What are the best-rated mattresses for back pain with a home trial?

Here is a list of the best-rated mattresses for back pain with a home trial, detailing their firmness level, material composition, and zoned support features.

Koala Mattress

Why Koala Mattress is a good choice

• Adjustable firmness lets you tailor support for your back.

• Kloudcell® foam and TENCEL™ cover keep you cool and comfy.

• Three-zone base targets your shoulders, hips, and feet for proper alignment.

The Koala Mattress offers a flippable comfort layer, allowing sleepers to choose between medium-firm and firm support, rated 6-7 and around 7.5 out of 10, respectively. This adjustability can assist in maintaining spinal alignment and reducing back pain.

Its construction features a three-layer design: a double-sided Kloudcell® foam comfort layer for responsive support, a high-density foam base with three targeted zones for shoulders, hips, and feet to distribute weight evenly, and a breathable TENCEL™ Lyocell cover that enhances airflow.

The zoned support system helps reduce pressure points and supports comfortable, restorative sleep.

Sleeping Duck SD Mach II Mattress

Why Sleeping Duck SD Mach II Mattress is a good choice

• Customisable firmness ensures optimal comfort for every sleeper.

• AirGrown foam and bamboo cover boost airflow and pressure relief.

• Multi-zoned springs and reinforced edges adapt support across your body.

The Sleeping Duck SD Mach II mattress allows for personalisation with four firmness options, soft, medium, firm, and extra firm, catering to different preferences for spinal alignment and back pain relief.

The construction features a BreatheTech bamboo yarn cover for airflow, AntiGravity high-density foam for pressure relief, and a ComponentAdapt system with interchangeable panels to adjust firmness.

Its hybrid design incorporates a Motherboard multi-zoned pocket spring system, providing targeted support with reinforced lumbar and edge zones.

Thicker coils in the lumbar region and strong edge support aim to maintain healthy posture and reduce discomfort for those managing back pain.

Ecosa Pure Mattress

Why Ecosa Pure Mattress is a good choice

• Switchable firmness settings cater to different back needs.

• Natural latex, micro coils, and pocket springs keep it supportive and durable.

• Seven support zones cushion hips and shoulders, firm up lumbar support.

The Ecosa Pure Mattress features adjustable firmness with two settings, medium-plush and medium-firm, allowing users to customize the feel by unzipping the cover and flipping the top layer.

This flexibility can help maintain spinal alignment and support those with back pain.

Constructed from natural latex, micro coils, and 7-zone pocket springs, the mattress aims to balance comfort and support. The latex layer offers breathability, while the micro coils provide targeted pressure relief.

The 7-zone pocket spring system delivers firmer support in the lumbar region and softer cushioning at the shoulders and hips, addressing specific pressure points and promoting overall comfort.

Simba Hybrid® Pro Mattress

Why Simba Hybrid® Pro Mattress is a good choice

• Medium-firm construction helps align your spine.

• Wool, graphite foam, and double micro springs offer cooling and resilience.

• Thirteen targeted zones adapt support for each body part.

The Simba Hybrid® Pro Mattress is rated medium-firm, a level often recommended for spinal alignment and relief from back pain.

It features eight layers, including a natural wool top layer for moisture control, Simbatex® graphite-infused foam for cooling, and a double layer of Aerocoil® titanium alloy micro springs that provide adaptive pressure relief. The SupportCore™ base includes pocketed barrel springs for consistent edge-to-edge support.

Zoned support is provided by a foam base with firmer sections at the hips and lower back and softer zones at the shoulders, alongside 13 zoned spring areas to target specific pressure points.

Tempur Original Medium Mattress

Why Tempur Original Medium Mattress is a good choice

• Medium firmness balances comfort and structured support.

• NASA-developed TEMPUR® material moulds to your shape.

• Adaptive foam relieves pressure, especially for the lower back.

The TEMPUR® Original Medium Mattress features a medium firmness, offering a balance of comfort and support aimed at promoting proper spinal alignment and helping to alleviate back pain.

Made from proprietary TEMPUR® Material, developed from NASA technology, the mattress adapts to body shape, weight, and temperature, offering individualised pressure relief and consistent support.

The adaptive properties of the TEMPUR® Material deliver targeted comfort, particularly in the lumbar region, which can be beneficial for those seeking relief from back discomfort without the feel of pronounced firmness or zoning.

Sealy Response Premium 14-Inch Cushion Firm Euro Pillow Top Mattress, Queen

Why Sealy Response Premium Mattress is a good choice

• Medium-firm feel supports the spine and eases discomfort.

• Gel memory foam, soft pillowtop, and encased coils enhance comfort.

• Posturepedic zones strengthen support under your back.

This mattress features a medium-firm feel, combining both support and cushioning to assist with spinal alignment and back pain relief.

The comfort layers consist of SealyCushion Extra Soft Foam and SealySupport Foam within a Euro pillow top, offering initial softness while maintaining support. The core utilises a Response Pro Encased Coil System with individually wrapped coils that help minimise motion transfer and provide targeted support.

Additionally, SealyCool Cooling Gel Memory Foam contributes to durability and adaptive support.

Posturepedic Technology is integrated for reinforced support in the lumbar region, which is beneficial for those dealing with lower back discomfort.

Nectar Premier Memory Foam Mattress

Why Nectar Premier Memory Foam Mattress is a good choice

• Medium-firm rating cushions while supporting spinal alignment.

• Cooling cover and gel memory foam keep you comfortable all night.

• Micro-zoned layers adjust to body curves, easing pressure on key areas.

The Nectar Premier Memory Foam Mattress offers a medium-firm feel, rated 6.5 out of 10 on the firmness scale, which helps promote proper spinal alignment and alleviate back pain.

Its five-layer construction includes a cooling, breathable cover and gel-infused memory foam that adapts to body contours while regulating temperature. A dynamic response layer adds extra support and rebound, while the stability base layer ensures durability.

The mattress also features honeycomb micro-zoned transition and support layers that adjust to the body's shape and provide targeted support, particularly to the lumbar region, making it suitable for those seeking relief from back discomfort.