Best mattress for osteoporosis in 2023

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Written by: Alex Savy
Read 22 minLast updated on March 7, 2023
Medically Reviewed icon Medically reviewed by: Po-Chang Hsu, M.D.

Osteoporosis is a condition that causes a weakness in your bones, which can lead to collapsed or fractured vertebrae or joints. It can be challenging to sleep well with the subsequent back and joint pain that may result, making most mattresses uncomfortable and leading to restless nights.

That is why I’ve put together a list of my top four best mattresses for osteoporosis, and some helpful tips on choosing the right mattress to maximize your nights of comfort.

Let’s dig in.


Nectar Premier Mattress
Editor’s Choice

Nectar Premier Mattress
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Zoma Mattress
Best Budget Option

Zoma Mattress
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Puffy Mattress
Best Memory Foam

Puffy Mattress
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Best Hybrid Mattress

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Our Reviews of 4 Best Mattresses for Osteoporosis

Editor’s Choice — Nectar Premier Mattress 

Nectar Premier Mattress

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  • Breathable cover, gel memory foam, and ActiveCool HD layer help keep even the hottest sleeper cool.
  • Dynamic Response foam layer helps keep the spine aligned, releasing muscle tension.
  • Gel memory foam is slow-adaptive, conforming to your curves and providing deep-penetrating pressure relief.

The Nectar Premier Mattress is my Editor’s Choice for the best mattress for osteoporosis due to its cooling technology, cushioning layers, competitive price, and responsiveness to help with spinal alignment,. The Nectar Premier uses a mix of three cooling technologies, such as its breathable cover, gel memory foam, and ActiveCool HD layer. The ActiveCool HD layer, in particular, is made of Phase Change Material, which can absorb a more significant amount of heat, keeping you cool even if you’re a hot sleeper. The gel memory foam layer has an added benefit that I think is helpful for osteoporosis, as it provides deep-penetrating pressure relief, which can cushion sore joints and help alleviate pain. Nectar is also fairly priced, being $362 cheaper than Puffy, while still offering all the qualities of a luxury mattress.

In addition, I also think the way Nectar approaches a supportive mattress should be mentioned. The Dynamic Response foam layer, sitting on top of a foam core, provides a responsive, bouncy layer to push back against weight, improving spinal alignment and releasing muscle tension.

Best Budget Option — Zoma Mattress

Zoma Mattress

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  • The excellent price point makes this mattress accessible for a guest room or secondary bed if you or your guest have osteoporosis.
  • The removable cover can be washed, which helps keep the mattress and your bedroom fresh.
  • The Reactiv™ layer isolates motion moderately well, helping keep you from being disturbed by a partner.

The Zoma is my best budget mattress for osteoporosis as it has a competitive price point, a removable cover, and isolates motion quite well. The Zoma is priced $400 cheaper than the Nectar Premier, $700 cheaper than the Puffy, $500 cheaper than the Cocoon Chill Hybrid, and $900 cheaper than the Winkbed, but its 4 inches of comfort layers feel similar to the Puffy, giving you that adaptive body cradling that may help ease the symptoms of osteoporosis.

The Zoma’s Reactiv™ layer also does an excellent job of isolating motion, which can help you from feeling jostled by a restless partner, which may trigger osteoporosis symptoms. Based on my review, the Zoma’s top layers bounce back from compressions after 0.8 seconds, faster than the Puffy by 0.9 seconds. That means Puffy may feel more slow-adaptive, but you save $700 between the models, and Zoma’s 0.8 seconds is still reasonable for isolating most motion.

The removable cover is also a feature worth mentioning, as I find this gives peace of mind in case of accidental spills, as a simple wash can make your bed more fresh and comfortable.

What I Don’t Like About This Mattress

One thing I don’t like about this mattress is that, due to its all-foam core, it may not have enough integrity to support a heavier sleeper over 230 pounds properly.

Read our full Zoma mattress review for more information.

Zoma Mattress Layers
Zoma Mattress On a Bed Frame

Best Memory Foam Mattress for Osteoporosis — Puffy Mattress 

Puffy Mattress


  • Excellent motion isolation, which is much better than Nectar and Saatva.
  • Cooling Cloud Foam layer provides slow-adaptive, sinking conformity that can cradle side sleepers.
  • Memory foam layers excel at muffling motion, making this a good option for partnered sleep.

The Puffy Mattress is my best memory foam mattress for osteoporosis due to its Cooling Cloud Foam layer, motion isolation, and removable cover. I’ve tested Puffy, and can confirm its top layers, such as the Cooling Cloud Foam layer, provide excellent, body-hugging pressure relief. While lying on my side, I could feel my shoulders and hips gently cradled in cushioning memory foam. The motion isolation feature of this bed is also quite effective, as when I tested this, I noticed motion didn’t travel much from one side of the bed to the other. That means if you have osteoporosis and feel pain from every bump your partner makes, this mattress may be able to help reduce that.

Another feature I think is worth mentioning is Puffy’s removable cover. It’s made of polyester and lycra but is thin enough to be breathable. Unlike Cocoon, which doesn’t specify if its cover is resistant to the elements, Puffy’s is. Not only is it resistant, but the cover can be easily washed by removing it at the zippers, helping keep your mattress fresh without hassle.

Read our full Puffy mattress review for more information.

puffy mattress firmness
Puffy Mattress On Bed Frame

Best Hybrid Mattress for Osteoporosis — WinkBed


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  • Tencel® cover is naturally derived and cool-to-the-touch. 
  • Zoned coils provide targeted support in areas with heavier weight, ensuring the hips and spine are lifted and straight.
  • Reinforced coils around the perimeter give this mattress proper edge support, making getting in and out of bed easier.

The WinkBed is my best hybrid mattress for osteoporosis for its zoned support system, Tencel® cover, and edge support. I’ve had the opportunity to test WinkBed’s Luxury Firm in person and found it provides a good balance between conformity and support, which is good news if you have osteoporosis. I was most comfortable on my back, where the mattress let my hips and thighs sink into the layers a bit for extra pressure relief. On my side, I found I was still comfortable with moderate cradling; however, it wasn’t as cradling as, say, the Puffy. WinkBed accomplishes this ‘on top of the bed’ feel with zoned support coils, where each coil has a different strength, meaning your hips will be supported more than, say, your lower legs. In addition, I noticed the mattress had great edge support, even giving me a little boost from sitting to a standing position while on the edge. This can help if you struggle with moving in and out of bed unassisted.

Another point I reviewed regarding WinkBed is its Tencel® cover, derived from Eucalyptus, which I noticed made the cover feel silky smooth, and even slightly cool. Besides being breathable, I felt the cover would do an excellent job of wicking away excess heat, keeping you cooler at night.

Read our full Winkbed mattress review for more information.
Winkbed Mattress On a Bed Frame

Our methodology - Why I Picked These Mattresses

The best mattresses for osteoporosis tend to have extra cushioning and body hug to re-distribute weight, and a strong core to support the body evenly. Pain in the back may be alleviated when the spine is in proper alignment, so features that promote a healthy lumbar are also considered.

While reviewing mattresses, I checked the material first and foremost, looking at individual layers and giving them a feel and firmness test. Then I lied on the mattress in different sleeping positions, such as my back and side, confirming whether or not the mattress could re-distribute my weight, and how comfortable I felt. I also checked for sinkage levels by measuring compressions my body would make, as this contributes to the overall comfort feel. Motion isolation was also tested using a glass of water and different levels of compression tests, measuring if the glass would move. This would indicate if the mattress was a good fit for partnered sleep. My combined in-house reviews, plus my knowledge in the mattress niche, helped me choose the best mattresses for osteoporosis, and I share more ways to choose the right one below so you can have the right mattress in your home.

How to Choose the Best Mattress for Osteoporosis?

To choose the best mattress for osteoporosis, it’s important to remember that:

  • What mattresses are made of plays a significant role in how comfortable and supportive they are, as these two factors can make or break a mattress suited for osteoporosis. 
  • Price should also be considered, as this can affect how much lumbar technology, or features, a mattress can offer.
  • Motion isolation and pressure relief can affect how well a mattress soothes sore spots and muffles disturbances that can jostle and aggravate pain.
  • Firmness also plays a role, as something too soft can cause the spine to bend out of alignment and aggravate the pain.

For the most part, studies have shown that mattresses with zoned support are some of the best for helping reduce pain while sleeping (1). In addition, further studies have proven that a mattress leaning closer to a higher firmness, such as medium-to-firm, may also help reduce pain (2).

What Type of Mattress is Best for Osteoporosis?

The best type of mattresses for osteoporosis is actually somewhat similar to mattresses for someone over 300 pounds, as both require extra support to ensure the spine is as neutral as possible. This is done with lumbar technology, with the mattress using extra padding or stronger coils where the lumber of your back is, ensuring your spine stays in alignment. Lumbar technology helps decrease pressure in sensitive areas of the body, promoting a healthier spine (3).

Another useful feature, similar to mattresses for arthritis and beds for a restless partner, is how motion-isolating it is. Isolating motion can help reduce the jostling and bumps that can happen during the night from an active partner, which, if not muffled, could cause excessive movement, triggering osteopathic and arthritic pain responses. Isolating motion can also lead to deeper and longer sleep, and longer sleep is known to lead to less bone density loss (4).

Slow-adaptive conformity is also a feature to look out for, usually accomplished with thick layers of memory foam. It's just as effective in mattresses for osteoporosis as they are in mattresses for SI joint pain, as both require a high level of cushioning to re-distribute weight, relieve pressure, and ease tension.

Do Mattresses that Work for Osteoporosis Also Work for Other Health Conditions?

The best mattresses for osteoporosis also work for many other conditions, such as mattresses for spondylolisthesis, mattresses for degenerative disc disease, and beds for herniated discs, as all four have one thing in common: lower back pain. So, as long as the mattress is between medium to firm, has lumbar or zoned technology for ergonomic support, and slow-adaptive material for overall pressure relief, it may help reduce pain caused by these conditions.

What Should Osteoporosis Patients Avoid?

Osteoporosis patients should avoid mattresses that are too firm, as there won’t be enough give in the mattress to evenly support you, which can cause the hips and shoulders to feel uncomfortable. 

On the other hand, choosing a mattress that is too soft can cause the hips to sink too far into the layers, causing the spine to bend out of alignment, and increasing overall pain.

Keeping both of these points in mind is imperative, as investing in the right mattress firmness may help decrease lower back pain, which is directly linked to how well you can sleep (5).


Is a firm or soft mattress better for osteoporosis?

For osteoporosis, a medium to firm mattress is ideal, as this lets your body sink into the layers while still being supported, leading to overall better spinal alignment and pressure relief.

Are memory foam mattresses good for osteoarthritis?

Memory foam mattresses are typically a good fit for osteoarthritis, providing slow-adapting layers that conform and hug sore joints, relieving pressure. This, in turn, may reduce pain.


When choosing a top-rated mattress for osteoporosis, it’s essential to look for a good mix of spinal support, which comes in the form of zoned coils or lumbar technology, and body-hugging pressure relief, which typically looks like layers of memory foam or latex.

In my opinion, my top-rated mattress for osteoporosis is the Nectar Premier, as it has a three-fold cooling technology system, gel memory foam to cushion sore spots, and a Dynamic Response transition layer that helps improve overall support, keeping your spine in healthy alignment.


Additional Resources:

  1. BCM Sleep Science and Practice (May 2022.) Effects of mattress support on sleeping position and low-back pain. Retrieved from: 
  2. NIH National Library of Medicine (December 2021.) What type of mattress should be chosen to avoid back pain and improve sleep quality? Review of the literature. Retrieved from: 
  3. NIH National Library of Medicine (June 2005.) Biomechanical effects of a lumbar support in a mattress. Retrieved from: 
  4. Nature: Scientific Reports (April 2021.) A cross-sectional analysis of the association between sleep duration and osteoporosis risk in adults using 2005–2010 NHANES. Retrieved from: 
  5. PLOS ONE (April 2014.) Assessing Sleep Disturbance in Low Back Pain: The Validity of Portable Instruments. Retrieved from: 

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