Mattress Matters – Part 2: Can a Mattress Relieve an Aching Back?

August 19, 2019

I’m not getting older. I just need a new mattress. That’s my story anyway, and I’m sticking to it as I wait, and wait, for the mattress I ordered several weeks ago to land in my bedroom and transform my cranky back into the one I took for granted as a teenager.

While I am eager to be proven right (ever the optimist), I’ve been looking for some hard evidence to support my impetuous act. Based solely on a recent two-night stay in a nice hotel while out of town on business, I bought a mattress over the phone, which cost the equivalent of a nice vacation.

“This better be good,” was all my husband could say.

I’ve been wringing my hands ever since. Was it a fluke? Is all the mattress-industry hype about the life-changing, pain-relieving, sleep-improving properties that a padded square can provide just a bunch of foam-filled hooey?

I grilled some experts and looked at a couple studies to try to get some solid facts in a notoriously squishy business.

“The mattress industry gets a bad rap,” said Mary Helen Rogers, spokeswoman for the Better Sleep Council. “Knowing what you’re buying gets very confusing, yet the differences between mattresses are critical. That’s the rub.”

If you can believe the few small studies, which are dubiously sponsored by groups like the International Sleep Products Association and the Sleep to Live Institute (but who else is going to fund them?), a new mattress can do a lot to relieve back pain and provide a better night’s sleep.

One study out of the University of Oklahoma had 59 healthy men and women with “minor musculoskeletal sleep-related pain and compromised sleep” record their sleep quality after spending 28 nights on their old mattresses, the average age was 9.5 years, and 28 nights on a new medium-firm mattress, which participants could keep at the end of the study if they wanted.

The new bedding system reduced back pain 48 percent, and improved sleep quality 55 percent, according to the study. However, the promise of getting to keep the mattress set might have caused participants to overstate the benefits, researchers noted. Still, those results sound pretty dreamy to me.

In another study, researchers at Duke University had folks sleep test seven mattresses of varying firmness. They used sensors to measure how much sleepers tossed and turned, a sign of sleep quality. (Less movement is better.) They concluded that different mattresses suited different people better, and that when folks found the one that best fit them, they woke up with less pain and said they slept better.

So there you have it, sort off.

But rather than take the mattress industry’s word for it – there’s my journalistic training kicking in – I called a spinal surgeon to find out whether he thought having the right mattress could help prevent us from ever seeing him.

“A bad mattress won’t damage your back, but it can cause you to have a sore back in the morning and cause poor sleep,” said Dr. Stephane Lavoie, an Orlando-based spinal surgeon. “When dealing with lower back pain that’s the result of an arthritic condition, it’s pretty clear that having more support can help and offer relief.”

A medium-firm mattress appears to provide the best combination of comfort and support compared to mattresses that are too soft or too hard, he said.

Dr. Lavoie and industry experts define proper “support” as when your mattress keeps your spine aligned, and in a neutral position, minimizing any curves, as if you were standing up with good posture. The trick is that sweet spot is different for everyone.

Rogers sums the matter up simply: “When a mattress supports you, you feel a lot better in the morning.”

I sure hope she’s right. Then she shared the following mattress trends based on a consumer survey sponsored by the ISPA:

  • How often? Consumers’ expectations for how long they expected to keep their mattress fell to under 10 years for the first time in two decades. Those who participated in the 2016 survey said they planned to get a new mattress every 9.4 years on average.
  • How come? The leading reasons for buying a new mattress were current mattress wasn’t providing a good night’s sleep, waking up with a sore back, mattress was too soft or too hard, and mattress deterioration. (I checked all the above.)
  • How much? Mattress shoppers expected to pay on average $1,110 for a queen sleep set (mattress and box springs). However, they actually paid around $930, according to the survey. In 2018, 73 percent paid less than $1,000 for their queen sets.
  • Where? Most consumers (92%) insist on seeing and testing a mattress in a store before buying it; however, more than a quarter of respondents, particularly younger ones, would consider buying a mattress online.
  • How big? Queen-size bed sets are by far the most popular in America. Of the bed sets manufacturers shipped, 41 percent were queen. Shipments of king and twin were around 20 percent each, full was 15 percent.
  • What’s inside? Innerspring mattresses are most popular, but two of five customers choose foam or a hybrid. One third of customers want a pillowtop, a mattress plus a comfort layer.
  • How firm? Most buyers want a “medium-firm” mattress. That said, no industry standard exists for measuring firmness. It’s subjective.
  • What’s new? Adjustable bed bases, where consumers can make the feet or head of the bed go up or down are the fastest growing mattress trend. These bases require mattresses designed to accommodate them. Hybrid mattresses, which blend foam, innerspring, and gel materials are also in greater demand.

CAPTION: It’s what’s inside that counts — No matter how pretty your bedroom is, the part you can’t see – your mattress – has a bigger impact on your sleep quality than anything else in the room. If the mattress isn’t working for you, you’ve missed the point. Photo courtesy of GoodBed.com (https://www.goodbed.com)