Best Extra Firm Orthopedic Mattresses


Our review process

No more trying to get through confusing articles and infographics to try to decide which extra firm orthopedic mattress you need! By reading this guide, you'll have an excellent understanding of what types of mattresses are available on the market, so you can confidently buy a mattress that will ensure comfortable sleep for years to come.

Looking to feel re-energized and enjoy a restful night's sleep? Consider an extra firm orthopedic mattress. These mattresses are designed with a 39-42 pound indentation load deflection rating and are perfect for back sleepers. They promote circulation and blood flow, allowing you to enjoy deeper sleep. However, they can put painful tension on specific pressure points, including the hips and shoulders. Another drawback is that they can be uncomfortable if you're not used to sleeping on firm surfaces, so it might take a little bit of time to get used to them.

These orthopedic mattresses are an integral part of restful sleep. Orthopedic mattresses support joints and provide pressure point relief. They are specifically created to provide lumbar support. They relieve the symptoms of orthopedic conditions. These mattresses promote better posture.

Our Top Ranking Mattresses
Best Overall Score
An image of Dream Solutions USA CB450Q Extra Firm Pillow Top Queen-Size 490 Innerspring Coils 10-Inch Mattress

For a better night's sleep and ultimate comfort, select a Dream Solutions USA Extra Firm Pillow Top Queen-Size Mattress. Available in a queen-size, this orthopedic mattress provides enough room to spread out and sleep comfortably. It has an extra firm comfort level, which will provide the support needed to keep your body straight. It has a 10-inch thickness, which doesn't provide the best support.

This orthopedic mattress has a pillow top construction, which increases contouring and relieves back pain. It has a knitted cover, keeping its shape for easy care. It is designed to reduce tossing and turning, drastically improving your quality of sleep. This orthopedic mattress has a supportive design, aligning your spine horizontally when sleeping on your side.

    Pros
    • Extra firm mattress conforms to the curves of your spine in order to keep your body straight
    • Supportive design ensures proper spinal support and alignment
    • Helps reduce tossing and turning at night, improving your quality of sleep
    Cons
    • Queen-size doesn't provide ample space for couples
    • Extra firm mattress can put uncomfortable pressure on pressure points
    • 10-inch thickness wears faster than other thicker mattresses
Runner Up
An image of Dream Solutions USA Extra Firm Foam Queen-Size 490 Innerspring Coils 11-Inch Mattress

For a good night's rest and ultimate comfort, opt for a Dream Solutions USA Extra Firm Foam Queen-Size Mattress. Available in a queen-size, this thick mattress provides enough room to stretch out and sleep comfortably. With an 11-inch thickness, it can sustain a lot of weight so it won't lose its shape over time. This orthopedic mattress helps eliminate tossing and turning at night, which improves the quality of your sleep. It has a supportive design, ensuring proper spinal support and alignment. It features an extra firm comfort level, giving stronger support to pressure areas that we tend to strain. Designed with a foam construction, it will requires very little upkeep and can last for long periods of time. This orthopedic mattress features a knitted cover, keeping its shape for easy care.

    Pros
    • Extra firm mattress conforms to the curves of your spine in order to keep your body straight
    • Supportive design ensures proper spinal support and alignment
    • Helps reduce tossing and turning at night, improving your quality of sleep
    Cons
    • Queen-size doesn't provide ample space for couples
    • Extra firm mattress can put uncomfortable pressure on pressure points
    • 11-inch thickness can tend to appear too large in some bed frames
For Side Sleepers
An image of Dream Solutions USA Extra Firm Foam King-Size 490 Innerspring Coils Innerspring Support 11-Inch Mattress

For both comfort and support, choose the Dream Solutions USA Extra Firm Foam King-Size Mattress and enjoy a good night's sleep. This orthopedic mattress is available in a king-size, so you have a lot of room to sleep comfortably. It features an 11-inch thickness, which ensures support for heavier sleepers. It has an extra firm comfort level, providing superior support, excellent for back sleepers.

This orthopedic mattress has a knitted cover, which ensures breathability and easy care. It features a foam construction, requiring very little maintenance and can last for long periods of time. With innerspring support, it has both a flexible and supportive surface. This orthopedic mattress has a supportive design, aligning your spine horizontally when sleeping on your side. Designed to reduce tossing and turning, it will give you the sleeping environment you need for uninterrupted sleep.

    Pros
    • Extra firm mattress conforms to the curves of your spine in order to keep your body straight
    • Supportive design ensures proper spinal support and alignment
    • Helps reduce tossing and turning at night, significantly improving your quality of sleep
    Cons
    • King-size can be difficult to move
    • Extra firm mattress can put uncomfortable pressure on pressure points
    • 11-inch thickness can tend to appear bulky in some bed frames
Additional Picks
An image of Dream Solutions USA Extra Firm Foam Full-Size 490 Innerspring Coils Innerspring Support 11-Inch Mattress

For endless comfort and a restful night's sleep, select the Dream Solutions USA Extra Firm Foam Full-Size Mattress. This orthopedic mattress has a foam construction, which alters to fit your body shape. It has a supportive design, aligning your spine horizontally when sleeping on your side. This thick mattress helps eliminate tossing and turning at night, which significantly increases your quality of sleep.

Available in a full-size, this orthopedic mattress is perfect for accommodating one sleeper. It features an 11-inch thickness, so after long periods of time it won't collapse around the edges. With an extra firm comfort level, it will provide support to your body in any sleeping position. This orthopedic mattress has a knitted cover, which ensures breathability and easy care. Including innerspring support, it has both a flexible and supportive surface.

    Pros
    • Extra firm mattress conforms to the curves of your spine in order to keep your body straight
    • Supportive design ensures proper spinal support and alignment
    • Helps eliminate tossing and turning at night, improving your quality of sleep
    Cons
    • Full-size does not reasonably accommodate couples
    • Extra firm mattress can put uncomfortable pressure on pressure points
    • 11-inch thickness can tend to appear too large in some bed frames
An image of Dream Solutions USA Extra Firm Foam Twin-Size 490 Innerspring Coils 11-Inch Mattress

For a better night's sleep and endless comfort, choose a Dream Solutions USA Extra Firm Foam Twin-Size Mattress. Available in a twin-size, this Dream Solutions USA mattress has a compact design, fitting well in any space. It has an 11-inch thickness, so after long periods of time the mattress won't collapse around the edges. With an extra firm comfort level, it requires bones to absorb the highest amount of pressure so there is minimal stress on muscles.

This orthopedic mattress features a knitted cover, keeping its shape for easy care. It features a soft cover, so you can have twice the added comfort. With a foam construction, this orthopedic mattress reduces pressure points and improves blood flow. With two layers, it provides you with higher pain relief and evenly disperses heat to keep you cool while sleeping. It helps reduce tossing and turning at night, improving your quality of sleep. This orthopedic mattress has a supportive design, aligning your spine horizontally when sleeping on your side.

    Pros
    • Extra firm mattress will adapt to the curves of your spine in order to keep your body straight
    • Supportive design ensures proper spinal support and alignment
    • Helps reduce tossing and turning at night, significantly improving your quality of sleep
    Cons
    • Twin-size does not reasonably accommodate couples
    • Extra firm mattress can put uncomfortable pressure on pressure points
    • 11-inch thickness may tend to appear disproportional in some bed frames
Still Not Sure Which Extra Firm Orthopedic Mattress to Buy? We'll Help You Figure It Out:
The Sizes Available for Extra Firm Orthopedic Mattresses
King-Size Mattresses

If you like having lots of space in your bed, you will want to look at a king-size mattress. These mattresses are perfect for master bedrooms and measure 76" X 80". They are designed to spaciously accommodate couples, offering maximum space for two people. However, they are heavy and large, making them difficult to move and flip. Moreover, these mattresses are not suitable for small areas, taking up a majority of the free space in your room.

Full-Size Mattresses

Trying to find a good full-size mattress? The extra firm orthopedic mattress could be right for you. Full-size mattresses are ideal for couples, providing a snug fit between the two sleepers. They measure 54" X 75" and are suitable for studio apartments. One downside is that they are short in length, so if you're 6'3" or taller, you might want to consider a longer bed. In addition, they have a narrow width, so you will have limited space to move when sharing your bed with someone else.

Queen-Size Mattresses

If you're in search of a queen-size mattress, this extra firm orthopedic mattress might be right for you. These mattresses are suitable for couples, providing some extra space for two people. They are perfect for master bedrooms and measure 60" X 80". However, these mattresses are not suitable for small areas, taking up a majority of the free space in your room. Additionally, they are smaller than king-size mattresses, so if you like having a wider sleeping area, you should think about upgrading to a larger mattress.

The Best Type of Extra Firm Orthopedic Mattress for You
Pillow Top Mattresses

If you want a pillow top mattress, this extra firm orthopedic mattress could be a good choice for you. These pillow top mattresses have a balance of firmness and softness for constant comfort throughout the night. They have an extra layer of padding, which provides the perfect comfort. They feature pressure-point relief, which helps soothe any soreness in your joints. Designed to keep you cool all night long and improve your sleep quality, they are designed to dissipate heat instead of absorb it, so you can stay cool during a night's rest. They feature enhanced motion isolation, so you don't wake your partner with your movements. However, they are expensive, so if you're shopping on a budget, this might not be the best option for you. Moreover, these pillow top mattresses can smell a bit like chemicals at first, so you'll have to air them out for at least 24 hours before adding sheets.

Foam Mattresses

If you're thinking about getting a foam mattress, this extra firm orthopedic mattress might be a good choice. Available in a number of materials, these mattresses come in your preferred choice of foam density. They provide pressure-point relief by supporting the most sensitive areas of the body. They have superior motion isolation, so your movements won't disturb your partner. One downside is that these mattresses aren't waterproof, so you'll want to be extra careful and make sure that they don't come into contact with moisture. In addition, they can smell a bit like chemicals at first, so you'll have to air them out for at least 24 hours before adding sheets.