What are the best-rated mattresses for back pain?

Here’s a list of the best-rated mattresses for back pain, including their type and materials, firmness level, and cooling features:

Koala Mattress

Pros and Cons

Pros

• Flippable design offers both medium-firm and firm comfort options

• Zoned support layer promotes spinal alignment for back pain relief

Cons

• May lack the bounce of hybrid mattresses

• Firmness adjustments are limited to two settings; airflow may be average

The Koala Mattress is an all-foam model featuring three layers: a Kloudcell® foam comfort layer that provides optimal support, a high-density zoned support layer for targeted spinal alignment, and a breathable TENCEL™ Lyocell cover for moisture-wicking.

With a firmness rating of approximately 6.5/10, the mattress provides balanced support that promotes proper spinal alignment and pressure relief across various sleeping positions and body types.

Its open-cell Kloudcell® foam and moisture-wicking cover work to enhance airflow and regulate temperature for a more comfortable night’s sleep.

Ecosa Hybrid Mattresses

Pros and Cons

Pros

• Customisable firmness to match personal preference

• Robust pocket springs provide precise zoned support

Cons

• Mattress is heavier due to hybrid construction

• Gel memory foam cools but may still retain mild heat in summer

The Ecosa Hybrid Mattress combines foam and pocket springs for balanced comfort and support. Its construction includes a removable, washable cover made from recycled materials, a gel-infused memory foam and latex comfort layer, and a support core of 2,500 pocket springs arranged in seven zones.

The firmness can be adjusted between medium (about 6/10) and firm (around 8/10) by repositioning the layers, catering to various body types and sleeping positions for optimal spinal alignment and pressure relief.

Gel-infused foam and a breathable Tencel and polyester cover help maintain a cooler sleeping environment by promoting airflow and reducing heat build-up.

Sealy Posturepedic Hybrid Mattress

Pros and Cons

Pros

• Strong edge support enhances usable mattress area

• Choice of soft or firm suits different sleeping styles

Cons

• Premium pricing may not fit all budgets

• Cooling technology helps, but some may still feel warm

The Sealy Posturepedic Hybrid Mattress combines memory foam and individually wrapped coils in a 13-inch profile, creating a balance between comfort and support. Its construction includes a stretch-knit quilted cover with SealyChill™ cooling technology and a gel-infused memory foam layer, contributing to both pressure relief and temperature regulation.

The mattress is available in Soft (3) and Firm (7) firmness levels, accommodating various sleeping positions and offering options for either a plusher or more supportive feel.

Cooling fibres in the cover and gel-infused foam help dissipate heat, aiming to maintain a comfortable sleeping temperature throughout the night.

Simba Hybrid® Pro Mattress

Pros and Cons

Pros

• Wool layer naturally insulates and wicks moisture

• Multi-layer spring system provides tailored, responsive support

Cons

• Mattress height may require deep sheets

• Medium-firm feel may not suit those wanting a plush surface

The Simba Hybrid® Pro Mattress is a hybrid model featuring eight distinct layers, including a breathable knitted cover, a layer of natural British wool, graphite-infused Simbatex® foam, two layers of Aerocoil® micro springs, reflex foam, full-sized pocket springs, and a zoned foam base. This combination aims to balance comfort, support, and durability.

With a medium-firm rating of around 6.5 to 7 out of 10, it accommodates side, back, and some stomach sleepers, offering support and promoting spinal alignment.

Temperature management is addressed through the wool layer, airflow-promoting springs, and cooling Simbatex® foam.

TEMPUR Cloud Supreme Mattress

Pros and Cons

Pros

• Deep contouring relieves pressure on hips and shoulders

• High-density foam core increases longevity and structure

Cons

• May not suit back or stomach sleepers who need firmer support

• Some users report heat retention despite cooling features

The TEMPUR Cloud Supreme is an all-foam mattress built with four layers, including two types of memory foam and support foams, which contour the body and help promote spinal alignment.

With a medium-soft firmness rating of 5.4 out of 10, this model may suit side sleepers seeking pressure relief at the shoulders and hips, and may feel too soft for some back or stomach sleepers.

Temperature regulation uses the SmartClimate® System, which features moisture-wicking fibres and phase-change materials; some users have noted a tendency for the mattress to retain heat.

Sleeping Duck SD Mach II Customisable Mattress

Pros and Cons

Pros

• Fully customisable firmness for each side or body zone

• Zoned pocket springs adapt to specific body areas

Cons

• Customisation process may be confusing for some

• Cooling is good, but foam layers may sleep slightly warm

The Sleeping Duck SD Mach II is a hybrid mattress made with a combination of high-density foam and multi-zoned pocket springs. Its construction includes a bamboo-based BreatheTech™ cover for breathability, and interchangeable foam panels for adjustable comfort.

The mattress offers four firmness levels ranging from soft to extra firm (approximately 4 to 9 on the firmness scale), allowing users to customise support for different sleeping positions and body types.

Temperature regulation is addressed through the breathable cover and the open-cell structure of the surface foam, while the pocket spring system encourages airflow and helps manage heat retention.

Inofia Dream Hybrid Mattress

Pros and Cons

Pros

• Good balance of comfort and support from hybrid build

• Zoned coils minimise motion transfer for undisturbed sleep

Cons

• Slight off-gassing smell when new

• Cooling is effective, but heavy sweaters may notice warmth

The Inofia Dream Hybrid Mattress combines memory foam and individually encased pocket springs, aiming to balance comfort, support, and durability. Its dual-layered, soft knitted cover and multiple layers of CertiPUR-US certified foam contribute to cushioning pressure points while supporting spinal alignment.

With a medium-firm feel, rated approximately 6.5 on a scale of 1-10, it accommodates different sleeping positions, offering contouring for side sleepers, support for back sleepers, and stability for stomach sleepers.

Breathability is enhanced by the mattress's airy mesh sides and pocket coil structure, which help regulate temperature and promote airflow for a cooler night's sleep.

Nectar Premier Copper Mattress

Pros and Cons

Pros

• Copper-infused cover enhances breathability and hygiene

• Gel memory foam cushions joints while supporting the spine

Cons

• May lack firmness for heavier stomach sleepers

• Cooling features are excellent, but deep foam may still hold some heat

The Nectar Premier Copper Mattress is a 14-inch all-foam option that features a quilted cooling cover with copper fibres and polyethylene for increased breathability.

Its comfort layer consists of 4 inches of gel-infused memory foam with phase change material, offering pressure relief and adapting to body temperature. A 1-inch polyfoam transition layer helps reduce motion transfer, while a 9-inch high-density polyfoam base adds durability.

With a medium-firm rating of 6.5 out of 10, it provides balanced support for side and back sleepers, though stomach sleepers over 230 pounds may require more firmness.

Cooling technologies throughout the mattress help regulate temperature and minimise overheating.