Is Back Pain Keeping You Up at Night? Here Are 8 of the Best Mattress Toppers That Can Help

Sleep is vital — in fact, it’s as important for good health as diet and exercise, according to the National Institutes of Health.

And yet, too many of us don’t get enough of it. That puts us at risk of a number of health issues that research has associated with too little sleep, including heart disease, dementia, and stroke.

The problem is, simply getting more hours of sleep is not always as easy as it might seem — especially if you live with back pain. “Getting and or staying asleep can be inhibited by [back and musculoskeletal] conditions,” says Jill Smith, a board-certified doctor of chiropractic at Citrus Regional Clinic of Chiropractic in Florida. But there are things you can do to try to get more shut-eye.

For example, Smith advises, try to avoid sleeping on your stomach, and instead lie on your back, because it will improve your overall spinal alignment.

 If you prefer side sleeping, that’s okay, but just keep in mind that it can cause some shoulder and neck pain.

You can also pay attention to what you sleep on. A medium to firm mattress is best for back pain, Smith says, but if a new mattress isn’t in your budget, you can also try getting a good mattress topper that is made with the same pressure-point relieving materials as a mattress. That’s why we did the research for you, with the help of sleep experts, to help you find the very best mattress toppers that can provide back pain relief at an affordable price. Here are the eight that made our list.

Our Top Picks for Best Mattress Toppers for Back Pain

Best for Total Body Pressure Relief

TEMPUR-Adapt Mattress Topper

$298.99 at Amazon
$349Now 14% Off

Pros

  • Made with 100 percent TEMPUR-Material
  • Conforms to weight, shape, and temperature
  • Neutralizes pressure points for better support
  • Washable cover
  • Most recommended topper

Cons

  • May retain body heat
  • Height of topper: 3 inches
  • Cover machine washable: Yes
  • Price: $319 twin, $369 full, $419 queen, $469 king and California king
  • Comfort trial: None

TEMPUR-Pedic is beloved for its patented TEMPUR-Material, which was originally developed by NASA in the 1960s to help absorb the G-forces exerted on astronauts — but it can also help relieve pressure on the body and keep it in a neutral position while you sleep.

And this particular TEMPUR-Adapt topper does just that, easing the burden of nighttime gravity on the areas that take the brunt of pressure while you sleep, such as your hips and shoulders. By reducing that pressure to these areas, the spine remains in a more neutral position, which could reduce your back pain.

Just be aware: TEMPUR material may retain heat, making it not a great choice for people who tend to run hot while they sleep. Still, as someone who has slept on TEMPUR-Material for over 10 years (I actually have a TEMPUR-Pedic mattress), I can say that without a doubt, for me it has been worth the investment.

Over the years, I’ve suffered from a variety of back and overall musculoskeletal issues, such as sciatica and frozen shoulder, but the material has lessened that pain. (I can definitely tell too because when I’m traveling and not in my bed, those issues reemerge.) So, I am a firm believer in TEMPUR-Material in any form.

Best for Cooling, Back and Hip Support

Sleepy’s 3-Inch Gel Memory Foam Mattress Topper

$199.99 at Amazon

Pros

  • Made for those who sleep hot
  • Hypoallergenic
  • Supports hips, shoulders, and back
  • CertiPUR-US certified

Cons

  • Might slip around
  • Dimensions might be off
  • Height of topper: 3 inches
  • Cover machine washable: Yes
  • Price: $139 twin, $179 full, $199 queen, $269 king and California king
  • Comfort trial: None
Temperature can play a big role in how well we sleep — especially if you tend to sleep hot. The recommended ideal room temperature to promote the best sleep is between 65 and 68 degrees Fahrenheit, because your body sheds heat during thermoregulation to remain in restorative sleep stages longer. But if you have the wrong mattress, that heat you shed can become trapped, causing you to overheat and sweat.

That’s why we love the Sleepy’s 3-Inch Gel Memory Foam topper. It pulls body heat away and disburses it throughout the topper to keep you cooler. This results in more restful and deeper sleep, an essential element of reducing back pain and improving overall health. The gel foam is also built to help neutralize pressure on the hips, thereby improving spinal alignment and allowing you a more comfortable night’s sleep.

turmerry mattress

Best for Degenerative Disc Disease

Turmerry Organic Latex Mattress Topper (Firm)

$109 at Turmerry
$209Now 48% Off

Pros

  • Firm option offers the best spine support
  • Made from organic materials
  • Seven-zone technology extends the life of your mattress
  • Choose comfort level, from soft to extra firm

Cons

  • Latex can trap heat
  • Only available from the manufacturer’s website
  • The cover costs extra (only the 4-inch option comes with it)
  • Height of topper: 2, 3, or 4 inches
  • Cover machine washable: The cover must be purchased separately
  • Price: $109 to $649, depending on comfort, foam thickness, and size
  • Comfort trial: 120 nights

If you suffer from degenerative disc disease, taking pressure off your discs is crucial to keeping pain at bay — and a firmer mattress topper can help you do just that, so that you can get more comfortable sleep. Enter: The Turmerry Organic Latex Mattress Topper (Firm), which targets seven comfort zones, including:

  • Head area offers firmer support for head and neck alignment
  • Shoulder zone has softer cushioning to reduce pressure
  • Upper back area has extra medium-firm support for alignment
  • Lower back area provides firm lumbar support
  • Hip area is medium-firm to help with alignment
  • Thigh zone provides softer cushion to assist with circulation
  • Feet and ankles are padded with firm support

Turmerry offers a variety of comfort levels and foam thicknesses for its latex topper, which is unique among the companies we evaluated.

There are also soft and medium versions for those who like to sink into the foam more while still maintaining support. On the other side of the scale is extra firm, targeted at those who either shouldn’t sink into the foam or don’t want to.

Just keep in mind: Latex tends to trap the body’s heat during sleep rather than disbursing it, so sleeping hot is a factor to consider.

turmerry mattress

Best for Soothing Joint Pain

Turmerry Egg Crate Mattress Topper

$89 at Turmerry
$189Now 53% Off

Pros

  • Helps relieve joint pressure
  • Offers soft and medium options
  • Perforated latex to help circulate air

Cons

  • No cover
  • Can shift around on the mattress
  • Height of topper: 1.4 or 2.4 inches
  • Cover machine washable: The cover must be purchased separately
  • Price: $109 to $649, depending on comfort, foam thickness, and size
  • Comfort trial: 120 nights

The first time I slept on an egg crate topper, I was on a cruise ship. I thought it odd when I saw the shape of it under the sheet, and I was, admittedly, a little reserved about sleeping on it. However, the next morning when I woke up fully rested and ready to go on a day of adventure, I couldn’t help but wonder if that egg crate cover had anything to do with it.

It turns out it did. The unique shape of the Turmerry Egg Crate Mattress Topper ergonomically distributes body weight more easily and helps keep your joints free of the typical pressures some other beds might exert. People with arthritis in particular can benefit from an egg crate topper, as the affected joints can be less compacted.

This topper is also made of organic material and comes in two thicknesses and two comfort fits. It is also the least expensive option on our list. The perforated latex means it shouldn’t heat up while you sleep. However, because it does not have straps to grip the bed, it can slide around under the sheet.

Best for Ankylosing Spondylitis

Saatva High-Density Foam Mattress Topper

$245 at Amazon

Pros

  • Minimal odor out of the package
  • Best for back sleepers
  • Keeps the neck and spine in alignment

Cons

  • Tends to trap heat
  • Difficult to move around on
  • Height of topper: 1.5 inches
  • Cover machine washable: No
  • Price: $195 twin, $245 full, $295 queen, $345 king and California king
  • Comfort trial: 45 days
Ankylosing spondylitis is an uncomfortable inflammatory condition that involves arthritis-like onsets of stiffness and pain, sometimes at random. In extreme cases where the inflammation impacts other joints and organs, some sufferers lose spine flexibility altogether.

The Saatva High-Density Foam Mattress Topper is an excellent choice if you’re dealing with ankylosing spondylitis. The medium firmness of the foam can provide pressure relief to vital joints and organs by offering overnight support and buoyancy. Plus, if you are prone to back sleeping, this topper is one of the better choices, thanks to its medium-firm feel. There’s really only one downside to this topper: Some people do find it difficult to get out of bed with this one, due to the high-density foam in the topper.

Best for Osteoarthritis and Osteoporosis

PlushBeds Natural Latex Topper

$624 at Amazon

Pros

  • Handcrafted
  • 100 percent organic latex
  • Four comfort levels
  • Easier to get up from than memory foam

Cons

  • The cover costs extra
  • High price point
  • Height of topper: 2 or 3 inches
  • Cover machine washable: No
  • Price: $288 to $974, depending on topper size, thickness, and firmness
  • Comfort trial: None
According to the Centers for Disease Control and Prevention, over 32 million adults in the United States, most of them over the age of 60, have osteoarthritis.

 In addition to aches and pains, osteoarthritis can make getting out of bed more difficult. That is one of the reasons we’ve included the PlushBeds Natural Latex Topper on this list.

This 100 percent organic latex topper comes in four comfort levels:

  • Soft: This is better for side and back sleepers who prefer to sink into the material.
  • Medium: Side sleepers may find this provides a good balance of support and comfort.
  • Medium-firm: This provides extra support for back and stomach sleepers.
  • Extra-firm: This is best people over 250 pounds or anyone who prefers sleeping on a firm mattress.

While the soft topper is better for those who like sinking into a plush or pillow-top bed, it won’t trap sleepers and make it hard to get up. Since it is latex, it also allows sleepers to move about and get out of bed easier than memory foam. While the topper material has holes to help airflow and offset the heat-trapping tendencies of latex, we found some complaints that people still slept warmer than they would like.

Best for Neck Pain

Viscosoft Select High-Density Mattress Topper

$179.95 at Amazon

Pros

  • Helps keep neck position neutral
  • Affordable
  • Gel-infused foam helps disburse heat
  • Responsive customer service

Cons

  • Doesn’t stop motion transfer as well as other toppers
  • The heaviest topper at 30 pounds
  • Height of topper: 2 or 3 inches
  • Cover machine washable: Yes
  • Price: $174 to $359, depending on topper size and thickness
  • Comfort trial: 90 days

If you’ve ever woken up with a stiff or achy neck, your mattress may be the cause. According to Smith, neck pain is one of the most common complaints she hears in her office. The proper sleeping support paired with the right pillow can make all the difference and alleviate neck pain. The Viscosoft Select High-Density Mattress Topper might be just what you need to put an end to overnight neck pain.

The high-density foam in this Viscosoft topper, coupled with the proper pillow, can alleviate the poor spinal alignment that is common with neck pain. “The goal is to have the head and neck in a neutral position,” Smith says. “If on your back, the pillow should cradle your head and neck. The chin should be level and not be pointing up to the ceiling nor tipping down to the chest.”

While researching the Viscosoft topper, we noted that some buyers complained that it was too soft and didn’t offer them the support they needed, though most were satisfied with its density and the support it offers.

Best for Lower Back Pain

Nolah Mattress Topper

Pros

  • Additional cushioning for joints
  • Best for side sleepers
  • Helps you sleep cooler
  • CertiPUR-US certified

Cons

  • Straps only fit mattresses 10 to 15 inches thick
  • Cover might impede cooling technology
  • Height of topper: 2 inches
  • Cover machine washable: Yes
  • Price: $299 twin, $349 full, $449 queen, $499 king and California king
  • Comfort trial: 30 days

Lower back pain is a common issue for many of us. It can be situational, like after lifting something the wrong way, or due to a chronic condition. Either way, getting sleep can be hindered by the constant discomfort in the lumbar region. A less rigid topper, such as the Nolah Mattress Topper might be the solution.

Nolah has created its own patented AirFoam that is pressure relieving and doesn’t trap heat. It also has a little more spring with movement than typical memory foam, making it a good choice for side sleepers who want to reduce pressure on their shoulders and hips. When asked about sleep positions, Smith said that side sleeping is acceptable in most cases. Nolah purports that its AirFoam provides up to four times better pressure relief and is 300 percent more durable than similar toppers.

Comparison Table

Best for
Topper height
Washable?
Price
Comfort Trial?
Total body pressure relief
3 inches
Yes
$319 twin, $369 full, $419 queen, $469 king and California king
No
Cooling, back and hip support
3 inches
Yes
    $139 twin, $179 full, $199 queen, $269 king and California king

No
Degenerative disc disease
2, 3, or 4 inches
No
$109 to $649, depending on comfort, foam thickness, and size
Yes
Soothing joint pain
1.4 or 2.4 inches
No
$109 to $649, depending on comfort, foam thickness, and size
Yes
Ankylosing spondylitis
1.5 inches
No
    $195 twin, $245 full, $295 queen, $345 king and California king

Yes
Osteoarthritis and osteoporosis
2 or 3 inches
No
$288 to $974, depending on topper size, thickness, and firmness
No
Neck pain
2 or 3 inches
Yes
$174 to $359 depending on topper size and thickness
Yes
Lower back pain
2 inches
Yes
    $299 twin, $349 full, $449 queen, $499 king and California king

Yes

What to Look for When Buying a Mattress Topper for Back Pain

With so many choices available, finding a suitable mattress topper for back pain comes down to the material and the sleep issue you’re trying to solve. For back pain, you want to pay special attention to the kind of pressure relief the topper claims to offer. Also consider these factors when shopping for your ideal mattress topper:

  • Material (latex, foam, composite)
  • Comfort trial period
  • Price
  • Heat-transferring properties
  • Pressure-relieving elements
  • Comfort level (soft, medium, firm)
  • Material thickness (it may make it harder to get into or out of bed)

What Is the Purpose of a Mattress Topper?

A topper is intended to adjust the comfort or support of a mattress. This might be due to the age of the mattress, whether it’s too firm for your needs, and whether it is contributing to your back pain. A topper can help get your body into the proper alignment and take some stress off the shoulders and hips.

Other toppers may work better for pure comfort. The way you sleep often contributes to the effectiveness of toppers and how well they work to solve your back problems. For example, people who sleep on their sides shouldn’t get the firmest material in a topper because it may exert too much force on the shoulders or throw the neck out of alignment and cause pain there.

Is a Mattress Topper a Good Alternative to a New Mattress?

There is no substitute for the right mattress, but a topper could be a reliable alternative in some cases. For instance, if you have a temporary back condition that makes it harder to get out of your pillow-top bed, a firm topper may alleviate that problem. On the other hand, if you need a firmer feel to alleviate pressure on your body, a mattress is likely the better option to invest in. Mattresses cost more than toppers, however, so if you can’t afford a new mattress, a topper is certainly better than nothing. Trying a topper doesn’t cost nearly as much as a mattress in most cases, and it might give you an idea of the material you prefer, so that when it comes to choosing a new mattress, you’ll have some place to start.

What Material Is Best for a Mattress Topper to Help With Back Pain?

The pressure-reliving properties of foam toppers lead the pack when it comes to helping reduce back pain. However, memory foam is not always the best choice for everyone, since some of us don’t sleep well on a less buoyant bed. Choose a topper with the properties you prefer, such as a cooling gel or a plush feel. The options we’ve listed above give you some of each.

FAQs

How much do mattress toppers cost?

Mattress toppers range anywhere from $89 up to $1,000. This range includes all sizes, from twin to California king, and all types of materials. The price will depend on your preferences.

Research suggests that most mattress toppers last about five years. Of course, this depends on the material and the wear and tear.
It may not completely fix the problem, but it can certainly provide relief you wouldn’t otherwise get.
In the short term, a mattress topper will assist your quest for better sleep. If you’re short on money or don’t want to invest in a new mattress, a topper is the best option.

Why Trust Everyday Health

We independently investigate and recommend products and services we believe will enrich the lives of our readers and meet their specific needs. You can trust our reviews because we do the legwork for you. Read more about why you can trust us.

Jen Sinclair

Author

Jen Sinclair Is a freelance health and wellness writer who has spent the last two years writing feature articles and reviews of mental health and medical services and products. Her work has been published by Verywell Mind, Verywell Health, Health, and Parents. Prior to this, she worked for six years as a copywriter and blog writer for several legal and healthcare businesses, and as a paralegal for 15 years.

Jen currently lives with her husband and children in St. Augustine, Florida, where she enjoys spending time outdoors paddling waterways, driving around with the top off her Jeep, or trekking around with her writer hiker pals.

Justin Laube, MD

Justin Laube, MD

Medical Reviewer

Justin Laube, MD, is a board-certified integrative and internal medicine physician, a teacher, and a consultant with extensive expertise in integrative health, medical education, and trauma healing.

He graduated with a bachelor's in biology from the University of Wisconsin and a medical degree from the University of Minnesota Medical School. During medical school, he completed a graduate certificate in integrative therapies and healing practices through the Earl E. Bakken Center for Spirituality & Healing. He completed his three-year residency training in internal medicine at the University of California in Los Angeles on the primary care track and a two-year fellowship in integrative East-West primary care at the UCLA Health Center for East-West Medicine.

He is currently taking a multiyear personal and professional sabbatical to explore the relationship between childhood trauma, disease, and the processes of healing. He is developing a clinical practice for patients with complex trauma, as well as for others going through significant life transitions. He is working on a book distilling the insights from his sabbatical, teaching, and leading retreats on trauma, integrative health, mindfulness, and well-being for health professionals, students, and the community.

Previously, Dr. Laube was an assistant clinical professor at the UCLA Health Center for East-West Medicine and the David Geffen School of Medicine at UCLA, where he provided primary care and integrative East-West medical consultations. As part of the faculty, he completed a medical education fellowship and received a certificate in innovation in curriculum design and evaluation. He was the fellowship director at the Center for East-West Medicine and led courses for physician fellows, residents, and medical students.

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Good Sleep for Good Health. NIH News in Health. April 2021.
  2. The Best — and Worst — Sleep Positions for Back Pain. Keck Medicine of USC. April 18, 2024.
  3. Best Temperature for Sleep: What Is the Ideal Sleeping Temperature? SleepScore Labs. 2019.
  4. Okamoto-Mizuno K et al. Effects of Thermal Environment on Sleep and Circadian Rhythm. Journal of Physiological Anthropology. May 31, 2012.
  5. What’s the Best Temperature for Sleep? Cleveland Clinic. November 16, 2021.
  6. Ankylosing Spondylitis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. May 2023.
  7. Osteoarthritis. Centers for Disease Control and Prevention. June 12, 2023.