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Sciatica causes radiating pain in the lower back, hips, and legs that may make it difficult to get a good night’s sleep. Nerve pain from sciatica can disrupt your sleep, especially if you experience flare-ups at night. “If you have sciatica, you may find that certain sleep positions feel more comfortable than others during episodes of pain,” says Dr. Dustin Cotliar M.D., MPH.
Finding the right mattress is one way to make sure that your body gets the support that it needs to avoid exacerbating sciatic pain. While a mattress won’t directly treat this condition, a comfortable and supportive mattress can help you get more restful and restorative sleep.
Our list of the best mattresses for sciatica introduces the models whose performance stood out in our testing and covers key considerations to keep in mind.
Our Top Picks
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Best Mattress Overall – Luxury Firm WinkBed
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Best Value Mattress – Nectar Adjustable Bundle
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Best Mattress for Back Pain – Helix Dusk Luxe
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Most Comfortable Mattress – Leesa Sapira Hybrid
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Best Mattress for Side Sleepers – Nolah Evolution 15
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Best Luxury Mattress – Saatva Rx
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Best Mattress for Hip Pain – Birch Luxe
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Best Mattress Overall
Luxury Firm WinkBed
9.0 /10
Test Lab Score
Get $300 off all mattresses at Winkbeds
Get $300 off all mattresses at Winkbeds
The Luxury Firm WinkBed delivers balanced support that can help people with sciatica get the sleep they need. Its surface stays stable but can gently cradle the joints and lumbar spine to enhance spinal alignment.
Credit: Sleep Foundation Test Lab
Price
$1,499
Mattress Type
Innerspring
Firmness Options
Medium Firm (6)
Trial Period
120 nights (30 night requirement)
Our Verdict
Who it’s best for:
The Luxury Firm WinkBed delivers solid support for side, back, and stomach sleepers over 130 pounds. It’s also a match for people who want a mattress with strong edge support for sitting or sleeping near the perimeter of the bed.
Feel:
The Luxury Firm model of the WinkBed has a medium firm (6) feel that blends pressure-point relief with moderate bounce and pushback. It resists heat buildup and feels stable across the mattress surface.
What it’s made of:
The WinkBed has a base of durable metal coils. Above the coils are layers of polyfoam, including a layer of lumbar support and gel-infused polyfoam quilted into a Euro-style pillow-top.
What we don’t like:
The Luxury Firm may feel too hard for people under 130 pounds. Sleepers may feel vibrations when their bed partner moves around or gets in or out of bed.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 8573 validated customer reviews of the Winkbed. This is what people who bought the mattress had to say:- Quality of Materials: The mattress is frequently described as well-made, with durable materials that contribute to a good night’s sleep.
- Cooling Features: Some reviewers mention that the mattress does a good job of regulating temperature, providing a cooler sleep experience.
- Edge Support: While generally satisfied with the support, a few reviewers note that edge support could be better.
- Comfort and Support: Many reviewers praise the mattress for its comfort and support, often mentioning relief from back pain and improved sleep quality.
- Firmness Options: Customers appreciate the variety of firmness options available, finding the right balance for their personal preferences.
- Value for Money: Many users feel the mattress is worth the investment, offering good value for the quality and comfort provided.
- Made in the USA: Buyers are pleased that the mattresses are made in the USA, supporting domestic manufacturing.
Full Details
The WinkBed is a well-rounded hybrid mattress available in an array of firmness levels, but the Luxury Firm WinkBed stands out for its balanced feel that caters to sleepers with back pain. The foam layers contour to the body to relieve pressure buildup, while zoned pocketed coils offer ample pushback to the midsection.
How It Performs
Our testing found the mid-range feel and supportive construction benefit back sleepers and stomach sleepers who weigh up to 230 pounds. These sleepers should feel a good amount of cushioning without sinking too deeply into the mattress. Side sleepers who weigh between 130 and 230 pounds should also appreciate the cradling from the foam layers.
If you tend to run hot during sleep, the coil system enables plenty of air circulation to help keep the bed cool. We also recommend the mattress for couples, who should be able to move across the mattress easily and lay near the edges without sinking. The coils also provide responsiveness that many couples prefer for sex.
Construction Breakdown
With a medium firm (6) feel, the Luxury Firm WinkBed has a Euro-top quilted with gel-infused polyfoam. Beneath is a transitional layer of SupportCell polyfoam that promotes contouring but has a higher-density composition to make it feel a bit firmer. This layer also serves as a buffer between the comfort system and the support core. The core is composed of pocketed coils that provide substantial support, with a zoned design that delivers extra support to the lumbar region and extra coil reinforcement around the edges. A breathable and moisture-wicking Tencel cover encases the mattress.
WinkBed backs this mattress with a 120-night sleep trial and lifetime warranty. Shipping is free to the contiguous U.S.
Best Value Mattress
Nectar Adjustable Bundle
8.5 /10
Test Lab Score
Up to 50% off mattresses & up to 66% off bundles
Up to 50% off mattresses & up to 66% off bundles
With the Nectar Adjustable Bundle, you get both a new mattress and a frame for modifying your sleep posture. This adjustable bed and pressure-relieving mattress can make it easier to find a comfortable sleep position with less strain on the lower back.
Price
$1,398
Sizes
Twin XL, Full, Queen, King, Split King
Our Verdict
Who it’s best for:
Nectar’s Adjustable Bundle is a compelling choice for people with sciatica because it enables more experimentation to find an optimal sleeping position. The mattress tends to work best for side and back sleepers under 230 pounds.
Feel:
With a medium firm (6) mattress and a frame that can raise the upper and lower body, the Nectar Adjustable Bundle feels comfortable and supportive. For sciatica sufferers, this bundle may be a step toward pain relief and deeper sleep.
What it’s made of:
Nectar mattresses use memory foam in their top layers for excellent pressure relief. Depending on the model, the base layer is either dense polyfoam or metal coils. The adjustable frame is made of metal and controlled with a remote.
What we don’t like:
The bundle is not available in all standard sizes. Some sleepers over 230 pounds may find the mattress to lack firmness.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
Full Details
The Nectar Adjustable Bundle is a good option for anyone with sciatica who enjoys the even conforming of memory foam and sleeping with their head or legs elevated. In addition to a mattress and adjustable bed, your bundle also includes pillows, sheets, and a mattress protector — all at a reasonable price.
How It Performs
You can choose from Nectar’s six mattresses for your bundle. The three all-foam models — Classic, Premier, and Luxe — excelled at motion isolation and pressure relief during our tests. If you’re looking for a bit more support and bounce, the Classic Hybrid, Premier Hybrid, and Luxe Hybrid may be a better match for your needs. These models were especially popular among our back and stomach sleepers between 130 and 230 pounds.
The base also impressed us with its versatility, as it allows you to elevate your head and legs with a wide range of motion for position angles. Dual-zone head and foot massage soothe your sore spots after a long day. Other features include USB ports for charing your electronics overnight and adjustable legs if you want more or less under-bed clearance.
Construction Breakdown
The three Nectar foam mattresses are fairly similar in terms of design, varying slightly in height and construction while all offering the same general features. Each is composed of a memory foam comfort layer, polyfoam transitional layer, and high-density foam base, and all three are considered medium firm (6).
Likewise, the three Nectar hybrids consist of memory foam comfort layers, polyfoam transitional layers, and support cores with pocketed coils and base foam layers. All three are firm (7), but you’ll still notice some contouring on the surface.
The sticker price for this mattress is quite approachable and Nectar offers free ground shipping anywhere in the contiguous U.S. Each purchase includes a sleep trial that allows you to test out the mattress for up to 365 nights, as well as a lifetime warranty for those who keep the mattress after the return period expires.
Best Mattress for Back Pain
Helix Dusk Luxe
9.7 /10
Test Lab Score
20% off sitewide + 2 free Dream Pillows with a mattress purchase. Code: cybersale20
20% off sitewide + 2 free Dream Pillows with a mattress purchase. Code: cybersale20
The Helix Dusk Luxe is built to relieve stress and strain on the lower back, which can make a world of difference for people with sciatica. It softens impact around the joints without causing excessive sinkage, and, in the process, promotes a neutral spinal position.
Credit: Sleep Foundation Test Lab
Price
$1,899
Mattress Type
Hybrid
Firmness Options
Medium Firm (6)
Trial Period
100 nights (30-night requirement)
Our Verdict
Who it’s best for:
Our testing found that the Helix Dusk Luxe performed extremely well for side and back sleepers of almost any weight. Its sturdy edge support also makes it a good fit for people who frequently sleep or sit near the outside of their mattress.
Feel:
The Dusk Luxe is a medium firm (6) mattress, and its overall feel is a balanced mix of cushioning and pushback. Our testers also felt strong support around the edge and under the heavier parts of the body.
What it’s made of:
The hybrid design of the Dusk Luxe includes one layer of memory foam and two layers of polyfoam. The base of the mattress is constructed with bouncy coils and an underlying layer of shock-absorbing polyfoam.
What we don’t like:
The mattress can feel too soft to many stomach sleepers. Options for cooling covers come at an additional cost.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 1230 validated customer reviews of the Helix Dusk Luxe. This is what people who bought the mattress had to say:- Comfort Level: Many users find the Helix Dusk Luxe mattress to be extremely comfortable, offering a good balance of support and softness, which helps in reducing back and hip pain.
- Pain Relief: Users have reported significant relief from back, hip, and neck pain, attributing this to the supportive nature of the mattress.
- Durability Concerns: Some reviewers have expressed concerns about the mattress’s longevity, noting issues such as sagging and loss of support over relatively short periods.
- Edge Support: Positive comments are made about the edge support of the mattress, allowing users to utilize the entire surface without feeling like they are going to roll off.
- Cooling Features: The mattress is often praised for its cooling features, helping sleepers maintain a comfortable temperature throughout the night.
- Customer Service: There are varying experiences with customer service; some report positive and helpful interactions, while others find it difficult to resolve issues through customer support.
Full Details
The Helix Dusk Luxe is a hybrid model that balances strong support with cushioning layers. We found the medium firm (6) feel and well-rounded design appealed to a wide variety of testers in our lab. This mattress may be attractive to co-sleepers looking for a happy medium to accommodate different body types and sleep preferences.
How It Performs
The memory foam and polyfoam layers delivered strong pressure relief during our tests while protecting against excessive sinkage. The Dusk Luxe was a good fit for our testers who enjoy a little bit of body hug from foam, but not too much. While the coils gave the bed a moderately bouncy feel, the thick foam comfort system absorbed a lot of motion. This may appeal to couples who need a bed that prevents motion from easily transferring across the surface. The bed was well suited for most side sleepers on our team, but back and stomach sleepers up to 230 pounds also found the bed fairly comfortable.
Construction Breakdown
One of this mattress’ standout features during testing was the Euro-top cover, which creates an instantly plush surface to cradle your body. This sits atop a layer of higher density polyfoam, followed by a thicker layer of memory foam that contours to your body. A transitional polyfoam layer further promotes contouring but is also a bit firmer to keep your body from sinking too deep. The bed’s strongest support comes from the core of pocketed coils, which are specially zoned to enhance lumbar support and help ensure your spine is properly aligned.
Helix offers a 100-night sleep trial and a 15-year warranty if you decide to keep the bed. Shipping is free throughout the contiguous U.S.
Most Comfortable Mattress
Leesa Sapira Hybrid
8.9 /10
Test Lab Score
20% off mattresses + 2 free pillows with purchase, 15% off kids’ mattresses, and 20% off bases and bedding
20% off mattresses + 2 free pillows with purchase, 15% off kids’ mattresses, and 20% off bases and bedding
If sciatica is affecting your ability to get comfortable, the Leesa Sapira Hybrid may be your ticket to better sleep. With carefully crafted layers, this mattress eases pressure in your lower back while keeping your body even and supported.
Price
$1,599
Mattress Type
Hybrid
Firmness Options
Medium Firm (6)
Trial Period
100 nights (30 night requirement)
Our Verdict
Who it’s best for:
Offering ample pressure relief, the Sapira Hybrid is great for side sleepers at any weight and back and stomach sleepers under 230 pounds. It minimizes overheating, making it a solid option for hot sleepers, too.
Feel:
The Leesa Sapira Hybrid is medium firm (6) and provides gentle cushioning for high-impact zones like the hips, midsection, and shoulders. At the same time, it has plenty of springiness and stability to resist sinkage.
What it’s made of:
The top section of the mattress uses four distinct layers of foam, including memory foam and ventilated polyfoam. The support core includes tall innerspring coils and a base layer of high-density foam for extra stability.
What we don’t like:
Back and stomach sleepers over 230 pounds often find the mattress to be too soft. Its price-point exceeds the budget of some shoppers.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 2257 validated customer reviews of the Leesa Sapira Hybrid. This is what people who bought the mattress had to say:- Comfort and Support: Many reviewers mention the mattress’s blend of comfort and support, often highlighting its suitability for side and back sleepers, and its ability to alleviate or prevent pain (back, hip, or shoulder).
- Temperature Regulation: Several users appreciate that the mattress does not retain excessive heat, making it comfortable for those who tend to sleep hot.
- Durability and Longevity: Positive comments on how the mattress maintains its shape and comfort over several years without sagging or indentations.
- Motion Isolation: Couples often point out the mattress’s ability to minimize motion transfer, allowing partners to move without disturbing each other.
- Odor and Off-gassing: Some mention initial off-gassing smells upon unpacking, but most report that the odor dissipates quickly.
- Edge Support: Good reviews on the edge support of the mattress, which is important for those who sit on the edge of the bed or sleep near the edge.
- Value for Money: Many users feel that the mattress provides good value for the price, especially given its comfort and durability features.
Full Details
The Leesa Sapira Hybrid’s foam-over-coil design ensures plenty of cushioning for your sensitive areas affected by sciatica pain. The thick comfort system contours evenly to distribute your weight, while the support core provides great overall stability to prevent excessive sinkage beneath your torso and hips. Cooling components also help reduce heat buildup to maintain a comfortable sleep temperature.
How It Performs
During hands-on tests, the Sapira Hybrid earned excellent ratings from side sleepers weighing up to 230 pounds and back sleepers under 130 pounds. We also found that the mattress is a solid choice for couples thanks to the strong edge support, above-average motion isolation, and bouncy surface.
Temperature control proved to be another major strength. Steady airflow through the coil system and the aerated top layer effectively minimize bothersome heat retention — a common issue with foam hybrids. We recommend this mattress to hot sleepers who have had bad experiences with foam in the past.
Construction Breakdown
The Sapira Hybrid’s top layer is composed of adaptive polyfoam with airflow channels to promote circulation on the sleep surface. Additional memory foam and transitional polyfoam layers add to the cradling effect. Each layer is progressively denser, so you’ll notice some pushback as you settle into the mattress. This prevents you from sinking into the support core.
Pocketed coils and dense base foam give the mattress a robust, responsive feel, but the foam layers absorb movement to prevent disruptive noise and motion transfer. A breathable knit cover encases the mattress. Our team has rated the Sapira Hybrid as medium firm (6). Since the mattress measures 11 inches thick, you won’t need to invest in a fitted sheet with deep pockets.
The Sapira Hybrid is competitively priced and standard shipping is free to all 50 states. You’ll also receive two complimentary pillows with your order. Leesa’s sleep trial spans 100 nights in length, during which you may return the mattress for a full refund. If you decide to keep it, your purchase is further backed by a 10-year warranty against structural and material defects.
Best Mattress for Side Sleepers
Nolah Evolution 15
9.2 /10
Test Lab Score
35% off mattresses + 2 free pillows
35% off mattresses + 2 free pillows
The Nolah Evolution delivers essential support for side sleepers with sciatica. It has the right level of cushioning to keep the hips and shoulders aligned and reduce the risk of sciatica flare-ups.
Credit: Sleep Foundation Test Lab
Price
$1,624
Mattress Type
Hybrid
Firmness Options
Medium (5), Medium Firm (6), Firm (8)
Trial Period
120 nights (30-night requirement), $99 return pickup fee
Our Verdict
Who it’s best for:
The Nolah Evolution 15 is effective for most side sleepers, who usually prefer the luxury firm (6) feel. People under 130 pounds may prefer the medium (5) option, and some side sleepers over 230 pounds may want the firm (8) model.
Feel:
Our testing team found that the Nolah Evolution 15 has an inviting feel, supporting hot spots like the midsection and lower back. Firmness varies by model with medium (5), medium firm (6), and firm (8) options.
What it’s made of:
This mattress checks in at 15 inches tall. Its comfort layers include four layers of resilient polyfoam that create cushioning without sinkage. The support core is made with tall pocketed coils that are reinforced to bolster the heaviest parts of the body.
What we don’t like:
The mattress is taller than most and may require sheets with deep pockets. Nolah charges a $99 fee for return shipping.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 897 validated customer reviews of the Nolah Evolution 15. This is what people who bought the mattress had to say:- Motion Isolation: Couples frequently mention that the mattress is good at isolating motion, making it less likely for one partner to disturb the other during the night.
- Edge Support: The edge support of the mattress is frequently highlighted, with many finding it adequate for sitting or sleeping near the edge without feeling like they will roll off.
- Softness: Many reviewers discuss the softness of the mattress. Some find it too soft, causing discomfort, especially for heavier individuals, while others appreciate the plushness.
- Comfort and Support: Several users mention that the mattress provides excellent comfort and support, helping alleviate or prevent back and joint pain.
- Heat Retention: A few reviewers note that the mattress retains heat, making it uncomfortable for some, particularly in warmer climates or for those who sleep hot.
- Durability and Quality: Users often comment on the high quality and durability of the mattress, noting that it maintains its shape and comfort over time.
Full Details
The Nolah Evolution 15 is a quintessential hybrid because it contours to the body and alleviates pressure for side sleepers without sacrificing the support of a coil system. This construction also facilitates airflow and creates a supportive perimeter for those who have trouble getting in and out of bed.
How It Performs
The mattress is available in three firmness levels – medium (5), medium firm (6), and firm (8) – so virtually anyone can choose a feel that suits their body type, sleep position, and pressure relief needs. Edge support is particularly robust for the two firmer models. The coils promote consistent air circulation throughout the interior and the cover is quilted using proprietary ArcticTex fibers, so overheating won’t be an issue for most people.
Construction Breakdown
A Euro-top cover padded with soft foam creates a plush surface, while two additional foam layers provide additional cushioning for sensitive areas along the spine. The support core is divided into zones based on gauge, or coil thickness. This provides extra reinforcement for the lower back and hips – two areas of the body greatly affected by sciatica pain. Sturdier coils also line the perimeter to prevent deep sinkage when you get in and out of bed.
Six standard sizes are available, as well as a split king size for adjustable beds. Nolah offers free ground delivery to anyone in the contiguous U.S. The company’s sleep trial runs 120 nights in length, but you can opt out of the trial to knock some money off of the asking price. All Evolution 15 mattresses are covered by lifetime warranties against structural defects.
Best Mattress for Spinal Alignment
Bear Elite Hybrid
8.5 /10
Test Lab Score
35% off + free pillows with code: SF35
35% off + free pillows with code: SF35
The Bear Elite Hybrid has a well-designed mix of layers that encourage healthy spinal alignment. As an added bonus, its specialty materials are crafted to sleep cool and contribute to overnight muscle recovery.
Credit: Sleep Foundation Test Lab
Price
$1,499
Mattress Type
Hybrid
Firmness Options
Medium (5), Medium Firm (6), Firm (8)
Trial Period
120 nights (30-night break-in period)
Our Verdict
Who it’s best for:
This mattress is a top pick for sleepers looking for support, pain relief, and a comfortable sleeping temperature. Its materials work together to gently cradle the joints, aid spinal alignment, and combat heat buildup.
Feel:
Cooling comfort is a hallmark of the Bear Elite Hybrid. Coils create springiness and sturdiness while memory foam lightly cradles the body to relieve joint pressure. The overall feel varies based on the firmness option you select.
What it’s made of:
The mattress includes copper-infused memory foam and zoned polyfoam in its top layers. Dense polyfoam and thick coils serve as its base of support. The cover features a special fabric called Celliant intended to enhance muscle recovery and temperature control.
What we don’t like:
Some fitted sheets won’t fit this 14-inch-tall mattress. A noticeable smell from the foam materials usually lasts for up to a few days after unpacking the mattress.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 3703 validated customer reviews of the Bear Elite Hybrid. This is what people who bought the mattress had to say:- Comfort and Support: Many reviewers highlight the mattress’s balance of comfort and support, often mentioning relief from back pain and improved sleep quality.
- Firmness Options: Customers appreciate the various firmness options, with some opting for firmer versions after experiencing discomfort with medium firmness.
- Temperature Regulation: Several reviews note the mattress’s ability to stay cool, which enhances sleep quality, especially in hot weather.
- Size and Upgrade Options: Customers are pleased with the availability of different sizes and the option to upgrade, which provides flexibility for different needs and preferences.
- Quality of Additional Products: Positive remarks on the quality of accompanying products like pillows and sheets, which are often included as free additions.
- Miscellaneous: Some mixed reviews on edge support and occasional comments about the mattress being too firm or too soft for some users’ preferences.
Full Details
Bear offers a lineup of mattresses that cater to different budgets and needs. The Bear Elite Hybrid is a luxury option with a thick comfort system and supportive coils, creating a well-rounded design that makes this bed an optimal choice if you have persistent hip pain.
How It Performs
We tested all three of the Elite Hybrid’s firmness levels. Our side and back sleepers weighing up to 230 pounds felt most comfortable on the medium design. These models contoured closely to cradle our spines and alleviate pressure in our hips, lower back, and other areas affected by sciatica pain. The medium firm feel earned favorable ratings across the board, though the highest marks came from our side sleepers between 130 and 230 pounds and back sleepers weighing up to 230 pounds. Lastly, we recommend the firm feel to side sleepers over 230 pounds, back sleepers of at least 130 pounds, and stomach sleepers between 130 and 230 pounds. Our testers who fall into these groups received adequate support and light, even conforming from the firm design.
We were impressed by the Elite Hybrid’s cooling abilities during our temperature control tests. Our thermal sensors detected minimal heat buildup, and our testers felt comfortable lying on the mattress. We attributed this to the breathable cover and coils, which generate airflow throughout the interior and help the mattress sleep comfortably any time of year – even on hot and humid nights. The thick foam layers also allowed the Elite Hybrid to excel when we tested it for motion isolation, as our testers didn’t notice any movement on their side of the mattress. We also found the Elite Hybrid easy to move across and didn’t sink excessively along the edges.
Construction Breakdown
The Elite Hybrid is available in three firmness levels: medium (5), medium firm (6), and firm (8). All three designs begin with a memory foam comfort layer infused with copper, a material with natural cooling properties. The polyfoam transitional layer is divided into five firmness zones to reinforce the midsection while gently cushioning the head, shoulders, and legs.
Pocketed coils and dense base foam make up the support core. Thicker coils line the perimeter to push back against your weight and prevent deep sinkage when you lie close to the edges or get in and out of bed. The cover is a blended fabric containing Celliant, an innovative material that absorbs and releases heat to maintain a cool surface at all times.
Bear offers free ground shipping throughout the contiguous U.S. You can receive two free pillows with your Elite Hybrid purchase or upgrade to a sleep accessories bundle that includes two pillows, a sheet set, and a mattress protector at a discounted price. The mattress comes with a 120-night sleep trial and is further backed by a lifetime warranty if you decide to keep it.
Best Mattress for Pressure Relief
Brooklyn Bedding Signature Hybrid
8.4 /10
Test Lab Score
25% off storewide/sitewide. Code: GIFT25
25% off storewide/sitewide. Code: GIFT25
The Brooklyn Bedding Signature Hybrid offers people with sciatica a great combination of cushioning and support. This makes for a mattress that relieves pressure, especially around the lower back and hips.
Credit: Sleep Foundation Test Lab
Price
$999
Mattress Type
Hybrid
Firmness Options
Medium Soft (4), Medium Firm (6), Firm (8)
Trial Period
120 nights (30-night requirement)
Our Verdict
Who it’s best for:
This mattress is best for side and back sleepers who struggle with sciatica. With three firmness levels, most sleepers can find a model that feels comfortable and aligns with their sleep needs.
Feel:
The Signature Hybrid has a responsive feel, meaning you’ll notice a degree of bounciness in addition to modest cushioning. It will feel more like you’re sleeping on top of the mattress rather than sinking into it.
What it’s made of:
This mattress has a plush quilted cover which sits on top of two polyfoam layers that offer exceptional pressure relief. The pocketed coils make up a support core that provides essential support for your body weight.
What we don’t like:
There’s a $99 fee for returns. Foam materials can make it harder to move on the mattress, especially on the softer models.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 10000 validated customer reviews of the Brooklyn Bedding Signature Hybrid. This is what people who bought the mattress had to say:- Comfort and support: Many reviewers mention that the mattress is very comfortable and provides good support for various sleeping positions.
- Improvement in sleep quality: Several users report a significant improvement in sleep quality, including better rest and reduced pain.
- Firmness options: People appreciate the availability of different firmness levels, and some discuss their experiences with medium, firm, or pillow-top options.
- RV suitability: A number of reviews specifically mention using the mattress in RVs, noting it as a substantial upgrade from typical RV mattresses.
- Initial odor/smell: Some reviewers note a mild odor upon unpacking, but it typically dissipates quickly.
- Edge support: The mattress is often noted for having good edge support, which is particularly valued by those who sit on the edge of the bed.
- Price and value: Many reviewers feel the mattress is well-priced for the quality and comfort it provides.
- Durability concerns: A few reviewers express concerns about how the mattress will hold up over time, although these comments are not widespread.
Full Details
The Brooklyn Bedding Signature Hybrid has a balanced design that delivers strong pressure relief without falling short on support. Available in three firmness options, the bed earned high ratings across many performance categories when we tested it in our sleep lab.
How It Performs
During testing, the medium soft model earned the highest marks from side sleepers weighing up to 230 pounds and back sleepers under 130 pounds. The medium firm model felt most comfortable to side and back sleepers between 130 and 230 pounds, while the firm option performed well with back and stomach sleepers over 130 pounds.
The foam comfort system adapts to your body and helps prevent uncomfortable pressure buildup. That said, we never found the surface excessively soft, due in large part to the coils and the responsive feel of the polyfoam. Our testers also reported minimal heat retention, since air circulates through the coils. If overheating is a concern, you may purchase a GlacioTex Cooling Cover to help keep the surface cool.
Construction Breakdown
The mattress is designed in three firmness levels: medium soft (4), medium firm (6), and firm (8). All models feature a cover quilted with polyfoam, followed by a layer of Supreme Response Comfort Foam that cushions your body gently and has a moderately responsive feel. Beneath is a VariFlex polyfoam layer that conforms to the body but is dense enough to prevent sinkage.
All firmness options feature the same sequence of foam layers, but the thickness of the layers differs in the firm model. Each mattress contains a support core made of pocketed coils with a reinforced perimeter for strong edge support.
Brooklyn Bedding offers a 120-night sleep trial to try the mattress at home, and the bed is backed by a 10-year warranty. Shipping is free to addresses in the contiguous U.S.
Best Luxury Mattress
Saatva Rx
8.7 /10
Test Lab Score
Buy more, save more. Up to $500 off.
Buy more, save more. Up to $500 off.
The Saatva Rx offers multiple levels of luxury. Not only does its innovative design provide a regal, cloud-like sleep surface, but it comes with free installation for painless and stress-free setup.
Price
$2,801
Mattress Type
Hybrid
Firmness Options
Medium Soft (4)
Trial Period
365 Nights ($99 Return Fee)
Our Verdict
Who it’s best for:
The Saatva Rx is a near-perfect match for side sleepers under 130 pounds. Its support and cushioning also works for many back and stomach sleepers under 130 pounds as well.
Feel:
The Saatva Rx has an inviting medium soft (4) feel that deeply cushions your body without feeling suffocating. A reinforced lumbar area creates support instead of sinkage around the lower back.
What it’s made of:
This mattress has a unique hybrid design. The top layers include thick polyfoam and lumbar padding with quilted fabric and gel-infused memory foam. Micro-coils rest on top of metal coils, each of which is topped with a small piece of foam that reinforces support and limits vibration on the mattress surface.
What we don’t like:
The plush feel lacks firmness for many sleepers, including most people over 230 pounds. The Saatva Rx has a luxury price-point, and Saatva charges $99 if you decide to return the mattress.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 40 validated customer reviews of the Saatva Rx. This is what people who bought the mattress had to say:- Comfort and Support: A significant number of reviewers mentioned the comfort and support provided by the Saatva Rx mattress, particularly for those with chronic pain or orthopedic issues. Users reported significant improvements in sleep quality and reductions in pain.
- Product Quality: Feedback on the quality of the Saatva Rx mattress was overwhelmingly positive. Reviewers felt that the mattress was well-made and worth the investment, often citing the materials and construction as superior to other brands.
- Temperature Regulation: Some reviewers appreciated the temperature regulation features of the mattress, noting that it stayed cooler than other mattresses they had used, which contributed to a better sleep experience.
- Issues with Firmness and Support: While most feedback was positive, a few reviewers noted issues with the firmness and support of the mattress, particularly concerning edge support and suitability for lighter individuals. These were minor compared to the overall positive feedback but were important for some buyers’ comfort.
- Return and Exchange Policy: Saatva’s return and exchange policy was frequently mentioned as a positive aspect, with customers feeling reassured by the ability to return or exchange the mattress if it did not meet their needs. This policy enhanced customer confidence in making a purchase.
Full Details
The Rx is Saatva’s first mattress model created specifically for people with sciatica and other types of back pain. A dense foam pad in the comfort system cushions and reduces pressure in the lumbar region, while two coil layers reinforce your body and help keep you on an even plane. After testing the Rx, our team determined its firmness level is medium soft (4). This makes it much softer and more adaptive than the average hybrid model.
How It Performs
As a softer-than-average hybrid mattress, the Rx performed well in some areas where other hybrids tend to fall short. Despite the coil-on-coil construction, we found the Rx was soft and adaptive enough to significantly isolate motion. The lumbar pad also helps the mattress alleviate pressure well. Another strength of this mattress is temperature control. Both coil layers promote internal airflow, and a breathable organic cotton cover encases the mattress to help the surface stay cool.
During our tests, the Rx was most popular among side sleepers on our team. Those weighing up to 230 pounds were particularly impressed. Although our back and stomach sleepers under 130 pounds enjoyed the Rx, heavier individuals in these position categories found the mattress too soft — and some sank to an excessive degree.
Construction Breakdown
The Rx’s comfort system begins with the “lumbar crown,” a strip of memory foam located directly beneath your lower back. The next layer consists of microcoils encased in dense foam, which help keep your body on an even plane. The coils are somewhat responsive, so they’ll cradle your sore spots without the deep hug people often experience on memory foam.
Unlike traditional pocketed coils, the Rx’s are topped with foam to provide extra cushioning. The foam also muffles noise and reduces motion transfer, making the mattress a decent option for co-sleepers. Thicker coils line the perimeter to push back against your weight when you sleep near the edges or get in and out of bed. At 15 inches, the Rx is exceptionally tall compared to the average mattress.
As is the case with other Saatva models, the Rx is fairly expensive, but your order comes with free White Glove delivery that includes full assembly in a room of your choice and removal of your old mattress and box spring at no extra charge. You’ll also receive a generous 365-night sleep trial. If you choose to keep the mattress, it’s further backed by a lifetime warranty against manufacturing defects.
Best Mattress for Hip Pain
Birch Luxe
8.9 /10
Test Lab Score
20% off sitewide + 2 free Eco-Rest Pillows with a mattress purchase. Code: cybersale20
20% off sitewide + 2 free Eco-Rest Pillows with a mattress purchase. Code: cybersale20
If you have sciatic pain that radiates around your hip, you may find relief from the balanced support of the Birch Luxe. Its combination of natural and high-end materials offers a soothing blend of responsiveness, joint cushioning, and support for the lower back.
Credit: Sleep Foundation Test Lab
Price
$2,099
Mattress Type
Latex Hybrid
Firmness Options
Medium Firm (6)
Trial Period
100 nights (30-night requirement)
Our Verdict
Who it’s best for:
The Birch Luxe is a leading option for eco-conscious shoppers. It also provides high-end performance that suits side sleepers over 130 pounds and most back and stomach sleepers under 230 pounds.
Feel:
The Birch Luxe is medium firm (6) and gives light cushioning to the body, including targeted support for pain points like the hips. It has impressive edge support and sleeps incredibly cool.
What it’s made of:
The mattress includes multiple layers of organic wool on top of two different layers of responsive organic latex. The support core is made with pocketed coils and a base of wool batting. The cover is quilted with organic cotton and wool.
What we don’t like:
The bounce of the Birch Luxe can transfer vibrations from a partner’s movement across the surface of the bed. Its price may not be affordable to many shoppers.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 163 validated customer reviews of the Birch Luxe. This is what people who bought the mattress had to say:- Organic and Eco-Friendly: The mattress is appreciated for being made from natural materials, which is a significant plus for environmentally conscious consumers and those sensitive to chemicals.
- Heat Regulation: Several users have noted that the mattress does not retain heat, making for a cooler sleeping experience compared to other brands.
- Motion Isolation: Couples have reported that the mattress does a good job of isolating motion, meaning that partners are not disturbed by each other’s movements during the night.
- Heavy and Difficult to Set Up: Some negative feedback includes the mattress being heavy and difficult to set up, which could be a challenge for some buyers.
- Price: The mattress is more expensive than other options, but many users feel that the quality and comfort justify the cost.
- Customer Service: There are mixed reviews on customer service, with some customers experiencing great service, while others faced challenges, particularly concerning delivery and handling issues.
Full Details
The Birch Luxe builds on the latex hybrid design of Birch’s flagship mattress with a Euro-top surface, additional padding layers, and a zoned support system. The adaptive, medium firm (6) feel is particularly well suited to people with sciatica and other conditions that cause lower back or hip pain.
How It Performs
Compared to other latex hybrids we’ve tested, the Birch Luxe feels remarkably plush — our testers attributed this quality to the deep batting layers cushioning the Euro-top. At the same time, we noticed extra support from the zoned coil system. Most of our testers experienced minimal sinkage around the lower back and hips. Testers weighing 130 to 230 pounds were particularly impressed with the Luxe, as side, back, and stomach sleepers in this weight range all awarded the mattress stellar ratings.
Temperature control was one of the Luxe’s major highlights during our hands-on tests. The batting layers wicked moisture away to keep us dry, the latex retained little heat, and the coils circulated air throughout the interior. As a result, our thermal sensors didn’t detect much heat build up. We also awarded high marks to the Luxe for edge support and ease of movement, common strengths of latex hybrid models.
Construction Breakdown
The Luxe features a Euro-top containing four individual batting layers. Rayon, organic wool, and organic cashmere create a cloud-like surface with deep cushioning for your body. These materials also excel at breathability and moisture control, allowing you to stay cool and dry while you sleep. A layer of proprietary Pulse latex, which feels both adaptive and gently responsive, rounds out the comfort system.
The Luxe’s support core contains pocketed coils over a wool and rayon batting base layer. Thicker coils rest beneath your lumbar region, ensuring extra reinforcement for the lower back and hips to target sciatica-related aches and pains. The perimeter is also reinforced, providing pushback when you lie near the edges or get in and out of bed. An organic cotton cover encases the mattress. The cotton, wool, and cashmere components have all earned certification from the Global Organic Textile Standard, a leading authority for sustainably sourced materials.
The Luxe’s price-point is reasonable given the high-end design, and shipping is free to customers in all 50 states. You’ll also receive two complimentary pillows with your purchase. Each mattress order is backed by a 100-night trial and a 25-year warranty.
Best Mattress for Combination Sleepers
iSense Hybrid Premier
8.6 /10
Test Lab Score
20% off sitewide
20% off sitewide
The iSense Hybrid Premier caters to people with sciatica who switch between different sleeping positions or whose firmness needs change along with their symptoms. With this mattress, you can adjust firmness in real-time to enhance comfort and spinal alignment.
Credit: Sleep Foundation Test Lab
Price
$3,999
Mattress Type
Hybrid
Firmness Options
Soft (3), Medium Soft (4), Medium (5), Medium Firm(6), Firm (7)
Trial Period
180 Night (45-night requirement)
Our Verdict
Who it’s best for:
Because its firmness level is adjustable, the iSense Hybrid Premier can meet the needs of almost any sleeper. It is especially suited to combination sleepers. Couples also love that each side of the bed can have a different feel.
Feel:
The iSense Hybrid Premier can feel anywhere from soft (3) to firm (7) based on how you set the firmness level. It provides light contouring for the joints and has above-average edge support.
What it’s made of:
This hybrid mattress has a top layer of gel-infused polyfoam above a 5.5-inch air chamber that can be inflated or deflated in the moment to adjust firmness. The support core includes pocketed innerspring coils that rest on a vibration-absorbing layer of dense polyfoam.
What we don’t like:
The price of this mattress puts it out of reach for many shoppers. It also can’t be set to extra firm (8-9) levels, which may disappoint some sleepers over 230 pounds.
Scoring Breakdown
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
Full Details
iSense’s Hybrid Premier combines the adjustable chambers of classic airbeds with the unparalleled support of steel coils. The result is a mattress that provides your ideal level of cushioning on the surface without sacrificing stability or temperature control. Sensors embedded in the mattress also track your sleep position changes, heart and breathing rate, and other data points. You’ll receive a daily score each morning based on the previous night’s sleep quality and duration.
How It Performs
The Hybrid Premier wowed our testing team with its smart functions and capabilities. Transitions between different firmness levels were fairly seamless, and the coils provide enough support to prevent the sinkage that can occur on adjustable beds with air chambers. Most of our team members were able to pinpoint a firmness that met their needs in all three sleep positions.
Couples may notice a bit of motion transfer during the night, but the mattress shouldn’t be too bouncy or disruptive. The coils also promote enough airflow to maintain a comfortable internal temperature, while the open-cell foam layer resists heat buildup to keep the surface cool.
Construction Breakdown
The Hybrid Premier begins with a comfort layer of adaptive foam that contours evenly to your body’s unique curves. This foam has an open-cell composition, so bothersome heat retention shouldn’t be an issue. A total of 14 cylindrical air chambers rest beneath the foam. Add or remove air from each chamber to change how that part of the mattress feels. This makes the Hybrid Premier particularly well suited to couples with different firmness preferences.
You can adjust the firmness of each chamber between soft (3), medium soft (4), medium (5), medium firm (6), and firm (7). Pocketed coils with a dense foam encasement provide robust support regardless of your preferred levels. The cover is composed of a stretchy poly-spandex blend. You’ll need the iSense companion app — free to download on iOS and Android devices — to access your sleep data and other features, such as sleep coaching programs. Seven sizes are available, including standard queen, king, and California king options for couples. You can also opt for a flex-head king, split king, or flex-head California king if you and your partner share an adjustable bed.
The Hybrid Premier’s expensive sticker price reflects its cutting-edge, customizable design, but those in the contiguous U.S. qualify for free ground shipping with their purchase. You’ll also receive a generous sleep trial allowing you to test the mattress for up to 180 nights before deciding whether to return it for a refund or keep it. If you opt for the latter, your mattress is further covered under a 10-year manufacturer’s warranty.
End-of-Year Savings
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Save $450
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Nectar Classic
$649 (List Price $1,099) -
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Helix Midnight
$1,099 (List Price $1,374) -
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Brooklyn Bedding Signature Hybrid
$999 (List Price $1,332) -
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DreamCloud Mattress
$665 (List Price $1,330) -
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WinkBed
$1,499 (List Price $1,799)
Best Mattress Overall
Luxury Firm WinkBed
9.0 /10
Test Lab Score
Save $300 on all mattresses at Winkbeds
Shop at WinkBedsA strong all-around mattress that offers essential cushioning and support to people with sciatica.
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Best Value Mattress
Nectar Classic
8.3 /10
Test Lab Score
Up to 50% off mattresses & up to 66% off bundles
Shop at NectarAn affordable solution for people with sciatica needing to upgrade their sleep setup.
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Best for Back Pain
Helix Dusk Luxe
9.7 /10
Test Lab Score
Up to 30% off mattresses + 2 free pillows
Shop at HelixComfort, bounce, and back support create an appealing combination for people with sciatica.
See More Details
Most Comfortable
Leesa Sapira Hybrid
8.9 /10
Test Lab Score
20% off mattresses + 2 free pillows with purchase, 15% off kids’ mattresses, and 20% off bases and bedding
Shop at LeesaThoughtful construction plus quality materials equals a truly comfortable and supportive mattress.
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Best Mattress for Hip Pain
Nolah Evolution 15
9.2 /10
Test Lab Score
35% off mattresses + 2 free pillows
Shop at NolahDependable cushioning of the hips and shoulders that enhances sleep posture for side sleepers.
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Best for Spinal Alignment
Bear Elite Hybrid
8.5 /10
Test Lab Score
35% off + 2 free pillows. Use code: SF35
Shop at BearPressure relief and targeted support combine to optimize spinal alignment.
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Best for Pressure Relief
Brooklyn Bedding Signature Hybrid
8.4 /10
Test Lab Score
25% off storewide/sitewide. Code: GIFT25
Shop at Brooklyn BeddingMeaningful pressure relief from a well-built hybrid with a spring in its step.
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Best Luxury Mattress
Saatva Rx
8.7 /10
Test Lab Score
Buy more, save more. Up to $500 off.
Shop at SaatvaCloud-like comfort from a luxurious hybrid with a unique combination of materials.
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Best for Hip Pain
Birch Luxe
8.9 /10
Test Lab Score
25% off sitewide + 2 free pillows
Shop at BirchRobust, eco-friendly materials provide exceptional support to the hips and other joints.
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Best for Combo Sleepers
iSense Hybrid Premier
8.6 /10
Test Lab Score
20% off sitewide
Shop at iSenseAdjusting firmness in real-time keeps you supported even when you switch sleeping positions.
See More Details
Credit: Sleep Foundation Test Lab
Video: Best Mattresses for Sciatica
Watch the video below to get a closer look at some of our top mattress picks for sleepers with sciatica.
How We Test: Rigor, Data, and Sleeper Feedback
In our search for the best mattresses for sciatica, we zeroed in on mattresses with plenty of cushioning to ease pressure point pain. At the same time, we know that people with sciatica need solid support to keep their spines straight. That’s why most of our picks are hybrid beds — they strike the right balance between contouring and support — though some memory foam beds fit the bill as well. Many of our testers have experienced sciatica, or conditions like sciatica. We prioritized their feedback and combined it with data from our testing lab.
At Sleep Foundation, we’ve personally tested nearly 2,000 mattresses over the past eight years in our Seattle-based Test Lab.
Our product testing team obsesses over the science of sleep and the latest in sleep trends, and many of us have spent time working directly with manufacturers. Since a bed’s comfort and feel largely depends on your body weight and sleeping position, the testers on our team represent a wide range of body types, sleep positions, and comfort preferences.
To get to our selections for top picks, we evaluate mattresses across a number of performance and testing categories. Specifically, we look at construction analysis and pour over product research in our database. We conduct quantitative testing in our Seattle-based Test Lab, perform field testing in our homes, and perhaps most importantly, solicit feedback from owners to see how the bed sleeps in the real world.
To learn more about our mattress evaluation process, you can check out our research methodology page, but below is a quick breakdown.
Construction analysis: We begin by examining each mattress in terms of its design, making note of manufacturer specifications such as firmness and height. From there, we perform a detailed analysis to determine how materials and individual layers impact the bed’s ability to alleviate pressure, isolation motion, regulate temperature, and support your body.
Product testing: Using a slew of tools and tech resources, our team tests each mattress for performance in six individual categories. These tests also involve us lying on the mattress to gauge how comfortable and supportive it feels for different body types and sleep positions.
Field testing: In addition to our lab-based tests, we calculate ratings for mattresses based on feedback from field testers who use mattresses in their own homes. These testers provide data based on their experience with each bed over the course of several weeks.
User testing: Feedback from verified mattress owners also plays a role in our evaluation process. We collect data from surveys and product reviews to ensure our mattress ratings reflect real-world experiences.
Performance Categories
Motion Isolation
This criteria alludes to the amount of motion a mattress absorbs when a sleeper moves on the surface. We use two testers lying side by side to evaluate motion isolation, who each feel for transfer while the other person moves on the mattress.
Temperature Control
To determine how well a mattress regulates temperature, we perform temperature tests and look closely at its materials and construction. Many mattresses are designed with cooling components meant to reduce heat retention.
Pressure Relief
A bed with strong pressure relief excels at preventing pressure from building up in areas like the shoulders and hips. Beds with even contouring and weight distribution are top performers when it comes to pressure relief.
Off-Gassing
A mattress in a box may release unpleasant chemical odors for a short period after you’ve unboxed it. The initial smell may be strong but typically fades within 2 or 3 days.
Ease of Movement
This criteria reflects how easily a sleeper can move across a bed’s surface. Responsive surfaces made of latex typically perform better than foam surfaces, which can inhibit movement.
Edge Support
We perform sit tests along a bed’s perimeter to measure how well the edges push back against weight. Mattresses with strong edge support have minimal sagging when sleepers sit on or lie close to the perimeter.
What Is Sciatica?
“Sciatica occurs when the sciatic nerve, which runs from your lower back down through your legs, becomes irritated or compressed,” says Dr. Cotliar. “When this happens, you may feel pain that travels from your lower back through your hip and buttock and down your leg. This nerve compression can be caused by several conditions, including a herniated disc, narrowing of the spine (spinal stenosis), or tension in the piriformis muscle located in your buttock area.”
According to Dr. Cotliar, people with sciatica often experience a range of symptoms, including sharp or burning pain, numbness, tingling sensations, or muscle weakness in the affected leg. “These symptoms may get worse when sitting or standing for long periods. While most people find relief through non-surgical treatments like physical therapy and medication, some cases may need additional medical attention.”
What Is the Best Mattress Type for Sciatica?
Materials are the biggest driver of mattress performance. We classify mattresses based on their internal construction and layering. If you experience sciatica, knowing the pros and cons of each mattress type can help you pick the best option for your bedroom.
Foam
Foam mattresses are usually constructed in layers, with softer polyfoam or memory foam on top of a thicker, denser polyfoam base.
Memory foam offers impressive contouring that can help relieve pressure near the sciatic nerve, but some people find this material allows too much sinkage to feel supportive. By contrast, polyfoam tends to have less contouring and sink.
Hybrid
A hybrid mattress consists of materials like foam or latex above a thick support core made with innerspring coils. The performance of a hybrid can vary depending on its top layers, but these mattresses often appeal to people with sciatica because they offer a blend of responsiveness, support, and pressure relief.
Latex
A latex mattress involves one or more layers of either natural or synthetic latex rubber. Latex is known for being bouncy and durable, two important characteristics for a mattress for sciatica. Latex does not contour to the body as closely as other foams, but it provides solid support for many sleepers.
Airbed
An airbed’s support core is made of air chambers that can be inflated or deflated in real time at the touch of a button. Adding or removing air changes the bed’s firmness level. This makes it possible for people with sciatica to zero in on the optimal firmness at any given moment. However, airbeds tend to be more expensive than other mattresses, and their overall performance can vary based on the materials layered on top of the air chambers.
What Does Someone With Sciatica Need From Their Mattress?
If you have sciatica, having a mattress that properly cushions and supports can go a long way towards promoting comfort after a night’s rest. Sleeping with your spine in a healthy position is especially important. Spinal misalignment or prolonged contact with an unyielding surface during multiple hours of sleep can heighten pressure on the sciatic nerve in your back and may trigger or exacerbate pain.
When shopping for a mattress, considering factors like pressure relief, responsiveness, edge support, and durability can help identify a mattress that is well-suited for those with sciatic pain.
Pressure Relief
Pressure relief provides cushioning around impact points like your lower back, hips, and shoulders. Having enough cushioning can help take pressure off the sciatic nerve. That said, it’s important to balance pressure relief with support. Maintaining neutral spinal alignment in bed can help stop a pinch point from developing around your sciatic nerve.
If you have sharp pressure points, you may want a material like memory foam that closely contours to your body, though polyfoam and latex can also provide beneficial pressure relief.
Choosing the Right Firmness for You
For most people with sciatica, a medium to medium firm mattress is often the best option because it can properly cushion and support the area around the sciatic nerve in the lower back. A mattress that is too firm can cause excess impact in the lumbar area, and a mattress that is too plush may cause the body to sink, pulling the spine out of alignment.
At the same time, firmness is inherently subjective. What feels most comfortable to you may not feel right for someone else. The ideal firmness can also vary based on your weight and preferred sleep position.
How Sleeping Position and Body Weight Play a Role
When you experience sciatica, your sleeping position impacts your pressure points and support needs.
Sleeping on your side can promote spinal alignment if your mattress can relieve pressure around your hips and shoulders. Since sciatica is usually worse on one side, sleeping on the other side will keep pressure off tender areas. As long as your mattress offers enough support in the lumbar region, sleeping on your back should also feel comfortable. Sleeping on your stomach generally isn’t recommended because it can strain the lower back.
Another factor that can determine your ideal firmness level is your body weight. If you weigh over 230 pounds, you will sink more deeply into many mattress materials, which means a firmer mattress usually delivers better support. If you weigh under 130 pounds, a softer mattress may be necessary to get sufficient cushioning and contouring.
Responsiveness
A responsive mattress offers bounciness that makes it easier to move on the surface of the bed. If you have sciatica, responsiveness lets you quickly adjust your sleeping position to get comfortable. A bouncier mattress also helps keep you from feeling stuck in any one position. Latex and coils are known for being responsive.
Edge Support
Solid edge support can be especially important if your sciatica makes it difficult to get in and out of bed. A reinforced perimeter also ensures you have the stability and support you need, no matter where you lie down on the mattress surface.
Durability
Durability matters if you have sciatica because a worn-out mattress may develop body impressions or start to sag. A sagging mattress can’t provide proper cushioning or support, and this jeopardizes spinal alignment and raises the risk of placing excess pressure on the lower back and sciatic nerve.
Shipping and Delivery Services
Because sciatica can make it difficult to lift and maneuver heavy items, it’s worth thinking ahead about shipping and delivery of a new mattress. You may want to spring for White Glove delivery, which includes setup of your new mattress and removal of your old one. A few companies include this service for free, but it usually comes with an extra cost.
If you can safely lift and move heavy objects, you can opt for free standard shipping that is offered by most online mattress companies. With this option, the mattress is compressed to fit in a box that is delivered to your front door. Once you carry the box to your bedroom and remove the packaging, the mattress gradually decompresses to regain its full size.
Sleep Trials and Warranties
A sleep trial gives you a period of time to try a mattress with the option to return it for a refund. If you have sciatica, this allows you to make sure the mattress provides the comfort and support you need before committing to it long-term. Most online mattresses come with a sleep trial of around 100 days, but some trials last as long as a year.
A warranty is a type of purchase protection in case your mattress is faulty or defective. If your mattress starts to break down prematurely, it could worsen sciatic pain. If that happens, a robust warranty can help you get your mattress repaired or replaced without the significant expense of buying a new mattress.
Tips for Relieving Sciatica Pain During Sleep
Although dealing with sciatica can be a challenge, we’ve found that taking certain steps can complement the purchase of a good mattress and help provide relief for sciatic pain during sleep.
Talk to Your Doctor
Sciatica has many contributing factors, which makes it essential to work with your doctor to try to find pain relief. While upgrading your mattress may be helpful, it’s not a medical treatment, and only your doctor can provide tailored medical advice to address sciatica and enhance your sleep.
Use Pillows for Extra Support
To find the best sleeping position, it may help to have extra pillows that can support different parts of your body. This could include a pillow between your knees if you sleep on your side, a pillow under your knees when sleeping on your back, or a body pillow that you use to help you stay in a more comfortable position. Some experts suggest that elevating the upper body may help relieve sciatica pain.
Add a Mattress Topper or Pad
A mattress topper or pad can modify the feel of your bed in a way that may provide sciatica relief.
A mattress pad is thin and normally only adds a touch of extra softness. A heated mattress pad has thin, built-in wires that provide moderate warmth, which some people with sciatica find soothing.
Toppers are several inches thick and can more dramatically change mattress performance, such as by adding contouring pressure relief or bounce.
While a mattress topper or pad can be useful, remember that these products can’t make up for a mattress that is breaking down or sagging.
Do Stretches Before Bed
Light stretching may relieve tension before getting into bed. Be careful not to push too hard or do any stretches that make your pain worse. You can ask your doctor or a physical therapist for a personalized list of stretches. For sciatica, experts generally recommend stretches to improve spinal flexibility and relax the muscles of the back and core.
Dive Deeper – In-Depth Mattress Guides
Frequently Asked Questions
Sciatica affects sleep because it can cause significant pain and numbness. This discomfort can make it hard to fall asleep or stay asleep through the night. Many people find that sciatica pain flares up at night, further worsening its potential impact on sleep quality.
While an uncomfortable mattress doesn’t cause sciatica, it can contribute or make the problem worse. Sciatica happens when the sciatic nerve in the lower back becomes pinched. This can occur from an underlying problem, like a herniated or slipped disc. A mattress might not initially cause sciatica, but it could worsen the pain or contribute to the pressure placed on the sciatic nerve.
The optimal firmness for sciatica depends on your preferences, sleeping position, and body weight. In many cases, a medium or medium firm mattress is best for sciatica. A firm mattress may be better if you weigh over 230 pounds or sleep on your back or stomach. A softer mattress may be a better choice if you weigh under 130 pounds and sleep on your side.
There is no single best sleeping position for sciatica, though stomach sleeping isn’t recommended. Sleeping on your back or side typically works well as long as your body gets the right amount of cushioning and support to maintain proper spinal alignment. If your sciatica is worse on one side, you may find it more comfortable to sleep on the other side.
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