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Last updated: October 18, 2024

Edited by: Lisa Libutti, Sleep Wellness Specialist
Published: October 03, 2024
Back Science Series 2 Hybrid Mattress Review by Sleep Examiner: 4-8-Spinal Alignment
We tested spinal alignment for each mattress using The Mattress Checker App to objectively see which ones really do properly support your back.

Here Are The Top 5 Best Mattresses for Back Pain

Using our 10-Point Rating System

Rank Best For Back Pain Overall Rating Back Support All Sleep Positions Edge Support Sleeping Cool Warranty Trial Period Starting Price Shipping See Offer
1
BACK SCIENCE
9.7/10 10/10 10/10 9.5/10 10/10 30 year limited Warranty, 3/4 inch sag req. 365 nights with free returns $1,799 Free, Shipping rates apply for Alaska, Hawaii, and Canada
2
STEARNS & FOSTER
8.4/10 8.2/10 9.8/10 8.5/10 7.5/10 10 year limited warranty, 1.5 inch sag req. 30 to 90 nights $3,599 Free (contiguous US)
3
TUFT & NEEDLE
8.8/10 8/10 9.5/10 9/10 7/10 10 year limited warranty, 3/4 inch sag req. 100 night sleep trial $1,495 Free (surcharge for Alaska and Hawaii)
4
AVOCADO
8.4/10 7.8/10 8/10 8/10 9/10 25 year limited warranty, 1 inch sag req. 365 night sleep trial $1,399 Free (surcharge for Alaska and Hawaii)
5
HELIX
8.8/10 7.8/10 8/10 6.5/10 8/10 15 year limited warranty, 1.5 inch sag req. 100 night sleep trial $1,662 Free, Shipping rates apply for Alaska, Hawaii, and Canada

ON MOBILE: TAP TABLE AND DRAG LEFT TO SEE RATINGS

Our 5 Top-Rated Mattress Picks by Sleep Examiner

Back Science Series 2 Hybrid Mattress Bed System
#1 Top-Rated Mattress For Back Pain

Best mattress for back alignment, pressure relief, and spinal support.

Back Science Series 2 Mattress Rating
  • 1. Back Alignment & Overall Support - 10/10
    10/10
  • 2. Firmness & Pressure Relief - 9/10
    9/10
  • 3. Sleeping Position Compatibility - 10/10
    10/10
  • 4. Edge Support - 9.5/10
    9.5/10
  • 5. Cooling - 10/10
    10/10
  • 6. Eco-Friendly & Off-Gassing - 9.5/10
    9.5/10
  • 7. Motion Transfer / Motion Isolation - 9.5/10
    9.5/10
  • 8. Warranty - 10/10
    10/10
  • 9. Sleep Trial - 10/10
    10/10
  • 10. Customer & Trusted Ratings - 9.5/10
    9.5/10
9.7/10

Summary

Mattress Performance Score

Pros

  • Excellent Spinal Support: Lumbar-Flex system reduces back pain and prevents mid-section sinking.
  • Firmness Balance: Rated 6-8/10, ideal for back, side, and stomach sleepers.
  • Never Compressed: Full-size shipping ensures better coil system stability.
  • 365-Night Trial: Includes free custom adjustments, exchanges, or returns.
  • Strong Edge Support: Reinforced side rails prevent rolling off the bed.
  • Cooling Features: Breathable cover and airflow system keep sleepers cool.

Cons

  • May Have an Initial Mild Smell: occasional reports of a new foam smell that dissipates quickly.
  • Not Bed-in-a-Box: Larger size may be inconvenient; $99 setup service available.
  • Price Point: Premium materials and advanced technology result in a higher cost.
Stearns and Foster Mattress Review (Sleep Examiner)
#2 Top-Rated Mattress For Back Pain

#2 rated mattress for back pain relief is perfect for those seeking a luxurious, firm sleeping surface with coil support and premium memory foam.

Stearns & Foster Lux Hybrid Mattress Rating
  • 1. Back Alignment & Overall Support - 8.2/10
    8.2/10
  • 2. Firmness & Pressure Relief - 9.8/10
    9.8/10
  • 3. Sleeping Position Compatibility - 9.8/10
    9.8/10
  • 4. Edge Support - 8.5/10
    8.5/10
  • 5. Cooling - 7.5/10
    7.5/10
  • 6. Eco-Friendly & Off-Gassing - 6.9/10
    6.9/10
  • 7. Motion Transfer / Motion Isolation - 9.9/10
    9.9/10
  • 8. Warranty - 7.5/10
    7.5/10
  • 9. Sleep Trial - 7.9/10
    7.9/10
  • 10. Customer & Trusted Ratings - 8/10
    8/10
8.4/10

Summary

Mattress Performance Score

Pros

  • Side Sleepers: Offers contouring comfort and support for hips and shoulders.
  • Back Pain Relief: Excellent spinal alignment and overall support.
  • Couples: Exceptional motion isolation for undisturbed sleep.
  • Edge Support: Sturdy edges for sitting or sleeping near the edge.
  • Luxury Seekers: High-end materials and construction for a premium feel.

Cons

  • Stomach Sleepers: May cause discomfort due to sinking feeling.
  • Hot Sleepers: Potential to retain heat despite cooling cover.
  • Eco-conscious Buyers: Lack of information on eco-friendly materials.
  • Budget Shoppers: Higher price range might not fit all budgets.
  • Those Needing Firm Returns: Return fee during the trial period can be costly.
Best Mattress For Back Pain
#3 Top-Rated Mattress For Back Pain

#3 Rated best mattress back pain relief is perfect for staying cool while giving you a buoyant and supportive cooling gel, heat-wicking graphite adaptive memory foam.

Tuft and Needle Mint Hybrid Mattress Rating
  • 1. Back Alignment & Overall Support - 8/10
    8/10
  • 2. Firmness & Pressure Relief - 8/10
    8/10
  • 3. Sleeping Position Compatibility - 9.5/10
    9.5/10
  • 4. Edge Support - 9/10
    9/10
  • 5. Cooling - 9/10
    9/10
  • 6. Eco-Friendly & Off-Gassing - 9.5/10
    9.5/10
  • 7. Motion Transfer / Motion Isolation - 7/10
    7/10
  • 8. Warranty - 9.5/10
    9.5/10
  • 9. Sleep Trial - 9/10
    9/10
  • 10. Customer & Trusted Ratings - 9/10
    9/10
8.8/10

Performance Score

Mattress Performance Score

Pros

  • Balanced feel with adaptive foam for various sleeping positions
  • Effective temperature regulation with cooling gel and graphite
  • Excellent motion isolation, ideal for couples
  • Enhanced edge support for stability
  • Durable construction with individually wrapped coils

Cons

  • Too firm for some side sleepers
  • Noticeable initial off-gassing odor
  • Higher price compared to standard models
  • Heavy and difficult to move
  • Minor heat retention in hot climates
Avocado Sleep Mattress Review 2024 (Sleep Examiner)
#4 Top-Rated Mattress For Back Pain

#4 Best mattress for back pain relief uses quality organic materials, for a balanced buoyant support, while remaining completely Eco-Friendly.

Avocado Green Standard Firm Mattress Rating
  • 1. Back Alignment & Overall Support - 7.8/10
    7.8/10
  • 2. Firmness & Pressure Relief - 7/10
    7/10
  • 3. Sleeping Position Compatibility - 8/10
    8/10
  • 4. Edge Support - 8/10
    8/10
  • 5. Cooling - 9/10
    9/10
  • 6. Eco-Friendly & Off-gassing - 10/10
    10/10
  • 7. Motion Transfer / Motion Isolation - 7/10
    7/10
  • 8. Warranty - 9/10
    9/10
  • 9. Sleep Trial - 9/10
    9/10
  • 10. Customer & Trusted Ratings - 9/10
    9/10
8.4/10

Summary

Mattress Performance Score

Pros

  • Eco-conscious consumers
  • Back and stomach sleepers
  • People with chemical sensitivities
  • Back support mattress seekers
  • Long-term investment seekers

Cons

  • Side sleepers
  • Budget-conscious shoppers
  • Lightweight sleepers
  • Soft mattress enthusiasts
  • People seeking advanced cooling features
Helix Sleep Mattress Review (Sleep Examiner)
#5 Top-Rated Mattress For Back Pain

#5 Best mattress for back pain relief works perfectly for side sleepers who need pressure relief and like a medium overall feel.

Helix Midnight Luxe Mattress Rating
  • 1. Back Alignment & Overall Support - 7.8/10
    7.8/10
  • 2. Firmness & Pressure Relief - 9.5/10
    9.5/10
  • 3. Sleeping Position Compatibility - 9/10
    9/10
  • 4. Edge Support - 6.5/10
    6.5/10
  • 5. Cooling - 9.5/10
    9.5/10
  • 6. Eco-Friendly & Off-Gassing - 9.5/10
    9.5/10
  • 7. Motion Transfer / Motion Isolation - 8.5/10
    8.5/10
  • 8. Warranty - 9/10
    9/10
  • 9. Sleep Trial - 9/10
    9/10
  • 10. Customer & Trusted Ratings - 9.5/10
    9.5/10
8.8/10

Performance Score

Mattress Performance Score

Pros

  • Back and side sleepers needing excellent support.
  • Those seeking high-quality materials and construction.
  • Couples who want good motion isolation.
  • Sleepers desiring a comfortable and luxurious pillow-top feel.
  • Individuals who need effective pressure point relief.

Cons

  • Budget-conscious shoppers.
  • Stomach sleepers who prefer a softer mattress.
  • People who frequently move or rotate their mattress.
  • Those sensitive to initial off-gassing odors.
  • Sleepers who need strong edge support.

Helpful Tips on Keeping Your Spine Aligned While Sleeping

Choosing the Best Mattress For Back Pain

Hi, I’m Lisa Libutti, and I want to share some essential tips for ensuring your spine stays aligned with the right mattress. A good night’s sleep is crucial for our overall health, and the mattress you choose plays a significant role in supporting your spine while you rest. Here’s how to ensure your mattress is up to the task.

Choose the Right Firmness

Finding the perfect mattress firmness can be tricky since it varies from person to person. However, a medium-firm to what is know as luxury firm mattress (a firm level that is more plush to give more shoulder and hip conforming penetration) is generally a safe bet for promoting spinal alignment. It should be firm enough to provide support but soft enough to contour to your body’s natural curves. Remember, a mattress that’s too soft can cause your spine to sag, while one that’s too firm can create uncomfortable pressure points.

Consider Your Sleeping Position

Your sleeping position greatly influences spinal alignment:

  • Back Sleepers: Look for a medium-firm to firm mattress to support the natural curve of your lower back.
  • Side Sleepers: A medium to medium-firm mattress or one that is softer where the shoulders and leg zones are located can help cushion your shoulders, while ensuring that your spine won’t dip in the mid-section.
  • Stomach Sleepers: A firmer mattress with some softness on the surface only is usually better to prevent your lower back from sinking in and causing misalignment, while still remaining comfortable.

Use Proper Pillows

Pillows are just as important as your mattress for maintaining spinal alignment:

  • Back Sleepers: Use a thinner pillow to avoid tilting your head too far forward.
  • Side Sleepers: Opt for a thicker pillow to fill the space between your ear and shoulder, keeping your neck aligned with your spine.
  • Stomach Sleepers: A very thin pillow or no pillow at all can help keep your neck from bending unnaturally.

Replace Your Mattress Regularly

Even the best mattresses don’t last forever. It’s a good idea to replace your mattress every 7-10 years or sooner if you notice signs of sagging or discomfort. A worn-out mattress can compromise spinal alignment and affect your sleep quality.

Try Before You Buy

If you can, test mattresses in-store to find one that feels supportive and comfortable. Spend at least 10-15 minutes lying on the mattress in your usual sleep position to get a good sense of whether it will support your spine properly.

Consider Mattress Materials

Different materials provide varying levels of support and comfort:

  • Memory Foam: Conforms to your body, offering support and pressure relief, but may not have enough support for your back.
  • Innerspring: Provides good support and has a bouncier feel, but may flatten out as the surface fiber wears over time.
  • Hybrid: Combines foam and innerspring for balanced support and comfort.
  • Latex: Offers a firmer feel and support, but is more expensive and not as comfortable for some.

Adjust Your Bed Foundation

A supportive bed frame or foundation is crucial for maintaining your mattress’s integrity and your spinal alignment. Make sure your bed frame provides adequate support for your mattress type to prevent sagging.

By keeping these tips in mind, you can choose a mattress that supports your spine and helps you enjoy a restful, health-promoting sleep. Proper spinal alignment not only enhances sleep quality but also helps prevent chronic back pain and boosts overall well-being.

Sweet dreams💤

How We Test Sleep Products

Honest & Authentic Sleep Product Reviews

In our review process, we blend authentic customer feedback, comprehensive research on product materials and compositions, and insights from expert sites specializing in online mattress comparisons and ratings.

After we conclude our research and analysis for each mattress, pillow or sleep product review, our system automatically generates an overall performance score based on the calculated data.  For mattress reviews, this score is calculated based on the following factors: Support, Comfort, Durability, Materials, Quality, Affordability, Cooling, Edge Support, Off-Gassing, Trial Period, Warranty, and Customer Service.

Lisa Libutti

Sleep Solutions Specialist

ABOUT THE AUTHOR

Lisa Libutti is a versatile freelance web designer and content curator with a solid track record in digital newsletter management, copywriting, and formatting for boutique websites, blogs, and online news sites. At Sleep Examiner, she specializes in comprehensive and unbiased sleep product reviews, providing in-depth analysis to help readers achieve better sleep quality. When not immersed in research, Lisa enjoys gardening, raw vegetable juicing, and dancing to electronic house music.

Best Mattresses of 2024

1

Best Overall Mattress for Back Pain – Back Science Series 2 Mattress

2

Best Luxurious Firm Feel Mattress – Stearns & Foster Lux Hybrid Mattress

3

Top-Rated Mattress for Sleeping Cool – Tuft & Needle Mint Hybrid

4

Top-Rated Eco-Friendly Mattress – Avocado Green Organic Mattress

5

Top-Rated Mattress For Side SleepersHelix Midnight Luxe Mattress