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10 Best Orthopedic Mattresses of 2024, Expert Tested

Many orthopedic mattresses are available on the market, making it overwhelming to know which one is right for you. Some mattresses are made from memory foam, while others feature pocketed coils or natural latex. You can also opt for added features like cooling technology or even adjustable firmness levels.

Each type of mattress offers different levels of support and comfort, making it essential to understand the options available before making a purchase. By taking the time to explore the variety of orthopedic mattresses on the market, you can make an informed decision and invest in a bed that will provide you with the rest you deserve.

Best Orthopedic Mattresses

Dr. Raj Talks What to Look for in an Orthopedic Mattress

Compare the Best Orthopedic Mattresses

Nectar Mattress Saatva Mattress Helix Midnight Mattress DreamCloud Premier Mattress WinkBed Mattress Saatva Memory Foam Hybrid Nolah Signature 12 Bear Original Mattress Titan Plus Brooklyn Bedding Signature Hybrid Mattress
Nectar Mattress Saatva Mattress Helix Midnight Mattress DreamCloud Premier Mattress WinkBed Mattress Saatva Memory Foam Hybrid Nolah Signature 12″ Mattress Bear Original Mattress Titan Plus Brooklyn Bedding Signature Hybrid Mattress
Rating
4.3
4.2
4.1
4.0
4.3
4.2
4.0
3.9
4.3
4.0
Firmness Firm: 7.5/10 Multiple firmness options Medium-firm: 6/10 Medium: 5.5/10 Multiple firmness options Medium-firm: 6.5/10 Medium-firm: 6/10 Firm: 7/10 Firm: 8/10 Multiple firmness options
Material Foam Innerspring Hybrid Hybrid Hybrid Hybrid Foam Foam Hybrid Hybrid
Cooling
Warranty Lifetime warranty Lifetime warranty 10-year warranty Lifetime warranty Lifetime warranty Lifetime warranty Lifetime warranty Lifetime warranty 10-year warranty 10-year warranty
Shipping Free shipping Free white glove delivery Free shipping Free shipping Free shipping Free white glove delivery Free shipping Free shipping Free shipping Free shipping
Trial Period 365 nights 365 nights 100 nights 365 nights 120 nights 365 Nights 120 nights 120 nights 120 nights 120 nights
Best For Back Sleepers, Back Pain, Stomach Sleepers, Side Sleepers, Couples Back Sleepers, Stomach Sleepers, Back Pain, Hot Sleepers, Seniors Couples, Back Sleepers, Side Sleepers Back Sleepers, Hot Sleepers Back Sleepers, Stomach Sleepers, Back Pain, Hot Sleepers, Side Sleepers, Hip Pain, Seniors Back Sleepers, Stomach Sleepers Side Sleepers, Back Pain Hot Sleepers, Back Sleepers, Side Sleepers, Hip Pain Back Sleepers, Stomach Sleepers, Back Pain, Hip Pain, Seniors Couples, Back Sleepers, Hip Pain

How We Test the Best Orthopedic Mattresses

At Sleep Advisor, our mattress reviews are based on our findings from mattress tests that we do in-person—so you can rest assured knowing every mattress we recommend has been touched and laid on by a member of our diverse testing team.

We evaluate mattress performance for back, side, and stomach sleeping—for sleepers of all shapes and sizes. We look at a variety of performance categories, but we focused on a select few that are most important for orthopedic beds. More on that below!

Methodology Image- Sleep Advisor
Our lead product tester, Julia Forbes, hands on mattress testing.

What We Want to See in the Best Orthopedic Mattresses

A lot goes into a good orthopedic mattress, but here’s what we prioritize in our testing:

Cradling and Cushioning

Those with orthopedic concerns want to make sure that any sensitive areas are protected from pressure buildup, which can exacerbate any existing issues. These mattresses should feature a contouring top, usually some type of foam, that conforms to your body’s unique shape.

Spinal Alignment

Alongside softness to keep joints cushioned, it’s important to have a bed that properly supports you and keeps your spine in a comfortable position. The ideal mattress will have just the right amount of lift and give so your spine remains neutral and relatively straight, without causing undue stress.

Pain Relief

The combination of the two points above also contributes to perhaps the most important factor of an orthopedic mattress: the bed’s ability to relieve pain—whether it’s by offering pressure relief or providing support in the proper areas. We evaluate which beds are best for pain relief in relation to your sleeping position, body type, and where the pain might be centralized.

Our Best Orthopedic Mattress Picks

Nectar – Editor’s Pick

Affordable Memory Foam
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
Nectar
Nectar Mattress
Memory Foam
Affordable Mattress
Foam
365 nights
Free shipping minus AK and HI
Winter Flash Sale
Save Up To 50% On Nectar Mattresses See Details
Material
Material
This mattress is made of memory foam and other poly foam layers.
Price
Price
$934 – $2,121 (before any discounts)
Firmness
Firmness
Firm. We rated the Nectar a 7.5 out of 10.
Size
Size
Twin, twin XL, full, queen, king, California king, split king
Back Sleeper
Back Sleepers
The Nectar provides a blend of comfortable pressure relief and firm support that should suit most back sleepers.
Couples
Couples
Thanks to the Nectar’s ability to absorb motion, you should be able to sleep through your partner’s movements.
Dark
Firm Mattress Fans
At 7.5 out of 10, this bed is on the firmer side, even though it has memory foam on top.
Pros of the Nectar Mattress
This bed offers pressure relief alongside its support
We were impressed by how well the perimeter of the Nectar held up, making it good for spreading out or sitting on the edges
Memory foam tends to trap heat, but the bed’s cooling cover counteracts this
Cons of the Nectar Mattress
The foams on the Nectar aren’t very bouncy, so consider looking at the best hybrid mattresses if responsiveness is important to you
It’s on the firmer side, so if you need a softer bed, you might want to consider Nectar’s most luxurious model, the Nectar Luxe
Shipping
Shipping
Free shipping, except for Alaska and Hawaii ($99)
Trial Period
Trial Period
365 nights
Warranty
Warranty
Lifetime warranty
Return
Returns
Full refund within trial period

The Advisor Says: We believe that Nectar offers a quality bed backed up by generous policies, and for under $1,000 for a queen (after discounts). If you’re looking for a firmer foam mattress on a budget, the Nectar Classic has you covered.

Poor
Average
Excellent

1
2
3
4
5
4.5
Pressure Relief
4
Support
5
Motion Isolation
2.5
Cooling
4
Bounce
4
Edge Support
4
Performance for Couples
4
Customer Service
4.5
Accessibility

Why the Nectar Earned Best Orthopedic Mattress Overall

Nectar’s flagship mattress is an all-foam bed that should benefit folks with orthopedic concerns because of its soft surface. The 2-inch therapeutic gel memory foam layer promotes excellent pressure relief, contouring to your body and fostering proper spinal alignment.

You’ll also get this soft support without many of the drawbacks of traditional foam. For example, its single-action cooling system helps you remain comfortable throughout the night, regulating your body temperature and preventing overheating—a boon when it comes to all-foam mattresses. So, it’s easy to see why it got first place.

What’s the Nectar Made Of?

The Nectar mattress is 12 inches thick and has a total of five layers including its lower and top covers. All of the foams in this mattress are CertiPUR-US® certified.

The top cover is made from polyethylene fibers for a breathable sleep experience. Underneath, the first layer of foam is a 1-inch sheet of memory foam for pressure relief.

Then, 3 inches of a more responsive foam help with repositioning and support. The 8-inch base layer provides stability and prevents the mattress from sagging, ensuring that you have a comfortable sleep surface for years to come.

The lower cover keeps your mattress and everything within it from shifting around.

My Take: The top of the Nectar Mattress feels soft enough for cushioning, especially around pressure points, but there’s firm support underneath to ensure you don’t sink in too far.

Customer Reviews of the Nectar

With thousands of reviews on Nectar’s website, the Nectar mattress has an average 4.8 out of 5 stars. One common customer complaint about the Nectar mattress is its longer-than-average break-in period, while many customers praise its excellent value and comfort once fully settled.

To learn more about the Nectar, check out our Nectar mattress review. To see our top mattress picks for the year, read our roundup of the best mattresses for 2024.

Saatva Classic – Best Orthopedic Mattress for Back Pain

Two Spring Units, Double the Support
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.2
Saatva
Saatva Classic
Two Coil Units
Lumbar Support
Multiple Firmnesses
Hybrid
365 nights
Free shipping and white glove delivery
Limited Time Offer
Take $300 off your order of $1,000 or more See Details
Material
Material
This mattress contains foam layers and coils.
Price
Price
$1,395 – $2,990 (before any discounts)
Firmness
Firmness
Multiple firmness options available (Plush Soft, Luxury Firm, and Firm). We tested the Luxury Firm and placed it at a 7 out of 10, which is firm but not extremely firm.
Size
Size
Twin, twin XL, full, queen, king, California king, split king, split California king; two height options (11.5″ and 14.5″)
Combo Sleeper
Combination Sleepers
This bed supported us in every single sleeping position, so you’re all set if you switch your posture during the night.
Back Pain
Back Pain
There are multiple features inside this bed that support the lower back specifically.
Setup
Fans of Convenience
White glove delivery is a big plus if you don’t want to deal with the hassle of mattress unboxing and setup.
Saatva Classic Pros
All the built-in lumbar features really kept our lower backs lifted and supported
The edge support on this bed is something else—those foam rails make you feel very secure
You can customize the bed’s firmness level and height
Saatva Classic Cons
There’s very little motion isolation to be had on this bed, so you may feel a partner’s movements; check out the best memory foam beds if a calm surface is important to you
Unlike many other mattress companies we feature, Saatva will charge you a return fee if you send this bed back
Shipping
Shipping
Free shipping and white glove delivery in the contiguous United States
Trial Period
Trial Period
365 nights
Warranty
Warranty
Lifetime warranty
Return
Returns
Saatva charges a $99 processing fee for returns

The Advisor Says: The Saatva Classic is the gold standard for lower-back support, strong edges, and customizable luxury. It’s not the softest or most motion-isolating bed out there, but it’s a dependable, bouncy hybrid that consistently impresses our testers with its two coil units.

Poor
Average
Excellent

1
2
3
4
5
4
Pressure Relief
5
Support
2
Motion Isolation
4
Cooling
4
Bounce
5
Edge Support
4
Couples
5
Customer Service
4
Accessibility

Why the Saatva Classic Earned Best Orthopedic Mattress for Back Pain

The Saatva Classic is one of my favorite beds to recommend for back pain, as its signature construction focuses on healthy spinal alignment and lumbar support.

Its two coil units plus proprietary Lumbar Zone® Technology work to prevent pressure buildup while keeping you pleasantly aloft. The Classic was also awarded a seal of approval from chiropractors, making it a strong choice for those with general orthopedic needs.

What’s the Saatva Classic Made Of?

Each Saatva Classic begins with a 3-inch Euro pillow top. Covered by organic cotton, this plush comfort layer consists of soft foams, but tightens up slightly around the middle to better lift your lumbar spine.

Underneath is a layer of high-density memory foam that takes up the same middle region of the bed. It’s meant to combine pressure relief with additional targeted lumbar support.

Next is the first of the Classic’s two coil units: a zoned layer of pocketed coils that provide extra pushback in the bed’s center third (again, directly under the lumbar area.) It’s backed up by a second coil unit, wherein the springs are interconnected and augmented by a Lumbar Zone® Active Spinal Wire. This wire—you guessed it—borders the lumbar region for even more lift.

The inside of the Saatva Classic Mattress

This bed comes in two heights: 11.5 or 14.5 inches. You can also choose between a Plush Soft, Luxury Firm, or Firm feel.

My Take: The Saatva Classic is a standout when it comes to preventing back pain, since it’s designed with lumbar support in mind. You can find specialized lower back support added into plenty of layers in the mattress, fromits pillow top to its dual coil units.

Customer Reviews of the Saatva Classic

The Saatva Classic rates 4.8 stars out of 5 on Saatva’s website. One negative aspect customers found with the Saatva Classic mattress is that it may feel too firm for some users, while a notable advantage is its high-quality materials, providing durability and support.

To learn more about the Saatva, check out our Saatva Classic mattress review. To explore more beds built for achy backs, read our list of the best mattresses for back pain.

Helix Midnight – Best Orthopedic Mattress for Pressure Relief

Hybrid Built for Side Sleepers
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.1
Helix
Helix Midnight Mattress
Well-Balanced Hybrid
Affordably Priced
Isolates Motion
Hybrid
100 nights
Free shipping minus AK and HI
Cyber Monday Sale – Extended
Save 20% sitewide + 2 FREE pillows with any mattress ($150+ value) See Details
Material
Material
This mattress contains foam layers and coils.
Price
Price
$936.30 – $1,748.80 (before any discounts)
Firmness
Firmness
A cushioned medium-firm. On our firmness scale, it’s a 6 out of 10.
Size
Size
Twin, twin XL, queen, king, California king, short queen, RV king
Side Sleeper
Side Sleepers
With pressure-relieving foams up top to cradle the hips and shoulders, this bed was designed for side sleepers.
Hot Sleeper
Hot Sleepers
This bed barely got warmer after multiple minutes of our testers lying on top of it.
Back Pain
Those with Back Pain
A medium-firm feel with lots of support means that this mattress may help with back pain.
Pros of the Helix Midnight
It has a lovely balance of pressure relief to support, earning a 5 out of 5 from our testers in both categories
Surprisingly, it isolates motion so well that we gave it a perfect score in this category, too
We found that it stays quite cool over time
Cons of the Helix Midnight
Stomach sleepers, especially heavyweight ones, probably need more support than this bed can offer
People who spread out when they sleep may not appreciate the Midnight’s poor edge support, which pales in comparison to the Saatva Classic‘s
Shipping
Shipping
Free shipping
Trial Period
Trial Period
100 nights
Warranty
Warranty
10-year warranty
Return
Returns
Free returns

The Advisor Says: The Midnight has one of the most impressive score spreads of all the mattresses we’ve reviewed. The best word to describe it is “balanced”: it’s got pressure relief, support, and cooling power in spades, plus a versatile medium-firm feel that tends to satisfy lots of sleepers.

Poor
Average
Excellent

1
2
3
4
5
5
Pressure Relief
5
Support
5
Motion Isolation
3
Cooling
3.5
Bounce
2
Edge Support
3
Couples

Why the Helix Midnight Earned Best Orthopedic Mattress for Pressure Relief

The Helix Midnight rates well for sleepers who may be struggling with back, hip, and shoulder pain, so it’s a great pick when it comes to an orthopedic mattress. Its innerspring coils provide support while its foams specialize in cushioning, and it’s also an exceptionally versatile bed. It should work for a variety of sleepers in a multitude of positions due to its medium-firm feel and ability to evenly distribute weight.

Since it’s built for side sleepers, its pressure-relieving ability is truly top notch. We gave it a 5/5 on our testing scale.

What’s the Helix Midnight Made Of?

The Helix Midnight has five internal layers that add up to 11.5 inches in height.

Its soft cover leads into an initial layer of Memory Plus Foam, a pressure-relieving material exclusive to the Helix brand. Beneath, two layers of Helix Responsive Foam add a bit of bounce to the bed, as well as more cushioning between sleepers and the mattress’s spring unit.

All of these foams are CertiPUR-US® certified, meaning they don’t contain certain potentially harmful materials.

The springs in the Midnight are individually encased in fabric pockets to prevent too much motion transfer and provide targeted pushback. They’re also reinforced on the long sides of the bed, so if you roll to the brink of the mattress, you should still feel supported.

Our Take: “It definitely has good response and bounce. I can move and adjust positions, no problem.” Emma Mattei, Sleep Advisor Mattress Tester

Customer Reviews of the Helix Midnight

The Helix Midnight rates 4.5 stars out of 5 on Helix’s website. The main negative is that reviewers tend to find it too soft for their liking and feel as though they’re sinking. But overall, users say they’re getting a great nights’ sleep and some pain relief.

To learn more about this bed, check out our Helix Midnight mattress review. To see more beds that excel at taking the pressure off, consult our list of the best mattresses for pressure relief.

DreamCloud Premier – Best Hybrid Orthopedic Mattress

Luxury Lift at a Reasonable Cost
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.0
DreamCloud
DreamCloud Premier Mattress
Cashmere Blend Cover
Four Upper Foam Layers
Bouncy
Hybrid
365 nights
Free shipping minus HI and AK
Cyber Weekend Extended
Up to 50% off mattresses + spend $1,000 and save $100 See Details
Material
Material
This mattress contains foam layers and coils.
Price
Price
$1,116 – $3,284 (before any discounts)
Firmness
Firmness
Medium-firm to slightly firm, around a 6.5 to 7 out of 10 on our scale.
Size
Size
Twin, twin XL, full, queen, king, California king, split king
Side Sleeper
Side Sleepers
It’s more cushioned than its predecessor, the original DreamCloud, and a good fit for side sleepers who want lots of support.
Back Sleeper
Back Sleepers
Back sleepers should feel lifted and cozy on this bed.
Spring
Bounce Fans
It’s a springy, responsive mattress even though it has lots of foam near the top.
DreamCloud Premier Pros
It balances softness and support a bit better than the original DreamCloud, with more cushion in its upper layers
Our spinal alignment felt great on our sides and backs
It’s a responsive bed with a fair amount of bounce
DreamCloud Premier Cons
When we tested it on our stomachs, our lower backs dipped lower than we would have liked
There was a touch of pressure buildup around the shoulder while testing on our sides; if that area is sensitive for you, browse the best mattresses for shoulder pain instead
Shipping
Shipping
Free shipping in the contiguous United States
Trial Period
Trial Period
365 nights
Warranty
Warranty
Lifetime warranty
Return
Returns
Free returns

The Advisor Says: Its fancy quilted cover and generous foam layers make the DreamCloud Premier a slightly softer bed than the original DreamCloud. But, it still skews firm for a hybrid, so it’s best for back and side sleepers who like an initial bit of cushion followed by lots of lift.

Poor
Average
Excellent

1
2
3
4
5
4.5
Pressure Relief
4.5
Support
3.5
Motion Transfer
3.5
Cooling
4.5
Bounce
3.5
Edge Support
3
Couples

Why the DreamCloud Premier Earned Best Hybrid Orthopedic Mattress

Hybrid beds merge the unbeatable support you get from springs with the coziness of foam, and the DreamCloud Premier hits an ideal balance between the two. It has a slightly softer feel than its predecessor, the DreamCloud, and is therefore more welcoming to side and back sleepers with orthopedic concerns. 

A full four layers of foam form a comfortable buffer between you and the innersprings at its base. The coils, meanwhile, give the lumbar zone some noteworthy lift and make the bed pleasantly bouncy.

What’s the DreamCloud Premier Made Of?

The DreamCloud Premier is 13 inches tall and built from seven layers if you include its top cover. 

The cover is made from a cashmere blend decorated with stitched clouds. Quilted directly under it are two layers of foam: a contouring gel foam for initial cushion, and a supportive foam for a buoying feel. 

Next is a layer of gel-infused memory foam. This layer’s key function is pressure relief, and the gel inside of it should help prevent too much heat from building up inside. A transitional layer of foam beneath it marks the switch from comfort layers to the supportive spring unit below. 

The coils in the DreamCloud Premier are individually wrapped and reinforced along the edges. They sit on top of a sturdy foam base. 

My Take: The DreamCloud Premier relieves pressure extremely well, and its support system felt great beneath my lower back (with some slight dipping when I shifted onto my stomach). I’d recommend it to back and side sleepers without reservation.

Customer Reviews of the DreamCloud Premier

Coming in at 4.5 out of 5 stars on DreamCloud’s site, the DreamCloud Premier receives a majority of positive reviews. Customers praise the DreamCloud Premier mattress for its luxury feel, but some have noted that it may not be the best choice for those on a tighter budget.

To learn more about the this bed, check out our DreamCloud Premier review. For our hybrid mattress recommendations, browse the best hybrid beds.

WinkBed – Best Orthopedic Mattress for Couples

Durable Springs, Multiple Models
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
WinkBeds
WinkBed Mattress
Extremely Responsive
Zoned Support
Multiple Firmnesses
Hybrid
120 nights
Free shipping minus HI and AK
Holiday Sale
$300 off any mattress See Details
Material
Material
This mattress contains foam layers and coils.
Price
Price
$1,149 – $2,049 (before any discounts)
Firmness
Firmness
Multiple firmness options (Softer, Luxury Firm, Firmer, and Plus). We tested the Luxury Firm and placed it at a 6 out of 10 on our scale, which is comfortably medium-firm.
Size
Size
Twin, twin XL, full, queen, king, California king
Combo Sleeper
Combination Sleepers
Its springiness makes it easy to change your sleeping position, and it adapts well to each one.
Hot Sleeper
Hot Sleepers
Gel-infused foams, airflow around the coils, and a breathable cover earned the WinkBed a high cooling score.
Pain Relief
Spine Alignment
Its zoned coils and “LumbarLayer™” of foam help to keep the lower back supported and aligned with the rest of the spine.
WinkBed Pros
There are four firmness options available for this bed, including one designed specifically for plus-size sleepers
It’s so springy that it feels like it’s helping you to move around on top of it
The zoned support was really noticeable during testing, and helped to keep our lumbar regions lifted
WinkBed Cons
Its motion isolation isn’t the greatest, so if you’re a restless sleeper who shares a bed, look elsewhere
It has a classic hybrid feel that keeps you on top of the mattress, rather than sinking in; if you want more of a hug from your bed, browse the best soft mattresses
Shipping
Shipping
Free within the contiguous United States
Trial Period
Trial Period
120 nights
Warranty
Warranty
Lifetime warranty
Return
Returns
Free returns

The Advisor Says: Our testers often compare the WinkBed to a luxury hotel mattress, which is no surprise given its handcrafted touches and elegant hybrid design. It’s also one of the most customizable beds out there, with a firmness level for every body type.

Poor
Average
Excellent

1
2
3
4
5
4
Pressure Relief
5
Support
3
Motion Isolation
4
Cooling
5
Bounce
4.5
Edge Support
4
Couples
5
Customer Service
4
Accessibility

Why the WinkBed Earned Best Orthopedic Mattress for Couples

The WinkBed mattress is an excellent choice for people with orthopedic needs, and particularly for couples. It’s designed with a blend of pressure-relieving foam layers and individually wrapped coils to provide the right level of support and comfort for each sleeper.

Where couples are concerned, the WinkBed is a great option since it has plenty of bounce for sexually-active partners and strong edges for full use of the surface. With plenty of firmness options, too, it’s easier to tailor the bed to the needs of both partners.

What’s the WinkBed Made Of?

The WinkBed is 13.5 inches tall and comes in four firmness options: Softer, Luxury Firm, Firmer, and Plus.

The cover is made of moisture-wicking Tencel™ for a comfortably soft and dry sleep experience.

Then, the Euro pillow top gives the mattress its cushiony surface, along with gel-infused foam that seeks to reduce unwanted heat buildup.

A series of transitional comfort foams lead into the innerspring unit beneath. This layer is made up of individually wrapped coils that are zoned to balance support and give across different parts of the body, thereby encouraging healthy spinal alignment. Along the perimeter of the mattress, the coils are reinforced to keep the edges solid.

Our Take: “The WinkBed should be a good option for couples thanks to its sturdy construction and reinforced edge coils that maximize sleep space.” – Sean, Sleep Advisor Mattress Tester

Customer Reviews of the WinkBed

On the WinkBeds site, the WinkBed earns a 4.8 out of 5 stars. One drawback of the WinkBed mattress is that it might be too expensive for budget-conscious shoppers, but overall it offers excellent durability and customizable firmness options.

To learn more about the WinkBed, check out our WinkBed mattress review. To see more mattresses that work well for co-sleeping, peruse the best mattresses for couples.

Saatva Memory Foam Hybrid – Best Orthopedic Mattress for Back Sleepers

Reliable High-End Hybrid
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.2
Saatva
Saatva Memory Foam Hybrid
Luxury
Well-Balanced Hybrid
Great for Couples
Hybrid
365 nights
Free shipping and white glove delivery
Limited Time Offer
Take $300 off your order of $1,000 or more See Details
Material
Material
This mattress contains foam layers and coils.
Price
Price
$1,295 – $2,295 (before any discounts)
Firmness
Firmness
Medium-firm. This bed came in at a 6.5 out of 10 on our firmness scale.
Size
Size
Twin, twin XL, full, queen, king, split king, California king
Couples
Couples
This bed has plenty of bounce, near-perfect edge support, and decent motion isolation, all of which should appeal to couples.
Combo Sleeper
Combination Sleepers
Repositioning felt easy on the Saatva Memory Foam Hybrid’s responsive surface.
Back Sleeper
Back Sleepers
The bed’s medium-firm feel and even-keeled support is a great match for those who sleep on their back.
Pros of the Saatva Memory Foam Hybrid
Saatva’s mattresses all come with free white glove delivery, meaning a team of workers will deliver and set up your new mattress—and take away your old one, if need be
For a bed with memory foam inside it, this hybrid was surprisingly cool, thanks to the cover, gel infusions, and coils
High performance scores in pressure relief and support should mean a balanced feel on the bed’s surface
Cons of the Saatva Memory Foam Hybrid
This bed might be a bit too soft for some stomach sleepers, especially those on the heavier side
Though it’s made with memory foam, this bed doesn’t have the super-deep hug of many all-foam mattresses
Shipping
Shipping
Free shipping and white glove delivery in the US
Trial Period
Trial
365 nights
Warranty
Warranty
Lifetime warranty
Return
Returns
Flat return rate ($99)

The Advisor Says: Saatva’s Memory Foam Hybrid combines the best of both words: soft, pressure-relieving foam and sturdy, supportive coils into one mattress. We recommend this hybrid for luxury shoppers wanting a medium-firm bed with plenty of bounce. Bonus points if you sleep on your back or with a partner.

Poor
Average
Excellent

1
2
3
4
5
4
Pressure Relief
5
Support
3
Motion Isolation
4
Cooling
5
Bounce
4
Edge Support
5
Couples

Why the Saatva Memory Foam Hybrid Earned Best Orthopedic Mattress for Back Sleepers

Back sleepers with orthopedic concerns are going to need a bed that balances pressure relief and support, and the Saatva Memory Foam Hybrid checks both boxes. As the name implies, this bed combines cushy, pressure-relieving foams and a sturdy innerspring unit that should keep the spine aligned. 

There’s more to it: it keeps pretty cool, thanks to the gel infused in its foams. Its surface is also responsive enough for ease of movement as you toss, turn, or switch positions.

What’s the Saatva Memory Foam Hybrid Made Of?

The Saatva Memory Foam Hybrid is 11.5 inches tall with six layers (including its cover). This cover is made of hypoallergenic cotton, and quilted to support the lower back. It also features a botanical Guardin™ treatment that protects against the buildup of bacteria and mold.

Underneath the cover is a crown of gel-infused memory foam that further bolsters lumbar support. Then, a 1.5-inch layer of breathable AirCradle™ foam molds to your body for cushioning.

The coil unit consists of pocketed coils that respond to your movements and ensure you stay lifted on the mattress surface. Foam rails around the edges of the mattress keep the edges from sagging. And, finally, everything sits on an inch of stable support foam.

Our Take: Saatva consistently delivers quality high-end mattresses without the super-exorbitant price tag. The Saatva Memory Foam Hybrid is sure to delight most, since it has features that appeal to almost all types of sleepers, alongside couples or luxury shoppers.

Customer Reviews of the Saatva Memory Foam Hybrid

The Saatva Memory Foam Hybrid has around 160 reviews on Saatva’s website with a total score of 4.8 out of 5 stars. Customers appreciate the Saatva Memory Foam Hybrid for its balanced mix of support and comfort, but some find its motion transfer noticeable, which can be a concern for couples.

To learn more about, check out our Saatva Memory Foam Hybrid review. Or, find more eco-friendly beds on our list of the best mattresses for back sleepers.

Nolah Signature – Best Orthopedic Mattress for Side Sleepers

Cooling, Pressure-Relieving Foams
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.0
Nolah
Nolah Signature 12″ Mattress
Pressure Relief
Memory Foam
Cooling Foam
Foam
120 nights
Free shipping minus AK and HI
Cyber Monday Sale
35% off sitewide + 2 free pillows + $150 off BedJet with mattress purchase See Details
Material
Material
This mattress is made up of multiple foam layers.
Price
Price
$1,299 – $2,798 (before discounts)
Firmness
Firmness
Medium. More specifically, we gave this bed a 5 out of 10, which is on the medium-to-soft side.
Size
Size
Twin, twin XL, full, king, California king, split king
Side Sleeper
Side Sleepers
The Nolah Signature’s blend of pressure relief and support should work well for side sleepers.
Couples
Restless Couples
This bed also excels in motion isolation, meaning you shouldn’t feel your partner’s movements from the other side of the bed.
Hot Sleeper
Hot Sleepers
Hot sleepers should appreciate Nolah’s breathable cotton cover and cooling AirFoam™.
Pros of the Nolah Signature
A perfect pressure relief score means this bed will be great for sleepers with pain concerns
Foam beds usually hold onto heat, but the Nolah Signature uses cooler and more breathable foams
Motion should be relatively stifled on this bed’s cushy surface
Cons of the Nolah Signature
This bed isn’t very bouncy, but the Nolah Evolution earned a perfect score for its bounce
The Nolah Signature is a bit too soft for stomach sleepers
Shipping
Shipping
Free shipping (only in contiguous United States)
Trial Period
Trial Period
120 nights
Warranty
Warranty
Lifetime warranty
Return
Returns
Flat return fee ($99)

The Advisor Says: We recommend the Nolah Signature for sleepers looking for a foam bed that has a soft but accommodating firmness. It also runs cooler than most foam beds, and has enough pressure relief to cradle sensitive joints.

Poor
Average
Excellent

1
2
3
4
5
5
Pressure Relief
5
Support
3.5
Motion Transfer
3
Cooling
2.5
Bounce
4.5
Edge Support
3
Couples

Why the Nolah Signature Earned Best Orthopedic Mattress for Side Sleepers

The Nolah Signature mattress is an excellent choice for people with orthopedic needs, particularly side sleepers. It features an all-foam construction that offers exceptional pressure relief, cradling the body and reducing stress on the hips, shoulders, and other sensitive areas.

This mattress is also designed with Nolah’s patented AirFoam™, which Nolah claims is scientifically proven to provide four times more pressure relief than traditional memory foam.

What’s the Nolah Signature Made Of?

The Nolah Signature is 12 inches thick and has a total of five layers including the cover. This breathable organic cotton cover helps regulate temperature and keeps sleepers from overheating throughout the night.

The first layer underneath the cover is a 2.5-inch layer of AirFoam™ for cooling and pressure relief. Then, 1.5 inches of Active Response Foam give the bed some bounce. A firmer 1-inch layer of AirFoam™ adds support and serves as the final comfort layer before the core below. This foundation is made up of 7 inches of dense, durable foam.

Our Take: “When sleeping on my slide, I love this bed. It’s like a dream. It’s like memory foam but it has a much cooler feel.” – Emma, Sleep Advisor Mattress Tester

Customer Reviews of the Nolah Signature

The Nolah Signature gets a 4.8 out of 5 stars on Nolah’s website. One potential drawback of the Nolah Signature mattress is its limited firmness options, but it excels in providing exceptional pressure relief and a cooling sleep experience.

To learn more about the Nolah Signature, visit our Nolah Signature mattress review. Or, check out the best mattresses for side sleepers.

Bear Original – Best Orthopedic Mattress for Athletes

A Supportive Foam Feel
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
3.9
Bear
Bear Original Mattress
Memory Foam
Firm
Affordable
Foam
120 nights
Free shipping minus AK and HI
December Deals
Use code DEAL30 for 30% off sitewide + 2 free pillows with mattress purchase See Details
Material
Material
This mattress is made up of multiple memory foam layers.
Price
Price
$699 – $1,690 (before any discounts)
Firmness
Firmness
Medium-Firm. We ranked it at a 7 out of 10 on our firmness scale.
Size
Size
Twin, twin XL, full, queen, king, California king, split king
Stomach Sleeper
Stomach Sleepers
The Bear Original’s firmer feel should provide just the right amount of support for those who sleep on their stomach.
Combo Sleeper
Combination Sleepers
Though it’s made entirely of foam, this bed has enough bounce to make repositioning easy.
Financing
Budget Shoppers
Before discounts, a queen Bear Original will cost just under $1,000–but coupons and sales can bring that closer to $700.
Pros for the Bear Original
Bear offers an upgraded cover made with cooling Celliant® fibers
We found that the mix of support and pressure relief provided by the Bear Original yields A-plus spinal alignment
The Bear Original is offered at a very reasonable price
Cons for the Bear Original
This bed doesn’t isolate motion very well, so it’s not a great mattress for couples
It’s not very soft, either, so steer clear if you’re a side sleeper and check out these softer beds instead
Shipping
Shipping
Free shipping (additional fees may apply to Alaska or Hawaii)
Trial Period
Trial Period
120 nights
Warranty
Warranty
Lifetime warranty
Return
Returns
Free returns

The Advisor Says: With a name that inspires hibernation, it’s no surprise we found the Bear Original to be an attractive all-foam mattress at its fair price. It’s got a firmer feel that’s sure to please folks looking for support—and a surprising amount of bounce.

Poor
Average
Excellent

1
2
3
4
5
4.5
Pressure Relief
4.5
Support
3
Motion Isolation
3
Cooling
4
Bounce
3
Edge Support
3.5
Couples
4.5
Customer Service
4
Accessibility

Why the Bear Original Earned Best Orthopedic Mattress for Athletes

The Bear Original is an all-foam bed with layers that provide a responsive, cooling respite after an action-filled day.

But many athletes want more than standard comfort from their beds—they need relief for achy bones and muscles, too. When it comes to orthopedic needs, this mattress’s high-density foam should evenly distribute your body weight while relieving tension from key pressure points.

What’s the Bear Original Made Of?

The Bear Original mattress has three foam layers in its 10-inch construction. The cover of the mattress is made of breathable Tencel™ fibers sustainably derived from wood pulp. For an added fee, you can upgrade to an allegedly recovery-enhancing Celliant® cover.

The first foam layer is made of memory foam infused with cooling gel that drives away heat while promoting proper alignment. Underneath, a layer of Bear’s dynamic foam allows for both responsiveness and pressure relief. Finally, a layer of high-density foam gives the bed its supportive base.

Our Take: “It’s a little firmer than the typical all-foam mattress, which should make it a little bit more versatile for different kinds of sleepers.” Stuart Petty, Sleep Advisor Mattress Tester

Customer Reviews of the Bear Mattress

According to Bear’s website, the Bear Original scores about 4.5 out of 5 stars. Customers appreciate the Bear Original mattress for its excellent pressure relief but have reported that its edge support may be lacking, which could affect those who use the full mattress surface.

To learn more about the Bear Original, check out our Bear mattress review. For beds that complement a sporty lifestyle, read our list of the best mattresses for athletes.

Titan Plus – Best Orthopedic Mattress for Heavyweight Sleepers

Coils with Industrial Strength and Support
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
Brooklyn Bedding
Titan Plus
Plus-Size Friendly
Good for Couples
Firm
Hybrid
120 nights
Free shipping minus AK and HI
Use code GIFT25 for 25% off sitewide See Details
Material
Material
This mattress contains foam layers and coils.
Price
Price
$699 – $1,499 (before any discounts)
Firmness
Firmness
Firm. Coming in at an 7 out of 10 on our scale, this is a truly firm bed.
Size
Size
Twin, twin XL, full, queen, short queen, king, California king, split king, RV king
Heavier Sleeper
Heavyweight Sleepers
The Titan Plus was made with plus-size sleepers in mind, so it’s no surprise that this bed is a fit for them.
Dark
Firm Mattress Fans
Don’t buy this bed expecting it to be medium-firm–it’s truly firm.
Hot Sleeper
Hot Sleepers
The Titan’s hybrid construction lends itself well to breathability, keeping it cool at the mattress surface.
Pros of the Titan Plus
The Titan Plus has a weight capacity that goes up to 1,000 pounds, and it has the construction to comfortably support that weight
Despite its firmness, this mattress has a balanced feel of pressure relief and support
We were able to sit and lay at the edges while feeling secure
Cons of the Titan Plus
Unfortunately, the Titan Plus won’t work well for lighter sleepers
As we’ve tried to drive home, this bed is super firm, so make sure you’re not partial to a medium-firm or soft mattress
Shipping
Shipping
Free shipping in contiguous United States ($125 for Alaska and Hawaii, $250 for Canada)
Trial Period
Trial
120 nights
Warranty
Warranty
10-year warranty
Return
Returns
Flat return fee ($99)

The Advisor Says: Brooklyn Bedding created the Titan Plus to cater to heavier shoppers looking for a bed that truly met their needs, and we believe they’ve delivered. Consider buying the Titan Plus if you’re looking for a comfortably supportive mattress with added benefits like cooling and bounce.

Poor
Average
Excellent

1
2
3
4
5
4
Pressure Relief
5
Support
5
Motion Isolation
4
Cooling
4
Bounce
5
Edge Support
5
Couples
3
Customer Service
4.5
Accessibility

Why the Titan Plus Earned Best Orthopedic Mattress for Heavyweight Sleepers

The Titan Plus is an innovative mattress engineered specifically for heavyweight sleepers. It features a combination of high-density foam and individually wrapped coils that both provide exceptional support and durability. These foams and coils work together to cushion the body without allowing too much sinkage, which is often a problem for heavier folks.

From an orthopedic perspective, the mattress is designed to distribute weight evenly and relieve pressure from sensitive areas such as the hips, shoulders, and back.

What’s the Titan Plus Made Of?

The Titan Plus is 11 inches tall with five layers. It features a breathable cover that promotes airflow and helps regulate temperature, which is essential for people who tend to sleep hot.

The topmost layer of the mattress beneath the cover is a 1-inch layer of gel memory foam for cooling pressure relief.

Next, 2 inches of TitanFlex™ foam add responsiveness to the sleep surface while contouring to your body.

Six inches of individually wrapped coils make up the supportive innerspring unit, which features reinforced coils along the perimeter for edge support. Finally, at the bottom of the bed is a 2-inch dense foam base.

Our Take: “I definitely sink in a little bit, but this mattress feels supportive enough that I don’t feel stuck at all. Unlike many mattresses that I have tried, my weight is evenly distributed over this surface and I feel extremely comfortable.” – Patrick, Sleep Advisor Mattress Tester

Customer Reviews of the Titan Plus

Users on Titan by Brooklyn Bedding’s site have given the Titan Plus a 4.7 out of 5 stars. Customers find the Titan Plus mattress to offer exceptional durability and support, but some mention that it might be too firm for those who prefer a softer feel.

To learn more about the Titan Plus, check out our Titan Plus mattress review. For more beds designed for larger folks, browse the best mattresses for heavy people.

Brooklyn Bedding Signature Hybrid – Best Orthopedic Mattress for Hot Sleepers

Simple Construction, Sweet Perks
Sleep Advisor Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.0
Brooklyn Bedding
Brooklyn Bedding Signature Hybrid Mattress
Plush Hybrid
Cooling and Springy
Multiple Firmnesses
Hybrid
120 nights
Free shipping minus HI and AK
Use code GIFT25 for 25% off sitewide See Details
Material
Material
This mattress contains foam layers and coils.
Price
Price
$665 – $1,599 (before any discounts)
Firmness
Firmness
Multiple firmness options (Soft, Medium, and Firm). We tested the Medium and found it skewed soft, around a 5 out of 10 on our firmness scale.
Size
Size
Twin, twin XL, full, short full, queen, short queen, Olympic queen, king, short king, California king, split California king, RV king
Back Sleeper
Back Sleepers
This bed felt wonderful to our testers when they rested on their backs, with a nice mix of support and pressure relief.
Side Sleeper
Side Sleepers
The foams on top are plush enough to cradle hips and shoulders.
Hot Sleeper
Hot Sleepers
This bed handily passed our cooling tests with a score of 4.5 out of 5.
Brooklyn Bedding Signature Hybrid Pros
We felt very lifted and yet cushioned by this hybrid, awarding it perfect scores in both support and pressure relief
It’s a very bouncy bed that should encourage rather than hinder movement
For a hybrid of its caliber, this bed is priced extremely affordably
Brooklyn Bedding Signature Hybrid Cons
It’s too soft for stomach sleepers, who will need more support beneath their hips; read up on the best mattresses for stomach sleepers to see other options
The Medium model felt very plush; if you’re looking for a firmer hybrid that’s also pretty customizable, check out the Saatva Classic
Shipping
Shipping
Free shipping inside the contiguous United States
Trial Period
Trial Period
120 nights
Warranty
Warranty
10-year warranty
Return
Returns
Free returns

The Advisor Says: For shoppers on a budget, the Brooklyn Bedding Signature Hybrid is one of the top hybrids we recommend. It’s simultaneously soft and bouncy, with three firmness options and decent cooling power.

Poor
Average
Excellent

1
2
3
4
5
4
Pressure Relief
5
Support
5
Motion Isolation
4
Cooling
4
Bounce
5
Edge Support
5
Couples
3.5
Customer Service
4.5
Accessibility

Why the Brooklyn Bedding Signature Hybrid Earned Best Orthopedic Mattress for Hot Sleepers

The Brooklyn Bedding Signature Hybrid has multiple features that keep it cool. First, TitaniumGel™ infused into the TitanFlex™ foam minimizes heat retention. The coil layer also increases airflow, which helps the bed stay breezy. Brooklyn Bedding also provides the option to add a GlacioTex™ cooling cover for extra-hot sleepers.

The Signature Hybrid is also available in three different firmness levels, allowing customers to choose the level of support that best meets their needs. This is particularly important for people with orthopedic concerns, who may require a firmer or softer mattress to properly support their spine and alleviate tension from pressure points.

What’s the Brooklyn Bedding Signature Hybrid Made Of?

The Signature Hybrid mattress from Brooklyn Bedding features a five-layered construction and stands 12.5 inches tall. You can buy it in a Soft, Medium, or Firm feel.

The first two layers beneath the breathable quilted top are proprietary foams: a Supreme Response comfort layer for immediate bounce-back and a VariFlex™ layer to prevent sinkage and transition into the coil layer below. The innerspring unit consists of individually wrapped coils, designed to deliver excellent support for proper spinal alignment. More Ascension® coils line the perimeter for stronger edges.

Brooklyn Bedding Signature Hybrid Construction from the lab

Finally, the base layer is made from high-density foam, which adds durability and even more support to the mattress.

Our Take: “Because [the Brooklyn Bedding Signature Hybrid] is so responsive, adjusting positions is super easy. Plus, with the supportive yet comfortable feel, this bed is super versatile for all sleeping positions.” – Emma, Sleep Advisor Mattress Tester

Customer Reviews of the Signature Hybrid

On Brooklyn Bedding’s website, the Brooklyn Signature has 4.7 out of 5 stars. The Brooklyn Bedding Signature Hybrid mattress receives praise from customers for its versatility with different firmness options, but some have mentioned that it may produce slight noise when bearing weight.

To learn more about the Signature Hybrid, check out our Signature Hybrid mattress review. For more beds that help hot sleepers, read our roundup of the best cooling mattresses.

What We Test to Find the Best Orthopedic Mattresses 

When you are shopping for an orthopedic mattress, you will want to take note of beds that have been constructed to provide gentle cradling to your joints and spine. These mattresses should also have a sturdy foundation that promotes spinal stability and alignment. Good orthopedic mattresses often combine a supportive base with pressure-relieving foam or latex. 

What is an Orthopedic Mattress?

Simply put, an orthopedic mattress is a mattress that addresses orthopedic concerns. So, orthopedic mattresses can come in a variety of shapes and sizes, and there’s no one-size-fits-all option, since every sleeper has different experiences and preferences. Generally, though, these beds will offer a steady balance of softness and support. They should keep your spine in alignment to prevent pressure buildup and pain, while also cushioning joints and other sensitive areas. This can be done with foams, springs, latex, air chambers, or any combination of the four!

Best Orthopedic Mattress Type

From our mattress studio, images of our tested mattresses in different materials

Innerspring Mattresses 

Innerspring mattresses feature a traditional design, constructed with coils that are used to support sleepers, often with thin comfort layers on the top. When it comes to an innerspring mattress that will help with orthopedic aches and pains, those with supportive coils can help keep your spine neutral. However, traditional innerspring beds usually don’t have thicker foam layers to help with pressure relief, which is why they may not be the best choice here.

Hybrid Mattresses 

Beds that combine innerspring coils with thick upper layers of memory foam, latex, or poly foam are known as hybrid mattresses. These beds are a great solution for those who like innerspring mattresses but worry about their lack of pressure relief.

DreamCloud Premier construction gif
The construction of the DreamCloud Premier, the Best Hybrid Orthopedic mattress.

If you are looking for an orthopedic hybrid mattress, it is important to find one that has an upper layer that is soft enough to provide pressure relief for your shoulders, hips, and lower back, combined with a base that will promote spinal support. 

Memory Foam Mattresses 

Memory foam mattresses are made with a specialized material that contours to your body, providing a cradling, hug-like feel. This offers  excellent pressure relief due to their contouring nature, which can help cushion sensitive joints for those with orthopedic concerns.

It’s also important to make sure that an orthopedic bed not only gives you great pressure relief but also balances this out with support that keeps your spine in a healthy alignment. So make sure those cushy layers are backed up by a dense support core.

Latex Mattresses 

Latex mattresses are also great for pressure relief, offering a slightly different feel from memory foam, though. While memory foam is more slow-moving, latex is quick-responding to movement, which is great because this can make it easier to change positions. Both of which should be helpful for folks seeking pain relief from orthopedic issues.

Though latex beds are highly durable, they do come at a higher price point. That said, this durability may be worth it for shoppers who want longevity in their orthopedic bed.

Sleeping Position 

Our testers test each sleeping position to make sure each mattress fits the right sleeper

If you are a back sleeper, you’ll want to look at mattresses that are going to evenly distribute your weight, giving you both spinal support and pressure-relieving comfort. With side sleepers, these folks need to make sure they’re looking at beds that excel at pressure relief.

This is because the weight is concentrated in the hip and shoulder when you are lying on your side. 

Lead Tester Julia Forbes testing the DreamCloud premier in various sleeping positions
Lead Product Tester, Julia, testing the DreamCloud Premier mattress for each sleeping position

Stomach sleepers need to ensure their mattress keeps their hips level with the rest of their body. If a mattress isn’t supportive enough to do this, they could wind up arching their lower back too much, which could result in pain (or worsen existing pain). Lastly, combination sleepers should look at mattresses that are adaptable for multiple sleep positions for both support and pressure relief, along with beds that foster easier repositioning. 

Weight/Body Type of Sleepers 

Your body weight is a major consideration when finding the best orthopedic mattress because it can impact how a bed accommodates your needs.

Usually, average-weight people are a great fit for beds with a medium or medium-firm feel, though some folks who are stomach sleepers, for instance, may prefer something slightly firmer. should look for a bed that has a medium to medium-firm feel. 

Lightweight sleepers feel beds as more firm because they don’t sink in as much. As such, they are typically better off with soft to medium mattresses, depending on their sleep position. Softer beds allow petite sleepers to still experience quality pressure relief, especially for side sleeping. Heavyweight sleepers, which are considered those above 230 pounds, typically find better comfort on highly supportive, firmer mattresses that help ensure they don’t bottom out. 

Support and Firmness 

Support refers to how well your body is supported, whereas firmness reflects how soft or hard the bed feels. For great support, you want to check that the bed has a strong support system of either high-density foams or innerspring coils.

As mentioned, side sleepers tend to prefer softer mattresses that provide more gentle support to the shoulder and hip areas. A firmer mattress can put uncomfortable pressure on these regions for side sleepers, especially if you’re lighter in weight.

Helix Plus surface gif
Exploring the firmness of a bed.

Stomach and back sleepers often appreciate a more firm and supportive mattress due to how this helps support spinal alignment in these positions. Additionally, heavier people typically like firmer models since they often have more robust support. Having the right mattress firmness is essential for orthopedic concerns, as a bed that’s too firm or too soft will lead to an improperly aligned spine, uncomfortable sinkage, or unwanted pressure buildup.

How do we determine firmness? Most mattress companies provide a firmness rating with their beds, usually from 1-10. In our testing studio, we evaluate and determine a bed’s firmness using our own firmness scale and criteria. On our scale, 1 is as soft as a cloud, and 10 is like sleeping on a rock. Folks generally tend to prefer mattresses in the middle of the range; it’s rare to see a bed that’s at either end of the scale. How firm a mattress feels is a mix of how supportive and pressure-relieving the bed is, alongside personal preference and individual factors–such as your weight and size. We consider all of these before we dub a bed “soft” (3-4), “medium” (5-6), or “firm” (7-8).

What is Spinal Alignment?

You’ve heard us mention it a lot, but spinal alignment is crucial when it comes to orthopedic mattresses. A properly aligned spine is relatively straight, without any egregious dips or lifts that might make it curve at an uncomfortable angle. A mattress that’s too soft or too firm can throw your spine out of alignment and cause pain. So, you want to find a bed that keeps you lifted while also allowing for comfortable sinkage in areas like the shoulders or hips, depending on what sleeping position you prefer.

Cooling 

Keeping your body temperature regulated throughout the night may help you sleep better because a lower body temperature can stimulate melatonin production, a hormone that promotes sleep.1 This is helpful for those with muscle and joint pain because when you sleep well, this reduces your sensitivity to pain.2

The coils in innerspring and hybrid mattresses and the open cell design of latex are excellent for air circulation. Additionally, many brands include other naturally temperature-regulating materials like cotton or TENCEL™. 

Memory foam has a reputation for sleeping hot, but many newer iterations of these beds include gel-infused foam or advanced cooling covers. 

Temperature gun testing for BB signature hybrid
The temperature readings for the Brooklyn Bedding Signature Hybrid.

How do we test cooling? Pictured above are the temperature guns we use to quantitatively measure a bed’s ability to regulate temperature. We take the bed’s surface temperature at multiple intervals: an initial reading before anyone lies on it, a reading after lying on it for five minutes, and five minutes after someone has laid down on it. The change (or lack thereof) in temperature allows us to have some physical proof beyond our experience. The best cooling beds maintain a temperature within 5 degrees Fahrenheit of the first reading.

Motion Isolation 

Couples sharing a bed may be particularly interested in mattresses with motion isolation, even more so if you or your partner deal with orthopedic aches. Motion isolation means that movement on one side of the bed doesn’t make its way over to other areas. If your mattress doesn’t adequately absorb your partner’s movements, not only could it wake you, but it could also exacerbate your discomfort. 

Memory foam beds are known for their motion-isolating properties, as well as many hybrids containing memory foam, particularly those that utilize individually wrapped coils. 

Sex 

Those who have orthopedic issues but are still sexually active often find that beds with lots of bounce and responsiveness make intimacy more enjoyable. This is because these beds are able to respond quicker to movement, keeping sleepers from feeling ‘stuck’ in a mattress. 

Latex and latex hybrid mattresses can offer great pressure relief and support for orthopedic issues while maintaining great responsiveness for movement during sex. 

Pressure Relief and Contouring

Helix Midnight Pressure Map
Pressure map for the Helix Midnight mattress

Another key component when shopping for an orthopedic mattress is pressure relief. Orthopedic beds typically provide pressure relief through top comfort layers from materials like memory foam or latex, which can conform the sleeper’s shape to cradle the joints and mitigate pressure buildup. This combination works to safely cushion areas prone to pain.

How do we test for pressure relief? We use what’s called a pressure map to get a super technical reading of pressure buildup. We have our testers in each weight category lie in different positions on top of the mattress, and the map records pressure in each area. It’s color coded to make it easy: blue and green means little to no pressure, whereas red and yellow mean a noticeable amount has built up. We’re able to spot a mattress’s potential weak points with this map and our own experience.

Edge Support 

Nolah Signature All-Foam Hybrid edge support
Loren Bullock testing the Nolah Signature’s edge support.

Orthopedic mattresses often provide good edge support when they’re designed with a strong perimeter, which helps prevent sagging when you sit or sleep near the edge of the bed. Folks with orthopedic concerns may have conditions or pain that makes it harder to get in and out of bed; strong edges also make that an easier process.

Edge support is typically provided by either high-density foams along the perimeter or reinforced coils.

How do we test edge support? We perform two simple tests to determine how strong a bed’s edges feel. First, we’ll have a tester sit and tie their shoes at the edge of the bed. Then, we’ll have them lie down for a minute. In both positions, we’ll be able to gauge the amount of sinkage witnessed, as well as how “secure” we feel near the perimeter of the bed. From there, we can make our judgment about how reliable the edges seem.

Certifications or Endorsements

Some orthopedic mattresses may include certifications from organizations such as CertiPUR-US® or OEKO-TEX®, which indicate that the materials used in the mattress meet strict standards for safety and environmental responsibility. Additionally, endorsements from medical organizations or groups like the American Chiropractic Association may provide additional reassurance for consumers.

Trial and Warranty

The types of warranties that are normally included with an orthopedic mattress vary depending on the manufacturer but typically include a limited warranty ranging from 10-25 years, though some brands offer lifetime deals as well.

Warranties usually cover defects in materials and workmanship. They may also have a prorated period during which the manufacturer will repair or replace the mattress at a reduced cost to the customer. Some warranties may also include specific guarantees related to certain features, such as pressure relief or motion isolation.

Budget 

When shopping for a bed on a budget, you want to make sure you’re sacrificing comfort and support for a cheaper price tag. Orthopedic mattresses can be more expensive, but shopping online directly from manufacturers has helped bring down overhead costs we would usually see in traditional brick-and-mortar stores. 

Another tip could be to go down a size if possible. For example, couples could purchase a Queen size rather than a King or California King to help them save on a new orthopedic bed. Also, shopping during holiday sales can save you big bucks. 

Durability

Folks looking for an orthopedic mattress should also consider how long it’s going to last. There’s nothing more annoying than a sagging mattress when you’re trying to sleep pain-free, and the best beds that won’t sag are often those made with high-quality materials. Springs tend to be a good choice as they can bring industrial support. Latex can provide the soothing pressure relief of memory foam without leaving indentations. If you’re set on a foam bed, make sure it’s made of quality foams, has a dense support core, and boasts a long warranty to back up its longevity.

Speak With Your Doctor

Before buying an orthopedic mattress, we suggest discussing your options with your doctor. Everyone’s needs are unique, and they can address any specific medical conditions and talk to you about what might work for your individual needs. Ultimately, you want to ensure that you make an informed decision and invest in a mattress that will promote better sleep and overall health.

What Causes Back and Joint Pain? 

Many people are affected with joint and back pain — the latter being one of the most common health issues in the United States.3 

The National Institute of Arthritis and Musculoskeletal Diseases points to the following reasons why people develop back and join pain:3

  • Weight gain and inactive lifestyle – Those who are overweight and don’t exercise regularly are at an increased risk of developing back and joint pain. Extra weight can put stress on the back and a lack of core strength can lead to spinal instability. 
  • Heavy lifting – Jobs or activities that require repeated heavy lifting or twisting can cause back and joint pain.
  • Poor posture – If you spend hours working at a desk it may cause bad posture which can lead to back pain. 
  • Heredity and age – Back pain and joint pain become more common as you age, particularly after 45. Genetics may also mean that a disorder that causes back pain has been passed down to you.
  • Spinal mechanical/structural problems – Problems with the structure or mechanics of your spine can create back pain. Some of these issues include sprains, herniated discs, fractured vertebrae, scoliosis, and spinal stenosis.
  • Arthritis – Inflammatory conditions such as Ankylosing spondylitis, a specific type of spinal arthritis, can cause back pain. Additionally, other forms of arthritis can create painful joints.   
  • Temporary medical conditions – Temporary conditions like pregnancy and kidney stones may cause back and joint pain.
  • Long-term medical conditions – Additionally, long-term medical conditions like endometriosis and fibromyalgia may cause people to feel back and joint pain.

How Can a Mattress Help with Back and Joint Pain? 

  • Enhanced support: Orthopedic mattresses can provide enhanced support to the body’s natural curves, reducing the risk of back pain.
  • Alleviate pressure points: These mattresses help to alleviate pressure points, reducing the likelihood of developing painful conditions such as joint pain or arthritis.
  • Better sleep quality: Orthopedic mattresses may improve sleep quality by minimizing pain and discomfort, making it easier to sleep soundly.
  • Long-term use: Orthopedic mattresses are typically made from high-quality materials for better durability and longevity.
Saatva Classic average weight back sleeper test
Testing the Saatva Classic, the Best Orthopedic mattress for back pain, in our testing studio.

Explore: Best Pressure Relief Mattress and Best Mattress for Arthritis

Disadvantages of an Orthopedic Mattress

  • Price: Orthopedic mattresses may be more expensive due to the specialized materials and construction required.
  • Break-in period: These mattresses may take some time to break in and become comfortable, especially if they are made from materials such as memory foam.
  • Can be harder to differentiate: Not all mattresses advertised as orthopedic beds are truly orthopedic. Plus, each person’s orthopedic needs can greatly vary, so it’s important to do your research and consult your doctor to help you choose the right bed for your needs.

What Is the Best Sleeping Position for Back and Joint Pain?

Back Sleeping 

Sleeping on your back can be an excellent way to alleviate back pain.4 If this is your preferred way to sleep or if you want to try it for relief, it is best to sleep on a mattress that will keep your spine aligned and still provide some pressure relief. 

Using a medium-loft pillow should also ensure a healthy neck alignment with the rest of your spine. Also, placing a pillow under your knees can help ease pressure on your lower back. 

Side Sleeping

Rather than side sleeping in the fetal position with your legs bent up, experts advise keeping your legs straight to more evenly distribute your body weight.4 Additionally, you can try adding a pillow between your legs when you’re sleeping on your side to further enhance your body alignment.

Combination Sleeping 

It can be difficult to find consistent comfort if you’re experiencing back and joint pain, so even if you’re not naturally a combination sleeper, you may find yourself frequently adjusting to get comfortable. Combination sleepers will want a mattress that’s going to give them good support and pressure relief in multiple positions. However, they should also look at responsive beds that will make it easier to reposition during the night so they don’t aggravate their pain. 

Stomach Sleeping 

Stomach sleeping is considered the worst position to sleep in for pain because of its impact on the spine.4 This is because it puts a lot of strain on your lower back and neck. However, if you find it difficult to sleep on your back or side, there are measures you can take to improve your posture while on your stomach.

First, ensure you have a firmer mattress that will keep your midsection elevated so your lower back doesn’t curve. Also, use a flat pillow under your head (or no pillow at all) so that you don’t put too much strain on your neck.

Tips for Better Sleeping with Chronic Pain

  • Experiment with different sleep positions: Try different sleep positions such as lying on your back with a pillow under your knees or lying on your side with a pillow between your legs. Find a position that is comfortable and reduces pressure on the affected area.
  • Invest in a supportive mattress and pillow: An orthopedic mattress and pillow can provide the necessary support to keep your spine aligned and reduce pressure on your joints.
  • Incorporate relaxation techniques: Practicing relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation could help reduce stress and promote relaxation, making it easier to fall asleep and stay asleep.
  • Practice good sleep hygiene: Many people can get better sleep by incorporating good sleep hygiene into their daily routine. Good sleep hygiene refers to habits aimed at facilitating better sleep. These can include a regular bedtime and wake-up time, sleeping in a cool, dark, and quiet room, and having a relaxing nightly routine before bed.

Compare Prices of Orthopedic Mattresses

MattressPrice (Queen Size)Pressure ReliefSupportMotion IsolationCoolingBounceEdge SupportCouples
Nectar$9994.5452.5444
Saatva Classic$1,9954524454
Helix Midnight$1,19955533.523
DreamCloud Premier$1,8324.54.53.53.54.53.53
WinkBed$1,799453454.54
Saatva Memory Foam Hybrid$1,7954534545
Nolah Signature$1,599553.532.54.53
Bear Original $9994.54.533433.5
Titan Plus$1,2494554455
Brooklyn Bedding Signature Hybrid$1,2494554455

Best Orthopedic Mattress FAQs

What is the best orthopedic mattress?

There is no one “best” orthopedic mattress that will work for everyone, as individual preferences and needs can vary greatly. However, some common features to look for in a high-quality orthopedic mattress include specialized materials such as memory foam or latex, zoned support systems, and multi-layer construction. It’s also important to choose a mattress that offers proper spinal alignment, reduces pressure points, and promotes even weight distribution for maximum support and comfort.

Should orthopedic mattresses be firm or soft?

The ideal firmness level of an orthopedic mattress will depend on individual preferences and needs, but generally speaking, many orthopedic mattresses have a medium or medium-firm feel that provides a balance of support and pressure relief. However, it’s important to note that firmness is also subjective. For example, one bed may feel firmer to a lightweight person than it would to a heavyweight person.

What orthopedic mattresses do doctors recommend?

Doctors may recommend different types of orthopedic mattresses depending on an individual’s specific needs. As such, we advise talking with your primary care doctor, who will have a more thorough understanding of your orthopedic issues, which can help you determine the orthopedic mattress that would be best for you.

What are orthopedic mattresses made from?

Orthopedic mattresses can be made from a variety of materials, but commonly used materials include memory foam, latex, high-density poly foam, and innerspring coils. Many orthopedic beds use a combination of these materials in order to provide better support and overall comfort.

How much does an orthopedic mattress cost?

The cost of an orthopedic mattress can vary depending on factors such as the size of the mattress, the materials used, and the brand. On average, a high-quality orthopedic mattress may be around at least 1,000 dollars for a Queen size. While very low-budget beds might seem appealing at first glance, it’s also important to consider the long-term benefits of investing in a high-quality orthopedic mattress, as improved sleep comfort and reduced orthopedic issues can lead to better overall health and well-being.

Where can I buy an orthopedic mattress?

Orthopedic mattresses can be purchased from a variety of retailers, including mattress stores, department stores, and online retailers. It’s important to do your research and read reviews before purchasing an orthopedic mattress, as the quality and effectiveness can vary depending on the brand and materials used. Additionally, be sure to check the retailer’s return and warranty policies before making a purchase.

How do you find peaceful sleep with chronic pain?

Chronic pain is bothersome to deal with, and sleep should be a time for rejuvenation, but that’s not always the case. There’s a chance your pain might be exacerbated by an ill-suited mattress. It’s important to find a bed that works best for you, based on your individual needs and preferences. For folks with orthopedic concerns, find a bed that relieves pressure while keeping you properly supported. If you can’t afford a whole new bed, you can enhance your sleep experience with a mattress topper or invest in pillows that comfortably fit your sleeping position.

Other ways might be to enhance relaxation before bedtime. Try to practice good sleep hygiene: implementing practices like keeping the room dark, cool, and stress-free.

If your pain isn’t helped by your own self-care habits, it’s important to speak with your healthcare provider about other options.

Julia Forbes

Julia Forbes

Lead Product Tester

About Author

Julia is the Lead Reviewer at Sleep Advisor, specializing in testing out mattresses and sleep accessories – she’s in the right line of work, because she loves to sleep.

Stomach Sleeper

References:
  1. Xu, Xiaoying., et al. “Association of Melatonin Production with Seasonal Changes, Low Temperature, and Immuno-Responses in Hamsters”. National Library of Medicine. 2018.
  2. Torp Staffe, Alexander., et al. “Total sleep deprivation increases pain sensitivity, impairs conditioned pain modulation and facilitates temporal summation of pain in healthy participants”. National Library of Medicine. 2019.
  3. “Back Pain”. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Webpage accessed October 27, 2023.
  4. “The Best — and Worst — Sleep Positions for Back Pain”. Keck Medicine of USC. Last modified August 12, 2022.