The Best Beds for Back Pain – How to Choose According to Osteopaths and Sleep Scientists

Back issues are an increasing problem across the UK, with official statistics showing that nearly a million individuals are off work due to neck and back conditions. Charitable organizations state that millions experience intense spinal discomfort each year. The causes of back problems are multifaceted, and many treatments frequently do not succeed to alleviate symptoms, especially when discomfort is long-term and debilitating.

While upgrading your mattress is unlikely to resolve persistent spinal discomfort, and medical professionals should be consulted if discomfort impacts daily life, research suggests that selecting the right mattress for your physique and resting posture may assist. Firsthand testing verifies that sleeping on an ill-fitting bed may result in temporary backache, while switching to a more suitable model often brings relief and better rest.

This article aims to assist you select the perfect mattress for your spine, whether you already experience discomfort or wish to prevent it. Professional opinions from bone and muscle specialists and rest researchers are included, along with a detailed examination at the often-misused “orthopedic” label.


Is a Firm Orthopaedic Mattresses Ideal for a Painful Spine?

Not necessarily. Firmer isn’t synonymous with better, and the term “orthopaedic mattress” is largely marketing spin. Although orthopaedic surgeons have addressed musculoskeletal conditions for centuries, in the realm of bed marketing, the word “orthopedic” has no medical authority.

“This label was created by bed producers,” states a leading rest researcher. “It was designed to sound medical, because at the period, doctors were recommending people that a hard bed was optimal for a bad back. Newer research has shown this to be wrong, though.”

The notion that your back needs a mattress only slightly softer than a kitchen floor has been discredited since at least 2003, when a prominent health publication reported that medium-firm mattresses had better outcomes for individuals experiencing back pain. “Beds with medium firmness consistently come out on top in research into back pain,” explains an osteopath. “Ease matters as much as firmness, and moderately firm mattresses offer a superior blend than firm or soft types. This assists to improve sleep as well as lessen discomfort.”


Maintain Your Spine in Line

The secret to keeping your back healthy and without discomfort is “spinal alignment”, according to medical researchers. Also called spinal alignment, this means the manner your backbone rests in a largely straight position when you’re lying on a bed that’s neither too firm nor too soft. It isn’t only about your backbone, as well: your skull, neck and joints should all fall into line, without sinking or rising. Without this alignment, you could suffer from discomfort in the spine, neck, and shoulders.

Your spinal muscles can’t fully relax on a mattress that’s excessively hard or soft, and you’ll soon notice the effects, notes a rest specialist. “If your spine isn’t aligned when you sleep, you’re activating muscle groups at a period when they should be relaxing and recuperating from daily activities. The aches you feel from the random evening of poor support are your tissues holding you in that posture when they need to be relaxed.”

Over time, back pain can also result from your backbone not replenishing fluids at night. “During waking hours your back compresses,” says the expert. “This is completely normal, and it’s caused by pressure compressing each disc between the vertebrae.” At night, these discs take in moisture and decompress, she explains – but only if you’re resting properly. “If the spine is twisted due to lack of support, chances are spinal discs are still being compressed.”

You might not notice the effects of compressed discs for years, says the specialist. “After a couple of nights of your back being curved into improper alignment, you could experience a few aches and pains, but with extended time, this can turn into significant spinal discomfort that affects you during the day.”


How to Choose the Best Mattress for Back Pain

The most reliable method to proper spinal alignment while you rest is to select a mattress that’s not excessively hard or soft for you. Bed firmness isn’t a one-size-fits-all matter, so don’t just go for a bed that’s marked “orthopedic”. Rather, choose one with the ideal balance of cushioning and firmness for your physique and resting posture.

As a rule of thumb, the larger your frame, the harder your bed will should be to offer enough support for your spine. Side sleepers require a bit more cushioning to accommodate their hips, leg joints and shoulders, while people who primarily rest on their back or front need a slightly harder surface.

“For those with a smaller frame, with small hips and slim upper body, an very hard orthopedic bed is likely not the best choice,” notes a rest researcher. “Your body wouldn’t be heavy enough to let the mattress adapt to your body, and that’ll alter your back positioning. Find the firmness that suits your shape rather than due to seeming clinically correct.”

The only way to know for sure is to use a bed for a several months, which is why numerous bed companies now provide lengthy trial periods. But you can also gain a clear understanding of what you need in a store, or indeed on your own bed, by resting (ideally on your side) on a bed and asking someone photograph of you from the back. You should be able to draw a largely straight alignment down your spine, beginning from your skull via the neck bones of your neck, all the way to your knees and feet. If this imaginary line dips at your pelvis and shoulders, the bed is too soft for you. If the line curves up at those points, it’s too firm. Either are likely to cause back pain.

Personal experience indicates that medium-firm works well for petite individuals who sleep on their side. A particular bed offered adequate softness to let the spine rest. Another option described as moderately firm had different levels of support: harder sections that give stronger support for your spine, and more cushioned parts to accommodate pressure points such as your pelvis and upper body. This didn’t quite work for a smaller physique, which suffered spinal discomfort after a few nights on the bed’s hard top. The zoning system could be perfect for those with a average build. Its firm surface could offer the additional firmness needed if you sleep on your back.

Best for Side Sleepers

A Suggested Bed, standard double


Best for Those Who Sleep on Their Back

A Different Bed, standard double

Additionally, it’s important to note that softer memory-foam mattresses do work well for certain individuals with discomfort. The marshmallowy sensation of an all-foam option left one tester desiring additional firmness, but some people love it for pain management. Its strong cushioning effect – basically, the manner it supports you as though you’re resting on air – can be gamechanging if you’ve struggled to get comfortable in bed after an accident.


Ideal for Pressure Relief

A Specific Model, double

Remember about the surface your bed is on. A flexible slat foundation has greater flexibility than a divan base, and will make a mattress feel softer as a consequence. If you have a flexible base and your bed feels too soft for your spine, {try it on the floor|test it on a hard

James Beck
James Beck

Certified fitness coach and nutritionist passionate about helping others lead healthier lives through sustainable practices.