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Best Mattress for Scoliosis

Anyone that has issues with their spine alignment, whether it's a scoliosis or something else, should look at our list of the top rated beds

Last Updated: May 27, 2020

Scoliosis and spinal injuries are very unfortunate and make finding the right mattress even more important. While we don’t know your exact situation, we’ve done a lot of research. Here’s our list of the beds that we think will be best for scoliosis patients and those with spine pain.


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  • Made the List


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Our Best Rated Mattress Picks

Scoliosis and other spinal defects can range from being mild issues that don’t affect your daily life much to severe, life-altering conditions that can require braces or even surgery. In this post, we’ve selected several mattresses that we think could be beneficial for someone with scoliosis pain or another spinal defect.

You should know that we are not doctors. However, we consulted a professional chiropractor to help us write this post and select our list. We relied heavily on his professional opinion to create this guide, but please do talk to your physician and/or chiropractor before you get a new mattress or make any changes to your daily routine.

This guide is meant to be helpful and insightful, but it is not an offering of health advice.

Casper Wave Hybrid Soft Foam 10% Off Code: KEEPCOOL10Casper Wave is a luxury mattress featuring an upgraded “Zoned Support Max” system and “Airscape” foam.
Layla Hybrid Memory Foam $210 Off + Gift Code: RIZSLUMBERLayla Hybrid is a memory foam mattress that has a “Soft” side and “Firm” side, along with pocket coils for support.
Leesa Hybrid Soft Foam 15% Off + Gift Code: SLUMBERYARDLeesa Hybrid features 6″ pocket coils and various soft foams. It’s a luxury mattress without the egregious price tag.

Finding A Mattress For Scoliosis Pain

The top priority is not making your condition worse, which is why we emphasize that you should talk to your doctor about a mattress. Finding the right bed will have to do with a number of different factors, including the list below.

  • Weight — How much you weigh has a lot to do with what style of bed will be acceptable.
  • Your Scoliosis — Depending on your condition, your doctor may prefer that you sleep a certain way.
  • Sleeper Type — Side, stomach, back, or combination.
  • Mattress Construction — Foams, support system, and more.
  • Motion Transfer — How efficiently the mattress deadens motion.

If you scroll to the bottom of our guide we have even more information about scoliosis and spine related pain. Whether you’re a side sleeper with scoliosis or need a firm mattress we’ve tried to think of everything.

Avocado is our top pick for the best eco-friendly mattress for those with scoliosis. We selected it for numerous reasons, including the fact that it is highly supportive, resilient, and comes in three options (with and without a pillow top, and a fully vegan mattress).

avocado green mattress review
A look at Avocado with the pillow top

At the base of the Avocado Green Mattress is 8” pocket coils made from recycled steel. These allow the mattress to be suitable for people of virtually all body types. On top of the coils are a few layers of certified organic latex foam. If you aren’t familiar with the material, it has an open cell construction and feels bouncy, airy, and spongy. It’s really neat, and can make for an ideal comfort foam if you’re dealing with back issues such as scoliosis.

On top of the 3” latex foam is organic cotton and New Zealand wool. You won’t notice, but the bed doesn’t have any synthetic or chemical fire barriers. Rather, the wool acts as a natural fire barrier and yet is still breathable and moisture wicking.

The organic cotton gives Avocado a natural and earthy smell, not to mention an off-white “healthy” patina. All together, it’s just a fantastic mattress from a well-respected brand.

If you can afford to pay a little more for Avocado with the pillow topper, we’d recommend it, particularly if you spend a decent amount of time at night on your side. It makes the mattress just a little softer (around a “medium-firm”), and we think that could be a good thing for those with scoliosis.

The Casper Wave is a hybrid mattress that’s specifically designed to provide more support around your center third where you carry the majority of your weight. It’s a zoned support system that you will only find on the Casper Wave (although there is a similar system on the original Casper mattress).

It has a neutral-foam feel and it’s suitable for any and all body types and sleeper types. As such, we see it as being a safe pick for people who suffer from scoliosis.

casper wave hybrid mattress review side sleeper
The Wave Hybrid comfortably accommodates a wide range of sleepers

As for firmness level, Casper Wave sits at about a medium. Keep in mind that softness/firmness is subjective and the heavier you are, the softer the mattress will appear (this is true for all beds).

Overall, it’s a soft, comfortable mattress and, due to the Zoned Support System, it’s a solid option for a person suffering from a spinal issue. The Wave was also (according to Casper) endorsed by the American Chiropractic Association, which is interesting since we’re not aware of any another mattress with that same stamp of approval.

casper wave hybrid mattress zoned support
A side view of the zoned support system

A close alternative to the Casper Wave—and a bed that’s actually more affordable—is the Level Sleep mattress. It’s not quite as luxurious, but it has a similar zoned support construction.

Layla is one of our favorite mattresses for side sleepers given that it has a fluffy memory foam feel and is double sided. It’s not a bed for heavy people, but if you’re under about 230 lb, you should be good to go.

layla hybrid mattress review side sleeper
Layla Hybrid is a thick mattress with two soft sides

Ultimately, the reason it made the list is because it’s comfortable and offers you two options with one mattress. The “Soft” side is truly soft and great for people with shoulder or hip issues. The “Firm” side lands at about a medium, and has less of a memory foam feel, but is still really comfortable. If you tend to rotate sleeping positions, the “Firm” side is where you’ll want to start.

Nectar is an affordable mattress that almost always ships with some sort of sleep accessory, whether that’s a pillow, sheet set, weighted blanket, etc. As such, we consider it to be a really nice value, and thought it would be a good pickup for those with scoliosis and a tight budget.

nectar mattress review side sleepers memory foam bed
Nectar is really affordable and has a dense memory foam feel

Nectar is about 11” thick and is made entirely of foam, so it is best for medium- and petite-size sleepers. The core of the bed is dense poly foam, but the comfort layers are memory foam. Naturally then, Nectar has a familiar, dense memory foam feel, similar to what you’d associate with TempurPedic, only a heck of a lot more affordable.

As you lay on the bed, it will feel firmer, but after a few seconds it will start to contour to the shape of your body—and it will remember that shape (hence the name memory foam). According to a survey we conducted with over 2,000 participants, about 20% of people report that they “love” memory foam, while another 66% said they are “fine with it.” Only about 11% of people say they “hate” memory foam.

We included the Leesa Hybrid mattress for anyone that wants a firm, supportive mattress that won’t break the bank. In other words, it’s different than Big Fig and WinkBed—which are the other beds that we seriously considered including on this list—but it’s a darn good bed with plenty to offer, nonetheless.

leesa hybrid mattress review cover
For scoliosis pain, all things considered, it’s hard to do better than Leesa Hybrid

Given its firmness level (about a medium to medium-firm), Leesa Hybrid is best for back, stomach, and combination sleepers, though, many side sleepers will be fine as well since the bed will soften over time.

We just think this will be the best mattress for scoliosis because it offers a great balance of support, firmness, and cushioning.  People with scoliosis pain require support first and then a gentle amount of cushioning. That’s exactly what Leesa Hybrid offers.

Review team

  • dillon lopez slumber yard
    Dillon Lopez

    Combo Sleeper

  • reynoso
    Jack Reynoso

    Combo Sleeper

  • Owen Poole

    Side Sleeper

  • kenzie
    McKenzie Dillon

    Combo Sleeper

What Does Your Spine Look Like?

This is a conversation that you should probably be having with your physician and/or chiropractor. Since we don’t know your particular situation we can’t provide any specific advice. But we have talked to certain chiropractors that actively try to adjust the way that their clients sleep in order to better support their spine and not aggravate their condition further. For example, switching from being a strict stomach sleeper to sleeping more on their back might be a good option. Again, up to you and your doctor, but you may consider the shape of your spine when getting a new bed.

Side Sleepers With Scoliosis

If you sleep chiefly on your side, you should also discuss this with your physician. Side sleeping, in general, isn’t a bad thing if you have scoliosis, but, depending on your condition, there may be a preferable side to sleep on. That said, you will still likely prefer a medium to medium-firm mattress. You still need good support, but too firm of a mattress could cause extra shoulder or hip pain for you. You want a good amount of pressure relief, but again, this all depends on your situation.

Considerations For Stomach Sleepers

This will be more general since there’s a lot that goes into finding a bed beyond just your sleeping position. That said, sleeping on your stomach may not be the most ideal position for scoliosis. It’s very easy to contort your neck and back when you sleep on your stomach. Your pillow has a lot to do with this, but it also stems from your head not being able to lay flat. Think about a typical chiropractor’s table. It’s flat with a hole in the center for your face to sit in. That keeps a neutral position for your spine.

With a mattress, however, you don’t have a hole to put your head in and therefore you usually tilt it to one side or the other. From there, you’ll usually compensate with the rest of your body by twisting or bringing your arms or legs up. For someone with an un-compromised spine, this might not be an issue. It may stretch out certain muscles or ligaments more, but probably not a big deal for them. For a person with scoliosis, it’s more complicated. If laying on your stomach is comfortable, I don’t want to change that, I’m merely suggesting that you bring this up to your doctor. In general, though, stomach sleepers prefer a mattress in the medium to firm range. You don’t want your hips sagging in too much and you’ll probably want to feel as though you sleep on the mattress rather than in it.

Back Sleepers With A Spinal Condition

Much like stomach sleepers, back sleepers will likely prefer a firmer mattress. You’re probably looking at something in the medium to firm range with a medium-firm mattress being the most common. This is, again, so you don’t have your hips and shoulders sagging in too much. Laying on your back is usually preferable to stomach sleeping because you can lay your head flat and keep your spine is a more optimal alignment. Pillows are really important here, as well, so check out our Pillow Reviews page. The idea with back sleeping is that for a lot of scoliosis cases you won’t be pushing your spine in either direction side to side. You’ll hopefully be keeping it as is. This is probably more important if your condition is especially painful. If you don’t really notice or experience pain from your spine, you probably have more leeway with your sleeping position. Make sure to check with your doctor about this.

People That Rotate Positions At Night

If you find yourself rotating between a few sleeping positions at night, this is not usually a bad thing. In fact, switching positions could leave you feeling less sore or achy in the morning since your body is at least somewhat active during the night. In terms of a mattress, you might prefer a medium to a medium-firm since you presumably need to accommodate side sleeping. It will depend on your spine and what’s comfortable to you. Keep in mind that the mattress will soften, so it might be better to start a little firmer than you ultimately want.

What Exactly Is Scoliosis?

A simple definition of scoliosis is an abnormal curvature of the spine. Of course, in reality, scoliosis is far more complicated than that since we’re discussing a three-dimensional structure in the spine. Scoliosis typically develops in early childhood between the ages of nine and 15 and it is far more common among young girls than boys. According to the Scoliosis Research Society, Adolescent Idiopathic Scoliosis (AIS) is the most common form of scoliosis and can be found in as many as four in every 100 adolescents.

Most causes of scoliosis are unknown or misunderstood, but it can arise from birth defects, injuries, or neuromuscular conditions. It is also found to be hereditary. Scoliosis can be a simple and slight curve of the spine or—in extreme cases—it can even cause a twist or tilt in the spine. From the ATP (anterior to posterior) view, the spine will usually curve to form a “C” shape or, if there are two curves, it could form an “S” shape. You typically find scoliosis in the thoracic portion of your spine, but it can occur in the lumbar region, as well.

Scoliosis generally develops gradually and in many cases doesn’t create back pain. It can cause your shoulders and hips to be uneven and one shoulder blade to protrude more than the other. A lot of cases require monitoring, but no proactive care. However, in extreme cases, scoliosis can cause a twist or tilt and may warrant a full-time brace or even spinal fusion surgery.

How We Created This Post And Made Our Selections

We do not have a full-time doctor or chiropractor on staff, so in order to create this guide, we worked closely with Dr. Ranvir Sahota of Synapse Chiropractic in Rocklin, California. We specifically discussed scoliosis and his recommendations for mattresses, pillows, and sleeping positions. As such, the bulk of this post is based on his professional opinion, given that he has had extensive experience with treating patients with scoliosis.

As we mentioned above, though, please do not use this post as a substitute for consulting with your physician and/or chiropractor. You should still contact them directly and discuss mattresses before you make a purchase or change anything with your daily routine. That said, before putting together this post, we did spend a lot of time researching, learning about, and critically considering scoliosis and the spine with Dr. Sahota, as well as on our own.

In fact, we spent hundreds of hours between research, testing, and producing this guide in order to feel at least somewhat confident putting it out there. As of this post, we have a team of ten individuals (men and women), who’s weights range from 95 lb all the way up to 225 lb.

As such, we feel that we have a good perspective on how these beds will feel for different people. We also open up the beds and inspect their construction and get an idea of the quality of the materials. Additionally, we conduct our own tests related to motion transfer, support, temperature regulation, and more. Considering all of this, we are sincerely hoping that this guide is helpful for you.

How Much Do You Weigh?

Most people don’t really consider their weight much when they first start trying to find a new mattress, but it affects the longevity of the mattress and the support level it provides. For example, someone that’s more petite, say 120 lb, can get by with a lot of mattresses since they don’t put much stress or downward force on the mattress. If you’re heavy or obese, say above 250 lb or more, the list of mattresses is whittled down quite a bit, given that you need a lot of support. If you sleep with another person, you should also factor in their weight, but generally speaking, if one of you is heavy, you need a more supportive mattress. Otherwise, you will break the mattress down rapidly and the support can virtually disappear. Just because a bed feels dense or supportive the first time you lay on it, does not mean it will be that way after five years or more. In fact, all mattresses soften over time. A heavy person will expedite that softening process.

Best Type Of Mattress For Scoliosis

If you have a spinal condition, selecting a mattress will have as much to do with support as it will with comfort. You first want to make sure that you’re taking the proper steps to help your back. Comfort is sort of secondary. That said, there are a number of materials that you’ll find in a mattress that we should cover. For example, the support for a bed usually comes from one (or more) of the sources that you’ll see below. Incidentally, the following list represents a few of our picks for the best type of mattress for scoliosis:

  • Hybrid Mattress
  • Dense Foam
  • Zoned Support Design
  • Premium Air Chamber

Innersprings are usually a great support system since the coils are typically made of steel. They’re durable and last a very long time even if you’re a heavier individual. Pocketed coils are much the same, but they are better at deadening cross-mattress motion since they are not really interconnected. In a lot of our mattress reviews, we usually refer to a bed with coils and foam as a hybrid mattress. A dense poly foam is typically the support system for all-foam mattresses. It’s not a bad support system, but it doesn’t tend to be as durable as coils. For that reason, it’s generally accepted that coil beds are preferable for heavy individuals. If you’re lightweight, you can usually get by no problem with an all-foam mattress. Of course, density is really important with the foams, but from what we’ve seen, a poly foam with a density around 2 lb per cubic foot (pcf) is typical of bed-in-a-box mattresses. So that’s just a word on the support systems, what about the top layers?

The most common top layers that you’ll see on a mattress are:

  • Air — Usually offers adjustable settings.
  • Memory Foam — Comes in different densities and can feel softer or firmer.
  • Latex Foam — Really bouncy and responsive. Also stays cool throughout the night.
  • Poly Foam — Generally found on more affordable mattresses.

Air isn’t really that common on most online mattresses, but it’s a neat concept because you can usually adjust the firmness of the bed. Memory Foam is common because it’s a versatile material. You can get a lower-density memory foam that feels a bit softer (around 3 pcf), medium-density memory foam (around 4-5 pcf), or high-density memory foam (6 pcf+). If you’re looking for durability and extra support, a mattress with a high-density foam will be preferable, but it also has a lot to do with that feels good to you. Memory foam is great at reducing motion transfer. Some people absolutely love memory foam, but others find that it heats up too much. In fact, gel memory foam was introduced to counteract memory foam’s natural tendency to heat up. Latex is another commonly used foam because it stays cooler than memory foam and is far more responsive, which makes switching positions at night a lot easier. That may be something you consider if you’re a combo sleeper. You probably won’t want to feel stuck, so you’ll either get a high-density memory foam, latex foam, or a bed with coils.

What If You Get The Wrong Bed?

In the event that you don’t love your mattress, most of these beds—whether you purchase online or in-store—come with a trial period of around 100 nights. That means you have a full three months or more to make a decision or even compare multiple mattresses. We’ve seen some mattress companies offer up to a 365-night trail period. So before you buy, make sure there’s a trial period. While a lot of brick-and-mortar retailers, such as Mattress Firm, offer a trial period, there’s usually a fee associated with picking up the bed and exchanging it for another. And speaking of exchanges, retailers are big on those because they want to keep your sale and since they’ve already incurred costs they don’t want you to go elsewhere.

When you’re online mattress shopping, on the other hand, a lot of these bed-in-a-box mattress companies don’t usually have show rooms, unless you’re talking about Nest Bedding or Leesa, which you can see in West Elm stores. Therefore, they are extra eager to have you try their mattresses and thus offer more consumer-friendly, lax return policies. For example, if you don’t want your Nolah mattress, they will send someone to your house to pick it up at no extra charge. They will then refund you 100% of your money. Obviously they do this since they are (1) confident that you’ll love the bed and (2) they really need you to try it. As an FYI, most of these online brands have very low return rates in the 5-8% range. Bottom line is that you should ask about trial periods, returns, and warranties.