Back Pain: Why Your Mattress Matters - Orthopedics

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Lumbar pain?


Hello doctor, when I sleep on a spring mattress, I experience pain in the area below my thoracic spine and above my lumbar spine.
I feel pain when I stretch my body, but after a few hours, the pain disappears.
However, if I sleep on a wooden bed, I do not experience any pain.
What could be the reason for this?

kimm, 20~29 year old female. Ask Date: 2009/01/20

Dr. Wang Shouji reply Orthopedics


Based on your symptoms, it appears to be a soft tissue issue, which tends to improve after getting out of bed.
The problem should not be significant.
I recommend switching to a mattress with better support, which should help improve your condition.
Wishing you a speedy recovery.

Reply Date: 2009/01/20

More Info


Back pain is a common issue that many people experience, and it can often be linked to the type of mattress you are using. In your case, the discomfort you feel when sleeping on a spring mattress, particularly in the thoracic and lumbar regions, may be due to several factors related to mattress support and your body’s alignment during sleep.

Firstly, a spring mattress can vary significantly in terms of firmness and support. If the mattress is too soft, it may not provide adequate support for your spine, leading to improper alignment. When you lie down, your body should maintain a neutral spine position, where the natural curves of your spine are preserved. If the mattress sinks too much under your weight, it can cause your spine to curve unnaturally, resulting in pain in the lower back and upper back areas. This misalignment can lead to muscle strain and discomfort, especially when you try to stretch or move after a period of rest.

On the other hand, a wooden board bed typically offers a firmer surface that can provide better support for your spine. This firmness can help maintain proper alignment, reducing the risk of pain. The lack of give in a wooden bed means that your body is less likely to sink into the mattress, allowing for a more stable sleeping position. This could explain why you do not experience pain when sleeping on a wooden board bed.

Another factor to consider is the quality of the mattress. Older or worn-out mattresses can lose their supportive qualities over time, leading to increased discomfort. If your spring mattress is old, it may be sagging in certain areas, which can exacerbate pain. In contrast, a newer or well-maintained wooden bed may provide a more consistent level of support.

Additionally, your sleeping position plays a crucial role in how your back feels upon waking. If you tend to sleep on your stomach or in a position that puts additional strain on your back, this could contribute to your discomfort. It’s essential to find a sleeping position that promotes spinal alignment. Side sleeping with a pillow between your knees or back sleeping with a supportive pillow can help alleviate pressure on your spine.

Lastly, the duration of your pain also matters. You mentioned that the pain subsides after a few hours. This could indicate that your muscles are adjusting to the position or that the pain is related to muscle tension rather than structural issues. Stretching and moving around can help relieve muscle tension, which is why you may feel better after some time.

In conclusion, the type of mattress you sleep on significantly impacts your back health. If you continue to experience discomfort, it may be worth considering a mattress that offers better support, such as a medium-firm or firm mattress designed for spinal alignment. Additionally, consulting with a healthcare professional or a physical therapist can provide personalized recommendations based on your specific situation. They can help assess your posture, sleeping habits, and any underlying issues contributing to your back pain.

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