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Aches and pains are a fact of life, but they can get in the way of a good night’s sleep, especially as we age. Research shows that roughly 14% of people age 60 and older have chronic hip pain. If you’re waking up with more hip pain than normal or frequently rolling over at night to relieve soreness, you might want to start looking for a new mattress. But check in with your doctor first. The root cause of your hip pain could be the mattress or certain chronic conditions, like osteoarthritis. In all cases, a new mattress may help.
According to the physical therapists our Reviews Team talked to, the best mattresses for hip pain balance firm lower-back support with gentle pressure relief. Also, these mattresses should be easy to push against when changing positions, have a stable and supportive edge, and be high enough to allow a person’s hips to remain above the knees while seated. After evaluating and testing more than 20 mattresses, we chose the top eight that excel in these categories—starting with the Saatva Classic.
We found several important factors when testing mattresses specifically for hip pain, including:
Mattresses with good lower back support prevent the hips from tilting, which may cause pain. A neutral spine doesn’t strain the hips.
The best mattresses for hip pain have stable edges that are tall enough to keep the hips above the knees when seated.
The mattress should evenly distribute your weight so pressure doesn’t build up around the hip joints.
The mattress should be easy to push against to prevent you from sinking deep into the material, minimizing movement and pain as you change position.
The Saatva Classic is our choice for “Best Mattress for Hip Pain Overall” because of its exceptional pressure relief, support, and responsiveness. The mattress is available in two height options and three firmness levels, which allows you to choose features that support your unique body. For this review, we tested the luxury firm, which is a medium-firm mattress.
A supportive mattress is a must-have for hip pain. “A well-supported spine can help surrounding muscles to relax, which can ease tension and pain,” said Nicole Hernandez, DPT, a physical therapist based in Las Vegas and a member of our Reviews Team. Out of all the mattresses we’ve tested so far, the Saatva Classic does the best job conforming to the tester’s body for evenly distributed support. This mattress is also easy to push against when changing positions, reducing the effort required to find comfort.
Our Saatva Classic tests also showed good pressure relief in the hip area for back and side sleepers. Pressure can build if the mattress is too firm under pressure points like the hips and shoulders. On the other hand, if the mattress is too soft, your hips can sink too low and move your spine out of alignment, which puts further strain on the pelvis and back. To strike a balance, some mattresses, like the Saatva Classic, are firmer under the lower back and softer near the hips and shoulders.
The edge of this mattress is firm, stable, and easy to push against when standing. It doesn’t sag or slope when someone sits on it, so you shouldn’t have to work hard to steady yourself as you get in and out of bed. Hernandez recommended people with hip pain choose a mattress that’s high enough for the hips to remain above the knees when seated. To make this easier, select the Saatva Classic in the height that works best for you (11.5 inches or 14.5 inches), bearing in mind your current bed frame’s measurement.
The Saatva Classic is also our top pick for the best mattress out of all the models we’ve tested. Its supportive and pressure-relieving material should be comfortable for many sleepers, making it a good choice for couples looking to compromise on features.
“I actually felt most comfortable sleeping on my stomach on the luxury firm Saatva Classic. The reinforced lower back support is really noticeable.”
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The Saatva Classic has 4.8 stars out of five from more than 3,400 customer reviews on the brand’s website. Most reviewers say the company has courteous and professional delivery personnel. Many reviews also mention reduced aches and pains due to the Saatva Classic.
“Absolutely worth the money you pay. I need hip surgery and had issues getting comfortable. The first night, I was able to sleep comfortably.”
— Susan F., verified buyer on 4/1/2024
“We are seniors and have been waking up almost every day with a sore back, hips, etc. […] We ordered the Saatva Classic 11.5″ since we have a split king adjustable bed frame. From the first night, we said, “Finally, this is the one.” We do not toss and turn fifteen times a night to get off our sore hips. In fact, we only turn one to three times now. My back is much better, and we didn’t even really break in the mattress yet. We are very pleased, and also saved a lot of money.”
— Joseph P., verified buyer on 11/19/2023
“I received the mattress only a few weeks ago, but so far I have slept like a log and have woken up after a good night’s sleep pain free. My back, hips, and shoulders are feeling much better! Very happy with my purchase. The free delivery and takeaway of my old mattress was a bonus.”
— J. S., verified buyer on 8/10/2023
Learn more in our full Saatva mattress review.
With a firmness rating of 5.5 out of 10, the Helix Midnight Luxe is one of the softest mattresses we’ve tested and the softest on this list. Both the pressure-relieving material and good edge support may benefit people with hip pain.
The Helix Midnight Luxe’s blend of comfort and support is also why this mattress made our list of the best mattresses for back pain.
When it comes to choosing a soft versus firm mattress for hip pain, there’s no rule of thumb. “Most people find semi-firm mattresses the best [for hip pain], but this is completely subjective,” said Caryn McAllister, PT, DPT, a physical therapist at High Quality Home Therapy in Stamford, Connecticut.
The same is true for sleeping positions—there’s no one way to sleep to relieve hip pain. “The best sleeping position for hip pain is the position that allows the person with hip pain to feel comfy and get uninterrupted sleep for eight hours, which allows the body to reset and heal,” she said.
The Helix Midnight Luxe strikes a hard-to-find balance between cradling comfort and spinal support. Our testers felt “deeply hugged” because they sank into the plush pillow top. Their spines stayed in a neutral position, though, and their body weight was evenly distributed—factors contributing to the mattress’s excellent support and pressure relief scores.
The Helix Midnight Luxe also stands out due to its supportive edge, which kept our testers in a stable seated position. “I wouldn’t recommend a sagging mattress because one would tend to fall into a posterior pelvic tilt and not sit upright on their base of support,” said Tamar Amitay, PT, a physical therapist at Thrive Integrated Physical Therapy in New York City. The hip and back muscles can become overworked or pinched when a person sits on an unsupportive mattress. “It’s critical to your safety to have a strong, stable mattress at a height that lessens the risk of falling or reinjury,” she added.
Based on our testing, the Helix Midnight Luxe offers a balance of support with a gentle cradle. Just make sure the 13.5-inch height allows you to keep your feet flat on the floor and your hips slightly above your knees.
Unfortunately, the Helix Midnight Luxe didn’t demonstrate any cooling abilities, which means it’s not the ideal mattress if you tend to sleep hot. The bed also performed poorly during motion isolation tests. “I could definitely feel the other person moving, and I felt like I dipped toward them in the center as well,” one tester reported. Consider the Brooklyn Bedding Aurora Luxe for better cooling capabilities and the WinkBed for motion isolation.
“My hips sank into the mattress when I was on my side, so it was comfortable. My spine felt supported.
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The Helix Midnight Luxe has 4.4 stars out of five from more than 6,100 customer reviews on the brand’s website. Many people praise its comfort, but some reviewers say the Helix Midnight Luxe is too soft for their liking.
“I’m loving the Helix Midnight Luxe. It is so comfortable, no more hip pain and less shoulder discomfort. The only thing I wish the mattress had were handles to help move it. Other than that, it’s probably the best mattress I’ve ever owned.”
— Kim C., verified buyer on 7/2/2024
“Back problems eliminated. Hip feels much better. Absolute comfort!”
— Rodney E., verified buyer on 6/20/2024
“My husband and I are enjoying our new mattress. We were both suffering from back and hip pain. Our new mattress is helping us sleep much better. […] I did a lot of research before purchasing, and this mattress checked all of the boxes.”
— Christina D., verified buyer on 6/4/2024
For more information, see our Helix Midnight Luxe review.
With the Saatva Solaire, you can change your firmness settings, which could be helpful during a sciatica flare-up. Couples with different firmness needs should consider the split king or split California king, so each person can adjust their side according to their preference.
Sciatica occurs when the sciatic nerve is under pressure due to tight muscles, bone spurs, herniated discs, and more. The sciatic nerve runs from the lower back to the feet, so a flare-up can cause pain throughout this area—including the hips. Finding a comfortable position is crucial for relieving sciatic pain and getting a good night’s sleep, and what works during one sciatica episode may not work during the next if more than one nerve root is susceptible to pressure.
That’s why we chose a customizable mattress as the “Best for Hip Pain and Sciatica.” The Saatva Solaire uses air chambers to make the mattress feel softer or firmer at the touch of a button, while layers of latex and memory foam provide critical support. With 50 settings to choose from, you can select whatever feels best at the moment.
The Saatva Solaire may help provide more relief when paired with an adjustable base because you can raise or lower your feet to help the hip and back muscles relax. It’s similar to putting a pillow under your knees, but you don’t have to make painful movements to adjust the pillow and find that sweet spot. “This could be a real help to those who are less mobile as pain relief could be just a few button clicks away on this type of bed,” said Amitay. “It makes it much easier to achieve some of the positions one needs to relieve hip pain.”
The firmness setting dictates how easy it will be to change positions on the Saatva Solaire, with softer settings requiring more effort. You may need to increase the firmness before moving to avoid excess pressure on your hips or lower back.
“The firmness goes from about six to 50. My hips felt best around a firmness of 35, but it might feel different to other people.”
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The Saatva Solaire has 4.7 stars out of five from more than 140 customer reviews on the brand’s website. Many reviewers praise the company’s customer service and say the mattress has improved their sleep quality.
“My husband and I have different sleeping preferences. We’ve been sleeping on a split king Solaire adjustable mattress for three years now. We’re both very happy with this mattress. This is the best mattress we’ve ever owned, and we’ve owned several. Saatva has been a dream company to deal with from the beginning of our purchase three years ago all the way through a recent issue we had with our mattress. […] I’m beyond impressed with Saatva as a company. We just bought a second mattress from them for a different room.”
— Sherry C., verified buyer on 11/26/2023
“My mother put it in my head that firmer is better, but since having the Solaire, I prefer a softer mattress, and I sleep so much more comfortably now that I know. We even purchased the latex pillows and our sleep has never been better. We recommend this brand to anybody that asks.”
— Jennifer, verified buyer on 11/23/2023
“I wish I had purchased this bed a long time ago. […] I thought I would need hip replacement just two months ago. In less than a week with this bed, all hip pain is gone, as well as back pain. Same with my husband.”
— Kathy G., verified buyer on 3/21/2019
Learn more in our full Saatva Solaire review.
Due to reinforced materials in the lower back, hip, and thigh regions, The WinkBed demonstrated good all-around performance in our testing categories. We think this makes the mattress a good option for people with lower back and hip pain. It also comes in four firmness levels (softer, luxury firm, firmer, and plus), giving you more customized options. Note: Our team tested the luxury firm, which is considered a medium firm by industry standards.
While testing, we found this bed conformed to the body and did a good job supporting the spine and relieving pressure in both the back- and side-sleeping positions. The Winkbed also showed promise as a suitable mattress for hot sleepers, as our temperature gunⓘ A device that measures temperatures through the thermal radiation left behind on a surface recorded only a 6-degree difference after our tester lay on the mattress for five minutes. Generally, we consider a temperature reading less than 10 as good cooling.
We also think this mattress is ideal for couples because it offers good motion isolation, a feature that can be difficult to find in mattresses with coils. Our testers said a glass of water barely budged when they moved around on the other side of the mattress.
This mattress has sturdy edges near the center of the bed, but the corners are prone to collapse. It isn’t a good mattress for people who tend to hug the edge while sleeping or need more stability when getting out of bed in the morning. While lying on the edge of The WinkBed, one Reviews Team tester described an “edge support drop-off about an inch or two away from the edge.”
“I can feel The WinkBed supporting and gently enveloping me. There’s no pressure on my hips. It’s not too difficult to roll into a different position.”
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The WinkBed has 4.8 stars out of five from more than 8,600 reviews on the brand’s website. Most reviewers are happy with the bed, and many praise the company’s delivery and customer service.
“I was so unsure about purchasing this because I had never heard of the brand. We have had our bed for six months and absolutely love it. It’s firm but not rock hard. I’m probably buying a second one soon.”
— Julie M., verified buyer on 5/27/2024
“Feels great. Firm, but not too firm, and comfortable. I was having back issues with our 11-year-old memory mattress. I did my research and the WinkBed was recommended for older people with back issues. We definitely had mixed feelings on purchasing a bed without trying it out first, but the warranty (guaranteed satisfaction or return it with no hassles) convinced us.”
— Michael O., verified buyer on 5/22/24
“Overall comfortable but too firm for us. We swapped for the softer WinkBed and are sleeping great now!”
— Micah T., verified buyer on 2/6/24
Learn more in our full WinkBeds mattress review
During testing, we found the Brooklyn Bedding Aurora Luxe Cooling a comfortable, pressure-relieving mattress for side sleepers with shoulder and hip pain. Our testers said it was just as supportive and comfortable in other sleep positions, so it’s also a good choice if you need to change positions throughout the night.
We tested the Brooklyn Bedding Aurora Luxe Cooling medium model, which our testers found is a good option for side sleepers of all sizes. Its three layers of foam allow the shoulder and hip to sink into the mattress enough to relieve pressure, while the coil layer supports the spine in a neutral position.
Some mattresses push firmly against your body, giving a heightened sense of support. The Brooklyn Bedding Aurora Luxe Cooling is a little gentler than that. Testers reported feeling the material slowly conform to their body without causing them to sink excessively into the foam.
As the name suggests, the Aurora Luxe Cooling could also be a good option for hot sleepers. When we tested the mattress using a temperature gun, we recorded a 6-degree increase after a tester lay on it for five minutes, indicating efficient cooling. Among the mattresses we’ve tested so far, we’ve recorded temperature shifts that range from 3–15 degrees Fahrenheit.
This mattress also has a stable edge, which could make it easier to get in and out of bed without placing undue strain on the hips.
“My hips sink into the mattress when I am on my side, which makes it comfortable for side-sleeping. And there’s no pressure on my hips.”
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The Brooklyn Bedding Aurora Luxe Cooling has 4.7 stars out of five from more than 3,300 reviews on its product page. Many reviewers say it’s a comfortable mattress that has helped ease nighttime joint pain.
“I acquired this bed because it is recommended for side sleepers – and it’s perfect! No more aching hips or cramped upper arms. I’m finally getting a full, comfortable night’s sleep.”
— Jay B., verified buyer on 6/29/2024
“As a hybrid it definitely sleeps cooler than my old memory foam. It feels supportive without being too firm. Relieves my hip pressure points and I wake with less lower back pain. Edge support is a bit lacking. Overall, I’m very pleased with this mattress!”
— Renee M., verified buyer on 6/22/2024
“I have had my mattress for over a month now and I love it. I no longer wake up with pain in my lower back and hips. My sleep app says I am getting better quality sleep. My mattress stays cool throughout the night.”
— Debora W., verified buyer on 4/15/2024
Learn more about the Aurora Luxe Cooling in our full Brooklyn Bedding mattress review.
The Nolah Evolution demonstrated some of the best pressure relief for back and side sleepers of all the mattresses we tested. The bed’s tall height and excellent edge support helped us keep our hips at a comfortable angle when getting in and out of the bed.
“Seniors with hip pain may have arthritis,” said Hernandez. “Arthritic hips have trouble bending past 90 degrees without pain, so go with a tall mattress with good edge support.”
Based on this guidance, the Nolah Evolution is the standout pick for older adults with hip pain. At 15 inches high, it’s the tallest mattress on this list and also demonstrated solid edge support during testing. Just make sure it’s not too tall when combined with your bed frame—climbing into bed isn’t good for painful hips.
The Nolah Evolution also has other potential hip pain-relieving features, like extra lumbar support to prevent the lower back from dipping into the mattress. Our pressure mapⓘ A mat with sensors that detects pressure buildup when someone lays across it. tests showed excellent pressure relief for back and side sleepers, but Hernandez recommended placing a pillow between your thighs (when lying on your side) or under your knees (when lying on your back) to further relieve pressure on the hips.
You can choose from four firmness options (plush soft, luxury firm, and comfort plus) to optimize comfort, though we tested the luxury firm (a medium-firm mattress). No one mattress is the answer to easing hip pain since it’s a matter of personal preference.
Nolah requires that you try the mattress for at least 30 days before returning it, and you’ll have to pay a $99 return fee.
“I don’t sink too far into this mattress. It feels like I’m laying on the top, but there’s no pressure, and my spine feels neutral.”
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The Nolah Evolution has 4.9 stars out of five from more than 800 reviews on the brand’s product page. Many reviewers say it’s a comfortable mattress that has improved their sleep quality.
“We couldn’t be more pleased with the quality of the mattress and our comfort. We chose Nolah based on the recommendations regarding hip discomfort. It has led to eliminating hip discomfort for my wife. We chose the Plush. It is softer than we are used to, but as we’ve gotten older, it is much more comfortable than the firm mattresses we used to have.”
— Rick M., verified buyer on 2/18/2024
“I am a 74-year-old man. I had problems with sore hips and shoulders. My old mattress was a memory foam one. It got so hard, I couldn’t sleep. I tried out three other mattresses and they didn’t help. The Nolah soft [Plush] fixed my hips immediately. To make a long story short, it didn’t help as much with the shoulders.”
— Dean A., verified buyer on 2/28/2024
“We love our Nolah. We both wake up rested with much less aches and pains.”
— Ondria G., verified buyer on 10/4/2023
Learn more in our full Nolah mattress review.
The Bear Elite Hybrid uses stronger coils in the lower back region for extra support, which can help keep the spine in a neutral position for pain relief. It also demonstrated excellent pressure relief for back sleepers during testing, earning it the title “Best for Hip and Back Pain” that isn’t isolated to the lower back.
The Bear Elite Hybrid excels at relieving pressure and evenly distributing weight in any sleep position. Our testers felt well-supported by this mattress because it conformed to their bodies without allowing their hips or shoulders to sag. One tester said the mattress “gently hugs my back instead of firmly pushing against it.”
At 14 inches tall, the Bear Elite Hybrid is a good choice if you want a taller mattress while sitting on the edge of the bed. “Mattress height matters a lot,” said McAllister. “The general rule of thumb is if the hips are below the knees when sitting, it’s harder to get up.”
If you’re tall or have a low bed frame, a taller mattress like the Bear Elite Hybrid could be exactly what you need. On the other hand, make sure the total height of your mattress and bed frame doesn’t require you to climb into bed, which can be painful and dangerous. Bear doesn’t recommend using this mattress with a box spring.
The Bear Elite Hybrid is available in soft, medium, or firm, but we tested the medium. Consider your body weight and favorite sleeping position when selecting the best firmness option for you. For example, lower-weight (less than 130 pounds) and average-weight (130-250 pounds) people who tend to sleep on their sides may prefer the soft model for adequate pressure relief. Higher-weight (more than 250 pounds) side sleepers may prefer the firm option to avoid excess sag. Of course, personal preference also plays a role.
“I can feel The WinkBed supporting and gently enveloping me. There’s no pressure on my hips. It’s not too difficult to roll into a different position.”
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The Bear Elite Hybrid has 4.6 stars out of five from more than 3,800 customer reviews on the brand’s product page. Many reviewers praise its pain-relieving abilities.
“I’ve had perfect sleep. It relieved back pain and knee pain.”
— Ramona W., verified buyer on 6/21/2024
“Really happy with this mattress. We had a traditional spring/pillow top that was just too soft. The level of firmness in this mattress is great. It took only a couple of days to adjust to it. It has helped my back and hip immensely.”
— Ann S., verified buyer on 1/3/2024
“Best bed I’ve ever slept in. No more hip pain!”
— Denna M., verified buyer on 10/8/2023
For more information, see our Bear mattress review.
As an extra-firm mattress, the Titan Plus can support higher-weight sleepers, so the spine doesn’t sag and create painful pressure points in the hips. But average-weight sleepers may appreciate this firm, supportive mattress as well.
During testing, we found that this mattress provides an “on top” experience instead of the cradle you get with memory foam. We scored this mattress eight out of 10 on the firmness scale, which is a solid firm. These types of mattresses are easy to push against when changing positions or standing up, allowing you to make concise movements to minimize pain. The Titan Plus also has a slight bounce that aids movement.
It’s easy to assume a firm mattress would create pressure points, but that isn’t necessarily the case. Specially designed to support higher-weight people, the Titan Plus demonstrated excellent pressure relief for back sleepers during our tests. Testers also reported feeling like their weight was evenly distributed and their spine neutral.
The Titan Plus is a shorter mattress at 11.25 inches. If your hips fall below your knees when sitting on the edge of the bed, you’ll likely feel increased pain in your hips. McAllister recommended adding furniture risers under the bed frame to achieve a more comfortable height.
“This is definitely a firm mattress. My spine feels well-supported in all positions. I’m most comfortable on my back or stomach, but it’s a little too firm around my hips when I turn on my side.”
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The Titan Plus has 4.7 stars out of five from more than 2,600 reviews on its product page. Most reviewers are happy with its comfort and quality, but a few say their Titan Plus developed a dip in the middle after a short period of time.
“We have had zero complaints since the first night and are both feeling more rested with less pain when we wake in the morning. I used to just be able to sleep on my back, but on the Titan I can roll to the sides without feeling all of the pressure pushed into my hips. We also don’t feel like we’re sliding off the sides of our bed anymore.”
— Danielle B., verified buyer on 6/26/2024
“This is a life saver. My husband has back pain and a broken hip to recover from. He is tall and heavy. Our regular mattress was keeping him up at night and he had a lot of pain during the day. After this mattress was in place, he slept like a baby and he told me it’s the best mattress he ever slept on. The shipping was fast and it was very easy to unpack.”
— Shu S., verified buyer on 6/20/2024
“Not disappointed! This mattress is firm. Expect to feel like you are sleeping on a board—which is exactly what I was hoping for. I threw a three-inch memory foam cover over top and am getting the best sleep I have had in years. Even better, my hip pain has subsided. The mattress is very sturdy on the edge too. Hands down, best mattress ever. I highly recommend it if you like to sleep on a firm mattress.”
— Heidi S., verified buyer on 4/11/2024
For more information, see our Titan Plus mattress review.
Our Reviews Team has dedicated over 1,000 hours to researching the mattress industry, consulting at least 10 health care professionals, and testing roughly 40 brands and 130 unique mattress models for quality and comfort. We’ve also interviewed 16 older adults who recently purchased a mattress and surveyed more than 3,200 recent mattress customers to understand their experiences shopping for a new bed.
Each mattress undergoes a rigorous 36-page testing procedure to score its different characteristics, including firmness, support, and other aspects most shoppers consider. We choose the best mattresses for hip pain based on the relevant criteria scores. See how we tested the most important considerations for this review below.
Like most mattress brands in the industry, we use a one-to-10 scoring method when testing firmness, with 6.5 being the true medium-firm. Our testers rate this by lying on the surface and comparing the feel to other mattresses we’ve tested. Material density and coil strength influence firmness the most. We prioritized medium and medium-firm models when choosing the best mattresses for hip pain.
We rate pressure relief on a scale of one to five, with five being the most pressure-relieving. We consider how it feels and use a pressure map with sensors to visualize pressure points around the body accurately. Blue and green pressure map results show great pressure relief, while yellows, oranges, and reds indicate pressure build-up.
Although every sleeper benefits from a pressure-relieving mattress, it’s crucial for those with chronic hip pain. We looked for mattresses with high pressure relief scores in back- and side-sleeping positions.
We score support on a scale of one to five, with five being the most supportive. Mattresses with strong support contour and push into the curves of your body, particularly the lower back or midsection. Not only do we feel support during testing, but we can also visualize it through pressure map results. Maps with mostly white space at the lower back show how the mattress isn’t making contact with the area, which means the mattress isn’t supportive.
Because healthy spinal alignment can ease tension on the hips, we prioritized mattresses that demonstrated high levels of support.
We score edge support on a scale of one to five, with five being the strongest. Our team tests this by sitting and lying on the edge to determine how safe it feels and measure how far it sinks. For example, if a short 11-inch mattress’s edge sinks about 2 inches, it may feel weak because it collapses under body weight.
We looked for mattresses with sturdy edges that didn’t collapse when our testers sat on them. These mattresses require less effort to stay in a seated position, so the muscles around the hips don’t have to work as hard.
Our team developed this unique score to understand how well a mattress accommodates issues with in-bed movement, like difficulty moving around or getting up from the bed. We combined firmness (30%), support (30%), bounce (10%), and edge support (30%) to create a score between one and five, with five being the most helpful for movement in bed.
We believe mattresses with high functional support make it easier for those with hip pain to change positions, reducing strain on the hips and allowing them to settle into a comfortable position quickly.
To learn more about our testing and scoring methods, review our sleep methodology.
Our research and tests are ongoing, so our reviews evolve over time. We test new mattresses monthly to give you the most up-to-date information possible. Check back regularly for updates.
Choosing the ideal mattress for hip pain can help ease discomfort, support proper alignment, and improve overall sleep quality. We spoke to our focus groups to determine which factors were most important for sleepers with back pain.
Here are several factors to consider when selecting a mattress specifically for hip pain:
The material of the mattress plays a significant role in providing the necessary support and comfort for people with hip pain. Layers of memory foam, for example, contour closely to the body, helping distribute weight evenly and reducing pressure points, while a base layer of coils can support healthy spinal alignment. Latex mattresses are also a good choice as they offer a similar level of support but with more bounce than memory foam, which can make it easier to change positions.
The ideal firmness level for someone with hip pain typically ranges from medium to medium firm. Medium-to-medium-firm mattresses provide a balance between support and cushioning. A mattress that is too soft may cause the hips to sink too deeply, misaligning the spine and increasing pain. A mattress that is too firm can increase pressure points on the hips. Consider your body weight and personal comfort preferences when choosing firmness.
A mattress that evenly distributes body weight can provide excellent pressure relief, which prevents weight stress from building up and causing pain in common areas like the hips, shoulders, lower back, and neck. Sleepers with hip pain will find a mattress with high scores for pressure relief helps manage their pain so they can sleep comfortably at night. Zoned support focused on the lower back can allow for even weight distribution, and we find this feature to be especially comfortable for sleepers with hip pain. We use a pressure mat that measures build-up during testing, providing our readers with the most accurate assessment for each model.
Thickness can also influence how well a mattress meets the needs of a person with hip pain. Generally, a thicker mattress will provide better deep compression support, which benefits those with higher body weight or severe hip pain. Look for mattresses that are at least 10 inches thick to ensure adequate support and durability.
The mattress should also be the appropriate height to reduce leverage on your hips as you sit down. Ideally, your hips should stay above your knees in a seated position, especially if you have arthritis in your hips. You may be able to achieve the correct height by adjusting the legs of your bed frame. If that’s not an option, pay close attention to mattress height as you shop.
A mattress with a stable edge will also reduce strain on your hips as you sit down. Avoid mattresses with edges that collapse when you sit on them.
We recommend buying from a mattress company that offers white-glove delivery, also known as professional setup. Companies offering white-glove delivery ship and set up the mattress in your home and remove your old mattress. Mattresses are heavy and awkward to handle, and attempting to move them yourself could increase hip pain. If you decide to get a bed-in-a-box option, recruit help from friends, neighbors, family, or professional movers to help you get the mattress inside and on the bed frame.
Choosing the right mattress can significantly impact your sleep quality and hip pain intensity. Most types of mattresses will work for hip pain, and each has its pros and cons.
Hybrid mattresses combine the best features of innerspring and foam mattresses. They typically have a pocketed coil base topped with foam or latex layers, providing both support and comfort. Hybrids are excellent for hip pain as they offer deep compression support and a comfortable top layer that cushions the hips. They also have better airflow compared to all-foam options. But hybrid mattresses can be expensive and heavy, and the lifespan can vary depending on the quality of the materials used.
Air chamber mattresses, such as the Saatva Solaire or Sleep Number beds, can be adjusted to match your preferred firmness. If your hip pain ebbs and flows, what feels comfortable one day may not feel good the next. With an air chamber mattress, you can toggle between soft and firm comfort levels—and anything in between—to get comfortable. They’re also a great option for couples with different preferences but tend to be more expensive.
Memory foam mattresses are popular for those with hip pain due to their ability to conform closely to the body, providing significant pressure relief. The best memory foam mattresses distribute body weight evenly, reducing stress on the hips and other pressure points. These mattresses can retain heat and be challenging to move around on, which might be uncomfortable for some sleepers. Look for a memory foam mattress with excellent support to help your hips align with your spine.
Latex mattresses offer a good balance of support and cushioning, which can benefit those with hip pain. They are bouncy, easy to move around on, and don’t retain as much heat as memory foam, which can help you stay cool for better sleep. On the other hand, latex mattresses tend to be more expensive and can be pretty heavy, making them difficult to move. As with memory foam mattresses, the best latex mattresses for hip pain should offer excellent spinal support.
Innerspring mattresses can work for hip pain as long as the coils are individually wrapped and the bed has a comfortable pillow top. Traditional innersprings are made with long steel wire wrapped into a series of coils, with each coil connected to the surrounding ones. When applying pressure to traditional innersprings, each coil pulls on the ones attached. In contrast, individually wrapped or pocketed coils move independently. This can lead to more nuanced support, as each coil only compresses according to the force directly above it. Finally, an innerspring mattress must have a comfortable top layer so you don’t feel the coils under your hips.
The best sleeping position for hip pain helps you minimize the pain so you can fall asleep. For many people, this means back-sleeping with a pillow under the knees because this position helps to evenly distribute your body weight and prevent pressure build-up at the hips. Side-sleeping with a pillow between the thighs and knees is another popular option. Whatever sleep position you choose, it is important to find a mattress that supports you in your preferred sleep position. In general, this means a mattress firm enough to maintain spine neutrality and responsive enough to bounce back and facilitate easy movement if you shift positions, with enough give to keep pressure from building at your joints. Experiment with different pillows and bolsters to find a position that relieves pressure on the hips and reduces strain on muscles and ligaments.
In addition to choosing the right mattress, adopting these specific sleep habits can also help relieve your hip pain:
| Queen cost before discounts | $2,095 | $2,373 | $4,495 | $1,799 | $1865 | $2,499 | $2,305 | $1,249 |
| Firmness | Plush soft, luxury firm, firm | Medium | 50 firmness settings | Softer, luxury firm, firmer, plus | Soft, medium, firm | Plush, luxury firm, firm, comfort plus | Soft, medium, firm | Extra-firm |
| Mattress type | Innerspring | Hybrid | Adjustable air | Hybrid | Hybrid | Hybrid | Hybrid | Hybrid |
| Height | 11.5 or 14.5 inches | 13.5 inches | 13 inches | 13.5 inches | 13.25 inches | 15 inches | 14 inches | 11.25 inches |
| White-glove delivery* | Yes, free | No | Yes, free | No | No | Yes, through a third party | Yes, starting at $100 | No |
*Free shipping and setup of new mattress and free removal of old mattress
We conducted a focus group to determine the factors most important to mattress shoppers with hip pain. One of the participants, 64-year-old Lora R., shared her journey towards improved sleep after a history of hip pain (with a hip replacement) and osteoporosis.
“I realized I needed to make a change after the 3rd surgery on my left hip,” Lora shared. “I was in so much pain and having a horrible time sleeping.”
Lora’s approach to managing her pain and sleep was comprehensive. She started using a TENS unit for muscle pain relief and invested in an exercise bike. She also replaced her old mattress with a Serta Pillowtop, which seriously improved her sleep.
She does have one regret about her purchase, though: “I wished I would have purchased a mattress with an adjustable head or a frame with an adjustable head because I see now how that too would have helped with my sleep quality.”
Lora’s proactive approach yielded positive results. “Don’t get me wrong, I still have pain, but only by about 20% of what it used to be,” she said. Her improved sleep quality also led to increased energy and overall well-being.
Lora’s story highlights the importance of purchasing a quality mattress for managing chronic pain and improving sleep.
While updating your mattress may help with hip pain, you should always talk to your doctor or physical therapist. They can give specific recommendations based on the cause of your hip pain and diagnosis. You’ll also want to make sure you understand the trial period terms and return policies in case you buy a mattress that aggravates your hip pain.
We like models with different firmness options (like our top pick, the Saatva Classic) for easy swaps. The Saatva Classic also clinched the top spot as the best mattress for hip pain due to excellent pressure relief, support under the hips and back, and a sturdy edge for easy transitions in and out of bed.
Considering your sleeping position, weight, body type, and personal preferences is critical to finding the right mattress for you. For example, if you prefer a soft mattress, we recommend the Helix Midnight Luxe, and if you sleep on your side, the Brooklyn Bedding Aurora Luxe Cooling may feel most comfortable.
Some people prefer a soft mattress, and others prefer a firm one, although one of our experts warned that some people find it more challenging to move around on a soft mattress. The key is to find a firmness that allows you to feel comfortable so you can rest. Ideally, the hips will stay in a neutral position relative to the spine to reduce strain on the muscles, ligaments, and tendons. This depends on the mattress’s supportive materials, not how soft or firm the top layers feel.
Start by using pillows under your knees (if you’re a back-sleeper) or between your thighs and knees (if you’re a side-sleeper). Experiment with pillows and bolsters to find a comfortable position. If your mattress is in good shape but doesn’t have a comfortable firmness level, consider adding a mattress topper to relieve pain on your hips. In some cases, getting an entirely new mattress may be the best way to stop your hips from hurting in bed.
We think hybrid mattresses, which contain a layer of springs under a layer of foam or latex, offer an ideal balance of support and pressure relief to ease hip pain. Adjustable firmness mattresses, also called air-chamber mattresses, are another good option because you can tweak the feel of the mattress based on your current pain levels. Choosing a mattress that’s compatible with an adjustable bed frame can give you more control over your body position for optimal pressure relief.
Yes, a mattress can cause hip pain. If it’s too firm, it may put excessive pressure on your hips, leading to discomfort. Conversely, a mattress that’s too soft can cause your hips to sink too deeply, misaligning your spine and causing pain. An ideal mattress should offer a balance of support and cushioning to maintain proper spine alignment and relieve pressure points.
Have questions about this review? Email us at reviewsteam@ncoa.org.
