From the Guidelines
Medium-firm mattresses are superior for individuals with lumbar pain, and while specific brands are not recommended in the literature, a medium-firm mattress with a firmness rating of 5-7 is often suggested. When choosing a mattress, look for one that provides adequate support while still offering some cushioning, as this can help maintain proper spinal alignment and reduce pressure points 1. A medium-firm mattress is often recommended because it provides a balance of support and comfort, which can help reduce pain and improve sleep quality for many individuals with low back issues. Some key factors to consider when selecting a mattress include:
- Testing mattresses in-store if possible
- Looking for options with at least a 30-night trial period
- Considering your sleeping position and body type
- Ensuring proper spinal alignment when lying down It is essential to note that personal preference plays a significant role, and what works best can vary between individuals. Consulting with a healthcare provider or physical therapist may provide additional guidance tailored to your specific condition, as they can assess the severity of baseline pain and function, and recommend the use of medications with proven benefits in conjunction with back care information and self-care 1.
From the Research
Medium-Firm Mattress Brands for Lumbar Pain
- There are several studies that suggest medium-firm mattresses can be beneficial for individuals with lumbar pain, but none of the studies specifically compare different brands 2, 3, 4.
- A study published in the Lancet found that medium-firm mattresses (H(s)=5.6) resulted in better outcomes for pain in bed, pain on rising, and disability compared to firm mattresses (H(s)=2.3) 2.
- Another study published in Applied Ergonomics found that medium-firm mattresses specifically layered with foam and latex based on the participants' reported prominent sleeping position resulted in significant improvements in back pain and sleep quality 3.
- A systematic review of controlled trials published in Sleep Health found that a medium-firm mattress that is custom inflated (self-adjusted) is optimal for promoting sleep comfort, quality, and spinal alignment 4.
Key Findings
- Medium-firm mattresses can improve pain and disability among patients with chronic non-specific low-back pain 2.
- Sleep surfaces are related to sleep discomfort, and replacing mattresses based on sleeping position can reduce pain and discomfort and increase sleep quality in those with chronic back pain 3.
- A good night's sleep appears to offer only temporary respite from pain and other symptoms, suggesting that comprehensive interventions for chronic low back pain should include attention to sleep problems 5.
Mattress Characteristics
- The ideal mattress firmness for individuals with lumbar pain is medium-firm, with a rating of around 5.6 on the H(s) scale 2.
- Custom inflation (self-adjusted) mattresses may be optimal for promoting sleep comfort, quality, and spinal alignment 4.
- Mattresses specifically layered with foam and latex based on the participants' reported prominent sleeping position may result in significant improvements in back pain and sleep quality 3.