What is the best orthopedic mattress for back pain?

Best overall: the Saatva Classic in Luxury Firm is the safest first pick for many back-pain shoppers because it combines a supportive innerspring build with a cushioned Euro-top and comes in multiple firmness choices. For most back sleepers and combination sleepers, start with medium-firm to luxury-firm support; side sleepers may need a little more pressure relief, while heavier sleepers often do better with a firmer, more supportive model.

A key caveat: “orthopedic” is not a regulated mattress category. The best mattress for back pain is usually the one that keeps your spine neutral, prevents hip sagging, and still cushions pressure points. Also check the trial period and return policy before buying, because comfort is highly personal.