Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Oct 28, 2010 10:43 AM
Joined: Oct 28, 2010
Points: 8
Hi,

First, thanks for this forum - it's a great resource.  I only wish I'd discovered it a few weeks ago!

At any rate, I recently purchased a new Simmons beautyrest firm, non-pillowtop mattress (yes, I'm aware of the concerns about Simmons, but apparently the firm mattresses use a heavier gauge wire in the coils less prone to sagging).  The mattress is uncomfortably firm, and I believe it is seriously exacerbating my previously-mild lower back pain.   I read in the very helpful newbie thread that one should always get the firmest mattress possible and then add toppers as needed, but my concern is that a too-firm mattress isn't allowing my hips and shoulders (I'm a side sleeper) to sink sufficiently to keep my spine aligned (and there appears to be some support [no pun intended!] for this hypothesis: http://www.webmd.com/back-pain/news/20031113/best-mattress-for-lower-back-pain).  I did try a 3 inch memory foam topper (fairly dense) and it seemed to help but could only tolerate one night due to it being way too hot. 

I am thus considering availing myself of Sleepy's exchange policy to get a less firm mattress (probably sleep to live, which I know gets quite a few negative reviews, or a plus simmons, which will be more prone to sagging than the firm one I currently have).  The other option is to try other toppers.  I have a few questions:

- I understand that toppers can alleviate pressure points in a firm mattress, but will toppers also allow enough sinking to ensure proper spinal alignment?  Might a plush mattress be better, not for comfort but for alignment?

- I've seen "cool" MF topper advertised - does anyone have actual experience with MF toppers that slept cool?

- Would a latex topper be a better choice?  I know it wouldn't have the head issue , but would it allow enough sinking to ensure proper alignment?  Any other topper recommendations?

Any other thoughts or suggestions would be greatly appreciated. 

Thanks!
This message was modified Oct 28, 2010 by adamjs
Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #1 Oct 28, 2010 1:54 PM
Location: NE Ohio / NW Pennsylvania
Joined: Aug 26, 2010
Points: 62
Many people on here seemed to be helped by about 2" of latex, from what I have read.

I haven't owned a Simmons.  My parents have one in their guest room.  It's firm or ultra firm with little foam, and I know that it softened up lots from when it was new.   My parents Simmons also sags in the middle now, even with extra supports under it.

I've read lots of complaints that the Simmons goes too soft within 2-3 months.   Maybe yours still hasn't broken in.  I've read lots of complaints that the Simmons goes "too soft" within 2-3 months, compared to how it was new.

I have an Imperial Bedding Orthopedic Ultra Firm model #49 Bonnell innerspring mattress and spring foundation set.  Now, that set is rock hard firm in full size, and it also has little padding.  It's more firm than the currnet Simmons 800 or 850 coil (queen) ultra firm, even.   I put a 2" foam topper on that Imperial, and that relieves all pressure points for me, even if I sleep on my side.  My topper is old, like boufght 5-6b yearsago and never used, but it looks like what's called mamory foam now.

Personally, I plan to steer clear of all single sided mattresses and I will buy a traditional two sided by either Imperial (their #640)  or Original Mattress Factory  (Ortho Ultra Firm) and then stick my topper on it.

Sorry, I know that wasn't much help.

This message was modified Oct 28, 2010 by TC2334
Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #2 Oct 28, 2010 2:32 PM
Joined: Oct 15, 2009
Points: 966
I think you are better adding toppers than going to a plush.  Most likely, the plush will add cheap foam on top that will sag within a few months.  It can also be hot as well.  Yes, adding the topper can allow enough sinking in for spinal alignment.

I would not call any memory foam cool, but some do breathe better than others.  The downside, in my opinion, is that you tend to get less support with more breathability.  So, I would try to limit to 1" on the cooler ones (mem-cool on overstock for example)  .  2" might work in the regular types of memory foam (Serta on overstock is pretty popular and cheap, but I have never tried).  Sensus is higher density (5lb), less breathable, and firmer and more supportive. 

I would not buy less than 4 lb. density. 

Latex is about equivaltent to or better than the cooler memory foams in terms of breathability, with better suppport options.  It is not as plush and body conforming (again my opinion) as a good memory foam, so that is a minor downside.  More expensive as well.  The softest is 14ILD from sleeplikeabear.  Beyond that you can get 19, 24.   I would not suggest firmer than that for most people.

Since you did not like the heat of the 3", but seemed comfortable, then soft latex might be the best option.

It also make a considerable difference if you use some wool (topper or mattress pad) over the foam.  That will be true with latex as well as memory foam.  All foams heat up, so you need something to absorb the body humidity.  That can make it feel a bit firmer though.   

What  did you put over the 3" memory foam?  What is your height and weight?

If you can return the whole thing, I would consider going with an all latex mattress.  It would probably last longer and could be customized to the right firmness.

Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #3 Oct 28, 2010 5:42 PM
Joined: Oct 28, 2010
Points: 8
Thank you Sandman, this is extremely helpful!  To answer your questions:

I unfortunately can't return the whole thing so I'm stuck with either exchange for plusher mattress (I'd probably exchange for the plush version of my current mattress, which has no additional padding but lower guage wires, hence more conformability but probably lower durability) or add toppers.

I'm 6'2" and 165 lbs (male, if that matters).  The 3" MF topper I used had fairly thick terry cover, and then I had a cotton sheet over that.  I do have a mattress pad (not wool, I assume it's synthetic) with 16 oz of fill (not sure how fill density is measured exactly) but I did NOT use the pad over the MF topper.  Maybe I could try it over the topper tonight and see how that works in terms of heat dissipation.  I will say I found the MF topper quite comforable, but way too hot - I tend to sleep hot even without a topper.  I'd ruled out all MF based on that experience, but from what you're saying, the mem cool may be significantly cooler.  I'm wondering if I'd need more than an inch though to really allow for proper alignment? 

Thanks again, and please let me know if you have any further input or insights!
Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #4 Oct 28, 2010 6:15 PM
Joined: Oct 15, 2009
Points: 966
adamjs wrote:

Thank you Sandman, this is extremely helpful!  To answer your questions:

I unfortunately can't return the whole thing so I'm stuck with either exchange for plusher mattress (I'd probably exchange for the plush version of my current mattress, which has no additional padding but lower guage wires, hence more conformability but probably lower durability) or add toppers.

I'm 6'2" and 165 lbs (male, if that matters).  The 3" MF topper I used had fairly thick terry cover, and then I had a cotton sheet over that.  I do have a mattress pad (not wool, I assume it's synthetic) with 16 oz of fill (not sure how fill density is measured exactly) but I did NOT use the pad over the MF topper.  Maybe I could try it over the topper tonight and see how that works in terms of heat dissipation.  I will say I found the MF topper quite comforable, but way too hot - I tend to sleep hot even without a topper.  I'd ruled out all MF based on that experience, but from what you're saying, the mem cool may be significantly cooler.  I'm wondering if I'd need more than an inch though to really allow for proper alignment? 

Thanks again, and please let me know if you have any further input or insights!

Yes, I would definitely try again with the mattress pad over.  Any breathable barrier will help.  Ideally it will be able to absorb moisture as well (wool good, cotton okay, polyester not as good).   I use a wool topper + a wool filled mattress pad.  You may want to stick with your topper and add breathable layers on top for heat issues. 

Do you know any details about the topper.  Brand?  Density?

I doubt 1" will solve your problem, but if you go with too soft you may have a problem with not getting enough support in your hip  area.  That happened to me with even better (5lb Aerus) 2.5" foam than the mem-cool.  I don't know if I would say that the mem-cool will be significantly cooler (all foams heat up to a certain extent), but I have noticed a difference between that and the Sensus memory foam.  Unfortunately the more breathable memory foams dont' support as well (in my experience).  I suspect that you have one that is better for support but not breathable.

You are light enough that you might be able to get away with 2".  Ideally you could get 1" and fold it in half to see if 2" would work.  On a full size that can be a bit difficult to do. Then you could buy another inch. 

I think you should be considering atleast 1" of latex, and possibly 2-3"   There is nothing wrong witt layering 1" pieces as far as I can tell.  They don't slide around vs. each other.  Maybe a slight differnence in feel from one thicker piece.

So, maybe you would end up with something like 1" of mem-cool over 2" of latex (14-24 ILD depending on how firm you like).

The only way to solve is trial and error.  Make the best judgements possible, but no one really knows what works for them until they try it.  Try to buy returnable stuff if possible.

 

 



 

Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #5 Oct 29, 2010 11:26 AM
Joined: Oct 28, 2010
Points: 8
Once again Sandman, thanks for your generous help.  I tried the 3" MF topper last night underneath the mattress pad AND underneath a cheap convoluted foam egg crate.  The heat was barely noticeable in this configuration, and it was relatively comfortable!  Despite the intermediate layers, the MF still seemed to conform to my body quite well.  I'm not sure how supportive it was; I still woke with back pain but that could be residual from previous nights. I'd say using the MF topper boosted my mattress comfort from a 3 on a 1-10 scale to a 5 or 6.  Incidentally I'd already been using the mattress pad and egg crate, so the improvement was definitely due to the MF topper. In sum, it made the mattress tolerable, but of course I'd like to make it truly comfortable!

The topper is the Therapedic Grand 3" Luxury Quilted Memory Foam Mattress Topper (http://www.bedbathandbeyond.com/product.asp?SKU=121630&RN=0).  I can not find a density. The mattress pad has a cotton cover  but I think the fill is polyester (16 oz). Incidentally both the MF topper and the pad are returnable, so I'd like to start over and try your 1" MF over 2" latex suggestion.  Do you have any particular suggestions as to what specific items to buy and where to buy them?  

Here's  what I've found for latex:

- Sleeplikeabear seems a popular option - is there anything out there that's cheaper and/or pays return shipping?   If I do go this route, there seem to be mixed feelings as to whether the Celsion is actually cooler - any thoughts?
- Absolutecomfortonsale is slightly cheaper, but can't find as much about them here
- Foambymail is a lot cheaper than the above but charges a restocking fee
- Overstock is much cheaper but doesn't allow returns, plus density and type aren't specified

Ideally I'd like to spend as little as possible, but I'd rather spend a bit more and be truly comfortable, so please let me know what you think the best option would be.

For the MF, I think I may just go for the overstock 1" mem-cool.  I can't return it but it's also relatively cheap.  Any other recommendations for the MF topper?

Also I'm still feeling mildly conflicted as to whether I should just exchange my mattress for a plusher one - I would likely exchange for one with no more padding but "softer" springs.  The two beds I'm thinking of (the plush version of my current Simmons, which has identical padding but I believe 15 gauge instead of 13 gauge coils, or the green Sleep to Live) both allow a degree of comfortable "sinkage" in the hip and shoulder area that it seems like it would be difficult to replicate with just a few inches of latex/MF.  I know you sort of already answered this, I guess I'm just looking for a bit more reassurance :). Especially since it looks like the amount I'll be spending for toppers would equal or exceed the exchange and upgrade fees for a new, plusher mattress.  

Once again Sandman, I'm really grateful for your help.  This whole bed thing has become a major source of physical and emotional discomfort, so your expert guidance is extremely appreciated.
Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #6 Oct 29, 2010 12:18 PM
Joined: Oct 15, 2009
Points: 966
You are welcome.  Happy to try to help. 

 

So, you have more back pain without the memory foam than with it?   Does it feel too firm with the memory foam or do you feel like your hips are sinking in too much?   You may want to try with just the memory foam and the mattress pad (no eggcrate) to see what that is like.  I would not go with more than 3" of the memory foam you have.  I am probably going to return the 2.5" of memory foam I have because it is too soft for my weight.  In part if may be due to the way the foam is made.  I am pretty sure I would not have a problem with 2.5" of Tempur-pedic foam.

So, I don't think I would buy anymore memory foam unless you plan to ditch the 3" you have.  I would buy latex before any more memory foam.

Sleeplikeabear has by far the best selection I have found for talalalay.  Almost every firmness and thickness made by Latex International (best quality in talalay).  They do cost a bit more, but they they also have a 30 return policy (you will lose some on shipping and handling).  Foambymail is not the same quality, and their soft if probably firmer than the 20 ILD they indicate.  Maybe because it is really dunlop latex. 

Rockymountain mattress has some good prices on dunlop toppers.  The softest of the 2 they sell might work.  I don't think they take returns on toppers.  Absolute comfort looks similiar to rockymountain, but more expensive.  Don't know their return policy.  Overstock has varying quality of their latex.  I think you won't know what your are getting until it arrives.

So, SLAB is the best if you want to know what you are getting in a talalay.  Rockymountain probably the best price for a quality dunlop.  Overstock is okay if you want cheap and on the firmer side (based on reviews it might be like a 25ILD).  That might be okay as something to add some softeness and support under your 3" of memory foam.  It probably would be too firm to replace the memory foam, based on what it seems like you are looking for.

Softer coils might help.  13 to 15 might be a big jump though.  Then there is some risk of it softening over time.  I would prefer you having softer coils than buying a plush version that just adds a bunch of cheap foam.  That definitely will not work over the long term.  The risk is that if it ends up too soft there is almost not way to fix it.  You might be able to add a firmer latex topper, but even that will sag into a too soft area.

So, you really have to decide which coils you are going to go with and then whether or not you think you want to keep using the 3" of memory foam.  That will then help decide where to go from here.

Have you tried the one with softer coils?  Does it seem to soft or too firm as a starting point?  Do you know how much foam is above the coils?
 

This message was modified Oct 29, 2010 by sandman
Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #7 Oct 29, 2010 1:45 PM
Joined: Oct 28, 2010
Points: 8
It's hard to say after just one night, but I do seem to have less back pain with the MF, and it's certainly more comfortable.  It doesn't feel too firm but I wouldn't mind it being a bit softer.  It doesn't feel like I'm sinking in too much.  However to be clear I am planning on returning the 3" MF I have and instead try the  1" mem-cool over 1-2" latex as suggested.  I think I'll go with sleeplikeabear for the latex.

I have tried the bed with softer coils, and it's definitely more comfortable - my hips sink in nicely.  On the other hand it will cost me about $350 to exchange, which is not much less than 2" latex and 1" mem-cool, so if the latex/mem-cool is as comfortable, I think that would be better because the lower-guage wire is more likely to sag, plus the degree of sinkage with the soft coils that feels good in the store could prove to be too much over the course of an entire night. 

I still have another week to decide on the mattress exchange, so I think my working plan will be to order the mem-cool and latex and try that first.  While waiting for that to arrive, I'll continue to use the 3" MF topper.  I'll try it without the egg crate tonight.  The egg crate doesn't provide much cushioning, I was using it more to provide extra heat insulation.

Oh and one other question: the polyester fill pad I have is returnable, so I'm thinking of a wool pad.  But from your other posts, it doesn't seem like you found the wool to make much difference.  If I do get a wool pad, it seems like this is the way to go in terms of cost and availability: http://www.costco.com/Browse/Productgroup.aspx?Prodid=11535460&whse=BC&Ne=4000000&eCat=BC|90608|28683|492&N=4047337&Mo=28&pos=2&No=16&Nr=P_CatalogName:BC&cat=492&Ns=P_Price|1||P_SignDesc1&lang=en-US&Sp=C&ec=BC-EC14142-Cat28683&topnav=

Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #8 Oct 29, 2010 2:21 PM
Joined: Oct 15, 2009
Points: 966
adamjs wrote:

 

 

It's hard to say after just one night, but I do seem to have less back pain with the MF, and it's certainly more comfortable.  It doesn't feel too firm but I wouldn't mind it being a bit softer.  It doesn't feel like I'm sinking in too much.  However to be clear I am planning on returning the 3" MF I have and instead try the  1" mem-cool over 1-2" latex as suggested.  I think I'll go with sleeplikeabear for the latex.

 

I have tried the bed with softer coils, and it's definitely more comfortable - my hips sink in nicely.  On the other hand it will cost me about $350 to exchange, which is not much less than 2" latex and 1" mem-cool, so if the latex/mem-cool is as comfortable, I think that would be better because the lower-guage wire is more likely to sag, plus the degree of sinkage with the soft coils that feels good in the store could prove to be too much over the course of an entire night. 

I still have another week to decide on the mattress exchange, so I think my working plan will be to order the mem-cool and latex and try that first.  While waiting for that to arrive, I'll continue to use the 3" MF topper.  I'll try it without the egg crate tonight.  The egg crate doesn't provide much cushioning, I was using it more to provide extra heat insulation.

Oh and one other question: the polyester fill pad I have is returnable, so I'm thinking of a wool pad.  But from your other posts, it doesn't seem like you found the wool to make much difference.  If I do get a wool pad, it seems like this is the way to go in terms of cost and availability: http://www.costco.com/Browse/Productgroup.aspx?Prodid=11535460&whse=BC&Ne=4000000&eCat=BC|90608|28683|492&N=4047337&Mo=28&pos=2&No=16&Nr=P_CatalogName:BC&cat=492&Ns=P_Price|1||P_SignDesc1&lang=en-US&Sp=C&ec=BC-EC14142-Cat28683&topnav=


I think wool can make a difference.  I would prefer wool instead of polyester fill for sure.  The Costco one is a good value.  My only concern is whether the waterproof membrane makes it sleep any hotter.  I don't think much of a difference.  At least you can return to Costco if you don't like it.

I think the mem-cool + latex should breath better than what you have.  That plus some wool on top might make it so that it does not get too hot.  I think you will still find it warm (which is good), but hopefully not hot.

What firmness latex are you thinking?  I would think either 14 or 19ILD since you seem to like it pretty soft.  14 would be the closest to memory foam, if that is what you are looking for.  19 has a bit more firmness and push back.  You could always do 1" of each to have more flexibility.

Sometimes it is good to have something intermediate firmness between a firm surface and a soft topper.  So, that would favor the 19, but you might need 1 more inch of something else eventually to make it soft enough.  Even 1" of 24 on the bottom might be good, but of course it is all expensive.

I doubt you will get the latex within a week.  You would have to call and check on availability.

What would be nice would be to try the wool mattress pad with the 3" memory foam and see if that is too hot.  If not too hot and still too firm, maybe you could add just 1" of latex to see if that solves the problem.

Which of the Sleepy's mattresses do you have?  Is there one with 14 gauge similiar to yours?
 

This message was modified Oct 29, 2010 by sandman
Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #9 Oct 31, 2010 5:56 PM
Joined: Oct 28, 2010
Points: 8
sandman wrote:

 

 


I think wool can make a difference.  I would prefer wool instead of polyester fill for sure.  The Costco one is a good value.  My only concern is whether the waterproof membrane makes it sleep any hotter.  I don't think much of a difference.  At least you can return to Costco if you don't like it.

I think the mem-cool + latex should breath better than what you have.  That plus some wool on top might make it so that it does not get too hot.  I think you will still find it warm (which is good), but hopefully not hot.

What firmness latex are you thinking?  I would think either 14 or 19ILD since you seem to like it pretty soft.  14 would be the closest to memory foam, if that is what you are looking for.  19 has a bit more firmness and push back.  You could always do 1" of each to have more flexibility.

Sometimes it is good to have something intermediate firmness between a firm surface and a soft topper.  So, that would favor the 19, but you might need 1 more inch of something else eventually to make it soft enough.  Even 1" of 24 on the bottom might be good, but of course it is all expensive.

I doubt you will get the latex within a week.  You would have to call and check on availability.

What would be nice would be to try the wool mattress pad with the 3" memory foam and see if that is too hot.  If not too hot and still too firm, maybe you could add just 1" of latex to see if that solves the problem.

Which of the Sleepy's mattresses do you have?  Is there one with 14 gauge similiar to yours?
 


I have this mattress.  It looks like the wire guage is actually 14 and 3/4, not 13 as I thought, which makes me think that going plusher would be a bad idea.  Also I'm thinking that given the thinner wire, it may be more likely to break in a bit. 

Also, I've now slept for three nights with the 3" MF topper under the egg crate and the polyester 16 oz fill mattress pad, and I'm finding it quite comfortable.  Even with the MF under the other layers, it still gets quite warm, but the temperature is just barely tolerable.  So I'm now thinking that instead of the 1" mem-cool over 2" latex, I may just try 2 or 3" mem cool - this will be about half the price of the latex/mem-cool combo.  Then if that's too hot, maybe I'd get an additional 1" latex to layer on top of the mem-cool, not so much for added comfort but more to have a layer between the hot MF and my body.  Does that seem like a reasonable plan?  And do you think the latex would be an effective temperature buffer?  And finally, do you have thoughts about 2" versus 3" of mem-cool? 

Also, I'm wondering if the natura cover would provide as much temperature control as my current polyester pad.  I understand that wool is better than polyester, but on the other hand the natura has less than half the fill density (7 vs 16 oz). 

Thanks again for all your input, and hope you're having a great weekend!

Re: Too-firm mattress causing back pain - exchange for plush mattress or get toppers?
Reply #10 Oct 31, 2010 6:48 PM
Joined: Oct 15, 2009
Points: 966
Why do you say the Natura has 7oz?  I don't see that, and it doesn't sound right.  Maybe 7 oz. per sqare yard?

I think you are probably better trying things over your memory foam (which you seem to like) than replacing it.  Although, I guess you said you could still return it?

I think you need a wool layer on top, maybe 2.  Like the wool topper or the wool filled mattress pad.

Latex will be more supportive and possibly cooler than the mem-cool, so I don't really like the idea of going with too much mem-cool.  2" at most, and for some people they would find that not supportive enough.  1" is probably better with some latex.  Most likely the mem-cool will not be as supportive as the memory foam you currently have.

As I have said all foams heat up, so you need something breathable over them.