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Best Mattress for Side Sleepers with Back Pain
Our Top Picks
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Best Overall Mattress
Helix Midnight Luxe -
Best Value Mattress
Silk & Snow Mattress -
Best Luxury Mattress
Saatva Rx -
Best Mattress for Pressure Relief
Bear Elite Hybrid -
Best Mattress for Couples
Layla Hybrid
Best Overall Mattress

The Helix Midnight Luxe was specifically created with side sleepers in mind, and our tests show this sophisticated foam hybrid works as intended. Plush surface layers cradle the body to target your sore spots, while the robust coil system pushes back against your midsection to prevent uncomfortable sinkage during the night.
Pros & Cons
Pros
- Luxury foam hybrid features a plush Euro-top, deep foam layers, and multi-zone coils
- Two cooling cover options
- Above-average pressure relief and motion isolation for a hybrid
Cons
- Initial off-gassing odor can be fairly harsh
Ratings
Our Take
Best Value Mattress

The S&S Mattress from Silk & Snow delivers a comfortable, pain-relieving surface at an affordable sticker price. Three foam layers cushion the body to promote even alignment for side sleepers and minimize hot spots along the spine — a constant source of sleep loss for people who use this position.
Pros & Cons
Pros
- All-foam design contours closely to promote spinal alignment and reduce pressure
- Excellent motion isolation for co-sleepers
- Below-average pricing and free pillows with each purchase
Cons
- Foam layers may emit strong off-gassing odor at first
- Insufficient support for many people over 230 pounds
Ratings
Our Take
Best Luxury Mattress

With a plush feel and deep foam layers, the Saatva Rx is tailor-made for side sleepers living with frequent or chronic back pain. Robust pocketed coils tipped with soft foam provide support and responsiveness without creating too much motion transfer for co-sleepers.
Pros & Cons
Pros
- Plush, adaptive foam creates a pressure-relieving cradle for the entire body
- Foam-tipped coils provide sturdy support without generating too much motion transfer
- All orders include a generous 365-night trial period
Cons
- Expensive pricing compared to the average hybrid
- Too soft for most combination sleepers who alternative between their side and back or stomach
Ratings
Our Take
Best Mattress for Pressure Relief

The Bear Elite Hybrid excels at reducing your existing pressure points and preventing new hot spots from building up in sensitive areas. This quality — along with three firmness options — makes the mattress a solid match for any side sleeper with back pain.
Pros & Cons
Pros
- Adaptive foam layers cushion and cradle the body without sinking too much or trapping excess heat
- Available in three firmness levels to accommodate side sleepers in different weight groups
- Zoned coils provide extra support for your heavier areas
Cons
- Couples may notice some motion transfer during the night
- Strong off-gassing odor for the first few nights
Ratings
Our Take
Best Mattress for Couples
Thanks to a reversible design with soft and firm surfaces, side sleepers with back pain can find relief with the Layla Hybrid no matter how much they weigh. Zoned coils provide targeted support for each side, so pressure buildup around the midsection shouldn’t be an issue.
Pros & Cons
Pros
- Zoned pocketed coils push back against extra weight in the torso and hips
- Cooling gel infusions and steady internal airflow ensure excellent temperature control
Cons
- Zoned pocketed coils push back against extra weight in the torso and hips
- Cooling gel infusions and steady internal airflow ensure excellent temperature control
Ratings
Our Take
Compare Our Top Picks
Mattress | Mattress Type | Ideal For | Value | Sleep Trial |
Helix Midnight Luxe | Hybrid | Combination Sleepers | Good Value | 100 nights (30-night requirement) |
Silk & Snow Mattress | Foam | Combination Sleepers | Great Value | 365 nights (30-night requirement) |
Saatva Rx | Hybrid | Lightweight Side Sleepers | Fair Value | 365 Nights ($99 Return Fee) |
Bear Elite Hybrid | Hybrid | People With Back Pain | Good Value | 120 nights (30-night break-in period) |
Layla Hybrid | Hybrid | Side Sleepers Of Any Weight | Great Value | 120 nights |
Why You Should Trust Us
Our sleep experts have accumulated years of industry knowledge and expertise that can help you select the right mattress. Our team conducts hands-on testing of every mattress we review, focusing on features like firmness, pressure relief, and support, which are especially important for side sleepers with back pain.
Our team includes testers with diverse body weights and sleep preferences. This helps us evaluate the performance of each mattress model for a variety of sleeper types.
Side Sleepers With Back Pain: What You Need to Know
For a good night’s sleep, side sleepers with back pain need a mattress that relieves pressure points and supports proper spinal alignment. We’ll cover all the details to help you find the right mattress for your sleep needs.
Why Do Side Sleepers Get Back Pain?
Side sleepers sometimes experience back pain because they require a mattress that supports their shoulders, hips, and lower back while also helping them to maintain a neutral spine position. If a mattress is too soft or too firm, it can increase the likelihood of back pain.
What Do Side Sleepers Need to Prevent Back Pain?
Side sleepers need a mattress with a firmness level that matches their body weight. Their mattress should also provide proper support and cushioning to eliminate pressure points.
Which Mattresses Should Side Sleepers With Back Pain Use?
Side sleepers with back pain are best suited to hybrid, foam, or latex mattresses. Mattresses with these materials and construction can provide the support and pressure relief needed to avoid or reduce back pain.
Side Sleeping and Back Pain: How Your Mattress Plays a Role
While you sleep, your mattress cradles and supports your body. Side sleepers need extra support at the shoulders and hips because these areas sink the farthest into the mattress when sleeping on your side.
Without proper support, your spine may become misaligned. This can lead to or worsen back pain and cause pain in the joints and other areas.
What Can Exacerbate Back Pain for Side Sleepers?
A mattress that doesn’t support proper spinal alignment can make back pain worse for side sleepers. These sleepers also require a bed that provides a good balance of cushioning and support for the shoulders, hips, and lower back.
- Misalignment of the spine: If you sleep on your side, you may be susceptible to spinal misalignment, which can cause or worsen back pain. By choosing a bed with the right level of support and contour to lift and cushion your shoulders and hips, you can ensure that your spine stays aligned as you sleep.
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Pressure points on the shoulders and hips: Side sleepers’ hips and shoulders sink the farthest into their mattress, which can lead to pressure build-up. This is especially true if the mattress is too firm, but it’s important to note that one that’s too soft can lead to sagging in these areas.
- Lack of support for the lower back: Lack of support for your shoulders and hips, especially if a mattress is too soft, puts pressure on your lower back. Some mattresses offer targeted lumbar support or zoned layers to enhance lower back support for this reason.
Preventing Back Pain While Side Sleeping
Maintaining proper spinal alignment is one of the most important ways to prevent back pain while sleeping on your side. If your spine is misaligned, it can cause or worsen back pain. Choosing a mattress that supports and cushions your body and is firm enough for your body size can help prevent this problem.
Key Mattress Features for Keeping Your Spine Aligned
TIf you experience back pain, it’s important to keep in mind several specific mattress features. For example, your body weight helps determine your ideal firmness. And the right mattress will offer a balance of support and pressure relief.
Mattress Feature | Description |
Firmness | Mattress firmness ranges from soft to firm. Your body weight and sleep position can help determine which mattress firmness suits your needs. Sleepers over 230 pounds usually need a firmer bed, while those under 130 pounds often require a softer one. |
Support | A supportive mattress provides good support while also cushioning potential pressure points and helping to keep your spine aligned. Some beds include zoned support that targets areas like your shoulders, back, or lumbar region. |
Pressure Relief | A mattress that supports the shoulders and hips can help keep a side sleeper’s spine aligned. In addition to being supportive, a mattress that provides some level of contouring may reduce pressure points and prevent a side sleeper from waking up with aches and pains. |
Choosing the Right Firmness Level
We rate mattresses using a 10-point firmness scale, where 1 is the softest and 10 is the firmest. The optimal range for side sleepers falls between soft (3) and firm (7), with most sleepers preferring a medium soft (4) to medium firm (6) feel.
In addition to sleep position, body weight plays a big role when it comes to finding your ideal firmness. Side sleepers under 130 pounds typically need a softer mattress, while those over 230 tend to need the support of a medium firm (6) or firm (7) bed. Those between 130 and 230 pounds should try for a balance between soft and firm.
Body Weight | Ideal Firmness for Side Sleepers |
Under 130 lbs. | Soft (3), Medium Soft (4) |
130-230 lbs. | Medium (5) |
Over 230 lbs. | Medium Firm (6), Firm (7) |
Balancing Support vs. Pressure Relief
Finding the right balance of support and pressure relief can help reduce back pain. Side sleepers need a mattress that supports the shoulders and hips while still providing enough soft cushioning for pressure point relief.
Other factors, such as your body weight and the construction of the mattress, can also affect how you respond to different firmness levels.
Best Mattress Types to Ease Back Pain for Side Sleepers
Side sleepers need a mattress that balances support and pressure relief. A bed with these qualities can also help ease or prevent back pain. Different kinds of mattresses can offer help in these areas.
Mattress Type | Why It’s Good for Side Sleepers with Back Pain |
Hybrid | The foam or latex comfort system found in hybrids relieves pressure points, while the coil core adds support, responsiveness, and ease of movement. |
Foam | Foam that contours closely to the sleeper’s body can relieve pressure, especially around a side sleeper’s hips and shoulders. |
Latex | Latex contours the body without giving you the feeling of being hugged by the bed. Latex can also offer good support, and it tends to be bouncier than foam. |
Hybrid Mattresses
Hybrid mattresses generally include a foam or latex comfort system and a support core of pocketed coils. These beds provide both cushioning that can cradle pressure points and a supportive core that helps align the spine.
Foam Mattresses
Foam mattresses are constructed with several layers of foam. They typically provide a high level of body contouring that helps relieve pressure points. These beds are well-suited for side sleepers who like the feeling of sleeping in the bed instead of on top of the bed’s surface.
Latex Mattresses
A latex bed is made with layers of synthetic or natural latex. It’s springier and more breathable than foam but offers less body contour. Instead, latex cushions the sleeper’s body while making it easier to move around on the bed.