9 Best Mattress Toppers for Back Pain 2023: Reviewed by Sleep Experts

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IF YOU'RE dealing with back pain but don't want to invest in a new mattress, there’s one bedding essential that you (and your wallet) should definitely consider. Short of a full mattress replacement, a topper offers a budget-friendly option that can provide a lot of relief for some. But what type will benefit you the most? We reached out to Todd Sinett, DC, a New York City-based chiropractor and founder of Tru Whole Care for his thoughts.

“If you feel as though your mattress is causing your back pain, then changing your sleeping environment will help,” says Dr. Sinett. But when it comes to toppers, there’s no shortage of materials, firmness options, and other features to choose from, making it hard to know which are worth the investment.

“First and foremost, you want a mattress topper that is comfortable, easy to clean, free of strong plastic odors, and trying it out in your home is the only way to find that fit.” Luckily, many brands offer at-home trial periods, meaning you can shop from the comfort of your home risk-free to identify the ideal thickness, material, and firmness for you.

While the addition of a mattress topper won’t promise a miraculous recovery from stubborn back issues—you’re best off seeing a trusted chiropractor or physiotherapist for that—it can help you achieve one thing we all need to feel our best: the ability to sleep comfortably. To help you choose the best mattress topper for back pain relief, we rounded up the top options on the market at all price points. From memory foam trailblazer TEMPUR-Pedic to environmentally conscious options like Avocado’s organic latex topper, take a look at our top 9 picks now.

Sleep Awards | Best Mattress Toppers | Best Cooling Mattress Toppers | Best Memory Foam Mattresses | Best Mattresses in a Box | Best Online Bedding Stores

For back sleepers of all body types, the Saatva mattress topper may be the addition to your sleeping arrangement you've been looking for. This 3-inch topper has a plush, slow-moving feel that eases pressure without sacrificing back alignment. Saatva offers three luxury toppers: graphite, latex, and foam. Back sleepers looking for a particularly cooling option should give the graphite or latex a try.

Thanks to its thermoregulating design, this topper draws heat away from the body. And for those not sleeping alone at night (your dog counts), the high-quality memory foam also isolates motion well. The foam material contours to the body, which helps to relieve pressure points, making it an especially strong choice for those experiencing back pain.

The topper comes with a machine-washable cover, making it easy to keep hygienic and fresh. Elastic anchor bands are included to secure the topper to your mattress.

Saatva also offers a 180-night home trial, free shipping, and a 1-year warranty, leaving few excuses not to give this topper a try. It's worth noting, however, some buyers found the topper too firm for their liking.

Read more: The Best Mattresses 2023

When you think of matters toppers, it’s likely TEMPUR-Pedic that comes to mind. Known for its iconic memory foam material, the brand doesn’t disappoint with this top-of-the-line 3-inch pad.

For starters, this pad on the higher end of the firmness scale, delivering supportive spinal alignment and pressure relief. And for an additional $80, you can add cooling technology to the cover. Even without the cooling cover, the topper comes with a basic cover that can be removed and washed in the machine. The cover is also resistant to dust mites and allergens, making it ideal for those with allergies or sensitive skin.

The brand claims that this material is more durable than other memory foams on the market, making it an investment that could level up any old mattress for years to come. And to back up the claims of durability, this topper comes with a 10-year warranty and free shipping.

The best part? Men's Health readers get an additional 40% off TEMPUR-Pedic toppers by using the promo code "TOPPERS40" before check out.

Though you won’t be able to return it if it doesn’t feel right for you, over 7,000 5-star reviews on the brand’s website have attested to its comfort, softness, contouring, and durability.

Read more: Best Mattress Toppers

If you're on the lookout for a mattress pad that can alleviate back and hip pain, the Nolah Mattress Topper might be the perfect fit for you. This topper is designed with proprietary CertiPUR-US certified foam, which can effectively relieve pressure along the spine and shoulders while providing ample support to the hips.

It’s proudly made in the USA using a unique type of foam that’s built to withstand the wear and tear of long-term use, even on worn-out mattresses. And rest assured, the foam used is CertiPUR-US® certified, meaning it’s free from the harmful toxins and chemicals lurking in many mattresses and toppers on the market.

It strikes a great balance between comfort and support, which makes it a solid choice for both back and side sleepers experiencing hip and back pain. Bonus: if you're someone who tends to sleep hot, this is another topper designed to wick away moisture and promote ventilation, keeping you cool and comfortable so you can log those REM hours. The cover is made from organic cotton, and also facilitates its breathability. Plus, the elastic bands make it easy to secure the topper to your mattress.

Read more: Best Cooling Sheets

If you're in the market for a luxury mattress pad that can provide relief from back pain and lives up to its price tag, meet the Avocado Mattress Topper. Like Avocado's mattresses, this topper is designed with nontoxic materials to ensure you sleep safely and soundly. And most important, comfortably.

Made with 100% Global Organic Latex Standard (GOLS) certified latex and covered with Global Organic Textile Standard (GOTS) certified wool and cotton, the Avocado topper is both breathable and supportive. It's 2-inches thick, and available in both soft and firm options, meaning you can customize it to fit your preferences.

For those focused on finding relief from back pain, the firm option is a particularly good choice, thanks to added support and resilience. For those who prefer a plushier feel, the soft option is as cloud-like as it gets.

Out of over 2,500 reviews on the brand's website, it has an impressive rating of 4.6 stars with a ton of raving reviews. This topper is pricey, we know, but if organic and latex materials are important to you, this topper is king. You can even try it out for a full year thanks to the brand’s trial period, so it’s definitely worth considering.

Read more: Best Online Bedding Stores

Back pain while sleeping doesn’t have to mean investing in a new mattress. And it doesn’t mean to have to shell out big bucks for a quality solution, either. The ViscoSoft High-Density Gel-Infused Memory Foam Mattress Topper isn’t the cheapest option on our list, but it does pack a ton value for the relief it can provide at its price point.

Don’t just take it from us: this pad is a popular Amazon pick with over 8,000 five-star ratings. Reviewers love its firmness and support, and that it's available in three different thickness options, meaning you can choose an option that best fits your body’s needs.

A 3-inch layer of gel-infused memory foam construction reduces body heat and optimizes airflow, while providing great lumbar support for side and back sleepers alike. The memory foam allows you to sink into the surface without sinking down too much, relieving pressure on high-pressure points and providing more stability where you need it.

It’s designed with a bamboo rayon cooling cover for enhanced comfort, which is removable and washable cover for added convenience. The adjustable corner straps and mesh bottom ensure the topper stays in place, no matter how much action your bed is getting. For under $300 delivered, the ViscoSoft mattress topper offers a lot of bang for your buck.

Introducing a top-rated choice for back pain relief fit for side sleepers: the Tuft & Needle 2-in. Mattress Topper. This topper designed with side sleepers in mind, featuring soft and responsive foam that targets the hips and shoulders to alleviate pain and discomfort along the spine.

Unlike the old-school stuff, the memory foam used in this topper is more responsive, providing sturdy support sans the feeling of sinking in (which only aggravates a bad back). The silicone beading on the bottom ensures that the topper won’t slip and sleep while you slumber.

An open-cell textile feature is designed to promote breathability and cooling, though some customers have noted that the polyester cover can cause the topper to run warm. Another note on the cover: it isn’t removable, meaning you’ll have to spot clean any stains. Though this feature isn’t ideal, it’s a good option for guest rooms, renters, or other beds that won’t need to sustain years of consistent use.

With over 1,800 reviews on the company’s site giving the green light to this topper for its comfort and pressure relief, it’s worth giving a try. And the brand stands behind their product, offering a 100-night trial, a 3-year limited warranty, and free returns.

Read more: Best Mattresses in a Box

The pull of a latex topper is that you get exceptional elasticity and cushioning, without the feeling of sinking in that some people associate with memory foam. If you’re in the market for a latex option and can’t get on board with the Avocado latex topper price tag, the PlushBeds Latex Mattress Topper is a more affordable alternative.

It’s made from GOLS-certified natural latex, making it perfect for relief along the main pressure points for back, side, and stomach sleepers alike. An open-cell design promotes airflow and heat distribution, to help even the human radiators among us stay comfy all night long.

With five firmness options and two thicknesses to choose from, the PlushBeds topper is one of the most customizable and versatile choices out there. And because it's OEKO-TEX Standard 100 and Greenguard Gold certified, you can rest easy knowing it's free of any harmful hidden chemicals.

If you're looking for a mattress topper to help relieve back pain, you’ve likely realized just how many options there are out there. You’ve likely realized just how pricey they can be, too.

Introducing a topper than won’t break the bank: Brooklyn Bedding’s Gel Swirl Memory Foam Mattress Topper. It’s a much more affordable option than many on this list, ringing up at under $100 and without sacrificing comfort.

It's made from memory foam and infused with cooling gel, and contours to the body for pressure relief. The topper is available in 2- or 3-inch thicknesses, meaning it’s customizable to your preferences too. While it doesn't come with a cover or straps, it does provide the support needed from a mattress topper without breaking the bank.

Read more: 2022 Sleep Awards

It’s available in twin, twin XL, full, queen, king, and California king sizes, and comes with a pretty epic 120-night sleep trial and 5-year warranty.

The Layla mattress topper is the best option for those whose top priorities for a mattress topper are curbing back pain and staying cool throughout the night. A lot of toppers out there claim cooling effects, but the combination of copper-infused memory foam and a cooling cover make this pick stand out from the rest. And its generous sleep trial and warranty indicate that the company knows this topper can deliver.

Those copper gel beads also help to kill bacteria in the memory foam and prevent odors, making it a great option for those with allergies or sensitive skin. Layla also offers free shipping and returns, so you can try the topper basically risk-free.

Read more: Best Cooling Mattress Toppers

Choosing the best mattress topper to help relieve back pain can be a daunting task, and it's important to understand that not all toppers are created equal. Follow these tips to help you choose the best mattress topper for you:

Material: “I believe in proper support—not too soft, not too firm—only you will know what works best for your body. Look for a topper that is made from a material able to give the spine and the neck proper support,” explains Dr. Sinett.

Memory foam toppers are popular for their ability to contour to the shape of the body, providing pressure relief and support. Latex toppers are another good option, as they are firm and durable.

Firmness: If you suffer from back pain, a firm topper is recommended to provide more support for the spine. If you prefer a softer feel, look for a topper labeled plush or medium-firm.

Thickness: A thicker topper can provide more support and pressure relief, but it may also overtake the feel of the mattress underneath. Meaning if your bed is too soft, a thick firmer topper can do the trick, but if your topper is softer you’re your mattress, it may lack adequate support. Thicker toppers also tend to be more expensive.

Cooling properties: If you tend to sleep hot, opt for a topper with cooling properties such as gel-infused memory foam or a cover with thermoregulating technology. The TEMPUR-Pedic and Layla toppers on this list are both great choices.

Trial and warranty: “Find companies that allow you to try the product at home for a few weeks,” says Dr. Sinett. Make sure to choose a topper with a good warranty, too. That way, you can have peace of mind knowing it's covered if anything goes wrong.

Customer reviews: Look for a topper from a reputable brand that has received positive reviews online. Reading through buyers’ feedback can give you an idea of how a topper has worked for others experiencing back pain before you spring for the investment yourself.

“Memory foam is my favorite suggestion for my clients. It is a popular choice for those who suffer from back pain while sleeping,” explains Dr. Sinett. In particular, a high-density memory foam topper can be beneficial because of the firmer surface, and therefore greater support, it provides.

“Memory foam molds to the shape of the body, distributing weight properly while providing support and cushioning to the spine and neck.” Meaning it can help to alleviate pressure points where you need it most.

But keep in mind: everyone's needs and preferences are different, and what works best atop one mattress may not work as well for another.

The thickness of the mattress topper depends on what you want to change about your current mattress. While a topper can greatly improve your current mattress, it’s won’t transform it completely. So, it’s important to consider whether it’s more cushion or firmness you’re after.

In general, a 2-3 inch topper is suitable to help most people distribute body weight more evenly, alleviate pressure points, and provide extra cushioning for the spine. But the thickness of the topper really doesn’t indicate the support it will offer.

“For example, a 2-inch memory foam topper could provide just enough support whereas, a 4-inch pillow top mattress topper could provide minimal support with maximum softness,” explains Dr. Sinett.

A too thin topper may not provide enough cushioning, while a topper that is too thick may not offer enough support. “Also, a 4-inch memory foam topper could leave a person sleeping on their back feeling like they are trapped and unable to move while sleeping,” Dr. Sinett adds.

According to Dr. Sinett, the right mattress topper can help to relieve back pain.

“If a poor mattress is the cause of your back pain, a topper could provide an economical way to help your back pain sleeping situation. A mattress topper can give added support, however, it's very important to find the source of your back pain. Visit a trusted Chiropractor—back pain responds best to exercise, stretching and breathing exercises, and [diet]—especially what you are eating before bed. For the best results, I believe it is important to minimize your back pain before you sleep.”

The wrong mattress topper also carries the potential to make back pain worse, which is the number one reason why Dr. Sinett suggests trying a topper before you commit to it.

“[If] the mattress topper is too thick, and you are a back sleeper, you could feel trapped and unable to move. If a topper is too soft, weight and pressure points may shift putting too much pressure on the spine and neck.”

There’s no shortage of options for mattress toppers, but not all are suitable for those suffering from back pain. That’s why we researched dozens of the most popular and best-reviewed mattress toppers on the market recommended for back pain relief by comparing every feature, right down to the straps (or lack thereof). Men's Health editors and experts paid close attention to the most important features, including material, thickness, cooling capabilities, and price. Our top picks also took verified buyer ratings and reviews from top retailers and other trusted sources into consideration. The list above represents our thoughtfully curated choices of the best mattress toppers for back pain relief to shop in 2023.

A New York City-based chiropractor and founder of Tru Whole Care.

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