Are Firm Mattresses Better for Back Pain? The Truth About Mattress Firmness

Firm, Medium or Soft? Choosing the Best Mattress for Back Pain

Firm mattresses are often recommended for individuals who suffer with back pain or bad backs, but it's important to note that mattress preference can vary from person to person. While some people find relief and support from a firm mattress, others may find it uncomfortable and prefer a softer one. If a mattress is making you feel uncomfortable then it's unlikely to be offering you the correct support.

To determine the best firmness for you we recommend that you try out different mattresses and assess how they feel in your preferred sleeping position. Seeking advice from our in store team can provide valuable insights tailored to your specific requirements. The most important advice we can give to bad back sufferers is to find the right mattress for you, not the right mattress for some random online reviewer.

Soft, Medium, Firm?

Determining the best mattress for you depends on various factors, including your personal preferences, sleeping position, body type, and any specific sleep-related issues you may have. 

The best firmness level for your sleeping position can vary depending on whether you sleep on your front, back or side, however, other factors can influence this. Personal preference, body weight, and specific comfort needs can also influence your ideal firmness level. 

There is also the train of thought where your sleeping position dictates what sort of mattress material is best for you - Many feel memory foam mattresses are better for side sleepers, whilst mattresses more reliant on their springs are better for back and front sleepers.

Many customers with back pain now choose hybrid mattresses because they combine supportive pocket springs with pressure-relieving comfort layers. This creates a balance between support and cushioning that many sleepers find more comfortable than extremely firm mattresses.

Your hips and shoulders should be able to sink down a bit so that your spine remains straight. Appropriate mattress firmness depends a lot on body weight; a lighter person may prefer a softer mattress, while a heavier person may prefer a firmer mattress to provide the right amount of comfort and support.

Back pain is reportedly the largest single cause of disability in the UK, with lower back pain accounting for 11% of the total disability of the UK population. For those who suffer with back pain choosing the right mattress becomes even more important.

Studies have found that a medium-firm mattress is the best option. "If the mattress is too firm, it doesn't let your shoulders and your neck sink into it," - Dr Renata Rhia, consultant in Sleep and Respiratory Medicine at the University of Edinburgh, "and if it's way too soft, you can get problems with your hips and shoulders because they sink too far into the mattress."

Choose what works for you

The average person spends about a third of their life in bed, so it’s essential you choose the right mattress for your needs. When it comes to selecting your new bed the mantra ‘try before you buy’ has never been truer, but it’s surprising how many people don’t actually do this - or when they do try it's by pressing their hand into a mattress only.

Wherever possible you should visit our Connah's Quay store and test out a range of beds to see if you like your mattress firm, medium or even super soft. If you’re sharing the bed with a partner, try them out together – what suits one person won’t necessarily suit another, but finding out what works for both of you is the first step towards a great night’s sleep. We even have ranges where you can have different firmnesses on either side of the mattress.

At our Connah's Quay showroom, we regularly help customers from Flintshire, Chester, Wrexham, Denbighshire and across North Wales find mattresses suited to their sleeping style and comfort preferences. Trying different firmness levels in person is often the quickest way to discover what works best for your back.

Our Beds and Mattresses

All our divan beds come with free delivery and free setup, with old mattress & bed disposal options available.

Frequently Asked Questions

Are firm mattresses better for back pain?

Not always. While some people find a firmer mattress more supportive, others may experience discomfort if a mattress is too hard. The best mattress for back pain is usually one that keeps your spine properly aligned while relieving pressure on your shoulders, hips, and lower back.

Can a mattress be too firm?

Yes. An overly firm mattress may create pressure points and prevent your shoulders and hips from sinking in enough to maintain natural spinal alignment. This can lead to discomfort, particularly for side sleepers.

Are hybrid mattresses good for bad backs?

Many people with back pain choose hybrid mattresses because they combine supportive pocket springs with pressure-relieving comfort layers. This balance of support and cushioning can help promote better spinal alignment while reducing pressure on key areas of the body.

What firmness is best for side sleepers with back pain?

Side sleepers often benefit from a medium to medium-firm mattress. This allows the shoulders and hips to sink in slightly while still supporting the spine. A mattress that is too firm may place excess pressure on these areas.

Is memory foam good for back pain?

Memory foam can be beneficial because it contours to the body's shape and helps distribute weight evenly. However, comfort preferences vary, and many sleepers prefer a hybrid mattress that combines foam comfort with the support and airflow of pocket springs.

How often should you replace a mattress if you have back pain?

Most mattresses should be replaced every 7 to 10 years, although this depends on the quality and level of use. If your mattress is sagging, developing dips, or no longer feels supportive, it may be contributing to poor sleep and discomfort.

Should I choose an orthopaedic mattress for back pain?

Orthopaedic mattresses are designed to provide enhanced support, but they are not always the firmest option available. The right choice depends on your sleeping position, body weight, and personal comfort preferences rather than simply choosing the hardest mattress you can find.

Can I try different mattress firmness levels before buying?

Yes. Trying mattresses in person is one of the best ways to determine what feels most comfortable and supportive for your body. At Coast Road Furniture's Connah's Quay showroom, you can compare different mattress types, comfort levels, and constructions before making your decision.