Hi prerssurepts,
There are still many “traditional” mattress which use innersprings with foam on top which are not much different in their basic design from several decades ago. Perhaps one of the biggest changes is the proliferation of pillowtops which have much thicker comfort layers and tend to encourage the choice of mattresses which are too soft for many people. Your ongoing issues would lead me to guess that you may be making choices that are too soft and not providing enough support for you.
Two sided mattresses are also still easily available if you stay away from mainstream mattress stores (such as chain stores and major brands) and focus your efforts on smaller manufacturers that are either sold through smaller sleep shops or factory direct (if there are any available close to you) but this is not likely to be the reason behind your issues. A two sided mattress can certainly add to durability but they can also be made in softer or firmer versions using any combination of materials so making a choice that is suitable for your specific needs and preferences would still be just as important as in a one sided mattress and a two sided mattress design could be just as suitable or unsuitable as a one sided mattress design.
When you are choosing a mattress I would work from the “bottom up” because the most important part of a successful mattress choice is good alignment where all the parts of your body are well supported in your natural alignment in all your sleeping positions and then adding “just enough” of a comfort layer to relieve pressure in your most pressure prone positions. In other words I would focus on making sure that your “middle zone” in particular is being well supported.
You may also benefit from a zoned mattress where the center part of the mattress is firmer than the upper and lower third which can help prevent the heavier pelvis from sinking down too far.
lack of firm enough support under your pelvis (either because the support layer is too soft or because the comfort layer is too thick/soft and allows you to sink down too far before your hips are “stopped” by the support layers) is the most common cause of back issues but can also cause stress in the joints which may appear to be caused by pressure. Pocket coils tend to be softer and more “giving” than innersprings which have helical wires which connect the springs together provide firmner support where springs act more in groups" than individually. Some pocket coils though can be much firmer than others.
Neck issues are most often connected to either sleeping in a “twisted” position or a pillow issue where your pillow doesn’t keep your head and neck in good alignment relative to the rest of your body.
Any materials in the right design for your specific body type and sleeping style can provide you with good PPP. The “key” is to make sure the design is right for you. If the deeper support layers are too soft for you or the comfort layers are too thick and soft for you then no matter what the material they could result in the issues you are having.
Different materials are more of a preference but good testing (and the help of some good local guidance) to make sure that a mattress you are considering keeps your spine and joints in neutral alignment is always the most important part of what makes one mattress suitable for you while another mattress isn’t.
It’s not uncommon at all that people are comfortable in hotel beds for the short while that they sleep on them and then end up buying the hotel mattress only to find that they are not nearly as comfortable or suitable as they thought they were when they sleep on them at home over the longer term. You will see many complaints that the “subjective” comfort that they remember sleeping on in the hotel doesn’t seem to match the mattress they purchased even though it’s the same mattress and many people believe that somehow they received the wrong mattress. They also don’t use particularly good quality materials so they tend to soften more quickly than mattresses that use higher quality materials in the comfort layers.
They are designed to appeal to a broad cross section of the population and tend to have firmer support layers, several inches of soft to medium foam on top (not too soft and not too firm), and then add a bedding package on top of this to provide the “cush” and the subjective feeling of comfort that people like and relate to “quality”. Of course there is also no specific type of hotel mattress because different hotels use a broad range of different mattresses but in general they cater to “averages”. Almost any mattress in good condition is an improvement over a poor mattress that so many people are sleeping on and because the difference between any “average” mattress in good condition and their own mattress appears to be such an improvement they start thinking that hotel mattress are somehow better or have some secret design even though they are really no different from similar mattresses that you could buy anywhere.
In most cases the knowledge, experience, and transparency of who you buy from can be one of the most important parts of a successful mattress purchase.
No I wouldn’t do this … you are likely to be better off with more solid support under the springs but of course I have little no knowledge about either you or the mattress and I can’t see you on the mattress or feel what you are feeling so local advice that can see you on the mattress and help you in “real time” is much more likely to be more accurate and helpful than any “theory at a distance”.
If I had to guess it would be that you are choosing mattresses that have support layers that are too soft for your body type and sleeping style and that your issues are more connected to alignment and sinking down too far (causing stress on your joints) than they are to pressure issues.
No matter what combination of materials or components are in your mattress … everything boils down to whether it provides you with good support/alignment (first) and good pressure relief (second) in all your sleeping positions.
Phoenix