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The 10 Best Innerspring Mattresses That Relieve Back Pain

These top-rated mattresses prioritize support and comfort.
By Jillian Mueller
Updated February 10, 2021
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Innerspring mattresses have been on the market for a long time, but they've evolved from the creaky ones you used to jump on as a kid. These traditional beds are known to sleep cooler and provide stellar spine alignment and edge support––plus, there's even evidence to show that the best innerspring mattresses last significantly longer than foam beds.

But with countless options from esteemed mattress brands, how do you narrow down your choices? The sleep experts at Mattress Advisor have you covered. They applied their reputable testing methodology to over 150 beds to identify the eight best innerspring mattresses based on factors like durability, spine alignment, and cooling. This informative guide shows you how to choose the best innerspring mattress for your needs by breaking down important considerations like budget, sleep position, and materials used.

Our innerspring mattress recommendations:

What is an innerspring mattress?

An innerspring mattress is made with at least one row of supportive spring coils at the core of the bed. These coils are usually topped with one or more comfort layers made of latex, polyfoam, or memory foam to give the surface a cozier feel. There are different types of coils and each type creates a distinct sleep experience based on its level of support and springiness. 

Coil type

Open coils, also known as Bonnell coils, have an hourglass shape and are wired together to make a continuous row of coils. They're the least expensive innerspring option, but they can also be noisy and aren't the most effective at responding to movements. 

Continuous coils are constructed with one wire piece rather than individual coils to create a very durable yet rigid sleep surface.

Offset coils are similar to open coils, but with a few modifications. The hourglass shape of each coil adjusts to the shape of your body to limit motion transfer for a better sleep experience. A bed with offset coils costs slightly more than an open coil or continuous coil mattress, but it's less expensive than one made with pocket spring coils. 

With pocket spring coils, also known as individually wrapped coils, each spring is covered in a layer of fabric that helps limit motion transfer and allows the coil to easily adapt to the shape of your body. Pocket spring coils are the most expensive type of innerspring coils, but they're also considered the most comfortable and durable out of the four kinds listed. 

Coil count and gauge

Two numbers to keep in mind when shopping for a quality innerspring mattress are coil count and gauge. Coil count refers to the number of coils found inside a bed, but a higher number doesn't necessarily translate to a better mattress. The more important figure is coil gauge, which is based on the coils' thickness. Mattress gauges typically range from 13 to 18, and lower gauges—meaning wider coils—tend to be more supportive and durable. 

Who is an innerspring mattress best for?

Consider an innerspring mattress if you're a:

  • Back or stomach sleeper in need of more support: The coils keep your back aligned by bending and bouncing to conform to your body shape. For stomach sleepers worried about their hips sinking too far into the mattress, an innerspring—coupled with a foam layer or pillow top—provides the right amount of cushioning to prevent soreness.
  • Hot sleeper: There's a reason hot sleepers looking for the best cooling mattress often choose an innerspring option. The design promotes cooling because the coils create more space for air to circulate unlike dense foam, which traps in heat.
  • Sleeper who prefers an elevated feel: If you strongly dislike saggy beds, an innerspring mattress's superior edge support and coil foundation will give you the lift you're looking for.
  • Combination sleeper: Innerspring coils quickly pop back into place instead of leaving indentations in the surface of the bed, making transitions between sleep positions much smoother.

Those who should avoid innersprings:

  • Couples: While the coils used in innerspring beds are great at responding to movement, they're sometimes noisy and do not isolate motion as well as foam. Couples would be better off with a hybrid mattress that pairs coils with multiple layers of memory foam for less motion transfer, helping you both achieve uninterrupted sleep.
  • Sleepers who want contouring comfort: If you prefer to sink into the surface of your bed at night, a memory foam mattress might be a better pick for you.

The benefits of an innerspring mattress

Durability

Coils tend to hold up better over time, lending you at least 10 years of supported sleep from an innerspring mattress. Some of the top picks highlighted in this roundup have 20-year or even lifetime warranties—not that we think you'll need them. 

Support

Mitigating back pain is one of the major benefits to sleeping on a firmer bed. Innerspring mattresses adapt to your curves but also provide a level of firmness that prevents your spine from sagging uncomfortably. Proper spine alignment ensures your back stays in a healthy, neutral position throughout the night so you can wake up feeling refreshed and free of aches and pains. If you're looking for a bit more comfort, try adding a cushioning layer to soften up the surface.

Affordability

While some hybrid beds that combine coils with other materials, like foam or latex, are more expensive, innerspring beds aren't typically as pricey. Many innerspring options are available as mattress-in-a-box deliveries, which allow you to cut out the middleman and showroom markups by buying directly from the distributor. 

Sex

Many people enjoy an innerspring bed for activities other than sleeping. Its bouncy nature is one of the reasons why this type has been labeled a top mattress for sex. However, innerspring coils can be noisy, so consider adding a foam mattress topper or look into buying a hybrid mattress if you're concerned about being too loud.

The 10 best innerspring mattresses 

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Mattress Lifestyle Photos
Credit: Saatva

Best Firm: Saatva Classic

BUY IT, $1,574 FOR A QUEEN

The Saatva Classic is a hybrid mattress with three different firmness levels: plush soft, luxury firm, and firm. A layer of pressure-relieving memory foam and a decadent euro pillow topper add cozy cushioning and extra edge support to help prevent sagging. 

The mattress also features a dual-coil system, which boosts lumbar support. A Mattress Advisor reviewer tells Health that this bed keeps their spine in near-perfect alignment, earning it a 9.5 out of 10 in the spine alignment category. Throw in a 10 out of 10 for durability and Saatva's free white glove delivery service (a perk not offered by many online mattress companies), and you've got yourself a top-of-the-line firm mattress that'll deliver supportive sleep for years to come.

  • Mattress Type: Hybrid (foam and coils)
  • Mattress Advisor Score: 8.7 out of 10
  • Firmness: Plush soft (3/10), luxury firm (6/10), or firm (8/10)
  • Trial Period for Returns: 180 nights
Mattress Lifestyle Photos
Credit: Helix

Best Cooling: Helix Midnight Luxe

BUY IT, $1,949 FOR A QUEEN

The Helix Midnight Luxe builds on its original model, the popular Helix Midnight, by pairing temperature regulating gel memory foam with a breathable coil system to move body heat away from the surface of the bed. For added comfort, this mattress is wrapped in a pillow top topper that uses phase change technology—materials tuned to a specific temperature—to keep it cool. If you're on a budget, the Midnight offers the same cooling, supportive sleep (minus the pillow top) for about $900 less. 

This bed also provides great back support for those who need a little extra help with their posture. But if you sleep with a pet or partner who tends to toss and turn during the night, the Midnight Luxe may not be the best fit.

  • Mattress Type: Hybrid (foam and coils) 
  • Mattress Advisor Score: 8.9 out of 10
  • Firmness: Medium (5.5/10)
  • Trial Period for Returns: 100 nights
Mattress Lifestyle Photos
Credit: WinkBeds

Best Pillow Top: WinkBed

BUY IT, $1,799 FOR A QUEEN

If you love the feeling of sinking into a soft surface but also like the support of coils, The WinkBed is the mattress for you. It combines an innerspring coil system with a quilted foam pillow top for a balanced feel that provides comfort and durability (the bed earned a 10 out of 10 in this category from Mattress Advisor). The pillow top is infused with gel foam that cushions your sides to keep pressure off your joints, and the strong coil foundation  extends the mattress's lifespan. 

You don't have to worry about this mattress wearing down prematurely—it comes with a lifetime warranty that guarantees quality for the long haul. This is far above the industry standard as most online mattresses come with a 10- to 25-year warranty.

  • Mattress Type: Hybrid (foam and coils)
  • Mattress Advisor Score: 8.6 out of 10
  • Firmness: Soft (4.5/10), luxury firm (6.5/10), firm (7.5/10), or plus (8/10)
  • Trial Period for Returns: 120 nights
Mattress Lifestyle Photos
Credit: Casper

Best for Back Pain: Casper Wave Hybrid

BUY IT, $2,695 FOR A QUEEN

The Casper Wave Hybrid takes the contouring foam sleepers love from the original all-foam Casper and meshes it with coils for a match made in innerspring heaven. This bed uses ergonomic technology to create a lumbar support system that is so effective in relieving back pain, it earned an endorsement from the American Chiropractic Association. The hybrid mattress places memory foam gel pods under your lower back and waist to prevent sinkage and keep your spine aligned in a natural posture as you sleep. Underneath these gel pods, a pocket coil support system responds to your movements so that you're comfortable in any position. 

When tested by the experts at Mattress Advisor, the Casper Wave Hybrid earned high marks in responsiveness, cooling, edge support, and durability. Each mattress purchase comes with free shipping and returns, a 100-night sleep trial, and a 10-year warranty.

  • Mattress Type: Hybrid (memory foam and coils) 
  • Mattress Advisor Score: 9.3 out of 10
  • Firmness: Medium (5/10)
  • Trial Period for Returns: 100 nights
Mattress Lifestyle Photos
Credit: DreamCloud

Best Luxury: DreamCloud Premier

BUY IT, $1,998 FOR A QUEEN

For those who want a hotel-style sleep experience that doesn't compromise support for comfort, check out the DreamCloud Premier. Its luxurious cashmere blend and high-loft euro top offer premium softness and cushioning while the pocketed micro coil system works to keep your spine aligned. 

The royal treatment doesn't end there: A year-long sleep trial and lifetime warranty guarantee customer satisfaction. For sleepers ready to take their mattress experience to the next level without sacrificing firmness, the DreamCloud Premier is the way to go.

  • Mattress Type: Hybrid (coils and foam)
  • Mattress Advisor Score: 9 out of 10
  • Firmness: Medium-firm (6.5/10)
  • Trial Period for Returns: 365 nights
Mattress Lifestyle Photos
Credit: Bear Mattress

Best for Active People: Bear Hybrid

BUY IT, $1,695 FOR A QUEEN

An innerspring mattress is a great choice if you lead an active lifestyle, and there's no better option for athletes than the Bear Hybrid. The bed features the same pressure-relieving construction as the Bear Original, which is a memory foam mattress, but the Hybrid takes it a step further by using hundreds of sturdy coils to support a healthy sleep posture and limit the amount of pressure on your back and joints. 

Though the Bear Hybrid promotes restorative sleep, it may not be the best choice for couples. Mattress Advisor testers were underwhelmed by its performance in the motion transfer category (it only earned a 6.25 out of 10), so if you sleep with a partner, chances are you'll feel their movements throughout the night. But if you're a solo sleeper who simply needs a mattress that can help your body recuperate after a hard workout, the Hybrid has you covered.

  • Mattress Type: Hybrid (foam and coils) 
  • Mattress Advisor Score: 9 out of 10
  • Firmness: Medium-firm (6.3/10)
  • Trial Period for Returns: 120 nights
Mattress Lifestyle Photos
Credit: Layla

Best Flippable: Layla Hybrid

BUY IT, $1,699 FOR A QUEEN

Can't decide whether you want a soft or firm mattress? Unlike most mattresses, the Layla Hybrid offers you both in a single bed. Each side features a layer of memory foam infused with copper, which increases breathability. To top it off, the Hybrid comes with a cooling cover that not only keeps you from getting too hot, but also has handles to make it easier for you to flip the mattress over and experience the dual firmness levels. 

It's important to note that this may not be the best mattress for side sleepers. The Layla Hybrid came up short in Mattress Advisor's pressure relief test and it lacked sufficient cushioning for some reviewers. The original memory foam Layla is a better fit overall for side sleepers and can also be flipped.

  • Mattress Type: Hybrid (foam and coils)
  • Mattress Advisor Score: 8.7 out of 10
  • Firmness: Soft (4/10) and firm (7/10)
  • Trial Period for Returns: 120 nights
Ghostbed Flex Mattress
Credit: GhostBed

Best for Back Sleepers: GhostBed Flex

BUY IT, $2,130 FOR A QUEEN

Back sleepers benefit the most from a sturdy base of coils, and the GhostBed Flex's ultra-durable innerspring foundation doesn't disappoint. Made using individual 8.5-inch springs , the perimeter of this mattress is made even more secure by two outer rows of reinforced coils. The result? Excellent edge support (a 9.25 out of 10 from Mattress Advisor) and spine alignment (an 8.75 out of 10).

In addition, three foam layers cushion your hips and sides for added comfort as you sink into the surface. One of these tiers is made from the brand's own 'Ghost Bounce' material that responds like latex but contours like foam—a unique combination for a bed-in-a-box innerspring mattress.

  • Mattress Type: Hybrid  (latex, foam and coils) 
  • Mattress Advisor Score: 9.2 out of 10
  • Firmness: Medium-firm (6.5/10)
  • Trial Period for Returns: 365 nights
Mattress Lifestyle Photos
Credit: Big Fig

Best for Couples: Big Fig

BUY IT, $1,799 FOR A QUEEN

The Big Fig mattress can support up to 1,000 pounds of weight—which is far above the industry standard—and it's ultra-durable so it won't break down over time. Big Fig combines three different materials to provide you with the benefits of three different mattresses in a single bed: breathable latex, contouring memory foam, and a row of 1,600 steel coils.

This mattress excels in motion transfer and cooling, plus it comes with a 20-year warranty to guarantee decades of comfortable sleep for you and your partner.

  • Mattress Type: Hybrid (latex, innerspring, and foam)
  • Mattress Advisor Score: 8.7 out of 10
  • Firmness: Firm (7/10)
  • Trial Period for Returns: 120 nights
Mattress Lifestyle Photos
Credit: Brooklyn Bedding

Best for Side Sleepers: Brooklyn Bedding Signature

BUY IT, $1,124 FOR A QUEEN

The Brooklyn Bedding Signature has the right blend of support and comfort for side sleepers to get a restorative night's rest. The mattress features three firmness options—soft, medium, and firm—and is constructed out of dense polyfoam. A layer of pocket coils keeps your spine in neutral alignment and the gel memory foam tier and quilted mattress topper provide cushioning for tender pressure points.

The Signature also impresses with its durability, edge support, and superior responsiveness. Plus, all of the layers promote breathability, which makes for an ultra-cool bed that'll appeal to hot sleepers.

  • Mattress Type: Hybrid (foam and coils)
  • Mattress Advisor Score: 9.1 out of 10
  • Firmness: Soft (4/10), medium (6/10), or firm (8/10)
  • Trial Period for Returns: 120 nights

Mattress Advisor's Review Process

Each mattress on this list was put to the test (literally) in Mattress Advisor's lab, which is located in Raleigh, North Carolina. Bedding experts spent over 1,200 hours evaluating and comparing mattresses using a 14-point testing methodology to find the best innerspring beds on the market. 

While some of the factors tested are tied directly to performance, like responsiveness, edge support, and pressure relief, others are based around brand operations, such as customer service, shipping policies, and trial period. The Mattress Advisor team combines this proprietary methodology with in-depth interviews and customer experience to arrive at a weighted score out of 10.

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