrid Mattress

3072

Starting at

$2449⁰⁰

Medium Comfort, best for

Back, Side, Stomach Sleepers
Pain
Temperature
Allergies
Bed Partner
Toss and Turn

Receive $300 Instant Gift⁴ with purchase + Calm app 3-month free trial

Purple RestorePlus 13" Firm Hybrid Mattress

1668

Starting at

$3499⁰⁰

Firm Comfort, best for

Back, Stomach Sleepers
Pain
Allergies
Bed Partner
Toss and Turn
Temperature

Tempur-Pedic TEMPUR-LuxeAdapt 2.0 13" Firm Mattress

1485

Starting at

$5599⁰⁰

Firm Comfort, best for

Back, Stomach Sleepers
Pain
Temperature
Allergies
Bed Partner
Toss and Turn

Receive $300 Instant Gift⁴ with purchase + Calm app 3-month free trial

Stearns & Foster Studio 14" Medium Mattress

1393

Starting at

$1799⁰⁰

Medium Comfort, best for

Back, Side, Stomach Sleepers
Pain
Bed Partner
Temperature
Toss and Turn

Serta Perfect Sleeper Oasis Sleep 14.5" Firm Pillow Top Mattress

1221

Starting at

$819⁰⁰

$979⁰⁰

$160 OFF

Firm Comfort, best for

Back, Stomach Sleepers
Pain
Bed Partner
Temperature
Toss and Turn

FREE ADJUSTABLE BASE ³ with code ELEVATE

Serta Perfect Sleeper Sleep Excellence Extra Firm Mattress

986

Starting at

$1449⁹⁹

$1999⁹⁹

$550 OFF

Extra Firm Comfort, best for

Back, Stomach Sleepers
Pain
Toss and Turn
Temperature
Bed Partner

FREE ADJUSTABLE BASE ³ with code ELEVATE

Beautyrest Black Series Four 17.5" Medium Summit Pillow Top Mattress

622

Starting at

$6599⁰⁰

Medium Comfort, best for

Back, Side, Stomach Sleepers
Pain
Temperature
Bed Partner
Toss and Turn

$300 ⁶ adjustable base instant gift with purchase.

Beautyrest Black Series Two 15.5" Medium Mattress

529

Starting at

$3899⁰⁰

Medium Comfort, best for

Back, Side, Stomach Sleepers
Pain
Bed Partner
Temperature
Toss and Turn

$300 ⁶ adjustable base instant gift with purchase.

Serta Perfect Sleeper Pacific Peace 12" Hybrid Firm Mattress

244

Starting at

$769⁰⁰

$949⁰⁰

$180 OFF

Firm Comfort, best for

Back, Stomach Sleepers
Pain
Bed Partner
Temperature
Toss and Turn

FREE ADJUSTABLE BASE ³ with code ELEVATE

Sleepy's By Sealy Spring Luna Euro Top Mattress

4640

Starting at

$599⁹⁹

Medium Comfort, best for

Back, Side, Stomach Sleepers
Bed Partner
Pain
Temperature
Toss and Turn

Queen mattress & base now $499 with code ELEVATE

Tempur-Pedic TEMPUR-LuxeBreeze Medium Hybrid 13" Mattress

2247

Starting at

$6599⁰⁰

Medium Comfort, best for

Back, Side, Stomach Sleepers
Pain
Bed Partner
Temperature
Allergies
Toss and Turn

Receive $300 Instant Gift⁴ with purchase + Calm app 3-month free trial

Beautyrest BR800 Greenwood 11.25" Firm Mattress

1721

Starting at

$1299⁹⁹

Firm Comfort, best for

Back, Stomach Sleepers
Bed Partner
Toss and Turn
Temperature
Pain

FREE ADJUSTABLE BASE ³ with code ELEVATE

Stearns & Foster Estate 14.5" Plush Mattress

1092

Starting at

$3099⁰⁰

Plush Comfort, best for

Side Sleepers
Pain
Bed Partner
Temperature
Allergies
Toss and Turn

Receive $300 Instant Gift⁴ with purchase.

Stearns & Foster Estate 13.5" Extra Firm Mattress

1084

Starting at

$3099⁰⁰

Extra Firm Comfort, best for

Back, Stomach Sleepers
Pain
Bed Partner
Temperature
Toss and Turn

Receive $300 Instant Gift⁴ with purchase.

The best bed mattress for lower back pain should balance support and pressure relief while matching your body type and preferred sleep position. A supportive mattress helps keep your spine in a comfortable, neutral position without allowing your hips to sink too deeply or creating uncomfortable pressure around your shoulders and hips. Medium-firm mattresses can be a useful starting point for some people with lower back discomfort, but the firmest mattress is not automatically the best choice. Firmness describes how a sleep surface feels, while support describes how well it helps maintain your body’s alignment. Side sleepers may need more cushioning around the shoulders and hips, while back sleepers often benefit from a surface that supports the natural curve of the lower back. Stomach sleepers may need a firmer feel to help prevent excessive sinking through the midsection. Body weight also affects how a mattress feels, so choosing a mattress for lower back pain means looking beyond its firmness label and considering how comfortably it supports you. To narrow your search for the best mattress for lower back pain, spend time resting in your usual sleep position rather than judging comfort with a quick sit on the edge. Notice whether your shoulders and hips feel cushioned, your waist feels supported and you can change positions comfortably. If you share your bed, consider both sleepers’ support needs, along with how much movement you notice when your partner turns over. Mattress size matters, too: having enough room to settle into a comfortable position can make it easier to avoid feeling crowded. Before purchasing, review the trial period, return requirements, warranty terms and foundation compatibility rather than assuming every mattress has the same policies. Mattress Firm’s Sleep Experts® can help you compare comfort preferences and understand your options. Although a well-matched mattress may improve sleep comfort, it is not a treatment for an underlying back condition. Talk with a healthcare professional about persistent or worsening lower back pain, especially if it regularly interrupts your sleep.

What do firmness labels mean when shopping for a mattress for lower back pain? + -

Firmness describes how soft or firm a mattress feels at the surface. Support refers to how its underlying structure responds to weight. These are different characteristics, so a plush surface does not necessarily mean less support. Firmness labels can also feel different from one person to another.

What should I compare when trying mattresses in a store? + -

Spend time in your usual sleeping position and notice the cushioning, surface feel and ease of changing positions. Compare a few comfort levels rather than relying on labels alone. Sleep Experts® can explain comfort terms and help you describe your preferences.

How can my sleeping position guide my mattress comfort preferences? + -

Use your usual sleeping position as a starting point for comparing feel. Notice how much cushioning you prefer around your shoulders and hips, along with whether you like a flatter or more contouring surface. If you change positions overnight, try each position during your comparison.

What is the difference between a pillow-top and a tight-top mattress? + -

A pillow-top mattress has a distinct cushioning section attached above the main mattress surface. A tight-top mattress has a more streamlined top without that separate section. Either style can have different firmness levels, so the top design alone does not tell you how firm a mattress will feel.

What does mattress responsiveness mean? + -

Responsiveness describes how quickly a mattress surface adjusts when you move or remove pressure. A faster-responding surface rebounds quickly, while a slower-responding surface returns to its original shape more gradually. It is a feel characteristic to compare separately from firmness.