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    Best Mattresses for Back Sleepers

    CR reveals the innerspring, foam, and adjustable air mattress options that offer the most support for back sleepers

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    Woman wearing sleep mask covered in blankets in bed.
    Back sleepers sleep best when their mattresses offer great support. CR evaluates exactly that—for small, medium, and large sleepers alike.
    Photo: iStock

    The best mattresses for back sleepers offer excellent support along with adequate pressure relief. After testing thousands of mattresses, nearly 300 of which are in our current ratings, we’ve found plenty of medium-firm to firm mattresses that (as to be expected) align the spine. But we also discovered a nice selection of softer models that perform just as well. Back sleepers can find support with all types of mattresses, from innerspring to foam to adjustable air.

    More on Mattresses

    The best mattresses for back sleepers, highlighted below, all earned high Overall Scores, which take into account a range of factors that all sleepers desire, including stability and durability. They also all come from brands that received satisfactory to excellent ratings for comfort and owner satisfaction, based on CR members’ experiences with 60,739 mattresses. Most important? These mattresses earned top-notch ratings in support for small, medium, and large back sleepers. (Many received solid marks for side sleepers, too.)

    For more  details on the mattresses we tested, check our comprehensive mattress ratings. To learn how to choose a mattress that will get you a great night’s sleep, see our mattress buying guide or simply find customized recommendations by using our mattress finder.

    Best Innerspring Mattresses for Back Sleepers

    Innerspring mattresses consist of a layer of steel coils topped with fiber padding or foam. The coils offer resilience and a buoyant feel, but as a result, you may feel some motion transfer from one end of the mattress to the other.

    Best Foam Mattresses for Back Sleepers

    These mattresses, made entirely of foam layers, have a body-conforming feel and, typically, good stabilization. But as a result, they also tend to retain heat and lack resilience. A greater percentage of foam mattresses score higher for back support than innersprings.

    Best Adjustable Air Mattress for Back Sleepers

    Adjustable air mattresses are typically pricey, but sleep partners appreciate that each side can be inflated (or deflated) to match their own comfort needs.

    How CR Tests Mattresses for Back Support

    A mattress won’t offer the same level of support for a large person as it would for a small one. That’s why we test each mattress with people of different sizes. To accomplish this for back sleepers, we graph a mattress tester’s neutral spine position as they’re standing. Next, using 36 sensors, we graph the impression the body makes as the tester lies on each mattress. We then compare the two graphs to evaluate how well they align. If they don’t align well, the mattress isn’t going to be particularly supportive. “A nonsupportive mattress may not conform to the body’s natural curves, and may allow sagging or even flattening of the spine,” says Chris Regan, who oversees mattress testing for CR. “It’s that lack of support that makes you shift around on a mattress.”

    To see all of CR’s sleep coverage, go to our Guide to Better Sleep.