Newer mattress causing back pain, is it too firm or too soft?

Hey! I’m new here, and of course I’m looking for some help. Here’s the break down:

I’m a 5’6 female, weighing 125lbs. My husband is a 5’8 male, weighing 160lbs.

We have had a medium Beauty Rest, inner spring mattress for 11 years. It was very comfortable the whole time, up until the beginning of 2024. We both started experiencing lower back pain, and we could see our imprints on the mattress, so we decided it was time for a new one.

We decided on a medium-firm Lux Estate spring from Sterns and Foster. It started out wonderful, until a month or so ago. We got this mattress at the beginning of June, about 6 months ago. Our mattress had a 125 day return policy. But, everything was good.

My husband sleeps in every position, and he’s doing great and loves the bed. I have developed mid back pain. I am a back and side sleeper. My shoulders and hips are just fine, as is my lower back. It’s just my middle back muscles that are so sore and stiff when I wake up. I can’t tell if the bed is too soft, or if it’s too firm. I sleep with a pillow between my knees to help with alignment , and I do visit a chiropractor every 2 months. But, it’s definitely my muscles that ache in my mid back upon waking up. I feel my hip area may sink a little further than I would expect, but I never much paid attention to our mattress because it was comfortable. When I sleep in a hotel or a guest bed, I’m usually feeling better.

Can anyone help me figure it out?

@BackScience

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Hi Ashley and Welcome to the Mattress UnderGround.

This is a common issue for several reasons. As you have discovered, couples with different sleep positions, weight disparities, and personal preferences often find out too late when things start to go awry. It is also becoming more of a common theme with certain legacy brands of mattresses typically after about the 9-15 month mark. This is unfortunate as it seems to be happening more often then one would expect.

The fact that you feel your hips sink further than expected might indicate that the mattress isn’t providing enough support in that area either. When the mattress is too soft in certain places, it can lead to misalignment throughout your spine, contributing to muscle aches, especially in the mid-back.

Since you mentioned using a pillow between your knees for alignment, that’s a great strategy, but it’s also important to make sure that the pillow is the right height for your body. If the pillow is too thick, it could push your legs too far apart, creating more strain in your lower back, which can sometimes translate to discomfort in your mid-back as well. Also, considering your sleep positions side sleeping and back sleeping, you may need a mattress that provides a better balance of support for your hips and shoulders while keeping your spine in a neutral alignment. If the mattress feels fine when you first lie down (which is common in a typical showroom setting) but causes discomfort after sleeping on it for hours(now you are in the real world and in at home environment), it may be starting to show signs of wear, or the initial support may not be enough for your needs. I was hinting at this in the initial paragraph.

Since your mattress is about six months old and you’re noticing sagging in the hip area, it’s likely that the mattress is losing some of its initial support, which could explain the mid-back pain you’re experiencing. Even though the mattress felt comfortable at first, sagging or uneven support can develop over time, leading to discomfort in different areas of the body.

If the mattress is not sagging when you get into bed the next night you attempt to sleep on it, you can try using a topper to modify the mattress for better mid back pain comfort, but with the mattress already 9 months old and this being a common issue with the S&F’s lately, the topper fix may not offer much longevity.

Since you visit the chiropractor on a regular basis, I am sure he would confirm your alignment issues and their connection to the mattress. Rick @BackScience tackles these issues all the time. I would suggest you reach out to him if he doesnt respond here first and speak with him about his backscience mattress with the lumbar flex option. Egh, I know this stinks, but thre is nothing worse than waking up with back pain every morning. Those middle back muscles are becoming sore and stiff, because of the lack of that lumbar support. Think of a pair of shoes, where your feet have a higher arch and the arch in the shoe is relatively flat. That places a lot of strain on your arch. You may try sleeping with a thin pillow under that area to see if that helps, then possible have a piece of curved polyfoam cut and placed under your side of the mattress under the mattress cover to see if that helps. Again, not a long term solution. A mattress needs the ability to support anything placed on top of it, whether it be a topper or a person trying to sleep.

Sometimes we dont realize what we have purchased when we jump into a new mattress, particularly with a short trial, then find out there is an issue when it is too late.

I think @BackScience may be able to help you here. Pehaps he can modify the lumbar flex to work in conjunction with your mattress and mattress cover.

Wishing you the best,

Maverick

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Thank you so much for the response! Unfortunately, we’ve only had the bed for 6 months. My husband took a photo of me in the side sleep position, and it doesn’t look like my hips are sinking. It’s in my upper back that starts to curve upwards. I try to keep my head flat instead of my head sitting up, like on a thick pillow. I don’t know if the feeling of my hips sinking slightly is just because my old mattress seemed a little firmer, even though they are both a medium? My should and upper back area don’t seem to sink in hardly at all. I am considering a topper. I sleep very hot, and I stay away from memory foam. It’s just frustrating when everything seems fine, then after the return period has ended, things go downhill. My spine is curved a bit more than normal. My chiropractor always says we are trying to keep the hunch away, lol.

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You should try using the Backscience Mattress Checker App to gain a clearer understanding of what’s going on with your mattress. This tool can help you evaluate whether the mattress is providing the right support. You can access it here:
Backscience Mattress Checker App

Sometimes, it can be difficult to figure out exactly what is happening with your mattress. If you’re not sinking into the mattress, or if it seems like you’re not sinking enough, it’s important to look at your body alignment. Even if your hips don’t appear to be sinking noticeably, the length of your body might be causing it to look that way. In reality, your entire body may be sinking into the mattress, but because of the 6 inches of foam above the spring support layer, your body may never reach the support it actually needs.

With the S&F mattress you mentioned, one thing to note is the 6+ inches of quilting and foams above the support springs. Six inches is a significant depth, and it’s close to the amount where you might start sinking into the mattress. However, the pocketed coils underneath could be too far from your body to offer sufficient support. The quilted top consists of several layers: about 2" of polyfoam, then 1" of Tempur memory foam, followed by a 2" transition layer of foam, and then 1" of latex foam.

While the 1" layer of soft Tempur foam isn’t likely the primary issue, the overall softness of the comfort layer could be contributing. If you took the pictures shortly after getting into the bed, it might be worth revisiting those pictures after 30 minutes of lying down to see if anything changes.

You also mentioned that your upper back is curving upwards. This could be related to your pillow. Since I make my own pillows, some with horsehair, some with latex noodles, and others with added wool batting, I’ve noticed that regardless of how I design them, if I overstuff them by just 1.5 inches, I can feel it the next morning from my neck to my middle back. I typically sleep with a two-pillow stack, and this alignment feels most comfortable to me. Here’s a visual of my preferred alignment:

This is the type of alignment I find comfortable, compared to a more traditional sleeping position where the body is fully parallel to the floor as seen in the upper 3 picture set.

When it comes to mattress labels, such as “medium,” keep in mind that this doesn’t always tell the full story. You might have two mattresses labeled as “medium,” but they could feel completely different. One might sink like hot quicksand (such as a memory foam mattress), while the other might have a bouncier, more contouring feel (such as latex). Mattress labels can be helpful as a general guide to firmness, but they don’t necessarily reflect how the mattress will feel in terms of comfort and support. Even firm mattresses can vary: one might feel soft with a firm core, while another might be rigid all the way through. It really depends on the materials used and how your body interacts with the mattress, including factors like heat transfer.

Ultimately, it’s all about finding the right balance of materials and layers that work best for your body, sleep style, and comfort preferences.

All the best,

Maverick

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Maverick did a great job of covering everything, so I will just add that you should rotate the mattress 180 degrees and see if it improves your back. If it does, then there is a loss of the support on the mattress for sure. Either way, feel free to reach out to me and I would be happy to go over more details via a phone conversation if you are not seeing the results you need and want to look at other options.

Thanks!

Dr. Rick Swartzburg, D.C.

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Since this response, I actually tried switching pillows. I thought I’d start there and see what happens. Wow! I’m not 100% better, but there is a huge difference. My back pain has decreased by at least 50%. Incredible.

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Great to hear! I love the Maverick takes the time and puts forth a personal attention that is unmatched by other sleep experts in the industry, since it leads to such a higher level of success with customers. Using a the right pillow and using a pillow correctly, absolutely go hand and hand with ensuring proper mattress support. Thanks for taking the time to post your feedback, we both really appreciate the follow-up :slight_smile:

Best,

Dr. Rick Swartzburg, D.C.

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