Highest Rated Mattresses for Spinal Stenosis – Updated for 2022

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How many of these characteristics describe you?

  1. You experience pain when you walk


  2. The pain goes away after you sit down


  3. You’re over 55

If all three of these factors apply to you, then there’s a 97% chance you have spinal stenosis. If only the first two are accurate, there’s still a relatively high chance that this condition is affecting you.

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Most people with spinal stenosis experience pain on a daily basis, and they find it so hard to walk that they shuffle their feet or have to take frequent breaks. Other people have less severe symptoms, but they can worsen over time if not addressed.

While we can’t cure or treat this condition, we can recommend a mattress that may help with spinal stenosis, so you can hopefully get a quality night of restful rejuvenation.

Top 10 Beds for Spinal Stenosis Reviews

Editor's Pick

Nectar

HIGHLIGHTS:

  • CertiPUR-US® Certified
  • 365-Night Trial
  • Forever Warranty

A memory foam mattress can be a great solution for the pressure point concerns associated with a bad back, but there are additional considerations if you overheat or have trouble repositioning.

Nectar’s take on a memory bed incorporates high-quality materials and features that improve on traditional memory materials while helping to keep you cool and prevent you from feeling stuck in the mud. If you’re unsure, the company offers a prolonged sleep trial to help you decide, a feature that reduces a lot of the risk associated with a big purchase.

What’s special? With outstanding updates to a classic feel, similar beds can be much more expensive, especially if you’re shopping in a retail space. By keeping sales online and packing their products into boxes, Nectar can keep their prices exceptionally affordable while not sacrificing quality.

For cooling, Nectar incorporates a layer of gel-memory foam that carries heat away from the surface of the bed, as well as a breathable cover that allows heat to easily escape the mattress. Though you’ll likely sleep in a deeper pressure-relieving hug, Nectar’s design helps to ease repositioning, which can be a concern for folks with significant back pain.

Best Memory Foam Mattress

DreamCloud Premier Rest

HIGHLIGHTS:

  • CertiPUR-US® Certified
  • 365-Night Trial
  • Forever Warranty

Because spinal stenosis can put pressure on the spine’s nerves, it can help to have a mattress that delivers valuable pressure relief on the back. Memory foam is touted for its ability to contour the sleeper’s body well enough to reduce pressure accumulation.

The DreamCloud Premier Rest gives consumers the benefits of memory foam plus the benefits of supportive coils. While the Premier Rest is likely too soft for stomach sleepers, this should be a good fit for those who sleep on their back or side.

Why we think you’ll love it

  • The Premier Rest comes with a luxurious cashmere-blend cover that has two layers of foam quilted in for a plush surface that sleepers should feel immediately as they lie down.
  • In addition to the pillow top, the bed features four more layers creating a substantial 16-inch profile for ultimate comfort.

Best Mattress for Side Sleepers

Brooklyn Aurora

HIGHLIGHTS:

  • Three Firmness Options
  • Made in the USA
  • 120-Night Trial
  • 10-Year Warranty

Side sleepers with spinal stenosis should experience plenty of great pressure relief with the Aurora, a hybrid model from Brooklyn Bedding. With the Aurora, shoppers get their choice of three firmness levels, including soft, medium, and firm.

Most side sleepers should enjoy the feel of the soft and medium models, but some heavier individuals may do well with the firm. The Brooklyn Aurora’s layers include proprietary CopperFlex™ foam with TitanCool™, proprietary TitanFlex™ foam, gel memory foam, pocketed Ascension® coils, and high-density polyfoam.

Why should you buy it?

  • While the Aurora’s comfort layers ease pressure points, the supportive coils should keep your hips from sinking too much. By doing so, this keeps your spine in good alignment to prevent additional back pain.
  • The multiple firmness options allow you to chose the feel that works best for your specific body type for a better sleep experience.

Best Cooling Mattress

Zenhaven

HIGHLIGHTS:

  • Dual-Sided
  • Certified Organic Cotton
  • OEKO-TEX® Certified
  • 365-Night Trial
  • Lifetime Warranty

Optimal spine alignment requires just the right mixture of pressure relief and back support that best suits your body shape and sleep position preference. A dual-sided mattress like the all-natural latex Zenhaven could help you experiment with two different feels and find the best feel and sleep position for your back pain.

Not only does this bed process their latex to be highly consistent and buoyant, but they’ve also aerated the comfort layer for additional breathability and zoning. The Zenhaven also comes with a layer of organic New Zealand wool to absorb moisture and foster temperature regulation.

What stands out?

  • The latex is sourced from rubber trees, and its cover is certified organic cotton, which gives it a high-end finish, while the online sales model keeps prices affordable.
  • Every Zenhaven mattress is delivered and installed by professionals, so you should not have to do any heavy lifting.

Best Mattress for Heavy People

The WinkBed

HIGHLIGHTS:

  • Multiple Firmness Options
  • OEKO-TEX® Standard 100, Class 1 Certified
  • CertiPUR-US®
  • 120-Night Trial
  • Lifetime Limited Warranty

Individuals who carry more weight may find that their heavier areas can sink farther into the bed without a supportive enough mattress. As a result, this creates poor spinal alignment, which can worsen already-existent back pain.

The WinkBed, with multiple firmness options, should offer an excellent solution for heavy sleepers seeking a better mattress. The WinkBed comes in Soft, Luxury Firm, and Firm. However, heavier people will likely prefer the Firm model best for its sturdier support layers to foster optimal body alignment.

What’s worth mentioning?

  • Shoppers get 120 nights to try out the WinkBed in their home before solidifying their purchase. In the event you still find the Firm not up to snuff, the brand does offer the WinkBed Plus, a mattress specially designed for sleepers over 300 pounds.
  • The WinkBed has two safety and health certifications: OEKO-TEX® Standard 100, Class 1 and CertiPUR-US®.

Best Mattress for Combination Sleepers

TEMPUR-ProAdapt

HIGHLIGHTS:

  • Multiple Firmness Options
  • Free White Glove Delivery
  • 90-Night Trial Period
  • 10-Year Limited Warranty

If you’re a combination sleeper, meaning you change positions throughout the night, you might worry that repositioning could set off back pain from spinal stenosis. To combat this, you’ll need a mattress that makes it easy to move around the bed by incorporating highly-responsive layers.

Tempurpedic’s design for the ProAdapt was to create a mattress that can adapt and respond to the sleeper’s weight. The brand uses proprietary materials and multiple firmness options to create a customized sleep experience that should work well for all types of people, including combination sleepers.

What stands out?

  • The TEMPUR-ProAdapt is available in four models: Soft, Medium, Medium Hybrid, and Firm. The Soft, Medium, and Firm models are all-foam options. However, if you want extra bounce, we suggest going with the Medium Hybrid, which has foam and coils.
  • With Free White Glove Delivery, customers don’t have to worry about any heavy lifting.

Best Hybrid Mattress

Bear Elite Hybrid

HIGHLIGHTS:

  • Multiple Firmness Options
  • Lifetime Warranty
  • 120-Night Trial
  • GREENGUARD Gold Certified

The Bear Elite Hybrid should fit a variety of sleepers as it comes in multiple firmness options. People struggling with spinal stenosis should appreciate the pressure relief, comfort, and gentle cradling coming from the hybrid design.

The Luxury Firm Bear Hybrid Elite is the most versatile as it’s rated 6/10 on our firmness scale. This should fit back and side sleepers, although some stomach sleepers may prefer a firmer bed.

The mattress features a hand-quilted cover with Phase Change Material and Celliant® performance fabric. The cover pulls the heat away from your body and helps with muscle recovery. The Hybrid Elite has a coil unit with individually-wrapped coils supporting the body and preventing the upper layers from sagging.

Why did we pick it?

The Bear Elite Hybrid features CertiPUR-US® certified foams and a GREENGUARD Gold certification.
The coil unit should prevent the hips from sinking too far into the bed in order to keep the spine aligned.

Best Mattress for Back Sleepers

Nolah Evolution

HIGHLIGHTS:

  • Multiple Firmness Options
  • Made in the USA
  • CertiPUR-US®
  • 120-Night Trial
  • Lifetime Warranty

If you’re a back sleeper, having a highly comfortable mattress is super important, even more so if you’re also experiencing spinal stenosis. A great bed for folks who rest on their back typically provides relief to pressure points but has firmer support layers to keep the back properly aligned.

At 15 inches high, the Nolah Evolution has a taller profile that includes five layers of foam and coils. You should feel pressure relief and cooling from the Evolution’s first two layers, which include proprietary AirFoamICE™ and ArcticTex™. The following three layers are focused on support. These layers include High-Resilience Foam, 8” HDMax Eco Support Coils, and the High-Density Support Core.

Why should you buy it?

  • The Evolution’s HDMax Eco Support Coils offer 25 percent more support than the traditional coils and have E.D.G.E™ rails for sturdy edge support along the sides of the bed.

Best Mattress for Spine Alignment

The Casper

HIGHLIGHTS:

  • CertiPUR-US® Certified
  • 100-Night Trial
  • 10-Year Warranty
  • Designed and Assembled in the USA

Improving your posture can go a long way toward alleviating the symptoms of spinal stenosis, and since you spend one-third of your life in your bed, choosing a mattress with an enhanced spine support system could possibly help you achieve your goal.

You may have heard of Casper mattress already, but you may not know that they’ve recently updated their transitional layer to provide enhanced spinal alignment.

What’s its best feature? Casper’s updates are aimed at making sure everyone can enjoy their sleep products, and their newest update targets support. With zoning in the bed’s third layer that adds extra firmness to the bed’s center, the product can better ensure an even balance of support and pressure relief that can keep your body comfortably level, even if you carry a little extra weight in your midsection.

By choosing a more versatile bed like Casper, couples with different sleep preferences should both be accommodated. The all-foam design reduces motion transfer that could disturb your sleeping partner, and the responsive performance foams on top should keep repositioning from aggravating your back pain.

Best Mattress for Stomach Sleepers

Layla Memory Foam

HIGHLIGHTS:

  • Dual-Sided Firmness
  • CertiPUR-US® Certified
  • 120-Night Trial
  • Lifetime Warranty
  • Made in the USA

Finding the best position may require some experimentation, which is made easier when you have two firmness options in one mattress. Layla’s memory foam bed offers a deeper hug or a gentler cradle, both of which possess terrific cooling technology.

Exclusive stomach sleepers are likely to prefer the firmer side. Those who are concerned about repositioning and its potential to trigger back pain may consider the shallower cradle of the firmer side as well.

What stands out? 

  • The top layer on both sides is made from a high-quality memory foam designed to alleviate your pressure points and support your back in good alignment. When paired with the proprietary cooling gel in the cover, this copper-infused foam helps keep heat from building up against your body.
  • With a 120-day trial, you’ll have ample time to try out both sides to see which works best to help alleviate your pain.

What is Spinal Stenosis?

Let’s first start by defining the word, “stenosis.” It’s when a passageway in the body becomes narrower than it’s supposed to be. In the case of the spine, it’s when the discs between the vertebrae become too narrow, resulting in the vertebrae compressing the nerves in the spinal column.

There are three types:

  1. Foraminal stenosis: also called lumbar or lateral stenosis. It’s when a bone spur that’s developed from degeneration presses on the nerve root in the lower back. It looks like the nerves are being pinched.


  2. Central stenosis: this condition also occurs in the lower back region. However, instead of compressing the nerve root, the narrowing of the space between the vertebrae affects the nerve bundle. Rather than the pain that’s associated with the foraminal and lateral varieties, central stenosis affects organ function.


  3. Far lateral stenosis: this is when the nerves that exit from the hole in the back of the spine are compressed due to the narrowing space. It’s the most common type. Because of the location of nerves being affected, people with lateral stenosis often have foraminal as well. This condition is also likely to manifest itself if you have a herniated disc.

illustration of a person having lower back pain

Symptoms vary, and some patients don’t even know they have it. For the majority of people with this condition, they’ll experience one or more of the following:

  • Severe low back pain

  • Tingling sensations (often a sign of sciatica)

  • Numbness

  • Weakness

  • Headaches

  • Decreased organ function of the bowels, genitals, and bladder

  • Difficulty walking and loss of motor function

Left untreated, it can lead to significant nerve damage (called myelopathy) and may result in paralysis, inability to walk or write easily, permanent loss of bladder control, and in extreme cases, even death.

Sorry about that. You’re here looking to find out what the best mattress is for a spinal disorder; not to be told that your achy low back might make you incontinent or kill you. If you’re worried, consult your doctor, but it may be comforting to know that these effects develop over the course of years, not weeks.

Can a Proper Mattress Help?

Having the right mattress is a huge step in the right direction for someone with spinal stenosis. One of the causes of this condition is degeneration caused by the spine being out of alignment over long periods. This happens due to daily micro-traumas, like poor posture, too much sitting, and sleeping on a mattress that doesn’t allow your spine to maintain a natural alignment.

The best thing about sleeping on a mattress that allows for proper alignment is that you could get the benefit of helping your body heal without having to do anything!

In addition to keeping your spine in the position it’s supposed to be in, a proper mattress can also help with pain relief. A bed that is either too hard or too soft for your condition could make your pain worse, while one that has an ideal mattress firmness level can help alleviate that symptom.

What Type of Mattress is Best for Spinal Stenosis?

The recommendations are similar to what would be recommend to most people in general, so you don’t need a special or custom mattress for spinal stenosis. There are four main categories of beds, so in this section, we’ll briefly discuss each one and share whether they may be a good fit for someone with this condition.

memory foam latex innerspring and hybrid mattress

Memory Foam

This type of bed is popular among most of our population, particularly those that experience conditions associated with bad back. Memory foam is a softer sleeping surface that responds to the body weight and conforms to its curves.

When you lie down, your body distributes its mass unevenly. The part of the mattress that supports your shoulders and hips is going to bear more weight than the area supporting your head, waist, and feet. The responsive material of memory foam helps absorb that weight, allowing your heavier parts to sink in comfortably to the bed.

The result is that your spine stays in neutral alignment, which is critical for those suffering from spinal stenosis. The only real disadvantage of memory foam is that it tends to sleep hot. What this means is that when you lie down, and the mattress hugs your body, there’s not much airflow, so the bed can trap much of your body heat; however, some brands account for this with skillful construction.

Check Out Our Guide: Top Rated Memory Foam Beds

Hybrid

A hybrid bed simply means that two types of beds were merged into one. It sounds a lot fancier than it actually is. Usually, a hybrid mattress has a coil or innerspring base with soft layers of latex or memory foam on the top. Hybrids are popular because you get the springy feeling that comes from a coil mattress but also the comfortable support that’s characteristic of latex and memory foam.

Some hybrid bed companies allow you to build a more custom bed based on your specific preferences. You’ll answer a series of questions before you buy, and the company will design a ship a bed to you that’s built just for you. They’ll adjust the firmness and material settings based on your age, weight, gender, sleeping position, etc.

Get More Info: Best Hybrid Beds Guide

Coil

Also called innerspring, coil mattresses feature a layer of springs that make up the foundation of the bed. This type of mattress is ideal for jumping, but these beds tend to wear out faster because the springs that bear most of your body weight lose their integrity and make the surface sag. It depends on the materials and how they are made.

However, when this happens, it becomes a terrible mattress for anyone, but especially those with degenerative disc disease.

If you like the feel of an innerspring mattress, there are brands that have individually pocketed coils that can offer better specific zoned support.

View Our Guide: Best Rated Innerspring Mattresses

Latex

There are two types of latex: natural and synthetic. The natural variety is made from the sap of a rubber tree, so it’s a greener and more durable material. It’s also bouncy since it is technically a form of rubber. Synthetic latex, on the other hand, is made from a petroleum base, so even though you get the feel of latex, it’s not exactly natural.

Pure latex beds tend to be expensive, so if you’re on a budget, you might want to get a bed that has a blend of natural and synthetic latex.

For people with spinal stenosis, these beds can be a great choice, though some people find them to be too firm. If you’re a side sleeper, you’ll probably prefer memory foam mattress. But, if you tend to sleep on your back or stomach, latex could be a perfect match for your needs.

Find Out More: Highest Rated Latex Beds

Mattress for Spinal Stenosis Buying Considerations

The most important thing to consider is getting a bed that provides the perfect blend of soft comfort and firm support. While these two features may seem in opposition of each other, quality mattress companies have found a way to provide both.

They’ve mastered this feat by designing beds that have soft and cushiony top layers with a firmer base layer. The result is that you sink in comfortably at the top of the bed, but not so far that it buckles your spine and causes it to lose proper alignment.

If you’re buying memory foam, look for beds that have multiple layers to provide the ideal blend of comfort and support we’ve been talking about. If you’re considering a hybrid, check to make sure that they’re using top-quality coils and that the top “comfort” layers are durable enough to properly support you.

Support and Spine Alignment

Keeping your spine supported and in proper spinal alignment is important for three reasons:

  1. May reduce pain

  2. Helps you to sleep comfortably, which is necessary for happiness and optimal health

  3. Potentially relieve symptoms of stenosis and reverse the condition in some cases.

When it comes time to buy your bed, make sure you’re looking for quality materials and seek out brands that demonstrate that they understand this concept. A cheap memory foam bed, for example, will usually have poorer quality foam that feels dreamy at first but lacks durability.

Tell-tale signs of a cheap mattress that won’t work well for you is when you see low-density foam, a lack of certifications (at the very least all beds you consider should be CertiPUR-US certified), or integrated coils systems that do not offer tailored support.

Illustration of a Woman Sleeping on Her Side on a Soft Mattress

Cooling Materials & Breathability

Being hot can make your back trouble worse for many reasons, one of which is dehydration. When you’re not properly hydrated, you lose fluid in your joints, exacerbating your existing symptoms.

Since memory foam tends to sleep hot, if you choose this bed, make sure you get one that has a top layer designed to keep you cool. Look for gel material and copper infusions, both of which keep the surface of the mattress cooler and help draw heat away from your body.

Also look for something called open-cell structure. This means that the mattress was designed for adequate airflow that can help cool down a hot mattress.

If you’re concerned about the bed you buy being too hot, you can also get a mattress topper with cooling properties as well.

Want to know more? Read our full top cooling beds guide here.

Your Sleeping Position

Did you know that something as innocent as the position you sleep in could cause back pain?

If you have spinal stenosis, you should be careful which position you choose to sleep in. In our research, we’ve found two recommended sleeping positions:

  1. Side sleeping – more specifically, the fetal position. By drawing your knees up toward the chest, you relieve pressure on the nerve root.

  2. Back sleeping – if you choose this, make sure you keep your upper body elevated. You can do this with either a wedge pillow or an adjustable bed. You can also try maintaining a bend in your knees. Putting a pillow underneath them can help retain that bend, even when you’re asleep.
woman sleeping on her back illustration

Frequently Asked Questions About Mattresses for Spinal Stenosis

Is spinal stenosis degenerative disc disease?

Yes, spinal stenosis is one type of degenerative disc disease (DDD). While it’s commonly associated with aging, getting older doesn’t mean you have to fall prey to this condition. The cause of DDDs like spinal stenosis is shrinking and drying out of the discs. Lifestyle choices like proper nutrition, adequate movement, and sleeping and sitting on the right surfaces can help prevent this from happening.

How can I prevent spinal stenosis from getting worse?

The two best ways research has revealed to prevent it from getting worse are exercise and paying attention to body mechanics. For exercise, you may have difficulty getting started if you’re already in pain. Therefore, you can try low or no-impact exercises like walking and swimming. Yoga and lifting weights are also excellent activities to keep your body strong.

Body mechanics refers to your posture as well as how you operate on a daily basis. Make sure you sit and stand without slouching, lift heavy objects carefully and with your legs (not your back), and sleep on a mattress that keeps your spine in proper alignment.

Can you recommend some good spinal canal stenosis exercises?

There are a variety of exercises you can do that could help open up the narrow passageways and encourage the spinal discs to fill back up with fluid.

Three exercises include focusing on the hips, which is thought to be the most effective way to relieve compression in the lower back. In this video, you’ll see how to stretch your hip flexors, adductors (inner thigh muscles) and lumbar spine.

We do recommend that anyone attempting any sort of new stretch or exercise consult with their doctor to ensure that the ideas are safe and helpful for your body.

Conclusion

As we round out this article, here's a reminder: When properly treated, most cases of this condition can be cured or reversed, often without surgery. Remember, we only get one body in this life, so please take care of it.

Regardless of whether or not you have spinal stenosis, one the best things you can do for yourself is to get blissful sleep every night. With all of the mattress choices out there, it can be overwhelming to choose the right one. If you keep this guide handy, we hope you’ll be able to find the bed that’s perfect for you!

Resources:

Our team covers as many areas of expertise as we do time zones, but none of us started here as a so-called expert on sleep. What we do share is a willingness to ask questions (lots of them), seek experts, and dig deep into conventional wisdom to see if maybe there might be a better path towards healthy living. We apply what we learn not only to our company culture, but also how we deliver information to our over 12.7M readers.

Sleep research is changing all the time, and we are 100% dedicated to keeping up with breakthroughs and innovations. You live better if you sleep better. Whatever has brought you here, we wish you luck on your journey towards better rest.

Sleep Advisor