Best Mattress for Back Sleepers

Back sleeping is the second most common sleeping position behind side sleeping. When searching for the best mattresses for back sleepers, proper spine alignment is probably the most crucial factor. In order to achieve this, a mattress must provide support to the hips and shoulders without putting too much pressure on them. Thus, an even sleep surface with some conforming but no sagging is usually the best bed for back sleepers.

To provide ideal support for back sleepers, a mattress must have the right firmness — and sleepers of different body types tend to have different requirements. Average-weight back sleepers often favor a medium to medium-firm feel. Lightweight individuals may prefer a softer option, while heavyweight sleepers often appreciate a firmer model.

With so many mattresses to choose from, selecting the best mattress for your sleep needs and preferences can seem complicated. In this guide, we’ll try to simplify the shopping process by sharing our top picks for the best mattresses for back sleepers and explaining criteria that can affect a back sleeper’s comfort.

Dive Deeper – In-Depth Mattress Guides

If you want to expand your options beyond beds for back sleepers, you can read through our collection of mattress guides categorized by sleeping preferences.

What to Consider As a Back Sleeper

A person’s sleep position not only plays a role in whether or not you wake up with aches and pains, but can influence your health and likelihood of medical conditions.

Back sleeping isn’t the most common sleep position in the United States, but it has some distinct benefits. When sleeping on your back, your body is naturally centered over your spine, which makes it easier to maintain proper spinal alignment. Johns Hopkins Medicine reports that back sleeping may also reduce the risk of developing wrinkles or breakouts on your skin and can alleviate lower back pain for some sleepers.

While back sleeping has some clear benefits, it isn’t ideal for all sleepers. Those who suffer from sleep apnea or are prone to snoring may find their conditions aggravated by sleeping on their backs. People who suffer from acid reflux or gastroesophageal reflux disease (GERD) may also notice increased symptoms when sleeping on their back, especially for sleepers with stomach fat that puts extra pressure on their stomachs. Additionally, pregnant women often find that sleeping on their backs can contribute to back pain due to the extra weight in their midsections.

Spine Alignment

Spinal alignment refers to how well the spine lines up to its natural shape. When you’re standing, proper spinal alignment is synonymous to good posture. In sleepers, a well-aligned spine is harder to spot, but it’s just as important. Maintaining good spinal alignment overnight can help reduce aches and pains, contributing to a better night’s sleep. Because of this, the University of Rochester Medical Center suggests that regardless of sleep position, sleepers should try to line up their ears, shoulders, and hips to maintain proper spinal alignment.

Back sleepers have an advantage when it comes to spinal alignment. A back sleeper’s body is already centered over their spine. So long as a mattress provides enough support to the shoulders and mid-section, preventing them from sinking to deepy, back sleepers should be able to maintain this healthy alignment.

Back Sleepers With Back, Neck, and Shoulder Pain

Improper alignment can contribute to aches and pains. If a mattress does not balance contouring and support to help the sleeper maintain proper alignment through the night, their muscles may work overtime to try to improve the body’s alignment. Since these muscles can’t fully relax, the sleeper may awaken with more aches and pains.

If you’re not sure whether your mattress is giving you the right combination of contouring and support to promote good alignment, consider whether you are waking up with aches and pains. If you wake up with aches and pains that get better over the course of the day, your mattress may not be giving you the support and contouring you need. The right mattress can help you maintain proper spinal alignment effortlessly and awaken with fewer aches and pains.

Which Mattress Firmness is Best for Back Sleepers?

A mattress’s firmness can affect how comfortable the mattress feels to an individual, how much contouring it provides, and how supportive it is. A 10-point firmness scale is commonly used to rate mattress firmness. In this scale, 1 is the softest mattress and 10 is the firmest. Mattresses on either end of the spectrum are uncommon, with most models falling between 3 and 8. When you’re shopping for a mattress, paying attention to its firmness rating can give you a better idea of how it will feel to you.

Most individuals between 130 and 230 pounds prefer a medium or medium-firm mattress. Average-weight back sleepers usually gravitate towards the firmer end of this range since they do not require as much conforming as side sleepers.

Sleepers who weigh under 130 pounds do not apply as much force on a mattress, so any mattress is likely to feel firmer to them. Because of this, back sleepers in this range often prefer a medium-soft model.

Individuals who weigh over 230 pounds need more support than other weight groups. Too soft of a mattress may cause their hips to sink in excessively, misaligning the spine. These sleepers frequently favor a medium-firm or firm mattress to give them extra support.

Comfort preference is subjective, and it’s impossible to guess how a mattress will feel to an individual. However, understanding firmness ratings and which rating tends to work best for your weight group and sleep position can give you an excellent starting point to finding the ideal firmness for you.

Which Type of Mattress is Best for Back Sleepers?

Below, we’ll describe the major types of mattresses on the market and explain what they have to offer back sleepers. While individual models may have notable differences based on their materials, quality, and construction, there tend to be some similarities between models of the same type of mattress. Understanding the key benefits and features that are common for each type of mattress may clarify which type is best for you.

Hybrid

Definition: Hybrid models fuse components of two or more other mattress types. The comfort layer most often consists of memory foam, polyfoam, or latex, though it may also contain wool, microcoils, or other materials. A hybrid mattress’s support core uses coils, like a traditional innerspring mattress.

Highlight: A hybrid mattress’s comfort layer is generally engineered to conform to the sleeper’s body for pressure relief. The coil support core usually gives even support, which can help promote proper spinal alignment for back sleepers.

Innerspring

Definition: A substantial support core of coils serves as the main component of an innerspring mattress. Innerspring models may also have thin comfort layers. While these comfort layers may provide some cushioning, they usually are not substantial enough for contouring and pressure relief.

Highlight: High-quality innerspring mattresses usually have even support that can help keep a back sleeper’s spine straight. Thin comfort layers may cushion the sleeper’s pressure points, but they generally are not thick enough to allow a back sleeper’s midsection to sink in too deeply.

Latex

Definition: Latex mattresses are traditionally constructed of multiple layers of latex foam, which may be natural, synthetic, or a blend. Talalay latex is usually lighter and springier. It is commonly used in comfort layers. Dunlop latex is generally denser and more durable, making it a popular choice for both comfort and support layers.

Highlight: While memory foam compresses directly beneath the sleeper’s body, latex spreads the compression over a wider area. This cradles the sleeper without excessive sinkage, creating a balance between cradling and support that may make back sleepers feel like they are floating on the bed.

Airbed

Definition: Airbeds get their name from the air chambers they use to support the sleeper. Depending on the model, these air chambers can be emptied or filled using a pump, remote control, or app. Airbeds may also include comfort layers, though these are usually relatively thin. Comfort layer materials may include memory foam, polyfoam, latex, wool, and/or cotton.

Highlight: Since the air chambers can be filled or emptied to change the feel of the mattress, back sleepers can adjust an airbed to get as close as possible to their ideal firmness. Some models also allow sleepers to adjust each side of the bed independently, which may make them a good choice for partners who have different firmness preferences.

Foam

Definition: Most foam mattresses are constructed of multiple foam layers, which usually include memory foam, polyfoam, or a combination of the two. Some foam mattresses may also include other materials, including latex, wool, and/or cotton. Softer foams are traditionally used in the comfort layers to contour to the sleeper, while firmer support foams prevent them from sinking in too deeply.

Highlight: All-foam models tend to shape to the sleeper’s body, providing a close hug that relieves pressure points. Firmer models give less hug, but they still usually contour enough for pressure relief. Back sleepers who like to sink into their mattress more may appreciate this close conforming.

Accessories Important For Sleeping on Your Back

Accessories can be the finishing touch to make your sleep surface more comfortable. The right accessories can help reduce discomfort and promote quality sleep. While you might upgrade your accessories when you purchase a new mattress, sleepers on a budget may replace them as a lower-cost alternative to replacing their mattress.

Pillows

While the right mattress can keep most of the spine aligned, the sleeper’s pillow is responsible for continuing that alignment into the neck and head. Because sleepers rely on their pillow to support their necks and heads, the wrong pillow can contribute to back and neck pain.

Pillow loft refers to how thick a pillow is. A pillow with too much loft may force a back sleeper’s head towards their chest. A pillow with too little loft may hyperextend the neck. The best pillows for back sleepers are medium-loft pillows that supports the head, neck, and shoulders without lifting them up too far. Back sleepers often prefer memory foam or latex pillows that cradle the head to help them maintain proper alignment.

While many back sleepers favor a medium-loft pillow, those with medical conditions aggravated by lying flat may prefer a wedge pillow to elevate the upper body. Sleepers who suffer from sleep apnea, acid reflux, or frequent snoring may benefit from this extra lift.

Sleeping Position	Pillow Loft Recommended
Back	Medium
Side	Medium or High
Stomach	Low

Many back sleepers also place a small pillow beneath their knees. The University of Rochester Medical Center suggests that this may help relieve back pain by supporting the natural curvature of the back and reducing stress on the spine.

Mattress Toppers

A mattress topper is an extra layer that rests on top of the mattress to adjust the feel of the surface. While a mattress topper won’t completely overhaul your existing mattress, it may make it more comfortable.

Because mattress toppers are usually less expensive than purchasing a new mattress, they can be a convenient and affordable way to modify the sleep surface and try out different materials. Memory foam, polyfoam, and latex toppers can give you an idea of how a mattress that uses these materials might feel without the commitment of replacing your existing mattress.

Thickness varies between toppers. Thinner toppers can offer some cushioning, slightly adjusting the feel of the mattress. Thicker toppers modify the feel more significantly and can relieve pressure to a greater extent.

While mattress toppers can add some cushioning and contouring, they do not provide all the benefits of a new mattress. Most notably, they do not usually provide significant support. If a back sleeper’s hips are sinking in too deeply in their existing mattress, a mattress topper is unlikely to resolve the issue. A mattress topper also will not make up for a mattress that is in bad condition or is sagging. However, a mattress topper may be a good choice for back sleepers who feel their mattress is a little too firm or who are experiencing pressure points.

What Mattress Features Are Important For Back Sleepers?

While many mattress companies claim their models are comfortable for all sleep positions, back sleepers have unique needs. Focusing on the most important mattress features can help you find a mattress that supports your spine while cushioning your pressure points. Below, we’ll detail key factors to consider when selecting the best mattress for back sleepers.

• Mattress Type: The build of the mattress can influence how it feels, how much it contours to the body, and how well it supports spinal alignment. Each type of mattress has different potential benefits and drawbacks. Understanding how these constructions influence the feel of a mattress may make it easier to find a model that provides enough support and contouring for your body type.
• Contouring: Many mattresses contour to the body, adjusting to each sleeper’s unique shape. This can help support a back sleeper’s spinal alignment while relieving pressure points. Mattresses vary in how much contouring they provide, and sleepers differ in the level of contouring they prefer.
• Quality Materials: Quality materials may impact how comfortable a mattress feels and how well it holds up over time. Mattress sagging is often a problem for back sleepers, and high-quality materials frequently resist sagging better than lower-quality alternatives.
• Firmness Level: A mattress’s firmness influences how much the sleeper sinks in. Back sleepers often favor slightly firmer mattresses than their side-sleeping counterparts. This is because back sleepers require enough support to maintain the natural alignment of their spines. Too soft of a mattress may cause a back sleeper’s hips to sink in too far, while too firm of a mattress may not allow their hips to sink in far enough.
• Pressure Relief: Pressure relief is closely linked to contouring. When a mattress contours to a sleeper’s body, it distributes their weight more evenly. This can take the pressure off heavier body parts, like the hips and shoulders. While back sleepers do not usually suffer from as sharp of pressure points as side sleepers, they may still appreciate a mattress that cradles their hips.