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Back pain is an unfortunate part of most Canadians’ daily lives. While back pain can make your days more difficult, a new mattress may be able to help relieve some of the pain. Whether your back pain is occasional, chronic, or a little more severe, choosing the right mattress can help change your days for the better.

Our dedicated team of testers also suffers from back pain. Through months of trials, they selected these eight mattresses as standouts on the Canadian market. These are the best picks for mattresses we found for back pain in Canada. Please note that you should consult a healthcare provider before purchasing a mattress for back pain. If your pain is prolonged, chronic, or unusually severe, seek medical attention.

Otherwise, make sure to check into these general recommendations for the best Canadian mattresses for back pain. Our testers chose these mattresses based on collective feedback, performance evaluations, and customer feedback.

Based on our extensive research, these are our top picks for the best mattresses for back pain in Canada


Each of the mattresses on our list was chosen for a reason. Each excels in different fields and is ideal for different types of sleepers. Here is why we recommended each of the mattresses on our list.

The Novosbed mattress is the best mattress on our list overall. The dense support foam helps keep your spine aligned, but the Comfort+ firmness customization system really makes this mattress shine above the others on our list.

The GhostBed Flex uses layers of proprietary cooling features, including phase-changing fabrics, to create a cooler night’s sleep for most Canadians.

When it comes to support, the Casper Wave mattress can’t be beaten. This mattress uses layers of zoned, contoured foam to create better lumbar support, complete with supportive gel pods and a layer of supportive coils.

The Douglas mattress, on the other hand, is the best all-foam option we looked at. This Canadian-exclusive mattress was made to be the only mattress you’d need, and it performs well in every performance category.

Side sleepers will appreciate the GhostBed 3D Matrix mattress, which uses a variety of supportive, cooling foams to adapt and contour to your body.

The Puffy Lux mattress, on the other hand, is one of the best universal options available. It’s designed to work for any sleeping position or foundation, making it ideal for a wider range of Canadians.

Pillow-top hybrids can provide great support for back pain. The Brunswick Spring mattress offers zoned support for your back and perfect balance to support you where you need it most.

Finally, the Endy mattress uses active motion isolation to ensure that you stay asleep when your partner is tossing and turning. Its superior pressure relief makes it comfortable for most sleepers.

The Novosbed Mattress

Features:

Type: All foam
Firmness: Soft, Medium, or Firm
Sleep Trial: 120 nights
Warranty: 15 years
Made In: Canada

Novosbed Mattress

It’s Great For:

  • Canadians who want to try the mattress before deciding to keep it
  • Couples with different firmness preferences
  • Side sleepers who benefit from better spinal alignment
  • Those who want to customize the way the mattress feels

The Novosbed mattress combines three layers of luxury foams to create a supportive, comfortable surface that forms to your body. Side sleepers and back sleepers alike can experience a more tailored experience with the Comfort+ system. This system allows you to customize the firmness level of your mattress, making each of the three original firmness options firmer or softer depending on your preferences. All the while, a strong support core helps keep your spine aligned and relieves pressure, creating the perfect conditions for a perfect night of sleep.

After the first 30 days of your risk-free trial, you can order a Comfort+ topper. This kit zips right into the interior cover on your mattress. You can make the mattress firmer and softer depending on your preference. With these toppers, you can create up to 9 distinct firmness options. If you often have difficulty getting comfortable with standard mattress options, this can help you choose a better option. It’s also ideal for partners who have different firmness preferences.

Other features include high-density foam layers made with open-cell foam. This foam promotes airflow, creating a cooler sleeping surface than traditional memory foam. These larger cells also create much better conditions for motion isolation, making this mattress better than most other options for couples who are often restless.

The Highlights

There are three firmness options available when you purchase the Novosbed mattress. These options can help you hone in on your specific preferences, while the Comfort+ system allows for deeper customization. The two topmost layers of the Novosbed mattress are made with fifth-generation open-cell foam, which provides superior motion isolation and temperature control when compared to standard memory foam. Likewise, the foam support layer helps keep your spine aligned to provide relief from pressure and pain.

  • Three firmness options available
  • Comfort+ system allows for firmness customization
  • Open-cell foam layers
  • Supportive foam core helps with spinal alignment and pain

From the Test Lab

“Each firmness option felt different, and our testers really enjoyed having a choice. Side sleepers especially loved this mattress because of how supportive it was.”

GhostBed Flex

Features:

Type: Hybrid
Firmness: Medium-firm
Sleep Trial: 101 nights
Warranty: 25 years
Made In: Canada

GhostBed Flex Mattress

It’s Great For:

  • Canadians who sleep on their backs or sides
  • Those who need better pressure relief than other mattresses provide
  • Sleepers who don’t want to experience the ‘quicksand’ feeling of memory foam
  • Those who sleep hot

The GhostBed Flex excels in several of our performance areas, but none are notable as temperature control. This GhostBed’s first layer is a proprietary, phase-changing material called Ghost Ice. The cover itself has three different layers: first, the Ghost Ice fabric, followed by a woven cooling fiber, and then a thin layer of gel memory foam. The phase-changing Ghost Ice reacts to your body heat, working to maintain a comfortable temperature throughout the night.

Under this cover is a layer of Ghost Bounce, a material that reacts like memory foam and latex in one. It’s responsive but contouring, helping to relieve pressure points and create a more responsive sleeping surface. This is better for all who suffer from back pain, especially because they don’t have to struggle to move around in their sleep. Beneath is another layer of cooling foam, which creates a nice barrier between the foam and coil layer.

The coil layer is made of individually wrapped springs. Each compresses individually to provide individual support. These larger coils are surrounded by a perimeter of Spirited Edge coils. These firmer coils create a reinforced edge, so sitting and sleeping near the edge of the bed doesn’t feel uncomfortable. Finally, a 7.5” layer of high-density support foam helps support the entire structure of the mattress, adding extra support for those who regularly suffer from back pain.

The Highlights

Unlike most hybrids, the GhostBed Flex features both coils and a support foam layer. Together, they work to create a bed with better motion isolation than standard hybrids. This creates better motion isolation for restless couples. The proprietary Ghost Ice cover layers of cooling mechanisms to help you sleep more comfortably, even if you usually sleep hot. Finally, the Spirited Edge support coils help make it easier to sit on the edge of the bed without feeling like you’ll slide off. They also provide support throughout, so those who sleep near the edge of the bed get the same support as those who don’t.

  • Dual coil and foam support layers
  • Ghost Ice cover helps reduce overheating
  • Spirited Edge support makes it easy to sit on the edge of the bed without sliding off
  • Coils and foam supports work together to create better motion isolation for couples

From the Test Lab

“This mattress is one of the coolest our testers tried. The supportive coils and foam layers helped create a better sleep solution than most of the other mattresses on our roster.”

Casper Wave Mattress

Features:

Type: Hybrid
Firmness: Medium
Sleep Trial: 100 nights
Warranty: 10 years
Made In: Canada

Casper Wave Mattress

It’s Great For:

  • Side sleepers
  • Couples who need motion isolation
  • Those who sleep warm
  • Any Canadian who needs extra support

The Casper Wave mattresses use layers of zoned support foam in addition to coils. The result is a mattress that is more supportive than most of its competition, with firmer support for your hips and lumbar. If you suffer from back pain, this mattress might just get you the support you need to feel more prepared for your day.

Three layers of AirScape foam make up the top layers of the Casper Wave. The first layer also features a thin layer of cooling gel. They work together to help prevent overheating as you sleep. Below is another layer of perforated AirScape foam, helping channel heat away from you. The third layer of perforated AirScape is zoned, meaning that the foam under your hips and lower back is firmer and more supportive.

The magic happens in the next layer, which is contoured foam with specific supportive patterns. Up to 86 gel pods are embedded in this layer, too – these pods help increase support, especially in the middle of the mattress. The result is less back pain overall, as this layer helps keep your spine perfectly aligned no matter how you sleep. Finally, a layer of individually pocketed coils adds another layer of personalized support, complete with a firm edge support perimeter.

This mattress features cooling properties, as well as some of the best support on our list. The combination of zoned, contoured foam, gel pods, and coils ensures that you’ll be sleeping more peacefully overall.

The Highlights

The Casper wave features special support layers of contoured foam, including a layer that includes up to 86 embedded foam pods under your waist and hips. These pods help provide responsive, firm support, especially for side sleepers. The extra lumbar support is noticeable. The first few layers of foam have thousands of small perforations, meant to promote airflow and help cool the center of the mattress. This keeps you cooler, too. The coil layer features pocketed springs and a firm layer of edge support, so you’ll get the same level of support no matter where you sleep.

  • Special support layers of contoured foam and gel pods
  • Emphasizes proper lumbar support
  • Thousand of perforations in the foam layers help promote airflow and increase temperature control
  • Edge support and individually pocketed coils

From the Test Lab

“You can really feel the difference the zoned foam and gel support pods make. Everything about this bed is supportive enough for our testers with back pain.”

The Douglas Mattress

Features:

Type: All foam
Firmness: Medium-firm
Sleep Trial: 120 nights
Warranty: 15 years
Made In: Canada

The Douglas Mattress

It’s Great For:

  • Eco-conscious Canadians
  • Those who prefer a mattress made by Canadians, for Canadians
  • Couples who want to eliminate motion transfer
  • Side sleepers and those who need great pressure relief

The Douglas Mattress was designed by Canadians, specifically for the Canadian market. This mattress combines all of the features that make a top-notch foam mattress, including temperature control, motion isolation, and pressure relief to help you avoid waking up sore.

This mattress is created with responsiveness in mind, as well as a focus on reducing heat and relieving pressure. The cover is made of Tencel fibers sourced from within Canada. It helps draw moisture away, ensuring that you stay cool and dry all night long. Underneath is a layer of ecoLight gel foam, which is made with 40% less carbon than traditional memory foam. Still, it’s a luxurious foam that won’t retain heat. It contours to your body without making you feel like you’re stuck in the mattress, either.

A middle layer of premium Elastex helps you move easier, too. This latex alternative is non-allergenic, made without the chemicals commonly found in latex. If you are allergic, this mattress won’t trigger your allergies. Finally, the last layer is made of thick motion-isolation support foam. Along with isolating motion, this layer helps keep your spine aligned. Throughout, the mattress offers great pressure relief.

The Douglas mattress works to create a comfortable sleeping surface that isn’t too hot and works well for people with a multitude of sleeping preferences.

The Highlights

The Douglas mattress is made of responsive foam layers, creating a surface that’s ideal for combination sleepers who need to move around a lot at night. The medium-firm firmness level helps relieve pressure and align your spine properly so you can avoid back pain. Two of the three foam layers are made with eco-conscious materials, or in processes that reduce carbon input when compared to standard foam. Finally, every part of the Douglas mattress is created, designed, and manufactured right here in Canada.

  • Responsive foam layers are great for combination sleepers
  • Medium-firm firmness to help with back pain relief
  • Eco-conscious layers
  • Created, designed, and manufactured in Canada

From the Test Lab

“The Douglas mattress received better marks for back pain relief than most of the others we tested. The firmness was perfect for our testers with back pain.”

GhostBed 3D Matrix Mattress

Features:

Type: Hybrid
Firmness: Medium
Sleep Trial: 101 nights
Warranty: 25 years
Made In: Canada

GhostBed 3D Matrix Mattress

It’s Great For:

  • Canadians who sleep hot
  • Those who need superior motion isolation than their current mattress provides
  • Sleepers who need better pressure relief
  • Better spinal alignment than other hybrids

GhostBed’s 3D Matrix is one of GhostBed’s most luxurious mattresses. It combines temperature control with a strong emphasis on lumbar support to create a mattress that is especially helpful for those who sleep hot and stuffer with regular back pain.

The mattress has a plush feel, with a medium firmness that works well for most sleepers. It offers a soft, contouring foam surface, but it doesn’t hold onto heat. That’s partly due to the combination of cooling features that make up the first few layers of the mattress. The cover is made of phase-changing Ghost Ice, which works to maintain a single temperature all night long. Beneath this is GhostBed’s unique 3D Matrix Polymer layer. The honeycomb design attracts and traps heat, moving it away from you through the matrix design. This means that you’ll sleep cooler overall, especially if you regularly sleep warm.

Beneath is a layer of gel memory foam to help provide even more cooling. A layer of Ghost Bounce supports these layers. Ghost Bounce is a proprietary material that feels like memory foam but responds like latex, creating a unique feel that helps you move and find the support you need at the same time.

Soft transition foam gives you more pressure relief and spinal alignment. It also provides a comfortable barrier between you and the coil layer, which is made of pocketed coils that create a unique map of support depending on how you sleep. Around the perimeter are Spirited Edge coils, which provide firmer edge support. Finally, an inch of solid support foam supports the coils and ensures that the mattress doesn’t sink.

The Highlights

The GhostBed 3D Matrix features GhostBed’s Spirited Edge support, which provides edge-to-edge support for all sleepers. Layers of soy-based proprietary gel layers allow you to sleep a little easier. These foam layers also make the surface more responsive than other foam mattresses, so those with back pain move a little easier. A layer of 3D Matrix Polymer, which the mattress is named after, helps control temperature for Canadians who sleep hot.

  • Spirited Edge support foam provides edge-to-edge support
  • Soy-based proprietary gel layers
  • More responsive than most foam mattresses
  • 3D matrix polymer layer helps control the temperature

From the Test Lab

“The GhostBed 3D Matrix has a unique list of features, but our testers loved how it felt. It was cold enough to be comfortable and supportive enough to relieve back pain!”

Puffy Lux Mattress

Features:

Type: All foam
Firmness: Medium
Sleep Trial: 101 nights
Warranty: Lifetime
Made In: Canada

Puffy Lux Mattress

It’s Great For:

  • Those who deal with restless partners regularly
  • Canadians who use adjustable foundations (or no foundation at all)
  • Users who have allergies
  • Canadians who sleep in most sleeping positions

The Puffy Lux mattress is a universal hit. It’s specifically engineered to work for all sleeping positions and with all foundations, making it great for just about any sleeper in Canada. This all-foam mattress uses layers of adaptive and temperature-control foam to create a breathable mattress with a lifetime warranty.

The medium firmness of this mattress is perfect for most sleepers, and you can place it on any surface. It doesn’t suffer from using any type of foundation, or no foundation at all. While most mattresses have very specific compatibility concerns, the Puffy Lux gives you a great sleeping experience no matter what. Part of that is due to the six-layer sleep system, which includes a stain-resistant, hypoallergic cover. Four layers of foam below this cover include cooling gel, climate comfort foam, and adaptive foam.

The Cooling Cloud adaptive foam within the mattress adapts to your pressure points, minimizing soreness and helping to keep your spine perfectly supported. Together, these foam layers create a firm core that helps balance your body and eliminate back pain.

The Highlights

The Puffy Lux mattress is engineered to work for all sleepers, no matter what position they sleep in. The medium firmness is ideal for most. Each foam layer works with the ones around it to provide excellent pressure relief and contouring, with a breathable feel to promote airflow. If you sleep hot, this mattress will still feel great. Plus, it’s compatible with every available type of foundation. No matter where you put it, it’ll stay supportive.

  • Engineered for all sleepers
  • Foam layers offer excellent pressure relief
  • Breathable to promote airflow and temperature control
  • Compatible with all foundations

From the Test Lab

“Puffy Lux was one of the best all-foam mattresses we tested. It was supportive enough for back pain but soft enough for our back and stomach sleepers.”

Brunswick Spring Mattress

Features:

Type: Hybrid
Firmness: Medium-firm
Sleep Trial: 120 years
Warranty: 15 years
Made In: Canada

Brunswick Mattress

It’s Great For:

  • Canadians who need firm lower back support
  • Those who want a supportive but soft surface
  • Sleepers who need better motion isolation
  • Those who often wake with pressure points

Zoned support in a hybrid mattress creates the perfect storm for lumbar support. The Brunswick mattress combines these components to help relieve pressure points and back pain. It provides zoned, targeted support to help give you the support and alignment you need.

The Brunswick Spring Mattress has a soft, plush pillow-top to cushion your pressure points, but beneath are layers of cooling foam and supportive coils. The cover is comfortably quilted, infused with sustainably-harvested, farm-grown fibers. It helps to wick away moisture and heat, leaving you more capable of sleeping through the night.

In addition, the zoned and pocketed coil layer is surrounded by a thick perimeter of support foam. This means that the mattress will feel the same no matter where you choose to sleep. A layer of soy-infused eco foam creates a comfortable transition, so you stay elevated above the coils instead of sinking into them. With the combination of targeted lumbar support and temperature regulation, this medium-firm mattress appeals to a wide variety of Canadians, especially those with regular lumbar pain.

The Highlights

The Brunswick spring mattress features strong edge-to-edge support, so you’ll feel the same no matter where you’re sleeping on the mattress. The coil layer is zoned, with stronger lumbar support under your hips and waist to help reduce back pain. On top, a layer of soft pillow-top fill helps cushion your sleep and keep you comfortable throughout the night, while still providing enough breathability to prevent overheating. Together, the layers of coils and foam help with spinal alignment, especially if you sleep on your side.

  • Strong edge-to-edge support
  • Zoned lumbar support with firmer coils under your hips and waist
  • Soft pillow-top fill top layer
  • Great spine alignment

From the Test Lab

“You can feel the difference when you lay on the Brunswick Spring Mattress. The zoned support helps even some of the testers with intense back pain feel more comfortable throughout the night.”

The Endy Mattress

Features:

Type: All foam
Firmness: Medium
Sleep Trial: 100 nights
Warranty: 10 years
Made In: Canada

The Endy Mattress

It’s Great For:

  • Canadians who sleep with a partner
  • Those who don’t often overheat
  • Canadians who live in areas with intense seasonal changes
  • Back and combination sleepers

The Endy mattress is another Canadian-made mattress, made to help most Canadians get the best night of sleep they’ve had in years. The aim was to create a mattress without any gimmicks. Their straightforward design also provides some of the best motion isolation for back pain in Canada on our list.

There are three layers of foam in the Endy mattress, including a layer of open-cell Endy Comfort foam. This layer helps trap heat, moving it away from you, while also actively isolating motion. If your partner’s restless tossing and turning often wake you up in the middle of the night, the Endy mattress is a great solution.

The other layers include a responsive transition foam and a dense support foam layer to help align your body. Aside from its active motion isolation, this mattress features a temperature-neutral design. Memory foam adapts to heat, so the change in seasons can sometimes change the way your mattress feels. However, the Endy mattress maintains the same feel throughout the colder months and the warmest summers. No matter what the ambient temperature is, the mattress will maintain its feel.

This can also help reduce back pain, as some memory foam may become less supportive during the summer. Back and combination sleepers will enjoy this medium firmness mattress, as it works to actively relieve pressure while still maintaining a responsive surface.

The Highlights

The Endy Mattress is made with temperature-neutral foam. Unlike other types of memory foam, it has a consistent feel no matter what season it is. Active motion isolation features make it ideal for couples, especially those that are often restless. The open-cell foam construction within the foam layers is cooler than standard memory foam, and it also helps with motion isolation. Overall, this mattress offers outstanding pressure relief for those with pressure points and back pain.

  • Temperature-neutral foam retains the same feel every season
  • Active motion isolation makes it ideal for couples
  • Open-cell foam construction is cooler than standard memory foam
  • Great pressure relief

From the Test Lab

“Our testers loved how well this mattress isolated motion. No matter how much their kids or partner moved around, they slept peacefully.”

Why Trust Us?


To recommend these mattresses to you, our detail-oriented testers performed extensive tests and evaluations for each mattress. We looked at the best the Canadian mattress market had to offer for back pain, including a lot of mattresses that didn’t end up making our list. We looked at how each mattress felt, how it performed, and what it was made of. Our testers were a diverse group, including all sleeping positions and body types. We compared notes from each of our testers to arrive at these recommendations.

When testing these mattresses, we checked a few different performance areas.

  • Support. When dealing with back pain, a mattress has to offer amazing support. Mattresses with zoned or targeted support are especially good, as they help reduce strain on your back.
  • Temperature Control. Foam mattresses are comfortable, but they often retain more heat than is comfortable. Mattresses with temperature control features help remove heat from the mattress, ensuring you sleep through the night without overheating.
  • Motion Isolation. No matter how you sleep, motion from the other side of the bed can wake you up. Whether you’re co-sleeping with children, pets, or a restless partner, motion isolation is an important part of a restful sleeping experience.
  • Pressure Relief. Memory foam is great at relieving pressure. This can reduce pressure points, meaning you’ll wake up with less overall soreness. Pressure relief also measures how well a mattress forms in your body, which is especially important for back pain sufferers.

Which Mattress is Best for Back Pain in Canada?

Back pain is common, but there several factors that can influence back pain. Each person is different and might have different preferences when it comes to a mattress that can make their back pain more bearable. That’s why you should visit a healthcare provider before committing to a mattress. Your doctor should be able to help you identify areas where your pain can be improved.

Regardless, there are a few things to consider before moving forward with your mattress selection process.  You should look at the type of mattress you want, the firmness you need, and more.

Type of Mattress

What is the mattress made of? Each type of mattress is defined by the materials inside.

  • All-foam mattresses are usually made of memory foam, though some all-foam mattresses also combine memory foam layers with latex. These mattresses cradle and conform to your body, so you’ll always have support where you need it most. Memory foam becomes softer with your body heat, but it regains shape quickly. Latex is cooler and more responsive but doesn’t offer the same level of cradling as memory foam.
  • Hybrid mattresses use foam layers and coils, though the coils are a little different from traditional innerspring mattresses. Springs used in hybrid mattresses are individually pocketed, providing customized support for your body type. Hybrids provide the best of both innerspring and memory foam mattresses.

Firmness and Back Pain

Each mattress is rated at a certain firmness. Generally, this can indicate how supportive the mattress is, as well as how it feels when you lay on it. Firmness is one of the biggest factors that can help you choose a mattress. However, those who suffer from back pain should choose one firmness level above all others if they have the chance.

While your preferred firmness can be different, studies have shown that medium-firm mattresses can help reduce back pain. They provide the perfect balance of support and cushion to be comfortable without creating more pain.

Despite this, you should choose the firmness that best suits your needs. You might prefer a firmer or softer mattress, but make sure that you take your back pain into account before deciding on firmness.  

Why Do Body Type and Sleeping Position Matter?

Your body type and sleeping position can determine your mattress preferences, including your preferred firmness. While medium-firm mattresses are the best choice for those with back pain, your preferences may be different depending on these factors.

  • Stomach sleepers and those weighing less than 59kg tend to prefer a soft or medium-soft mattress.
  • Side sleepers and those weighing between 59kg and 104kg usually prefer medium mattresses.
  • Back sleepers and those weighing more than 104kg might like a firm or medium-firm mattress.

These are general recommendations. Even if you meet these parameters, you might have different mattress preferences. Always mind your preferences. These recommendations can serve as a starting point, though.

Mattress Performance

As we mentioned above, we evaluated the mattresses on our list based on a handful of performance features. Here are some of the categories we used to compare these mattresses.

Temperature Control

Most Canadians sleep hot. Generating heat while you sleep is common, but most foam mattresses tend to retain heat. This can lead to interrupted sleep or waking up uncomfortably overheated and sweaty. Thankfully, foam mattresses have come a long way since they were introduced. Now, most offer some temperature control features.

If you sleep hot, try looking for mattresses that offer perforated foam, cooling gel foam, or enhanced airflow features to keep you cooler.

Support

Support is an important feature when it comes to back pain. Take a close look at the composition of the mattress. Hybrids offer increased support, but features like zoned support can really help you sleep a little more comfortably. Mattresses marketed to help with back pain should include a great support structure, so make sure to look at the mattress’s layers to get an idea of how supportive it will be.

Pressure Relief

Pressure relief is essential for dealing with back pain and soreness. Foam mattresses are great at pressure relief, so most all-foam mattresses will be great for relieving pressure points. Look for soft transition layers. Pillow-top hybrids are also great at helping balance your body and relieve pressure all over.

Edge Support

Some foam mattresses suffer from sagging edges, making it a pain to sit or sleep near the edge. Thankfully, some have included perimeter support for better results. If you often sit on the edge of the bed in the mornings, choosing a mattress with edge support included can help reduce the slipping or sliding feeling of mattresses with less edge support.

Motion Isolation

If you co-sleep or sleep with a partner, you know that motion isolation can be a great feature to have. Motion can often transfer from your partner’s side of the mattress to yours. If they’re tossing and turning, chances are that it will wake you as well. Foam mattresses are better at isolating motion because of their materials, but hybrid mattresses can also provide better motion isolation than traditional innerspring mattresses might.

Frequently Asked Questions

The best mattress for back pain in Canada is supportive, especially if it offers zoned lumbar support. A mattress with a medium-firm firmness level is ideal.

Memory foam mattresses can be great for your back. The way they contour to your body to provide the perfect amount of support can relieve some back pain.

While studies in the past have shown that firm mattresses can help back pain, new information indicates that medium-firm mattresses are the best options for back pain.