Key Takeaways Why trust NCOA

Finding the right mattress can have a significant impact on your sleep quality. This is especially true for older adults dealing with joint pain and arthritis. Studies show that more than 53 million adults ^[1] Centers for Disease Control and Prevention. National Statistics—Arthritis Prevalence. Oct. 24, 2023. Found on the internet at https://www.cdc.gov/arthritis/data_statistics/national-statistics.html in the United States have arthritis, with a significant portion (around 80%) ^[2] Arthritis Foundation. Sleep and Pain. March 15, 2022. Found on the internet at https://www.arthritis.org/health-wellness/healthy-living/managing-pain/fatigue-sleep/sleep-and-pain# experiencing chronic pain that disrupts sleep. An orthopedic mattress, designed to provide targeted support and ease pressure on sensitive areas, can be a game-changer for achieving a good night’s rest. 

Even cheap mattresses can cost a significant amount of money for some people, and the mattresses we tested are not cheap—in neither construction nor cost. But when you consider that we spend approximately one-third of our lives sleeping ^[3] Aminoff MJ, et al. We Spend About One-Third of Our Life Either Sleeping or Attempting To Do So. Handbook of Clinical Neurology. January 2011. Found on the internet at https://www.researchgate.net/publication/262060840_We_spend_about_one-third_of_our_ , or trying to sleep, and the effect that lack of quality sleep can have on our daytime lives, the importance of finding the best mattress you can afford becomes clear. 

Alyssa Lawrenson, a doctor of chiropractic and owner of Refined Chiropractic and Wellness in Parker, Colorado, told us, “A quality mattress is a good investment to make because of the amount of time you spend on it.”

In this article, we’ll recommend six orthopedic mattresses that are ideal for various types of sleepers. Whether you’re a side sleeper, need extra pressure point ⓘ The parts of the sleeper’s body that are in direct contact with the mattress, such as the backside, shoulder, hips, and ribcage. relief, or you’re looking for a mattress that’s good for couples, we have something for everyone. Our goal is to help you find the best mattress to support your health and enhance your sleep quality.

Best orthopedic mattresses in 2024

• Saatva RX: Best Orthopedic Mattress Overall
• Helix Dusk Luxe: Most Comfortable Orthopedic Mattress
• The WinkBed: Best Orthopedic Mattress for Couples
• Bear Elite Hybrid: Best Orthopedic Mattress for Pressure Relief
• Nolah Evolution: Best Orthopedic Mattress for Back Pain
• Brooklyn Bedding Aurora Luxe: Best Orthopedic Mattress for Side Sleepers

What we look for in an orthopedic mattress

We focused on several important factors when testing mattresses specifically for orthopedic support, including:

Firmness level

The ideal orthopedic mattress offers a medium to medium-firm feel, providing the right balance between support and comfort to reduce pain.

Spinal support

Proper spinal support is crucial, ensuring the mattress maintains a neutral spine position and supports the natural curvature of your back.

Pressure relief

Effective pressure relief targets sensitive areas like the shoulders, hips, and lower back, reducing stress and discomfort.

Trial period

A generous trial period, typically 100 nights or more, allows you to thoroughly test the mattress and ensure it meets your orthopedic needs.

Compare the best orthopedic mattresses, as of June 2024

Best orthopedic mattresses of 2024, tested by experts

Best Orthopedic Mattress Overall: Saatva RX

Our expert take on the Saatva RX mattress

This 15-inch-thick medium-firm mattress combines luxurious comfort with exceptional support, making it an excellent choice for anyone seeking relief from joint pain or discomfort.

The Saatva RX uses a unique coil system with reinforced coils in the center. This design helps maintain proper spinal alignment throughout the night, which is crucial for reducing pain and promoting better sleep. The added layer of high-density memory foam specifically targets the lower back, enhancing overall support. It’s no surprise that our Saatva testers gave this mattress a perfect score of five out of five for overall support in all sleeping positions.

Another standout feature is the edge support, where it also scored a perfect five out of five. Our tester noted that it was easy to get in and out of bed, making it suitable for people experiencing limited mobility due to chronic pain or who are at risk of falling. 

Strong edge support also allows for safely sleeping very close to the edge, as some sleepers prefer to do. Our tester said they felt secure lying near the edge. “You could be blindfolded and not realize you were lying at the edge,” they said, adding that they “literally” hung over the edge of the bed and did not fall or slide off. Edge support this strong is a highly valuable feature for older adults who are concerned with preventing a fall.

This mattress also has high scores (4.75 out of five) for pressure point relief, the most important metric for people with joint pain. This is due to the combination of foam caps on each spring and an additional micro-coil layer that ensures the mattress adapts to your body’s contours, regardless of your preferred sleep position. Back sleepers, in particular, will appreciate the perfect balance of firmness and cushioning, while side sleepers will find adequate pressure relief for the shoulders and hips.

Cooling and motion isolationⓘ The ability of a mattress to keep movement on one side of the bed from affecting the other side are also top-notch (4.5 out of five), thanks to the breathable materials and coil construction of the Saatva RX, which allow for ample airflow. Our tester said they could barely feel their sleep partner change positions. 

Its high 4.4 out of five functional support ⓘ NCOA’s rating of suitability for older adults who may have limited mobility. Calculated using firmness level (30%), overall support score (30%), edge support score (30%), and bounce score (10%). score speaks to its suitability for older adults who will appreciate the exceptional overall support, bounce, and edge firmness.

One of the highlights of purchasing a Saatva RX is the free white-glove delivery service. This means you won’t have to worry about the hassle of setting up your new mattress or disposing of your old mattress, a significant advantage for those living alone or dealing with physical limitations. Also, the Saatva RX uses eco-friendly materials like organic cotton in its cover and recycled steel for its coils. These sustainable choices help provide a healthier sleep environment and reduce environmental impact.

Due to the highly specialized nature of the construction and materials in this mattress, it is the most expensive in our round-up, costing $2,945 for a queen size. But, if it’s in your budget, we are confident it is an excellent choice for people living with chronic pain.

“The mattress has a quilted top, but it’s still cool to the touch. The cover is soft and plush.”

– Our tester

Our mattress expert’s take

Who may love it

• Those needing strong lower back support
• Sleepers who benefit from high pressure relief, especially back and side sleepers
• People who experience overheating at night and need a cooler mattress
• Those who appreciate strong edge support for sitting or sleeping at the edge of the bed
• Anyone with chronic pain from back and joint conditions, like arthritis, sciatica, fibromyalgia, back pain, shoulder pain, hip pain, sciatica, arthritis, herniated disc, and scoliosis.
• Couples needing strong motion isolation

Who may want to avoid it

• Budget-conscious shoppers looking for a more affordable option
• People who may struggle with the taller profile of the mattress
• Those who prefer a very soft or very firm mattress, as this falls right at medium firmness

Customer reviews

The Saatva RX has 4.9 out of five stars on Saatva’s website with 73 customer reviews.

“Our new Saatva Rx mattress is either magic or a miracle! I haven’t slept comfortably for a very long time due to chronic, severe hip issues and low back pain. Recently, a couple of friends/family members told us about Saatva and their excellent experiences. We took the “mattress quiz” on the website and decided to purchase the RX. I was almost afraid to be hopeful, even though I’m only in my 50s, that I would ever sleep through the night without pain and discomfort again…but the very first night was a godsend! I almost cried when I opened my eyes in the morning—not from being in pain but because for the first time in years I didn’t wake up once during the night hurting! Lastly, we’d like to praise the delivery and set-up team. They were friendly and communicative about their arrival time and had our old mattress (and topper) out and the new one in and set up quickly.”

 — KM., verified reviewer, on 6/7/2024

“Fantastic mattress for people with back issues. I have had spinal surgery and my husband suffers from lower backs issues. We have always spent $$$ on our mattresses. This has comfort with just the right amount of firmness. We both slept well from the first night..”

— Kathleen K., verified reviewer, on 5/23/2024

Learn more about Saatva mattresses in our Saatva mattress review.

Most Comfortable Orthopedic Mattress: Helix Dusk Luxe

Our expert take on the Helix Dusk Luxe mattress

Our testing of the Helix Dusk Luxe revealed why it stands out as the most comfortable orthopedic mattress. This plush yet supportive mattress strikes an ideal balance, making it perfect for those who need comfort without sacrificing support. It scored a firmness rating of seven out of 10, leaning slightly toward the firm side while still offering a soft, luxurious feel.

The Helix Dusk Luxe features a quilted cover and two layers of cradling foam that provide excellent pressure relief (4.5 out of five), an important feature for people living with pain. Our testers found it to be comfortable in all sleep positions, particularly for side sleepers who need extra contouring around the hips and shoulders. Our testers also found the mattress’s responsiveness impressive, thanks to its zoned coil support. It scored a 4.5 out of five for bounce. Its high bounce translates to lower motion isolationⓘ The ability of a mattress to keep movement on one side of the bed from affecting the other side. 1, where it scored a three out of five average rating. It may not be the best for sleepers who are easily disturbed by a partner’s movements. 

Edge support was less robust, scoring a 3.5 out of five, but still adequate. The mattress’s cooling capabilities also scored high, making it a great option for those who tend to sleep hot. Its overall functional support, taking into account firmness, overall support, bounce, and edge support, rates at a 3.75 out of five. This falls between average and good for functionality for older adults.

“I felt a slight bounce for sure, but a lot of the rebound is absorbed by the top layer.”

— Our tester

Our mattress expert’s take

Who may love it

• Sleepers who want a plush, comfortable mattress without losing support
• Side sleepers needing extra contouring and pressure relief
• People who sleep hot and need a cooler mattress
• Those who appreciate a responsive and bouncy mattress

Who may want to avoid it

• Budget-conscious shoppers
• Light sleepers disturbed by their partner’s movements
• Those needing very strong edge support

Customer reviews

The Helix Dusk Luxe has a 4.5 out of five star rating with 1,265 reviews on its website. Many customers report lessening of a wide variety of types of pain.

“Ever since we started sleeping on the Dusk Luxe, I no longer wake up with back pain. No longer get hot sweats in the middle of the night due to the mattress retaining body heat. Overall this was a very good investment..”

 — Joshua P.., verified buyer, on 4/30/2024

“I bought this bed because I had a lot of back, hip, and neck pain. Since I’ve gotten this bed my pain has improved significantly. I’d definitely recommend this bed to anyone with pain.”

— Michael G., verified buyer, on 10/28/23

Learn more about another popular Helix mattress in our Helix Midnight Luxe Mattress review.

Best Orthopedic Mattress for Couples: The WinkBed

Our expert take on the WinkBed mattress

The WinkBed is our choice as the best orthopedic mattress for couples. We tested the luxury firm version, which scored a 6.5 on the firmness scale, putting it at universal medium. It also comes in three other firmness options: softer, firmer, and plus.

This hybrid mattress features a moisture-wicking eucalyptus cooling cover; a Euro pillow-top layer of contouring, gel-infused foam; and a layer of zoned, individually wrapped coils; all of which led to high performance scores from our testers.

Most notably, our testers found the WinkBed’s motion isolation impressive (four out of five), making it an excellent choice for couples. The individually wrapped coils limit motion transfer, ensuring movement on one side of the bed will not disturb the sleeper on the other side. Our water-glass test showed barely any movement when someone sat on the other side of the bed.

The same coil system led to high support and pressure relief scores as well (four out of five and 4.5 out of five, respectively). The zoned coil support system adapts to different sleeping positions, maintaining spinal alignment and providing excellent pressure relief, especially for back and side sleepers.

The mattress also excels in cooling (four out of five), thanks to its breathable materials and construction that promote airflow. Edge support is robust, giving a stable and secure feel when sitting or lying near the edge. 

Bounce and responsiveness is always a trade off with motion isolation, so it’s no surprise this is the WinkBed’s lowest score—although it is still above average at a 3.5 out of five. Although our tester did not have a difficult time changing positions on this bed, they noted that the pillow top may compress slightly, making it a tad bit harder to move for some. 

The 3.7 out of five functional support score makes this mattress suitable for most older adults who may have more limited mobility, thanks to its high overall and edge support.

The pricing is on the lower end for orthopedic mattresses, so this is a great option for most older adults with chronic pain.

“It barely moved at all — very little movement and looks like really good motion isolation.”

— Our tester

Our mattress expert’s take

Who may love it

• Couples needing excellent motion isolation to minimize disturbances
• Back and side sleepers seeking spinal alignment and pressure relief
• People who sleep hot and need a mattress with great cooling properties
• Anyone with sensitive pressure pointsⓘ The parts of the sleeper’s body that are in direct contact with the mattress, such as the backside, shoulder, hips, and ribcage. or joint pain

Who may want to avoid it

• Higher-weight people who may need a firmer option
• Those who change positions frequently and would appreciate more responsiveness in their mattress 

Customer reviews

The WinkBed has a 4.8 out of five star rating with 8.686 reviews on its website. Many reviewers mention positive effects the mattress had on their back pain. 

“My shoulders are better than they have been in years! My chiropractor recommended the luxury firm and I am not disappointed!.”

— Jill H., verified buyer, on 6/4/2024

“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 your bed was recommended for older people with back issues. Definitely mixed feelings on purchasing a bed without trying it out first, but your warranty on guaranteed satisfaction or return it with no hassles convinced us.”

 — Michael O., verified buyer, on 5/22/2024

Learn more about WinkBeds mattresses in our WinkBeds Mattress Review.

Best Orthopedic Mattress for Pressure Relief: Bear Elite Hybrid

Our expert take on the Bear Elite Hybrid mattress

The Bear Elite Hybrid is our choice for the best orthopedic mattress for pressure relief. This mattress provides excellent comfort for those dealing with hip pain or other pressure point sensitivity, thanks to its high pressure relief rating and gentle zoned support.

Our testers gave the Bear Elite Hybrid a perfect five out of five score for pressure relief, which will be especially appreciated by side and back sleepers. The plush cover, combined with two layers of memory foam, ensures the mattress contours well to sharper pressure points like the shoulders, providing a cradling and comfortable sleep experience. This mattress’s gentle zoned support helps maintain spinal alignment, which is crucial for preventing irritation and discomfort in sensitive areas like the hips and shoulders.

This mattress also performs exceptionally well in cooling (4.5 out of five score), thanks to phase change materials (PCMs)ⓘ A material that stores or releases heat to maintain a constant temperature. , Celliantⓘ Celliant contains naturally occurring minerals and elements woven into fiber, making a product able to capture a body’s heat and convert it into infrared energy that goes back into the body. fiber, and copper-infused memory foam.

Edge support is adequate, providing stability when sitting or lying near the edge. The mattress’s motion transfer capabilities are also above average, making it a good choice for couples who want to minimize disturbances from their partner’s movements. Our Bear tester noted that the cover actually felt cool to the touch.

While the mattress offers great pressure relief and comfort, its overall support and edge support are more moderate, scoring 3.5 out of five and three out of five, respectively. This means it may not provide the ideal level of mobility for higher-weight sleepers, especially those who require a firmer mattress for stomach sleeping. Also, the lower edge support might make it harder to get in and out of bed for some. These factors led to a slightly higher than average functional support score of 3.23 out of five. While it should suffice for lighter-weight sleepers, higher-weight sleepers may have trouble changing positions and getting in and out of this bed.

“This mattress has 5/5 pressure relief and gentle zoned support.”

— Our tester

Our mattress expert’s take

Who may love it

• Side and back sleepers needing maximum pressure point relief
• People with sensitive pressure points
• Those who sleep hot and need a cooling mattress

Who may want to avoid it

• Heavier stomach sleepers requiring firmer support
• Those who prefer more bounce for easier mobility
• Those requiring stronger edge support

Customer reviews

The Bear Elite Hybrid has a 4.6 out of five star rating with 3,774 reviews on its website. Many reviewers mention positive effects the mattress had on their various types of pain. 

“Best mattress ever used. I was having back and shoulder pain sleeping on my previous foam mattress. After changing to elite hybrid mattress I no longer have pain. I simply feel the best when I wake up now. It was totally worth the investment.”

— Kevin, verified buyer, on 5/18/2024

“Best bed I’ve ever slept in. No more hip pain!”

— Denna M., verified buyer, on 10/8/23

The Bear Elite Hybrid has a 4.4 star rating on Google with only four reviews. Heather R. purchased from Bed, Bath, and Beyond and said, “We stayed at an AirBNB that had this mattress and it was so comfortable we decided to buy one. We got a King sized Firm mattress. It is great! I don’t wake up stiff anymore! My husband sleeps through the night finally. I highly recommend this mattress.”

Learn more about Bear mattresses in our Bear Mattress Review.

Best Orthopedic Mattress for Back Pain: Nolah Evolution

Our expert take on the Nolah Evolution mattress

The Nolah Evolution is our pick for the best orthopedic mattress for back pain. This 15-inch high mattress provides a balanced mix of support and comfort, making it ideal for reducing lower back pain. We tested the luxury firm model, which gives a gentle firm feel, scoring a 7 out of 10 on the firmness scale. It also comes in plush or firm models.

Our testers were impressed by the double-zoned support system, featuring Nolah’s exclusive AirFoam, which is perforatedⓘ Perforated foam or latex is designed by drilling holes through the material to increase the breathability and cooling capabilities of a mattress, as well as to increase the softness of the foam. to provide tailored levels of compression and support for all areas of the body. The foam compresses more at the shoulders and hips for pressure relief and remains denser at the lower back for extra support. This design, along with a layer of zoned coils reinforced in the center, ensures the mattress will support the lower back and help maintain spinal alignment. It received an “excellent” 4.75 out of five for pressure relief, and a “good” four out of five for overall support. It also excels in edge support (4.5 out of five score), providing a stable and secure feel when sitting or lying near the edge. 

Bounce and motion isolation are equal, both scoring 3.5 out of five, something we rarely see in testing. Usually a mattress is high in one or the other, but the Nolah Evolution was above average in both. Our Reviews Team believes it would make a decent choice for couples. While larger movements like getting into bed may be noticeable, smaller movements are subtle, ensuring relatively undisturbed sleep for all but the lightest sleepers. Lighter-weight sleepers should have no problem moving around on it, while higher-weight people may feel somewhat stuck in the material.

This mattress has a relatively high 3.95 out of five functional support score due to its firmer feel, high edge support, higher-than-average bounce, and for its overall support. 

Cooling performance is only average, so we would not recommend this mattress to people who sleep hot. It’s priced on the lower end for orthopedic mattresses, making it an excellent value. 

“Zoned support in the coil and foam layers provides enough support, pressure relief, and responsiveness for all sleepers.”

— Our tester

Our mattress expert’s take

Who may love it

• Those needing extra support for lower back pain
• Sleepers seeking high pressure relief for shoulders and hips
• Those who appreciate strong edge support for sitting or sleeping at the edge

Who may want to avoid it

• Higher-weight stomach sleepers who may need firmer support
• Lighter-weight side sleepers who prefer a softer feel
• Very hot sleepers needing more temperature regulation

Customer reviews

The Nolah Evolution has 4.9 out of five stars reviews on its website. Many reviewers mention positive effects the mattress had on their back pain. 

“I appreciate this company directed [what] bed works for different weight people. I bought the recommended Luxury Firm. No more back pain. It cradles while at the same time is supportively firm. A perfect marriage.”

—- Rainbow T., verified buyer, on 11/14/23

“Ordering this bed was easy. I don’t wake up with shoulder or neck pain like I did with my previous mattress (I am a side sleeper). I also don’t feel it when my husband gets in and out of bed. Recommend it!”

— Phyllis B., verified buyer, on 9/25/23

On Google, the Nolah Evolution has a 4.7 star rating with 755 reviews. Kristin P. said, “I am probably one of the most discretionary sleepers ever. I have to have a comfy mattress (supportive yet hugs you as you sleep), amazing pillows and bedding. Sleep is everything! I have had multiple back surgeries and my husband has insomnia so we are a bit of a hot mess without the right mattress. We have now had ours (the 15” Evolution king size) for a little over a year. We have even moved across the country with it. We have been very fortunate to stay in some nice hotels and with a few excellent exceptions this mattress still beats them all! We are customers for life! I should also add that their customer service was excellent.”

Learn more about Nolah mattresses in our full Nolah Mattress Review.

Best Orthopedic Mattress for Side Sleepers: Brooklyn Bedding Aurora Luxe

Our expert take on the Brooklyn Bedding Aurora Luxe mattress

The Brooklyn Bedding Aurora Luxe is our choice for the best orthopedic mattress for side sleepers due to its exceptional pressure-relieving capabilities, which help avoid pain at the hips and shoulders when lying on your side—a common complaint for side sleepers. 

This mattress offers a firmer feel, while providing excellent pressure relief, making it ideal for those who need a supportive but soft sleep surface. While it comes in three firmness levels, we tested the medium and gave it a rating of 7.5 out of 10 on the firmness scale. This ranked it solidly at a “firm” level, even though the company describes it as “medium.” 

It’s rare for a firmer mattress to exhibit superior pressure relief, but the Aurora Luxe It manages to balance firmness and comfort, making it suitable for all sleeping positions.

The mattress gets its pressure-relieving capabilities from a combination of conforming and responsive foam layers, which help distribute weight evenly and ease pressure on the shoulders and hips. Its zoned support system ensures that the spine remains in a neutral position, reducing pain and discomfort.

Edge support is also strong (4.5 out of five), providing a secure and stable feel when sitting or lying near the edge. The cooling performance of the Aurora Luxe is good, with a four out of five score. The first foam layer is infused with PCM—as we saw in the Bear Elite Hybrid—which also had a high cooling score. This makes the mattress feel cool to the touch and keeps even hot sleepers comfortable throughout the night.

This Aurora Luxe has average bounce, so should suit lighter-weight and average-weight sleepers, but higher-weight sleepers may have more trouble changing positions on it. The mattress’s lower-than-average motion transfer score indicates that it may not be the best choice for couples who are sensitive to each other’s movements during the night.

“It feels pretty comfortable for a side sleeper. No pressure on the hips and shoulders.”

— Our tester

Our mattress expert’s take

Who may love it

• Side sleepers needing maximum pressure relief
• Sleepers of various body types seeking a firm, supportive mattress
• Those who prefer a cool sleeping surface

Who may want to avoid it

• Couples sensitive to each other’s movements at night
• Those who prefer a softer, memory foam feel
• Those who prefer more bounce

Customer reviews

The Brooklyn Bedding Signature Hybrid has 4.7 out of five stars with more than 10,000 reviews on its website. Side sleepers are happy with its performance and comfort. 

“The Signature Hybrid has been very comfortable & a good value. I find the medium to be just right for me; soft enough for painless side sleeping, but there’s enough firmness to support sleeping on my stomach & back. Shipping & unboxing was easy and convenient. I’m satisfied & recommend the medium as a great all-purpose bed for different sleepers.”

— Samuel D., verified buyer, on 1/5/23

“Love this mattress. I was always a side sleeper, but could no longer do so for very long on my old mattress due to pain in my hip. This new mattress solved the problem.”

— Mary P., verified buyer, on 6/7/2024

The Signature Hybrid as a 4.4 star rating on Google with more than 11,000 reviews. Customers report better sleep than with previous mattresses. Ashley said, “Love this mattress. The most comfortable sleep I’ve had as a side sleeper!”

Learn more about Brooklyn Bedding mattresses in our Brooklyn Bedding Mattress Review.

How we test orthopedic mattresses

Our Reviews Team has dedicated more than 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 eight 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 orthopedic mattresses based on the scores of the relevant criteria. See how we tested the most important considerations for this review below.

Firmness 

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. For orthopedic mattresses, a firmness score of 6–7 is often ideal, providing enough support without being too rigid. A score of 6.5 is considered a universal medium and is most comfortable for a wide range of people.

Pressure Relief 

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. Orthopedic mattresses need to provide enough sinkage and pressure relief to ensure comfort and reduce pain in sensitive areas.

Support 

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. Orthopedic mattresses generally provide extra support around the lumbar (lower back) region, so mattresses with zoned support are preferred.

To learn more about our testing, review our sleep methodology. 

We continuously test new mattresses each month to ensure our recommendations are based on the latest models and innovations. Our team stays current with industry trends and regularly updates our reviews to provide you with the most up-to-date information possible. This ongoing commitment helps us maintain the highest standards in our mattress evaluations.

How to choose an orthopedic mattress

Choosing the right orthopedic mattress is crucial for those with chronic pain or orthopedic issues. The right mattress can significantly enhance sleep quality, reduce discomfort, and promote overall well-being. Here are the key factors to consider when selecting an orthopedic mattress:

Firmness

Firmness is a critical factor in choosing an orthopedic mattress, as it directly affects the level of support and comfort you will receive. For people with chronic pain, a medium to medium-firm mattress is generally recommended. These mattresses provide a balance of comfort and support, ensuring that the body is properly aligned without feeling too rigid. A mattress that is too soft can cause the body to sink excessively, leading to misalignment and increased pain, while a mattress that is too firm may not provide adequate contouring to relieve pressure points.

When considering firmness, also think about your body weight and sleeping position. Heavier individuals might require a slightly firmer mattress to prevent excessive sinkage, while lighter individuals may prefer a softer feel to ensure proper contouring. Side sleepers often benefit from a mattress with a bit more cushioning to ease pressure on the shoulders and hips, whereas back and stomach sleepers typically need firmer support to maintain spinal alignment.

Support

Support is another crucial aspect when selecting an orthopedic mattress. Proper support ensures that the spine remains in a neutral position, which is essential for reducing pain and preventing further injury. Orthopedic mattresses often feature zoned support systems, which provide varying levels of support across different areas of the body. These systems are designed to be firmer in the middle section of the mattress to support the lower back and hips, and softer at the head and feet to provide comfort and relieve pressure points.

Edge support is also important for people with chronic pain, especially those who may have difficulty getting in and out of bed. A mattress with strong edge support prevents sagging and provides a stable surface when sitting or lying near the edges. This can enhance overall safety and ease of movement, reducing the risk of falls and making it easier to get up from the bed.

Pressure relief

Effective pressure relief is essential in an orthopedic mattress, particularly for individuals with chronic pain. Pressure relief refers to the mattress’s ability to distribute body weight evenly, reducing stress on sensitive areas like the shoulders, hips, and lower back. Memory foam and latex are popular materials for providing excellent pressure relief, as they conform to the body’s shape and offer targeted support.

When evaluating pressure relief, consider how the mattress responds to your body’s contours. A good orthopedic mattress should cradle your body while maintaining enough firmness to support the spine. Look for a mattress that provides consistent support and relief across all sleeping positions to ensure a comfortable and pain-free sleep experience.

What does an orthopedic mattress do?

An orthopedic mattress provides targeted support to ease pressure points and maintain proper spinal alignment. These mattresses often feature advanced materials and zoned support systems to offer both comfort and firmness. 

Orthopedic mattresses enhance sleep quality by supporting the body and spine, which helps reduce tossing and turning and minimizes pain for sleepers with chronic pain.

Is it good to sleep on an orthopedic mattress?

Sleeping on an orthopedic mattress can offer several benefits, but it’s essential to consider both the advantages and disadvantages to determine if it’s the right choice for you.

Advantages

• Improved spinal alignment: Provides targeted support to maintain proper spinal alignment, reducing the risk of back pain and improving sleep posture
• Pressure relief: Eases pressure points on the body, especially beneficial for those with joint pain or arthritis
• Enhanced comfort: Offers a balance of firmness and cushioning for a comfortable sleeping experience across various sleep positions
• Durability: Made with high-quality materials that ensure long-lasting support and comfort.
• Better sleep quality: Promotes deeper, more restful sleep by reducing discomfort and minimizing movement disturbances

Disadvantages

• Higher cost: Can be more expensive compared to standard mattresses due to their specialized design and materials
• Firmness: May feel too firm for some sleepers, particularly those who prefer a softer, more plush mattress
• Weight: Mattresses can be heavier and more challenging to lift or rotate due to the dense materials used in construction
• Adjustment period: Some people may require time to adjust to the new level of support and firmness, which could initially disrupt sleep

What is the difference between a regular mattress and an orthopedic mattress?

A regular mattress offers general comfort and support, while an orthopedic mattress specifically targets spinal alignment and pressure relief to address pain and discomfort in the back, hips, and joints. Orthopedic mattresses are designed with advanced materials and zoned support systems to provide targeted support and enhanced sleep quality.

Orthopedic mattress materials

Most orthopedic mattresses are made with hybrid construction, combining strong, zoned steel coils for support with advanced, pressure-relieving foams. Here are some of the commonly-used materials in orthopedic mattresses:

• Innerspring coils: Provides overall support and a bouncy feel, promotes airflow and cooling for mattress breathability

• Memory foam: Tends to provide a deep, sinking feeling; conforms to the body’s shape, providing excellent pressure relief and motion isolation—ideal for those who need contouring support and comfort
• Latex: A natural foam that offers a durable, responsive, feel with good pressure relief and cooling properties; suitable for those who prefer a more resilient and eco-friendly option without as much sinkage as memory foam
• AirFoam: Exclusive to some brands, AirFoam is designed to provide pressure relief and support while maintaining a cooler sleep environment; often perforated to enhance breathability
• Gel-infused foam: Incorporates gel particles into memory foam to keep the mattress surface cooler and help dissipate body heat
• Polyurethane foam: A dense foam that is often used as a base layer for added durability

Orthopedic pain and sleep position

Choosing the right mattress based on your sleep position and the type of pain you’re living with can significantly enhance your sleep quality and reduce discomfort. Adjusting your sleep posture with the following recommended tweaks can also help ^[4] University of Rochester Medical Center. Good Sleeping Posture Helps Your Back. Found on the internet at ://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=1&ContentID=4460 :

• Back sleepers are best suited with a medium-firm to firm mattress that provides ample lower back support and keeps the spine aligned. Mattresses with zoned support systems can be particularly beneficial. If you have back pain, place a pillow under your knees to maintain the natural curve of your spine and reduce lower back pressure. If you have neck pain, use a supportive pillow that maintains the natural curve of your neck. Ensure the pillow is not too high to avoid straining the neck.
• Side sleepers need a mattress that offers excellent pressure relief for the shoulders and hips. Medium to medium-firm mattresses with memory foam or latex layers can help support pressure points. If you have hip pain, place a pillow between your knees to keep your hips aligned and reduce strain. If you have neck pain, choose a pillow that fills the space between your neck and the mattress, keeping the spine aligned. If you have shoulder pain, sleep on the opposite side of the affected shoulder. Hugging a pillow or placing a pillow under your arm can also help reduce pressure.
• Stomach sleepers require a firmer mattress to prevent the hips from sinking into the mattress, which can cause, or worsen, lower back pain. Innerspring or hybrid mattresses with strong support are ideal. If you have lower back pain, place a thin pillow under your pelvis to prevent your lower back from sagging. Ideally, avoid stomach sleeping if possible.
• Higher-weight sleepers may benefit from firmer mattresses that provide extra support and prevent excessive sinkage. Look for high-density foam or robust coil systems.
• Lighter-weight sleepers might prefer softer mattresses that offer more contouring and pressure relief. Memory foam and plush hybrid mattresses can help provide the necessary comfort.

Bottom line 

Choosing the right orthopedic mattress can significantly enhance your sleep quality and ease various types of pain. Each of the six mattresses we’ve reviewed offers unique benefits tailored to different needs and preferences. The Saatva RX is our top overall pick for its advanced lower back support, high-density memory foam, and eco-friendly materials. The Helix Dusk Luxe is our pick for the most comfortable orthopedic mattress, combining plush comfort with firm support. The WinkBed is best for couples due to its excellent motion isolation, strong edge support, and responsive hybrid design. The Bear Elite Hybrid is best for pressure relief with its plush cover and dual memory foam layers. The Nolah Evolution is best for back pain with its double-zoned support and excellent lower back support. The Brooklyn Bedding Aurora Luxe is best for side sleepers, offering exceptional pressure relief and cooling performance. Each of these mattresses has been carefully selected to address specific sleep and orthopedic needs, ensuring you can find the best option for restful and pain-free sleep.

Additional sleep resources for orthopedic mattresses

• Best mattress for back pain
• Best mattress for sciatica
• Best mattress for arthritis
• Best mattress for hip pain
• Best mattress for shoulder pain
• Best mattress for fibromyalgia
• Best pillows for neck pain

Frequently asked questions

What type of mattress do doctors recommend for back pain?

Doctors typically recommend a medium-firm to firm mattress for back pain, as it provides the necessary support to maintain proper spinal alignment and reduce pressure point discomfort. Orthopedic mattresses with zoned support systems and memory foam or latex layers are often suggested, as they offer targeted support and pressure relief to reduce back pain.

What is the difference between a spring mattress and an orthopedic mattress?

A spring mattress uses a system of coils to provide support and a bouncy feel, but it may lack the targeted pressure relief needed for certain pain conditions. An orthopedic mattress, on the other hand, is specifically designed to support spinal alignment and relieve pressure points. While its construction usually contains a spring coil system, it often features advanced materials like memory foam, latex, and zoned support systems to offer enhanced comfort and support for those with orthopedic issues.

What is the best brand of orthopedic mattress?

The best brand of orthopedic mattress can vary based on individual needs and preferences, but some of the brands that have scored highest in our testing include Saatva, Helix, WinkBed, Bear, Nolah, and Brooklyn Bedding. Each of these brands offers orthopedic mattresses designed to provide targeted support, pressure relief, and enhanced sleep quality for various types of sleepers.

Have questions about this review? Email us at reviewsteam@ncoa.org. 

Sources

1. Centers for Disease Control and Prevention. National Statistics—Arthritis Prevalence. Oct. 24, 2023. Found on the internet at https://www.cdc.gov/arthritis/data_statistics/national-statistics.html
2. Arthritis Foundation. Sleep and Pain. March 15, 2022. Found on the internet at https://www.arthritis.org/health-wellness/healthy-living/managing-pain/fatigue-sleep/sleep-and-pain#
3. Aminoff MJ, et al. We Spend About One-Third of Our Life Either Sleeping or Attempting To Do So. Handbook of Clinical Neurology. January 2011. Found on the internet at https://www.researchgate.net/publication/262060840_We_spend_about_one-third_of_our_life_either_sleeping_or_attempting_to_do_so
4. University of Rochester Medical Center. Good Sleeping Posture Helps Your Back. Found on the internet at https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=1&ContentID=4460