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Best Mattress for Sciatica
Sleep Foundation
Why Trust Us
Our mission to create a healthier, more well-rested world demands that our product reviews be best-in-class. You won’t find more expertise on mattresses and sleep products anywhere else.
The Sleep Foundation product testing team uses an industry-leading evaluation process paired with real world consumer feedback to come up with objective recommendations so that you can feel confident in your product decisions.
Sciatica causes radiating pain in the lower back, hips, and legs that may make it difficult to get a good night’s sleep. The pain can be short-term or it can persist for a while. In either case, having a mattress that cushions sore spots and takes pressure off the lower back can be a crucial step to getting some shut-eye.
Drawing on years of experience in the mattress industry, we’ve evaluated beds with special attention toward pressure relief and support, which can both help alleviate sciatica-related pain. Our testers also looked at other criteria such as breathability and motion isolation. Want to learn more about how we choose our top mattress picks? Visit our lists of best mattresses and best mattresses for back pain for more details.
Luxury Firm Winkbed
If you experience sciatica, we recommend a mattress with excellent pressure relief to cradle sensitive areas. Our top choice is the Luxury Firm WinkBed, which has a very plush comfort layer to ease pressure off sore spots. Meanwhile the coil base keeps your body well supported without uncomfortable sinkage.
The Best Mattresses for Sciatica
- Best Mattress Overall – Luxury Firm WinkBed
- Best Value Mattress – Nectar Adjustable Bundle
- Best Mattress for Back Pain – Helix Dusk Luxe
- Most Comfortable Mattress – Leesa Sapira Hybrid
- Best Mattress for Side Sleepers – Nolah Evolution 15
- Best Mattress for Spinal Alignment – Bear Elite Hybrid
- Best Mattress for Pressure Relief – Brooklyn Bedding Signature Hybrid
- Best Luxury Mattress – Saatva Rx
- Best Mattress for Hip Pain – Birch Luxe
- Best Mattress for Combination Sleepers – iSense Hybrid Premier
In-Depth Reviews
Best Mattress Overall
Luxury Firm WinkBed
Get $300 off all mattresses at Winkbeds
$1,499 at WinkBeds
“I’ve slept on the Luxury Firm WinkBed for 3 years and this mattress really hits the sweet spot between cushioning and sturdiness. The foam layers are plush and comfortable, but not so soft that I sink right in. Meanwhile, the coils give me all the support needed to keep my spine happy.” – Logan Foley, Editorial Director
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Pros
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Quilted Euro-top gives the surface a plush initial feel
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Coil system enables air to circulate and cool the bed
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Reinforced perimeter enhances edge support
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Cons
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Coils may transfer movement when switching positions
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Sleepers who weigh more than 230 pounds may find their hips sink too deeply
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Mattress Type
Innerspring
Firmness Options
Medium Firm (6)
Price Range
$1,149 – $2,049
Trial Period
120 nights (30 night requirement)
Product Details
Why It’s Best Overall
The WinkBed is a well-rounded hybrid mattress available in an array of firmness levels, but the Luxury Firm WinkBed stands out for its balanced feel that caters to sleepers with back pain. The foam layers contour to the body to relieve pressure buildup, while zoned pocketed coils offer ample pushback to the midsection.
What It’s Made of
With a medium firm (6) feel, the Luxury Firm WinkBed has a Euro-top quilted with gel-infused polyfoam. Beneath is a transitional layer of SupportCell polyfoam that promotes contouring but has a higher-density composition to make it feel a bit firmer. This layer also serves as a buffer between the comfort system and the support core. The core is composed of pocketed coils that provide substantial support, with a zoned design that delivers extra support to the lumbar region and extra coil reinforcement around the edges. A breathable and moisture-wicking Tencel cover encases the mattress.
How It Performed
Our testing found the mid-range feel and supportive construction benefit back sleepers and stomach sleepers who weigh up to 230 pounds. These sleepers should feel a good amount of cushioning without sinking too deeply into the mattress. Side sleepers who weigh between 130 and 230 pounds should also appreciate the cradling from the foam layers.
If you tend to run hot during sleep, the coil system enables plenty of air circulation to help keep the bed cool. We also recommend the mattress for couples, who should be able to move across the mattress easily and lay near the edges without sinking. The coils also provide responsiveness that many couples prefer for sex.
WinkBed backs this mattress with a 120-night sleep trial and lifetime warranty. Shipping is free to the contiguous U.S.
“Nectar beds stand out for their strong cushioning, whether they’re all-foam or hybrid. The Nectar Adjustable Bundle offers your choice of a Nectar bed. Throw in an adjustable base and a bedding package, and you have yourself a great deal.” – Tom Ryan, Head of Product Testing
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Pros
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Bundling products cost significantly less than buying each product separately
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Shoppers may choose any Nectar model
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50-night sleep trial and lifetime warranty
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Cons
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Adjustable bed not available in twin or California king sizes
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Offers little benefit to shoppers who are not looking for a new bed frame and bedding
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Mattress Type
Foam
Firmness Options
Medium Firm (6)
Price
$1,398
Trial Period
50 nights
Product Details
If you’re planning to overhaul your bed from top to bottom, the Nectar Adjustable Bundle includes many of the components you’ll need at a very reasonable price-point. The package comes with your choice of an all-foam or hybrid Nectar model, plus an adjustable bed frame and a six-piece bedding set. Buying the bundle will cost significantly less than purchasing each product individually, so we recommend it for shoppers on a budget.
What It’s Made of
Each Nectar mattress model features thick memory foam layers that cushion the body on the surface. Hybrid models contain coils in the support core, while the all-foam models have support cores composed of high-density foam. The adjustable bed offers head and foot elevation controls, multiple presets including zero gravity and anti-snore positions, a zoned massage function with three levels of intensity, and adjustable height options.
The bedding bundle includes one to two cooling pillows, depending on which size you purchase. You’ll also receive a mattress protector and a sheet set that includes a flat sheet, fitted sheet, and pillowcases. The sheets are composed of bamboo-derived rayon fabric that feels soft and cool to the touch.
How It Performed
Although the Nectar models vary in design and performance, we’ve found all mattresses tend to perform well in pressure relief and motion isolation. This is due in large part to the generous foam comfort layers. Generally speaking, the hybrid models will generate sturdier support than the all-foam models. The adjustable bed offers an array of customizable features to meet your sleep needs, and the pillows and sheets are engineered for coolness.
Nectar provides a generous 50-night sleep trial and a lifetime warranty for each item in the bundle. Shipping is also free throughout the contiguous U.S.
“Thanks to its responsive design and medium firm feel, the Helix Dusk Luxe is well-attuned to sleepers with sciatica — especially those who weigh 130 to 230 pounds. Zoned coils and two cooling cover options add to the appeal of this high-end hybrid.” – Tom Ryan, Head of Product Testing
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Pros
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Thick, responsive foam layers provide a nice balance of bounce and cushioning
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Coils are zoned for extra support around the midsection
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Two cooling cover options
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Cons
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Sleepers over 230 pounds may not receive enough support from the mattress
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Initial off-gassing odor can linger for up to 72 hours after unboxing
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Mattress Type
Hybrid
Firmness Options
Medium Firm (6)
Price Range
$1,099 – $2,299
Trial Period
100 nights (30-night requirement)
Product Details
Helix Sleep specializes in hybrid mattresses geared toward specific types of sleepers. If you’re a midweight back or stomach sleeper, chances are you’ll find the Helix Dusk Luxe comfortable and sufficiently supportive. This medium firm (6) model features three foam comfort layers over a zoned coil system, resulting in a nice balance of cushioning and pushback. Our tests also show the mattress sleeps cool, feels secure along the perimeter, and isolates motion fairly well for a hybrid.
What It’s Made of
The Dusk Luxe features a Euro-top surface cushioned with adaptive polyfoam and memory foam. This creates a cushy feel when you get into bed. A third foam layer provides transitional support, cushioning your body while creating a buffer between you and the support core. Pocketed coils and dense base foam nicely stabilize the mattress. Thicker coils rest beneath your torso and hips to push back against the extra weight in these areas. The perimeter is also reinforced with stronger springs — this prevents excessive sinkage when you lie close to the edges of your mattress or get in and out of bed.
Standard Dusk Luxe models come with covers made of Tencel, a eucalyptus-derived fabric that excels at breathability and moisture control. If you consider yourself a hot sleeper, we recommend upgrading to the GlacioTex cooling cover. This fabric is engineered to instantly dissipate body heat from the mattress surface, creating a cool-to-the-touch feel at all times.
How It Performed
During our tests, the Dusk Luxe scored high marks from side, back, and stomach sleepers weighing up to 230 pounds. Those in the range of 130 to 230 pounds across all three sleep positions were particularly impressed. The mattress feels somewhat plush on the surface, but the underlying foam and coil layers provide enough reinforcement to keep your body on an even plane if you weigh 230 pounds or less. Those who weigh more should consider a firmer Helix model such as the Dawn Luxe or Twilight Luxe.
The Dusk Luxe’s zoned coils help you move across the mattress without feeling stuck and protect the perimeter from deep compression. At the same time, the thick foam layers absorb enough movement to isolate motion transfer for couples. We also found that the mattress alleviates pressure well thanks to the cushioning foam layers.
The Dusk Luxe’s sticker price is slightly above average, even more so if you opt for the GlacioTex cover, but Helix offers free shipping to the contiguous U.S. and includes two pillows with each order at no extra cost. The company’s sleep trial runs for 100 nights. If you’re satisfied with the mattress after the return period ends, your purchase is further backed by a 15-year warranty against manufacturing defects.
Most Comfortable Mattress
Leesa Sapira Hybrid
20% off mattresses + free pillows at Leesa
$1,599 at Leesa
“The Leesa Sapira Hybrid’s medium firm feel should appeal to anyone who needs cushioning and support in equal measure. Thick foam layers over robust pocketed coils ensure comfortable cradling for your sensitive areas with sturdy edge support and a welcoming bounce when you get in and out of bed.” – Danny Noyed, Senior Product Editor
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Pros
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Aerated top layer helps the surface stay cool
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Mixed-foam comfort system cushions the body without hugging too closely
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Reinforced perimeter coils prevent excessive sinkage
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Cons
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Strong off-gassing odor likely for the first 48 hours after unboxing
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Mattress may not provide enough support for back and stomach sleepers over 230 pounds
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Mattress Type
Hybrid
Firmness Options
Medium Firm (6)
Price Range
$1,349 – $2,299
Trial Period
100 nights (30 night requirement)
Product Details
The Leesa Sapira Hybrid’s foam-over-coil design ensures plenty of cushioning for your sensitive areas affected by sciatica pain. The thick comfort system contours evenly to distribute your weight, while the support core provides great overall stability to prevent excessive sinkage beneath your torso and hips. Cooling components also help reduce heat buildup to maintain a comfortable sleep temperature.
What It’s Made of
The Sapira Hybrid’s top layer is composed of adaptive polyfoam with airflow channels to promote circulation on the sleep surface. Additional memory foam and transitional polyfoam layers add to the cradling effect. Each layer is progressively denser, so you’ll notice some pushback as you settle into the mattress. This prevents you from sinking into the support core.
Pocketed coils and dense base foam give the mattress a robust, responsive feel, but the foam layers absorb movement to prevent disruptive noise and motion transfer. A breathable knit cover encases the mattress. Our team has rated the Sapira Hybrid as medium firm (6). Since the mattress measures 11 inches thick, you won’t need to invest in a fitted sheet with deep pockets.
How It Performed
During hands-on tests, the Sapira Hybrid earned excellent ratings from side sleepers weighing up to 230 pounds and back sleepers under 130 pounds. We also found that the mattress is a solid choice for couples thanks to the strong edge support, above-average motion isolation, and bouncy surface.
Temperature control proved to be another major strength. Steady airflow through the coil system and the aerated top layer effectively minimize bothersome heat retention — a common issue with foam hybrids. We recommend this mattress to hot sleepers who have had bad experiences with foam in the past.
The Sapira Hybrid is competitively priced and standard shipping is free to all 50 states. You’ll also receive two complimentary pillows with your order. Leesa’s sleep trial spans 100 nights in length, during which you may return the mattress for a full refund. If you decide to keep it, your purchase is further backed by a 10-year warranty against structural and material defects.
Best Mattress for Side Sleepers
Nolah Evolution 15
35% off mattresses + 2 free pillows at Nolah
$1,624 at Nolah Sleep
“I felt a lot of cushioning on the Evolution 15, but the zoned coils provided enough support for my hips and lower back. The best-of-both-worlds design is really helpful for improving spinal alignment.” – Jackson Lindeke, Executive Director
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Pros
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Three firmness levels available
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Zoned coils create an exceptionally strong support system
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Option to opt out of sleep trial for added savings
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Cons
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Returns will incur a $99 fee
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Foams may produce off-gassing odor that can be irritating
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Mattress Type
Hybrid
Firmness Options
Medium (5), Medium Firm (6), Firm (8)
Price Range
$1,004 – $2,143
Trial Period
120 nights (30-night requirement)
Product Details
The Nolah Evolution 15 is a quintessential hybrid because it contours to the body and alleviates pressure for side sleepers without sacrificing the support of a coil system. This construction also facilitates airflow and creates a supportive perimeter for those who have trouble getting in and out of bed.
What It’s Made of
A Euro-top cover padded with soft foam creates a plush surface, while two additional foam layers provide additional cushioning for sensitive areas along the spine. The support core is divided into zones based on gauge, or coil thickness. This provides extra reinforcement for the lower back and hips – two areas of the body greatly affected by sciatica pain. Sturdier coils also line the perimeter to prevent deep sinkage when you get in and out of bed.
How It Performed
The mattress is available in three firmness levels – medium (5), medium firm (6), and firm (8) – so virtually anyone can choose a feel that suits their body type, sleep position, and pressure relief needs. Edge support is particularly robust for the two firmer models. The coils promote consistent air circulation throughout the interior and the cover is quilted using proprietary ArcticTex fibers, so overheating won’t be an issue for most people.
Six standard sizes are available, as well as a split king size for adjustable beds. Nolah offers free ground delivery to anyone in the contiguous U.S. The company’s sleep trial runs 120 nights in length, but you can opt out of the trial to knock some money off of the asking price. All Evolution 15 mattresses are covered by lifetime warranties against structural defects.
Best Mattress for Spinal Alignment
Bear Elite Hybrid
35% off + 2 free pillows at Bear. Code: SF35
$1,499 at Bear
“The Bear Elite Hybrid’s foam-over-coil design was easy on my pressure points but still plenty supportive for my lower back. It’s the perfect design for keeping back pain at bay, and you can choose between three firmness options to get the best fit.” – Jackson Lindeke, Executive Director
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Pros
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Memory foam hybrid design contours evenly without sacrificing support
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Available in three firmness levels to accommodate different types of sleepers
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Zoned transitional layer reinforces heavier areas of the body
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Cons
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Foam layers may emit off-gassing odor after unboxing
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Most models lack responsiveness for sex
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Mattress Type
Hybrid
Firmness Options
Medium (5), Medium Firm (6), Firm (8)
Price Range
$1,231 – $2,548
Trial Period
120 nights (30-night break-in period)
Product Details
Bear offers a lineup of mattresses that cater to different budgets and needs. The Bear Elite Hybrid is a luxury option with a thick comfort system and supportive coils, creating a well-rounded design that makes this bed an optimal choice if you have persistent hip pain.
What It’s Made of
The Elite Hybrid is available in three firmness levels: medium (5), medium firm (6), and firm (8). All three designs begin with a memory foam comfort layer infused with copper, a material with natural cooling properties. The polyfoam transitional layer is divided into five firmness zones to reinforce the midsection while gently cushioning the head, shoulders, and legs.
Pocketed coils and dense base foam make up the support core. Thicker coils line the perimeter to push back against your weight and prevent deep sinkage when you lie close to the edges or get in and out of bed. The cover is a blended fabric containing Celliant, an innovative material that absorbs and releases heat to maintain a cool surface at all times.
How It Performed
We tested all three of the Elite Hybrid’s firmness levels. Our side and back sleepers weighing up to 230 pounds felt most comfortable on the medium design. These models contoured closely to cradle our spines and alleviate pressure in our hips, lower back, and other areas affected by sciatica pain. The medium firm feel earned favorable ratings across the board, though the highest marks came from our side sleepers between 130 and 230 pounds and back sleepers weighing up to 230 pounds. Lastly, we recommend the firm feel to side sleepers over 230 pounds, back sleepers of at least 130 pounds, and stomach sleepers between 130 and 230 pounds. Our testers who fall into these groups received adequate support and light, even conforming from the firm design.
We were impressed by the Elite Hybrid’s cooling abilities during our temperature control tests. Our thermal sensors detected minimal heat buildup, and our testers felt comfortable lying on the mattress. We attributed this to the breathable cover and coils, which generate airflow throughout the interior and help the mattress sleep comfortably any time of year – even on hot and humid nights. The thick foam layers also allowed the Elite Hybrid to excel when we tested it for motion isolation, as our testers didn’t notice any movement on their side of the mattress. We also found the Elite Hybrid easy to move across and didn’t sink excessively along the edges.
Bear offers free ground shipping throughout the contiguous U.S. You can receive two free pillows with your Elite Hybrid purchase or upgrade to a sleep accessories bundle that includes two pillows, a sheet set, and a mattress protector at a discounted price. The mattress comes with a 120-night sleep trial and is further backed by a lifetime warranty if you decide to keep it.
Best Mattress for Pressure Relief
Brooklyn Bedding Signature Hybrid
Save 25% sitewide at Brooklyn Bedding
$999 at Brooklyn Bedding
“Hybrids that excel at pressure relief can sometimes feel too soft, but this isn’t the case with the Brooklyn Bedding Signature Hybrid. The mattress really cushions your body without feeling overly plush, and the price-point is reasonable compared to other hybrids we’ve tested.” – Tom Ryan, Head of Product Testing
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Pros
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Foam layers balance cushioning and responsiveness
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Available in three firmness options
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Reinforced perimeter enhances support along the edges
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Cons
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Firmness exchanges are not permitted during trial period
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Foam may off-gas upon unboxing
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Mattress Type
Hybrid
Firmness Options
Medium Soft (4), Medium Firm (6), Firm (8)
Price Range
$499 – $1,199
Trial Period
120 nights (30-night requirement)
Product Details
The Brooklyn Bedding Signature Hybrid has a balanced design that delivers strong pressure relief without falling short on support. Available in three firmness options, the bed earned high ratings across many performance categories when we tested it in our sleep lab.
What It’s Made of
The mattress is designed in three firmness levels: medium soft (4), medium firm (6), and firm (8). All models feature a cover quilted with polyfoam, followed by a layer of Supreme Response Comfort Foam that cushions your body gently and has a moderately responsive feel. Beneath is a VariFlex polyfoam layer that conforms to the body but is dense enough to prevent sinkage.
All firmness options feature the same sequence of foam layers, but the thickness of the layers differs in the firm model. Each mattress contains a support core made of pocketed coils with a reinforced perimeter for strong edge support.
How It Performed
During testing, the medium soft model earned the highest marks from side sleepers weighing up to 230 pounds and back sleepers under 130 pounds. The medium firm model felt most comfortable to side and back sleepers between 130 and 230 pounds, while the firm option performed well with back and stomach sleepers over 130 pounds.
The foam comfort system adapts to your body and helps prevent uncomfortable pressure buildup. That said, we never found the surface excessively soft, due in large part to the coils and the responsive feel of the polyfoam. Our testers also reported minimal heat retention, since air circulates through the coils. If overheating is a concern, you may purchase a GlacioTex Cooling Cover to help keep the surface cool.
Brooklyn Bedding offers a 120-night sleep trial to try the mattress at home, and the bed is backed by a 10-year warranty. Shipping is free to addresses in the contiguous U.S.
“The Saatva Rx is one of the softest hybrid models we’ve tested. As someone with occasional lower back pain, I enjoyed the luxurious cradling effect as my body settled into the mattress, but I never felt like I was sinking too much.” – Logan Foley, Editorial Director
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Pros
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Memory foam lumbar pad alleviates pressure in the lower back
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Coil-on-coil support system stabilizes the mattress without making the surface feel stiff
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All orders include free White Glove delivery and a yearlong trial period
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Cons
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Above-average pricing for a hybrid model
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Too soft for most back and stomach sleepers over 230 pounds
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Mattress Type
Hybrid
Firmness Options
Medium Soft (4)
Price Range
$1,995 – $4,390
Trial Period
365 Nights ($99 Return Fee)
Product Details
The Rx is Saatva’s first mattress model created specifically for people with sciatica and other types of back pain. A dense foam pad in the comfort system cushions and reduces pressure in the lumbar region, while two coil layers reinforce your body and help keep you on an even plane. After testing the Rx, our team determined its firmness level is medium soft (4). This makes it much softer and more adaptive than the average hybrid model.
What It’s Made of
The Rx’s comfort system begins with the “lumbar crown,” a strip of memory foam located directly beneath your lower back. The next layer consists of microcoils encased in dense foam, which help keep your body on an even plane. The coils are somewhat responsive, so they’ll cradle your sore spots without the deep hug people often experience on memory foam.
Unlike traditional pocketed coils, the Rx’s are topped with foam to provide extra cushioning. The foam also muffles noise and reduces motion transfer, making the mattress a decent option for co-sleepers. Thicker coils line the perimeter to push back against your weight when you sleep near the edges or get in and out of bed. At 15 inches, the Rx is exceptionally tall compared to the average mattress.
How It Performed
As a softer-than-average hybrid mattress, the Rx performed well in some areas where other hybrids tend to fall short. Despite the coil-on-coil construction, we found the Rx was soft and adaptive enough to significantly isolate motion. The lumbar pad also helps the mattress alleviate pressure well. Another strength of this mattress is temperature control. Both coil layers promote internal airflow, and a breathable organic cotton cover encases the mattress to help the surface stay cool.
During our tests, the Rx was most popular among side sleepers on our team. Those weighing up to 230 pounds were particularly impressed. Although our back and stomach sleepers under 130 pounds enjoyed the Rx, heavier individuals in these position categories found the mattress too soft — and some sank to an excessive degree.
As is the case with other Saatva models, the Rx is fairly expensive, but your order comes with free White Glove delivery that includes full assembly in a room of your choice and removal of your old mattress and box spring at no extra charge. You’ll also receive a generous 365-night sleep trial. If you choose to keep the mattress, it’s further backed by a lifetime warranty against manufacturing defects.
“The Birch Luxe feels softer and more adaptive than many of the latex hybrids we’ve tested in our lab, but without sacrificing the responsiveness and support that defines this type of mattress. Our tests also revealed that the zoned coil system is a nice touch for people with sciatica-related back and hip pain.” – Danny Noyed, Senior Product Editor
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Pros
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Euro-top padded with multiple batting layers creates a luxuriously plush feel
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Zoned design delivers targeted support to the lumbar region
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Exceptional cooling thanks to breathable and moisture-wicking components
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Cons
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Natural and certified organic materials hold a higher sticker price
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Responsive latex hybrid construction may lack motion isolation
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Mattress Type
Latex Hybrid
Firmness Options
Medium Firm (6)
Price Range
$1,299 – $2,499
Trial Period
100 nights (30-night requirement)
Product Details
The Birch Luxe builds on the latex hybrid design of Birch’s flagship mattress with a Euro-top surface, additional padding layers, and a zoned support system. The adaptive, medium firm (6) feel is particularly well suited to people with sciatica and other conditions that cause lower back or hip pain.
What It’s Made of
The Luxe features a Euro-top containing several batting layers made of rayon, organic wool, and organic cotton. Together they create a cloud-like surface with deep cushioning for your body. These materials also excel at breathability and moisture control, allowing you to stay cool and dry while you sleep. A layer of proprietary Pulse latex, which feels both adaptive and gently responsive, rounds out the comfort system.
The Luxe’s support core contains pocketed coils over a wool and rayon batting base layer. Thicker coils rest beneath your lumbar region, ensuring extra reinforcement for the lower back and hips to target sciatica-related aches and pains. The perimeter is also reinforced, providing pushback when you lie near the edges or get in and out of bed. An organic cotton cover encases the mattress. The cotton has earned certification from the Global Organic Textile Standard, a leading authority for sustainably sourced materials.
How It Performed
Compared to other latex hybrids we’ve tested, the Birch Luxe feels remarkably plush — our testers attributed this quality to the deep batting layers cushioning the Euro-top. At the same time, we noticed extra support from the zoned coil system. Most of our testers experienced minimal sinkage around the lower back and hips. Testers weighing 130 to 230 pounds were particularly impressed with the Luxe, as side, back, and stomach sleepers in this weight range all awarded the mattress stellar ratings.
Temperature control was one of the Luxe’s major highlights during our hands-on tests. The batting layers wicked moisture away to keep us dry, the latex retained little heat, and the coils circulated air throughout the interior. As a result, our thermal sensors didn’t detect much heat build up. We also awarded high marks to the Luxe for edge support and ease of movement, common strengths of latex hybrid models.
The Luxe’s price-point is reasonable given the high-end design, and shipping is free to customers in all 50 states. You’ll also receive two complimentary pillows with your purchase. Each mattress order is backed by a 100-night trial and a 25-year warranty.
“The iSense Hybrid Premier goes above and beyond your standard mattress. The bed can be adjusted to 20 different firmness levels, and embedded sensors track biometric data while you sleep. With a foam surface that cradles your body, this bed really does it all.” – Jackson Lindeke, Executive Director
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Pros
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Adjustable design offers 20 firmness levels
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Foam comfort layer cushions your body and relieves pressure buildup
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Smart sensors track biometric sleep data
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Cons
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Stomach sleepers over 230 pounds may need a more supportive mattress
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Luxury price-point may be too high for shoppers on a budget
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Mattress Type
Hybrid
Firmness Options
Soft (3), Medium Soft (4), Medium (5), Medium Firm(6), Firm (7)
Price Range
$3,199 – $4,999
Trial Period
180 Night
Product Details
The iSense Hybrid Premier is a luxury hybrid model that caters to sleepers who prioritize customization options in their mattress. Adjustable air chambers allow you to fine-tune the bed’s feel until achieving the firmness that feels just right for your sleep position and body type.
What It’s Made of
The mattress measures 13.5 inches thick and starts with a polyfoam layer that gently conforms to your body. Beneath is a layer of air cylinders with 20 firmness settings that you can manually adjust with an app. In all mattress sizes except for the twin XL, you can customize a different firmness for each side of the bed, which co-sleepers may find beneficial. The air cylinders are situated in polyfoam, followed by a layer of responsive pocketed coils. The mattress perimeter is bolstered by high-density foam to boost support along the edges, and the cover is composed of spandex.
How It Performed
The adjustable design of the iSense Hybrid Premier gives it a wide range of firmness options, ranging from soft (3) to firm (7). The adaptable feel makes the bed compatible with almost all sleep positions and body types, although stomach sleepers over 230 pounds may need a firmer bed. Regardless of which firmness you choose, the polyfoam surface contours to your body and helps relieve pressure buildup. This is ideal for anyone prone to painful pressure points. The mattress is also a good option for hot sleepers, since airflow through the cylinders and pocketed coils keeps the bed well ventilated.
If you’re a fan of sleep tracking, the mattress is equipped with biometric sensors that track data such as heart rate, movement, and sleep duration. You’ll receive a score upon waking to gauge the overall quality of your sleep.
Shipping is free to addresses in the contiguous U.S.. The mattress comes with a 180-night sleep trial and a 10-year warranty.
Data-Driven Results You Can Trust
Our Sleep Foundation team ranges in body weight and sleep preference, allowing us to accurately match sleepers with the appropriate mattress. We have spent years testing mattresses and researching sleep health, so we know what to look for when selecting the best models. Our rigorous testing process includes a thorough look at pressure relief and support, which are critical for those who experience sciatica.
How Our Testing Process Works
When reviewing mattresses, we use physical methods like lying down and switching sleep positions as well as technology for pressure point mapping. We continually review new mattresses to provide you with the most comprehensive and current information about the best mattresses for sciatica.
Read on to find out about our product research methodology:
motion isolation
Motion isolation can be particularly important for partners of those with sciatica, who tend to change positions frequently. Mattresses made with thick, foam comfort layers tend to absorb more motion and perform best in this category.
temperature control
Overheating at night can lead to sleep disruptions and fatigue the next day. The best temperature-neutral mattresses often feature materials like breathable cotton or latex comfort layers to trap less heat.
pressure relief
Pressure relief is especially important for sleepers with sciatica. These sleepers may prefer a mattress with a thick, memory foam comfort system that cradles the body and reduces uncomfortable pressure buildup.
off gassing
Off-gassing is temporary and usually harmless, but the odors can be frustrating for many sleepers. Volatile organic compound (VOC) emissions or other material smells can cause these odors after unboxing a mattress.
ease of movement
Many sleepers with sciatica toss and turn at night to prevent pain associated with staying in the same sleep position. These sleepers may appreciate a responsive mattress that allows them to move across the surface easily, like those with latex comfort layers.
edge support
Sleepers with sciatica that experience difficulty getting out of bed may benefit from a mattress with greater edge support. A sturdy perimeter allows sleepers to comfortably sit on the edge for extra assistance.
sex
Bouncier mattresses are generally preferred for sex, but noise suppression and temperature regulation are other important factors. Latex hybrids tend to rank highly in this category thanks to responsive comfort layers that trap less heat.
body weight
Body weight is a major determining factor of your firmness and support needs, in addition to sleeping position and other personal preferences. Since these picks are largely subjective, we recommend testing multiple firmness levels to discover which is best for you.
Watch Video: We Tested the Best Mattresses for Sciatica – Here Are Our Favorites
Watch the video below to get a closer look at some of our top mattress picks for sleepers with sciatica.
Read our mattress profiles below to learn more about our top picks and how they might benefit people who experience sciatica. We also offer a comprehensive buyer’s guide to finding mattresses that can help with sciatica pain. Our guide dives into the different ways a mattress can impact sciatica pain and provides tips on how to pick a mattress for your body type, preferred sleep position, and other factors.
Dive Deeper – In-Depth Mattress Guides
For more help finding a mattress that’s right for you, you can browse our guides sorted by mattresses for your particular requirements.
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How to Choose a Mattress for Sciatica
People with sciatica experience pain and numbness in the lower back, hips, buttocks, and legs. The pain can occur on one or both sides of the body, and in severe cases, sciatica may even interfere with bladder function. Studies estimate that the lifetime prevalence of sciatica may be between 13 and 40 percent.
Not surprisingly, people who have sciatica often have trouble finding a comfortable sleep position. Unfortunately, poor-quality sleep can lead us to experience pain more vividly, provoking a vicious cycle that’s hard to break.
A mattress with above-average pressure relief and support can help minimize aches and pains from sciatica and help you get a better rest. Some sleepers may also have additional needs, such as motion isolation to reduce disruptions from their partner’s movement or strong edges to facilitate getting in and out of bed.
“Sleep and pain have a bidirectional relationship, and the current data suggest that the effects of sleep on pain are likely stronger than the effects of pain on sleep. Focusing on improving your sleep quality may help with your overall pain level.”
– Sarah Silverman, Psy.D., a licensed psychologist and holistic sleep wellness consultant who treats patients in New York and Florida.
This guide discusses the impact of sciatica on your sleep and provides advice on how to choose the best mattress for sciatica based on your body type, preferred sleep position, and other factors.
What to Look for in a Mattress
It can feel overwhelming to sift through the confusing terminology that saturates the mattress industry. At the end of the day, however, buying a mattress basically boils down to a few key points. Focusing on the following factors can help you see past the marketing hype and choose the best mattress for your sciatica.
- Price: There’s no need to break the bank to get a mattress that can help relieve sciatica pain. Before you start to research mattress options, work out a budget and filter your choices accordingly. Many mattress companies even offer significant discounts, especially around major holidays.
- Quality Materials: A mattress made with poor-quality materials may succumb to premature sagging or indentations, which affects its ability to deliver support and alleviate pressure points. Higher-quality mattresses may cost more, but they are a better guarantee of long-lasting relief.
- Firmness Level: Mattress firmness is a subjective measure, and the best firmness for you will depend on your body type, preferred sleeping position, and personal preference. People with sciatica should look for a mattress that is sufficiently firm to support the lumbar area, without putting unwanted pressure on the hips and shoulders.
- Pressure Relief: Pressure relief is essential for people who experience sciatica, especially side sleepers whose sciatica flares up in the hips. Mattresses with memory foam or latex comfort layers tend to perform best at pressure relief, cushioning heavier parts of the body to ease pressure build-up.
- Edge Support: A mattress with strong edges can make you feel more secure when lying near the edge of the bed. This can also be an invaluable support when getting in and out of bed, particularly if your sciatica makes some movements painful or awkward.
- Contouring: Materials that mold themselves to the body’s curves promote proper spinal alignment and help provide pressure relief, both of which are essential for people with sciatica. Memory foam typically offers the best contouring, and some latex and polyfoam mattresses also do well in this category.
- Temperature Regulation: While temperature won’t necessarily have a direct effect on your sciatica, a sleeping environment that’s too warm can severely impact your sleep quality. People who are prone to overheating at night may find that a cooling mattress helps them get the rest and recovery they need.
- Ease of Movement: Many people with sciatica find the pain gets worse after they stay in the same position for a long time. For these people, latex and hybrid mattresses provide a responsive surface that makes it easier to switch sleeping positions.
- Mattress Type: Mattresses aren’t one-size-fits-all, and the right mattress for you will depend on your individual needs. Having a general idea of which features you value most can help guide you toward a specific mattress type and make it easier to reach a decision.
Why Buy a New Mattress?
People purchase new beds for any number of reasons, whether it’s to replace a mattress that’s become too uncomfortable or to find a model that helps alleviate physical pain. We polled thousands of Sleep Foundation readers to find out the top reasons people invest in new beds.
What Type of Mattress is Best for Sciatica?
Most mattresses available today fall into one of the five categories listed below. Mattresses of a given category will share some common qualities thanks to their similar construction.
Of course, there is plenty of variation within each mattress type depending on design, materials, and other special features. Nevertheless, understanding the basic differences between mattress types can be a useful way of narrowing down which mattress is right for you.
Hybrid
Definition: Hybrid mattresses combine a thick comfort layer section with an innerspring support core. The comfort layers may be made of polyfoam, memory foam, latex, microcoils, fiberfill, cotton, wool, or down.
Best of Both Worlds. Hybrids aim to provide the support, airflow, and edge support of an innerspring mattress as well as the conforming pressure relief and motion isolation of an all-foam or latex model. This makes hybrids ideally placed to deliver the balance of support and pressure relief that is needed to ease pressure on the sciatic nerve.
Innerspring
Definition: Innerspring mattresses feature a construction made primarily with metal coils. While this is sometimes supplemented by a thin comfort layer, this does not noticeably affect the way the mattress feels.
Affordable. Innerspring mattresses are widely available and are one of the most affordable mattress options. While they may not provide enough pressure relief for sleepers with sciatica, using an innerspring mattress with a mattress topper can be an inexpensive way to customize the feel to your liking.
Latex
Definition: Latex can either be made synthetically or naturally, from a substance originating in the rubber tree. Latex mattresses usually use a denser latex in the support core and a plusher pressure-relieving latex in the comfort layers.
Responsive Pressure Relief. Latex offers substantial pressure relief without the close “hug” feeling of memory foam. This makes it a good option for people with sciatica who frequently change sleep positions.
Airbed
Definition: The support core of an airbed consists of air chambers that can be inflated or deflated to adjust the bed’s firmness level. Mattresses for two people usually feature individual air chambers so each user can choose their own firmness level. Additionally, many airbeds soften the feel of the mattress with foam, latex, or other comfort layers.
Immediate Relief. No other type of mattress comes close to giving you such exact control over the firmness of the bed. This can be a lifesaver for people with sciatica whose pain changes from night to night or every time they switch sleeping positions. Airbeds tend to be very expensive compared to other mattress types and may be too pricey for those looking for a cheap mattress.
Foam
Definition: Foam mattresses are constructed without a coil support core. They most often feature a support core of high-density polyfoam, plus comfort layers consisting of memory foam, polyfoam, or latex.
Advanced Pressure Relief. Foam mattresses, especially those which include memory foam in the comfort layers, offer unrivaled pressure relief that soothes and cushions pressure points. The foam’s conforming abilities can also fill in the lumbar area to prevent pressure build-up in the gap between the lower back and the mattress.
How Does Sciatica Affect Sleep?
The sciatic nerves originate in the lower back and run through the buttocks, back of the legs, and soles of the feet down to the toes. Sciatica is the result of a problem with the sciatic nerves, most often a pinched or irritated nerve caused by a herniated disc. Risk factors for sciatica include poor posture, injury, obesity, a sedentary lifestyle, arthritis, or bone spurs.
Sciatica is often described as a radiating pain that starts in the lower back and travels down the back of the legs and sometimes the feet. It can present as numbness, tingling, throbbing, heat, inflammation, sharp pain, aching, or even muscle spasms in the areas affected by the sciatic nerve. These symptoms can be mild or severe, acute or chronic, and they often occur only on one side of the body. Patients may find some relief with anti-inflammatory drugs or by applying ice, but for severe cases, surgery is sometimes required.
Many people with sciatica may have difficulty finding a comfortable sleep position. Lying down can put pressure on the hips and lumbar area, leading many people to experience flare-ups when trying to sleep or upon waking up after lying in the same position all night. People with sciatica require a mattress that can distribute body weight and support the lower back in order to help take pressure off the sciatic nerves.
Chances are your sciatica keeps you tossing and turning to try to find a comfortable position. Those who experience severe sciatica may also have problems with bladder control. In these cases, choosing a mattress that isolates motion transfer can help reduce disturbances to a sleeping partner during midnight bathroom visits. Strong edge support and a responsive surface can also make it easier to get in and out of bed.
Other techniques to relieve sciatica pain include elevating the knees, using an adjustable base or zoned mattress, tucking a pillow between your knees to keep the hips in line when side sleeping, or inserting a pillow below your midsection to relieve pressure on your lower back when stomach sleeping. Taking a warm bath or doing some light stretching before bed can also provide some temporary relief. You should always consult your healthcare professional before starting any treatment.
How Does Sleep Position Affect People with Sciatica?
Different sleeping positions put pressure on different parts of our bodies, which can have a significant impact on sciatica pain. Back and side sleeping are commonly touted as the best positions for people with sciatica, but as we’ll see here, this advice comes with some caveats.
“Back and stomach sleepers may benefit from a firmer mattress, as extra support can feel more comfortable in these positions. Side sleepers may prefer a mattress that has softness. It’s also important for side sleepers to find an option that ensures the head and neck are in alignment. Whatever is the most comfortable for you to sleep with is worth the investment.”
– Sarah Silverman, Psy.D., a licensed psychologist and holistic sleep wellness consultant who treats patients in New York and Florida.
Back Sleepers
Back sleeping encourages healthy spinal alignment and is typically regarded as the healthiest sleeping position. That said, there are a few factors that sleepers with sciatica should watch for in order to ensure they’re getting the maximum benefits from their mattress.
One of the most notable issues for people with sciatica to look out for when sleeping on the back is insufficient support to the lumbar region. A mattress that is too firm can leave space between your lower back and the mattress, leading to pressure build-up in the lumbar area. By contrast, a mattress that is too plush may let your hips sink in too far, which also puts pressure on your lower back. The best mattress for back sleepers with sciatica needs to balance pressure relief and support. You may get additional relief from using a thin pillow under your knees.
Side Sleepers
Side sleepers often develop pressure points in the hips and shoulders as a result of these areas digging into the mattress. This can be doubly painful for people who have sciatica in the hips. For this reason, it’s important to choose a mattress that cushions the hips and shoulders. Memory foam is generally considered to have the best pressure-relieving capabilities.
It may be tempting to go with the softest mattress possible to alleviate pressure points, but mattresses that don’t offer enough support in the lumbar area may also cause lower back pain as a result of the hips bending at awkward angles. The best mattress for side sleepers with sciatica will contour to these curves, filling in the lumbar area and allowing the hips and shoulders to sink in just enough to keep the spine on an even plane. Some side sleepers may find that tucking a pillow between the knees can ease pressure on the lower back and hips.
Side sleeping is an excellent choice for people who only experience sciatica pain on one side. Strategically placed pillows can help prevent you from rolling over to the painful side during your sleep.
Stomach Sleepers
Sleeping on your stomach is not usually recommended for people with sciatica as it is very likely to exacerbate symptoms. Since most people carry the bulk of their weight around their hips, this heavier area is prone to sinking into the mattress, which in turn puts pressure on the lower back and neck.
If you must sleep on your stomach, you’ll do best with a firm mattress that supports the hips. Using a thin pillow or even no pillow for your head and placing a pillow beneath your hips can also help promote a more natural position for your spine.
Combination Sleepers
No matter how comfortable the mattress, people who have sciatica often find they need to switch sleep positions sometimes to take pressure off a given area. Therefore, in addition to pressure relief and support, a mattress for combination sleepers should facilitate movement. Latex and hybrid mattresses can provide the extra responsiveness that keeps you from feeling stuck in the bed when you switch sleeping positions.
Last Things to Consider with a Mattress for Sciatica
Regardless of whether or not you experience sciatica, there are some general principles that every shopper should keep in mind when purchasing a new mattress.
How Can I Get Relief On a Budget?
Spending thousands of dollars on a mattress isn’t for everybody, but with a bit of digging, you should be able to find a mattress that meets your needs without breaking the bank. You can save some money by buying a smaller size like a full mattress, but most sizes under a queen tend to be insufficient for those who switch sleep positions frequently.
The recent rise of online mattress companies means that customers now have access to a wealth of options at affordable price-points. These “mattress in a box” purchases reflect the lack of sales commissions and other costs associated with brick-and-mortar stores.
Another option is to keep an eye out for sales, which are commonly offered on major holidays at both online and traditional retail stores. Your local newspaper may also have cut-out coupons.
If your current mattress hasn’t lost its supportive ability and all you need is a firmness adjustment, you may have luck with a mattress topper. Mattress toppers are layers of foam, latex, wool, or other materials that are designed to lie on top of your mattress and make it firmer or softer. They are a cost-effective way to get added pressure relief for your sciatica without buying an entire mattress.
How Does Body Type Affect Mattress Selection?
The more you weigh, the more you’ll sink into a mattress. This is why lighter people tend to prefer plush, conforming mattresses and heavier people tend to prefer a firmer, more supportive surface. For example, an all-foam mattress may provide the extra pressure relief needed for a person under 130 pounds, while someone over 230 pounds may prefer the more supportive feel of a hybrid or latex mattress. Of course, this will also depend on your preferred sleeping position and other factors.
How Much of an Investment Do I Need to Make?
The average price for a good-quality foam mattress starts around $800, with other mattress types or more sophisticated models costing up to $2,000 or more. Additional features such as cooling technology tend to be reflected in the price tag, so the budget of your mattress will depend on what features are important to you.
Mattress Warranty and Other Policies
Most online mattress companies offer sleep trials so you can try out the mattress in your own home before committing to a purchase. You should look for a sleep trial that’s at least 90 nights long, which will give your body time to adjust to the feel of the new mattress. Some mattress companies impose mandatory break-in periods or charge return fees, so be sure to check the fine print before ordering.
After the sleep trial ends, a mattress warranty can protect you against premature sagging, ensuring your mattress will continue to deliver the support you need to reduce sciatica pain. Mattress warranties tend to last at least 10 years and cover significant defects in materials and workmanship. That said, mattress warranties shouldn’t be the main factor that influences which mattress you buy.
Frequently Asked Questions
The best mattress for people with sciatica will provide ample cushioning around the sciatic nerve, which originates in the buttock and runs down the thigh and lower leg. A mattress should also alleviate pressure in the lower back, where people often feel sciatica-related pain. While cushioning is important, the mattress should also provide decent support and resist deep sinkage in areas of the lower body.
The best firmness is somewhat subjective because it also depends on the sleeper’s weight, but added support around the lumbar region, hips/buttocks, and thighs is often needed to reduce sciatica pain. If you weigh less than 130 pounds, then a softer mattress may be comfortable, but those who weigh more may prefer a firmer bed instead.
Some mattresses feature zoned designs with firmer materials to bolster the lower body and softer materials to cradle the head and shoulders. These models may be a good compromise for those who enjoy a plusher feel up top and more support where sciatica pain tends to strike.
Not really, but the wrong mattress certainly won't help. Sciatica typically occurs due to issues with discs in the lower back that put pressure on the sciatic nerve. Sleeping on a mattress that doesn't provide enough support to the lower body probably won't cause sciatica on its own, but this can certainly exacerbate symptoms for people who already have sciatica. Conversely, a supportive mattress that cushions the affected areas may not completely eliminate your pain, but can eliminate discomfort and help you sleep better.
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Logan is a Certified Sleep Science Coach with a deep understanding of what it means to struggle with sleep. Her years of experience researching and testing sleep products – including mattresses, natural sleep aids, and bedding – are critical to her role helping lead the editorial team. As a chronic insomniac, she aims to bring her findings to anyone struggling with getting adequate rest. Her expertise is in creating informative, trustworthy, and useful health content. When she’s not testing mattresses or researching CBT-I, she enjoys spending time in the sunshine with her husband and her dogs Pepper and Winston.
Dr. Iyo is a Doctor of Physical Therapy at an orthopedic clinic in Seattle. She specializes in hands-on therapy and tailored exercise programs.