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A topper is an extra layer that rests on top of your mattress and is intended to make the surface feel softer or firmer than it normally does. Most toppers are constructed with foam, latex, feathers, or other materials that cushion and contour to the body. Toppers can be particularly useful for people with older, sagging mattresses who experience back pain or pressure buildup while they sleep. These layers can help to evenly distribute weight and remove strain from sensitive areas along the spine like the shoulders, lumbar region, and hips.

Our team’s expertise isn’t limited to just mattresses. We’ve also personally tested more than a dozen toppers. Although toppers sold today vary by thickness, firmness, and material composition, we conduct the same rigorous tests on each one to determine its strengths and weaknesses. To choose the toppers below, we primarily relied on body-mapping sensors that detect pressure points while the body is at rest.

Our Verdict – What’s the Best Mattress Topper for Back Pain?

A good topper for back pain should cushion your body without allowing too much sinkage. The Saatva High-Density Foam Mattress Topper offers just the right amount of support and contouring to ensure healthy sleep posture and minimize back pain.

Check out the product profiles below to learn about our top picks. We’ve awarded each mattress topper an accolade that highlights one of its key strengths. For more information about finding a topper that can reduce back pain, scroll down to our detailed buyer’s guide. We’ll cover different topper types, important considerations for sleepers with back pain, average price-points, and what you can expect from a new topper in terms of shipping options and sleep trials. If you’re looking for something more substantial than a topper, you can also check out our guide to best mattresses for back pain.

Our Recommendations

Best Overall

Saatva High-Density Foam Mattress Topper

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Price:

$295

Firmness:

Medium (5)

Pros

  1. Dense foam contours evenly and resists wear and tear
  2. Sturdy corner straps prevent shifting during the night
  3. Washable cover composed of soft, breathable organic cotton

Cons

  1. Foam may trap excessive heat for some sleepers
  2. Close contouring inhibits ease of movement

Bottom Line – Our Testing Team Takeaway

“The Saatva High-Density Foam Topper feels plush and adaptive but the 1.5-inch profile — which is relatively low — prevented me from sinking too deeply into the foam. This is a great investment if your mattress has some wear and tear, but isn’t too heavily indented, or if it’s just a bit too firm for your liking.”
– Tom Ryan, Head of Product Testing

A sleep surface that lacks proper support can lead to back pain, so using a high-quality topper can buy you some time while you seek out a new mattress. The Saatva High-Density Foam Mattress Topper is a great option if you need extra cushioning to sleep comfortably, but dislike the close hug of memory foam. A 1.5-inch profile prevents the topper from compressing too much beneath your weight, but the medium (5) feel can improve the comfort level of your sleep surface — especially if your mattress has become excessively firm over time. 

How It Performed

During hands-on tests, the topper fared well among our side and back sleepers. Our side sleepers between 130 and 230 pounds and back sleepers up to 230 pounds were particularly impressed. Since the topper is constructed from high-density polyfoam, we noticed close, even contouring and minimal sinkage. The foam also isolates motion quite well, so the topper could be a useful investment for couples who experience movement-related sleep disruptions because their mattress is overly responsive.

What It’s Made of

The topper’s core contains 1.5 inches of high-density polyfoam. This fairly low profile means the topper is best suited to mattresses with slight to moderate wear and tear, and that the foam shouldn’t sink too much beneath your weight. A cover made of GOTS-certified organic cotton encases the foam. Each corner is equipped with a thick elastic strap you can tuck under your mattress to stabilize the topper and prevent shifting when you change sleep positions or toss and turn. 

Given the High-Density Foam Topper’s expected lifespan, its above-average sticker price may translate into a solid long-term investment. Saatva also offers free ground shipping throughout the contiguous U.S. Your purchase includes a generous sleep trial that runs for 180 nights, giving you plenty of time to decide whether the topper is right for you. If you decide to keep it, a 1-year warranty covers material and structural defects.

Best Value

Brooklyn Bedding TitanFlex Topper

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Price:

$224

Firmness:

Soft (3), Medium (5), Firm (7)

Pros

  1. TitanFlex polyfoam is both adaptive and responsive
  2. Multiple firmness and cover material options
  3. Thick profile ensures a significant comfort adjustment

Cons

  1. Off-gassing may occur upon unpackaging
  2. Firmness exchanges not permitted during sleep trial

Bottom Line – Our Testing Team Takeaway

“I enjoyed Brooklyn Bedding’s TitanFlex Topper for its light contour, as opposed to the deep cradling I’ve experienced with memory foam. I preferred the medium design, which felt quite balanced, but three firmness levels essentially means anyone can find a comfortable option regardless of how much they weigh or which sleep position they prefer.”
– Lauren Fountain, Senior Editor

The Brooklyn Bedding TitanFlex Topper is a mixed-foam model that offers great cushioning for pressure points. This makes the topper a great choice for side sleepers and people with sharp pressure points who want a bit of extra cushioning on their mattress’ surface.

How It Performed

The topper is available in three firmness levels. Our tests show the soft (3) design is best suited to side sleepers who weigh less than 130 pounds. Side sleepers weighing 130 to 230 pounds preferred the balanced feel of the medium (5) design, and the same was true for our back and stomach sleepers under 130 pounds. Lastly, the firm (7) feel should provide sufficient support if you weigh more than 230 pounds. We recommend this design to anyone whose mattress has become uncomfortably soft over time.

During our temperature control tests, the topper outperformed most of the all-foam models we’ve tested firsthand. TitanFlex is an open-cell foam, so it promotes air circulation and won’t absorb much heat. You can also choose from two cover materials, both of which provide excellent cooling. We also found the TitanFlex foam fairly responsive and easy to move on compared to traditional memory foam.

What It’s Made of

TitanFlex is a proprietary material that combines the even contouring of memory foam with the responsiveness of latex. This topper contains a single piece of TitanFlex measuring 3 inches thick, making it suitable for mattresses with moderate to heavy wear and tear. Two covers are available. One is made from breathable organic cotton, while the other is a circular-knit polyester that feels cool to the touch.

The TitanFlex Topper is reasonably priced and Brooklyn Bedding offers free ground shipping throughout the contiguous U.S. Your purchase includes a 30-night trial, and you’ll receive a 3-year warranty if you decide to keep the topper.

Best Luxury

Birch Plush Organic Mattress Topper

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Birch Plush Organic Mattress Topper

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Price:

$624

Firmness:

Medium (5)

Pros

  1. Uses natural materials, including wool, cotton, and latex
  2. Breathable cotton, wool, and latex enhance cooling
  3. Wool and latex layers balance plushness and support

Cons

  1. Expensive pricing for a topper
  2. Side sleepers under 130 pounds may prefer a topper with deeper contouring

Bottom Line – Our Testing Team Takeaway

“If you’re looking for a topper with no foam whatsoever, this model from Birch is a great option. The combo of wool and shredded latex makes the Organic Mattress Topper feel both plush and bouncy, and the profile is thick enough to significantly change how your sleep surface feels.”
– Jeremy Klein, Senior Product Expert

The Birch Organic Mattress Topper is constructed with high-end materials that give the topper above-average durability. If you’re in the market for a luxury topper and dislike the deep hug of foam, this model may be right up your alley. A handful of green certifications also make the topper an appealing option for eco-conscious shoppers.

How It Performed

The topper earned favorable ratings from our team’s back and stomach sleepers across all weight groups, but those weighing 130 to 230 pounds were particularly impressed. Some of our side sleepers also felt comfortable, but the latex may not conform closely enough to alleviate pressure in the shoulders and hips. This is especially true if you sleep on your side and weigh less than 130 pounds.

The Organic Mattress Topper excelled throughout our temperature control tests. We’ve attributed this strong performance to its breathable cover, moisture-wicking wool layers, and ventilated latex core. The topper may also be a good investment if your mattress has softened with age and become difficult to move on because the latex offers noticeable springiness.

What It’s Made of

The topper’s core contains 2 inches of Talalay latex. This material is exceptionally responsive, even compared to other types of latex, so you shouldn’t experience too much sinkage when getting in and out of bed or changing sleep positions. Organic cotton and organic wool batting rest atop the latex for extra cushioning. The wool also has moisture-wicking properties to keep you dry on humid nights.

Measuring slightly more than 2 inches thick, the topper should provide a good comfort adjustment for any mattress with light to moderate wear and tear. An organic cotton cover completes the eco-friendly design. The topper has earned green certifications from well-respected organizations such as the Global Organic Textile Standard, eco-INSTITUT, and Wool Integrity NZ.

Birch offers free ground shipping to all 50 states. The company’s sleep trial allows you to test out the Organic Mattress Topper for 100 nights. If it meets your needs, you’ll also receive a warranty covering structural defects for up to 10 years.

Most Comfortable

Silk & Snow Organic Mattress Topper

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Product page image of the Silk & Snow Organic Mattress Topper

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Price:

$270

Firmness:

Medium (5), Firm (7)

Pros

  1. Breathable organic cotton cover helps regulate temperature
  2. Dunlop latex offers moderate contouring for pressure points
  3. Two firmness levels

Cons

  1. Firm model costs more
  2. Latex may feel too responsive for sleepers who enjoy strong cradling

Bottom Line – Our Testing Team Takeaway

“The Silk & Snow Organic Mattress Topper showcases everything we like about solid latex. A light bounce, an adaptive feel with minimal contouring, and excellent temperature control are some of its defining qualities. Two firmness levels also boost the topper’s appeal — between both designs, most of our testers found at least one firmness that felt comfortable.”
– Danny Noyed, Senior Product Editor

The most comfortable topper for any given sleeper with back pain should cushion sensitive areas and reduce discomfort while maintaining even support. The Silk & Snow Organic Mattress Topper is available in medium (5) and firm (7) designs. Between the two options, our tests show the topper can accommodate sleepers across a wide range of body types and sleep positions.

How It Performed

Our side sleepers weighing up to 130 pounds and back sleepers weighing less than 130 pounds preferred the balanced cushioning of the medium feel. While the latex won’t contour as closely as foam, you’ll notice some moderate conforming as the topper adapts to your body. Most of our testers weighing more than 230 pounds preferred the extra support of the firm feel. The same was true for our back and stomach sleepers weighing at least 130 pounds.

Since Dunlop latex is naturally dense and responsive, the topper fared well during our ease of movement tests. Most of us encountered minimal resistance moving across the toppers, and no one sank excessively — even when testing the medium feel. Temperature control is another strong point. The latex retains little heat and the breathable cotton cover promotes airflow, so you shouldn’t sleep too hot.

What It’s Made of

The topper’s core consists of Dunlop latex measuring 2 inches thick. Dunlop lacks the strong bounce of Talalay latex, but is still fairly responsive compared to foam and other topper materials. A cotton cover encases the latex. The cotton has earned certification from the Global Organic Textile Standard, and the latex is certified by the Global Organic Latex Standard, so this topper is a good option if you prefer to purchase sustainably made products.

Silk & Snow offers free ground shipping throughout the contiguous U.S. and Canada. The trial period runs for 100 nights, during which you can return the Organic Mattress Topper for a full refund if it doesn’t meet your needs. Should you decide to keep the topper, you’ll receive a 3-year warranty for the latex and a 1-year warranty for the cover.

Best for Spinal Alignment

Nolah Mattress Topper

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Product page photo of the Nolah Mattress Topper

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Price:

$399

Material:

2″ AirFoam polyfoam

Firmness:

Medium Soft (4), Medium Firm (6)

Pros

  1. Two firmness options
  2. AirFoam cushions the body to alleviate pressure points
  3. Breathable and moisture-wicking organic cotton cover keeps surface cool and dry

Cons

  1. Customer is responsible for shipping fee on all topper returns
  2. Topper is limited to mattresses between 10 and 15 inches thick due to elastic straps

Bottom Line – Our Testing Team Takeaway

“The AirFoam material Nolah uses in this topper should provide a happy medium for anyone with constant aches and pains who doesn’t enjoy the hug of memory foam. You’ll get plenty of cushioning — especially with the softer design — but the foam doesn’t sink too much.”
– Logan Foley, Managing Editor

Foam mattress toppers can aid spinal alignment by helping distribute your weight across the surface. One example is the Nolah Mattress Topper, which has a polyfoam construction that helps cushion pressure points while preventing your body from sinking excessively. You can also choose between medium soft (4) and medium firm (6) feels, which should accommodate a wide range of sleep needs. 

How It Performed

Our testing found the softer model better suited for side sleepers, offering extra cushioning to alleviate pressure in common areas like the hips and shoulders. Meanwhile, the firmer option offered more support for our side sleepers weighing more than 230 pounds, as well as our back and stomach sleepers weighing up to 230 pounds. 

Thanks to the proprietary cooling technology and a breathable cover, the Nolah Mattress Topper kept cooler than many other foam models we’ve tested. The foam also absorbs most movement transfer and noise, making it an excellent addition for couples prioritizing motion isolation.

What It’s Made of

Proprietary AirFoam polyfoam is engineered to stay cooler than traditional memory foam while still offering cushioning to alleviate aches and pains. The foam measures 2 inches thick, perfect for mattresses with light to moderate wear. The foam’s intended cooling properties are enhanced by a breathable organic cotton cover, which is naturally moisture-wicking to keep you cool and dry throughout the night. 

Nolah offers free shipping to customers living in the contiguous U.S. Returns are accepted within 30 days of delivery, and a 10-year warranty against structural defects backs the Mattress Topper. 

Best Firm

PlushBeds Natural Latex Topper – Extra Firm

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PlushBeds Natural Latex Topper

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Price:

$511

Firmness:

Extra Firm (8)

Pros

  1. Choose from two profiles
  2. Ventilated Talalay latex provides excellent breathability
  3. Optional organic cotton cover available

Cons

  1. High price-point
  2. Side sleepers may prefer a softer model for pressure relief

Bottom Line – Our Testing Team Takeaway

“As someone who doesn’t love the hugging effect of memory foam, the extra-firm PlushBeds Natural Latex Topper is right up my alley. I enjoyed the gentle cushioning, and the latex was bouncy enough to prevent my body from sinking deeply. The latex is also ventilated, so airflow is steady and heat buildup wasn’t an issue.”
– Jeremy Klein, Senior Product Expert

The PlushBeds Natural Latex Topper has a firm (8) feel, making it one of the firmest toppers in our testing lab. The firm and responsive feel ensure robust support to keep your body on an even plane, while the latex adds a bit of surface cushioning for sore spots along the spine.

How It Performed

Our team tested each of the topper’s firmness levels, and the firmest model was most popular among our back and stomach sleepers weighing at least 130 pounds. If you sleep on your side or weigh less than 130 pounds, you may prefer one of the softer models. Most of our side sleepers preferred the medium soft (4) and medium (5) models, though some weighing less than 130 pounds enjoyed the deep cushioning of the soft (3) model.

The firm topper performed well during our temperature control tests. Our heat guns detected very little heat buildup thanks to the firm feel and breathable construction. We also awarded positive ratings for ease of movement. Latex is naturally responsive, so it won’t sink beneath your weight and shouldn’t sink excessively when you get in and out of bed.

What It’s Made of

The topper contains a single layer of organic Talalay latex certified by the Global Organic Latex Standard. The latex is ventilated to promote airflow and cooling. You can choose between 2- or 3- inch profiles. We recommend the latter for mattresses with more pronounced wear and tear, and the former for mattresses with minor to moderate sinkage. An organic cotton cover is available for an extra fee.

PlushBeds offers free ground shipping throughout the contiguous U.S. Returns are not accepted once the Natural Latex Topper has been unboxed, but your order is backed by a 5-year warranty against material defects.

Best for Side Sleepers

Puffy Mattress Topper – Soft

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Puffy Mattress Topper - Soft

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Price:

$229

Firmness:

Soft (3)

Pros

  1. Memory foam contours evenly and closely
  2. Breathable rayon-polyester cover is removable and machine-washable
  3. Anti-slip bottom helps prevent shifting during the night

Cons

  1. Some heat retention is likely
  2. High potential for off-gassing odors due to foam composition

Bottom Line – Our Testing Team Takeaway

“The soft Puffy Topper provides great contouring compared to other memory foam toppers we’ve tested. I appreciated how effective the topper was at relieving pressure buildup. It’s a great choice for side sleepers who wake up with painful shoulders and hips.”
– Brad Nehring, Product Expert

High-quality toppers can be somewhat expensive, especially those constructed with memory foam. The Puffy Mattress Topper is a noticeable exception to this trend. Available in two firmness levels, we’re focusing on the soft (3) model because it performed exceptionally well during our pressure relief tests — with especially high marks from side sleepers. If you think a firmer feel is better suited to your needs, the topper is also available in a firm (7) design.

How It Performed

The topper earned favorable ratings from many of our side sleepers, particularly those weighing under 130 pounds. Side sleepers exert pressure on their shoulders and hips during sleep, which can result in uncomfortable pressure buildup. This topper model deeply cradled these pressure points during our tests, so side sleepers are less likely to wake up with soreness in these areas. Side sleepers between 130 and 230 pounds and back sleepers under 130 pounds may find the topper comfortable, but those in higher weight categories will probably need a firmer topper for adequate lower back support.

Our tests showed the Puffy Mattress Topper – Soft excels at motion isolation. Since the foam absorbs movement so well, we recommend the topper if you and your partner share an overly responsive mattress and experience sleep disruptions when the other person moves in bed.

What It’s Made of

The topper contains a single layer of memory foam and measures 2.5 inches thick. This mid-range profile should provide an adequate comfort adjustment if your mattress has moderate wear, but isn’t quite on its last leg. The cover is a blend of polyester and rayon derived from bamboo, and includes an elastic skirt to fit around the sides of your mattress for extra stability. The skirt has a depth of 15 inches.

In addition to the approachable pricing, you’ll receive free ground shipping with your Puffy Mattress Topper purchase. Each order includes a sleep trial that runs for 101 nights. The topper is also backed by a lifetime warranty if you decide to keep it.

Best Pressure Relief

Tempur-Pedic TEMPUR-Adapt Topper

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Tempur-Pedic TEMPUR-Topper Supreme

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Price:

$419

Firmness:

Medium (5)

Pros

  1. All-foam construction provides excellent pressure relief
  2. Thick foam layer reduces motion transfer
  3. 10-year warranty

Cons

  1. Topper cannot be returned
  2. Sleepers over 230 pounds may need a more supportive topper

Bottom Line – Our Testing Team Takeaway

“The TEMPUR-Adapt Topper shows once again that Tempur-Pedic’s sleep products are a cut above most of the competition. The solid, high-density memory foam contours evenly from head to toe, and I really enjoyed the slow response as my body settled into the topper.”
– Jackson Lindeke, Director of Product Experience

Tempur-Pedic’s reputation for high-quality sleep products extends beyond the brand’s mattress line. Take the TEMPUR-Adapt Topper, which is constructed from TEMPUR memory foam. This proprietary, high-density material delivers even contouring from head to toe, helps align the spine, and alleviates pressure in the shoulders, lower back, and hips.

How It Performed

Due to its 3-inch profile and medium (5) feel, the TEMPUR-Adapt Topper earned stellar ratings from our team’s side sleepers — particularly those weighing up to 230 pounds. Back and stomach sleepers under 130 pounds also felt comfortable on the topper. The TEMPUR foam hugs the body closely to evenly distribute your weight and provide the “cloud-like” sensation many people associate with memory foam.

As expected, the topper performed exceptionally well during our motion isolation tests. None of us noticed any motion transfer when lying side by side with someone else, and the thick elastic corner straps held the topper in place to prevent shifting. Pressure relief is another key strength. For most of our testers, pressure buildup was a non-issue, and the foam conformed closely enough to cradle the spine and align the spine properly.

What It’s Made of

The TEMPUR-Adapt Topper contains 3 inches of TEMPUR memory foam, the same material that has made Tempur-Pedic mattresses so popular among people with back pain. This foam is quite dense and responds slowly to movement, so you’ll notice some initial plushness when you get into bed and a cradling effect as your body settles. A removable, machine-washable polyester cover encases the mattress. Thick elastic straps at each corner are intended to secure the topper to your mattress.

Tempur-Pedic offers free ground shipping throughout the contiguous U.S. The company does not accept returns for the TEMPUR-Adapt Topper, so all sales are final, but you’ll receive a 10-year warranty with your purchase.

Best Firmness Options

Turmerry Latex Mattress Topper

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Turmerry Organic Latex Topper

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Price:

$225

Firmness:

Soft (3), Medium (5), Medium Firm (6), Firm (7)

Pros

  1. Solid Dunlop latex offers gentle cushioning and considerable bounce
  2. Wide range of profile and firmness options
  3. Ventilated core ensures minimal heat retention and excellent breathability

Cons

  1. Responsive latex produces some motion transfer
  2. Not suitable for people with latex allergies

Bottom Line – Our Testing Team Takeaway

“This topper from Turmerry uses solid Talalay latex, so you can expect generous bounce, gentle cushioning, and a cool night’s sleep throughout the year. There’s a wide range of firmness and profile options — and if you aren’t happy with your first choice, Turmerry lets you exchange the topper for a different design at no extra cost.”
– Danny Noyed, Senior Product Editor

If you’re a side sleeper, chances are you’ll experience added pressure in the shoulders and hips after sleeping on a surface that doesn’t provide adequate cushioning. The Turmerry Latex Mattress Topper might be a worthwhile investment if your mattress feels too firm. You can choose from four firmness levels — soft (3), medium (5), medium firm (6), and firm (7) — depending on how much you weigh and the amount of support you need to sleep comfortably.

How It Performed

During our tests, the soft topper was popular among our side sleepers weighing less than 130 pounds but did not provide enough support for most of our other team members. The balanced feel of the medium topper earned favorable ratings from testers weighing 130 to 230 pounds across all sleep positions. If you’re a side sleeper who weighs more than 230 pounds, our tests indicate the medium firm and firm feels provide enough support. Our back and stomach sleepers weighing at least 130 pounds also preferred the firmer designs.

Temperature control was a highlight of our hands-on testing. The latex is ventilated to promote airflow, so you shouldn’t experience too much heat retention regardless of which firmness level you choose. Another area where the topper performed well was ease of movement. Even on the soft model, we were able to get on and off the mattress without excessive resistance.

What It’s Made of

The topper consists of ventilated Dunlop latex and is available in 2-inch, 3-inch, and 4-inch thickness options. The 4-inch option has a dual-sided design with a soft feel on one surface and medium firm feel on the other. If your mattress has heavy wear, you should consider the 3-inch or 4-inch designs, while the 2-inch topper should provide an adequate comfort adjustment for mattresses with minor indentations.

All thickness options are available with organic certification from the Global Organic Latex Standard, but you may also purchase non-organic versions for a slightly lower price. You can buy an organic cotton cover for an additional fee. Note that the cover is included for free with the purchase of the 4-inch topper.

The topper’s sticker price depends on which profile and type of latex you choose. Turmerry offers free ground shipping throughout the contiguous U.S. Your order comes with a 120-night sleep trial, and the topper is further backed by a 5-year warranty.

Best for Combination Sleepers

ViscoSoft Select High Density Mattress Topper

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ViscoSoft Select High Density Topper

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SF customers receive 25% off + free shipping

Price:

$270

Firmness:

Medium Firm (6)

Pros

  1. Composed of dense memory foam that’s resistant to wear and tear
  2. Corner straps and anti-slip bottom prevent shifting during the night
  3. Optional cooling charcoal or relaxing lavender infusions

Cons

  1. Foam may inhibit ease of movement
  2. Sleepers might notice an off-gassing odor in first few days

Bottom Line – Our Testing Team Takeaway

“I’ve owned the Viscosoft Select High Density Topper for a few years, and it’s been a big hit with my overnight guests who have to sleep on our sofa bed. The foam is plush and adaptive, but dense enough to cradle your body without compressing beneath your weight.”
– Brad Nehring, Product Expert

When it comes to improving your spinal alignment, few materials can match the effectiveness of high-density memory foam. The ViscoSoft Select High Density Topper has a balanced medium (5) feel, which is ideal for people who switch between multiple sleeping positions at night. Available in profiles of 3 or 4 inches, this topper is a good option if your mattress is on its last leg.

How It Performed

The Select High Density Topper was particularly popular among our side sleepers. Those weighing less than 130 pounds preferred the 4-inch model, whereas our side sleepers of 130 pounds or more felt more comfortable on the 3-inch topper. The 3-inch model also earned favorable ratings from our back sleepers up to 230 pounds, and stomach sleepers weighing less than 130 pounds.

The dense memory foam absorbs movement exceptionally well, so both toppers received high marks during our motion isolation tests. Pressure relief is another major strength. Body-mapping technology indicated little to no pressure buildup along the spine for the majority of our testing team.

What It’s Made of

The 3-inch and 4-inch toppers both contain a single layer of high-density memory foam. This material responds slowly to compression, resulting in a cloud-like feel as your body settles onto your sleep surface. Memory foam tends to absorb heat, so ViscoSoft used a cover made of rayon derived from bamboo. The fabric offers excellent cooling and also has moisture-wicking properties. That said, some people may still experience excessive heat retention. Thick, elastic straps at each corner help the topper stay in place.

The ViscoSoft Select High Density Topper carries an approachable price-point, and shipping is free of charge throughout the contiguous U.S. Your purchase includes a 90-night sleep trial. If you decide to keep the topper, you’ll also receive a 5-year warranty.

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Why You Can Trust Us

Our team of industry experts has personally tested dozens of mattress toppers, and during that time we've noticed a direct link between the surface you sleep on at night and the amount of back pain you wake up with in the morning. Our testers represent a wide spectrum of sleepers in terms of body type and preferred position to ensure our results are inclusive of everyone.

How We Evaluated These Mattress Toppers

To create our list of the best toppers for back pain, we evaluated each topper based on factors like pain and pressure relief, support, contouring level, and ease of movement. We also took cost into account to best serve shoppers on a budget. To learn more about how a mattress topper can reduce back pain, check out our detailed buyer's guide below.

How to Choose a Mattress Topper for Back Pain

As mattress toppers adjust the feel of the sleep surface, many of the same factors that you should take into account when choosing a mattress will also play a role in your decision on a mattress topper.

What to Consider When Purchasing a Mattress Topper for Back Pain

There is a wide variety of different mattress toppers on the market that claim to do a number of different things. Rather than getting caught up in jargon and marketing claims, we encourage shoppers to look at the specific factors that contribute to whether or not a mattress topper will feel comfortable for them. Below, we’ll share some of the most important things to take into consideration as you select a mattress topper.

  • Conforming Ability: Most mattress toppers are built to provide some added conforming. A mattress topper that conforms to the sleeper’s shape allows wider, heavier body parts to sink in more, which can help relieve pressure buildup on these areas while supporting the spine’s natural alignment. Thinner and firmer mattress toppers may conform less, while thicker and softer options are likely to conform more.
  • Price: Mattress toppers vary in price based on their materials and construction. Low-priced options frequently use materials that may break down more quickly, but they can provide a budget-friendly, short-term fix for an uncomfortable mattress. More expensive models typically use more durable materials that resist sagging and deterioration.
  • Sleeping Position: A sleeper’s preferred position influences which body parts put force on the mattress, where pressure may build up, and how well-aligned their spine is. Because sleep position is so impactful, shoppers should take how they prefer to sleep into account when selecting a mattress topper. We’ll discuss sleep position in more detail in the section below.
  • Quality Materials: A topper’s materials contribute to its performance and durability. High-end materials may have special characteristics, like temperature regulation or bounce, that could support a more comfortable night’s sleep. Many quality materials also last longer, extending the topper’s usable lifespan. Lower-quality topper components can also be comfortable, though they may not have the same potential benefits as higher-quality options.
  • Firmness Level: The firmness of the mattress topper can affect the level of conforming and support that you experience. As mattress toppers are a quick and easy way to adjust the feel of your bed, people who find their existing mattress too soft may like a firmer topper, while those who feel their mattress is too firm may prefer a softer topper. Body weight is also a significant factor when it comes to what firmness feels right. Sleepers who weigh over 230 pounds may sink too deeply into a soft mattress topper and feel the underlying mattress more, so they may prefer a firmer option. Those who weigh under 130 pounds may not put enough pressure on a firm topper to sink in and feel comfortably cradled, so they’d likely want to go for a softer topper.
  • Thickness: Mattress toppers usually range from 1 to 4 inches thick. The mattress topper’s thickness impacts how significantly it alters the sleep surface. A thin topper may add a bit of cushioning, while a thicker topper is likely to give more significant contouring and pressure relief.
  • Pressure Relief: A mattress topper can help alleviate pressure points by redistributing the sleeper’s weight more evenly over the surface. This can reduce pressure buildup near heavier body parts, like the hips and shoulders. Thicker toppers with more conforming are also likely to have more pressure relief.

How Does Sleeping Position Affect Back Pain?

Back pain can occur as a result of an underlying condition or sleep-related factors. The right mattress topper can help relieve pressure points and support natural spinal alignment, which could also help contribute to reduced back pain. However, each sleep position can affect the spine differently, so those suffering from back pain may want to consider the role of their preferred sleep position.

Side sleepers: People who sleep on their side frequently prefer a slightly softer sleep surface that balances conforming and support. Too firm of a topper may not allow their hips and shoulders to sink in enough, while too soft of a mattress topper may let their hips and shoulders sink in too much. Either of these situations could put a strain on their spines and contribute to back pain. A thicker topper could be ideal for a bed that is too firm, as it can provide ample room for a side sleeper’s hips and shoulders to sink in. A firmer topper that helps prevent sinkage will be better for a bed that is too soft.

Back sleepers: This sleep position typically requires a slightly firmer sleep surface that gives them the support they need to maintain their natural spinal alignment, so they may prefer firmer and/or thinner mattress toppers. A topper that is too soft could allow their hips to sink in excessively and make it difficult to keep their spine well-aligned. Too firm of a topper could also be problematic, leaving a gap between the bed and the sleeper’s lumbar region.

Stomach sleepers: Sleepers who use this position are often prone to sinking into their beds near their hips and stomachs, since most people carry more weight near their midsections. This frequently puts a strain on the sleeper’s spine, which could contribute to back pain. A firmer, thinner mattress topper may be more supportive for stomach sleepers and reduce the likelihood of excessive sinkage.

Combination sleepers can experience the potential benefits and drawbacks of multiple sleep positions. Those who tend to change positions during the night should consider which position they sleep in most often as they select a mattress topper. If they divide their time relatively evenly between positions, a mattress topper with a mid-range thickness may be the best bet for a combination sleeper.

“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.

Which Type of Mattress Topper is Best for Back Pain?

Any type of mattress topper may have potential pros and cons. Depending on their personal preferences, back pain sufferers may enjoy different toppers.

Memory foam: As memory foam toppers conform closely to the sleeper’s body, many people who experience back pain find they give a good balance of pressure relief and support. These toppers also usually isolate motion well, so sleepers might not notice when their partner changes position. One potential drawback is that memory foam tends to retain heat, but some models are made with special features for added breathability and cooling. Memory foam is also usually slow to respond to changes in pressure, which can make it harder for sleepers to move around and change position.

Polyfoam: Polyfoam toppers conform to the sleeper’s body without the close hug of memory foam. Additionally, this material tends to be more breathable and regain its shape more quickly than memory foam. Polyfoam toppers are also frequently budget-friendly options. While many sleepers find polyfoam mattress toppers comfortable, they’re often less durable than other types of toppers on the market. This is particularly true of toppers that make use of low-density polyfoam.

Latex: Latex is prized for its pressure relief, breathability, and durability. Latex mattress toppers usually cradle the sleeper’s body without much sinkage. Instead, its low point elasticity leads to the compression spreading over a wider area, creating more of a floating sensation. Natural latex also tends to be breathable and highly durable, so it can be a good option for people who sleep hot or want to enjoy their mattress topper for years to come. However, latex mattress toppers are often more expensive than other types of toppers.

Feathers: Feather mattress toppers typically provide a plush sleep surface. However, since they do not usually provide much in the way of support or pressure relief, they may not be ideal for sleepers who experience back pain.

Cooling: Since some individuals are prone to sleeping hot, many mattress toppers have special features designed for cooling. Memory foam can be infused with gel and/or copper to help wick away heat. Many polyfoam toppers use breathable open-cell foam. Memory foam, polyfoam, and latex mattress toppers can also be ventilated using hole punches to allow more air circulation.

Frequently Asked Questions

Which type of mattress topper is best for lower back pain?

Memory foam, polyfoam, and latex toppers tend to be most popular with those who experience lower back pain. These types of topper mold to the sleeper's body, relieving pressure while also supporting spinal alignment. Those with lower back pain should select the firmness and thickness of their topper carefully to ensure it has the right feel for their weight and preferred way of sleeping.

Can mattress toppers help with back pain?

In some circumstances, a mattress topper could help with back pain. A topper won't make up for a sagging or unsupportive mattress, in which case a new bed may be the better option. That being said, if the firmness of your current mattress isn't a good match, a mattress topper can adjust the feeling of the bed enough to help relieve back pain.

What's the difference between a mattress pad and a mattress topper?

Mattress toppers and mattress pads are not the same thing. Mattress pads are thin layers designed to help protect the mattress, though some models provide a little cushioning. Pads can provide some added features like waterproofing or cooling. Mattress toppers are much more substantial. Rather than protecting the mattress, toppers are meant to modify the feel and firmness of the mattress.

Can a topper make my mattress firmer?

Although most toppers are designed to make your mattress feel softer, some models we’ve tested are on the firmer side. A firm topper may be useful if your mattress is close to the end of its lifespan and the surface has deep impressions, or if your firmness preferences have changed and your mattress now feels too soft.

In addition to using a firm topper, you can make your mattress feel firmer by investing in a more supportive foundation. A bunkie board between your mattress and foundation can also make your mattress firmer. To prevent indentations from forming too quickly on your sleep surface, we recommend rotating your mattress head to foot every 3 to 6 months.

Still have questions?

Our product experts have extensive experience testing just about every sleep product on the market. Send an email to [email protected] or call us at (877) 672-8966 with your questions and we'll help you find exactly what you're looking for.

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