Best Mattress for Hip Pain
Hip pain from sleeping is almost always a pressure problem. The right mattress lets the hip settle in without sinking past alignment.
Hip pain during sleep is almost always a pressure problem — the mattress pushes back against your hip instead of letting it settle in. For side sleepers, you need a medium to medium-soft mattress that allows your hip to sink without losing spinal alignment. For back sleepers, medium-firm with zoned support prevents your hips from dropping. Top brands for hip pain at Sit 'n Sleep include Tempur-Pedic, Beautyrest, Purple, Helix, and Avocado.
Hip pain during sleep is most often caused by pressure buildup from a mattress that doesn't allow the hip to sink in properly. Side sleepers are the most affected because the hip bears a significant portion of body weight when lying on the side. Hip pain can also affect back sleepers whose mattress allows the hips to drop below the rest of the spine.
"The hip joint is one of the body's primary weight-bearing structures, and during sleep it needs both pressure relief and proper alignment," says Dr. Danielle Wall, MD. "A mattress that pushes back too firmly creates pressure buildup, while one that sinks too deeply pulls the hips out of alignment with the spine."
Hip pain and sleep position are closely connected. Side sleepers need pressure relief at the hip. Back sleepers need support under the hip. The mattress solution is different depending on how you sleep.
Best Mattress for Hip Pain by Sleep Position
| Sleep Position | Recommended | Why |
|---|---|---|
| Side sleepers | Medium-Soft to Medium | Allows your hip to sink in and distribute weight across a wider surface, reducing point pressure |
| Back sleepers | Medium to Medium-Firm | Supports the hips and prevents sinking that creates a downward curve in the lower spine |
| Combination | Medium | Balances pressure relief for side positions with support for back positions |
Best Mattress Types for Hip Pain
Memory Foam
Memory foam contours most closely around the hip joint, distributing weight across the widest possible area and reducing point pressure. The slow response cradles your hip without pushing back. Best for side sleepers with hip pain.
Shop Memory Foam →Hybrid
Hybrids give you pressure relief at the surface with stronger support through the midsection. Zoned coil systems can deliver softer support under the hip and firmer support under the lower back — addressing both pressure and alignment in one mattress.
Shop Hybrid →Latex
Latex gives pressure relief with a more buoyant feel than memory foam. It contours around your hip without the deep sinking sensation. Good for hip pain if you want relief but don't like the feeling of being cradled in memory foam.
Shop Latex →Adjustable Base
An adjustable base lets you find the position that puts the least strain on your hip joint. Slight knee elevation can reduce hip flexion and relieve pressure. Especially helpful for sleepers with arthritis or bursitis in the hip.
Shop Adjustable Bases →Find Relief with BedMATCH
BedMATCH measures your body profile and sleep position to recommend mattresses with the right pressure relief for your hips.
Top Mattress Brands for Hip Pain at Sit 'n Sleep
45 Years of Customer Experience + Medical Review
These recommendations reflect what we've seen work for hip pain customers across our 37+ Southern California stores — based on in-store fit testing, customer feedback, and available brand research. Support and Cooling ratings are editorial assessments, not independent lab scores. Medically reviewed by Dr. Danielle Wall, MD.
Support and Cooling are editorial assessments based on in-store fit testing and available brand and third-party research — not independent lab scores.
| Brand | Best For | Feel | Pressure Relief | Cooling |
|---|---|---|---|---|
| Tempur-Pedic | Deep hip contouring | Medium Soft–Firm | Excellent | Good (Breeze: Excellent) |
| Beautyrest | Zoned hip + lower back support | Plush–Firm | Very Good | Very Good |
| Purple | Pressure relief + cooling | Medium-Firm | Very Good | Excellent |
| Helix | Side sleeper hip relief | Soft–Medium | Very Good | Good |
| Avocado | Natural responsive relief | Medium-Firm | Good | Very Good |
Best for Deep Hip Contouring — Tempur-Pedic
Tempur-Pedic's TEMPUR material provides some of the best pressure relief available for hip pain. It conforms closely to the hip joint, distributing weight evenly and preventing the pressure buildup that causes pain during the night. In a survey conducted with the Arthritis Foundation, 75% of Tempur-Pedic owners reported their mattress helped with joint discomfort. The Breeze collection keeps the sleep surface up to 10° cooler.
Best Zoned Support — Beautyrest
Beautyrest's zoned hybrid construction puts softer coils under the hip and firmer coils under the lower back. This targeted approach takes pressure off your hip while maintaining proper spinal alignment — addressing both causes of sleep-related hip pain at the same time.
Best Pressure Relief + Cooling — Purple
Purple's GelFlex Grid collapses under the hip to relieve pressure while staying firm under the lower back. It adapts to your hip's shape without the slow sinking of memory foam, making it easier to reposition through the night. Independent SleepScore Labs studies found Purple mattresses reduced self-reported pain by 63–68%.
Best for Side Sleeper Hip Relief — Helix
Helix offers softer models specifically built for side sleepers who need hip pressure relief. Their foam comfort layers let the hip settle in while the coil core provides support through the midsection. In-home sleep studies found 87–94% of Helix customers reported improved sleep compared to their previous mattress.
Best Natural Option — Avocado
Avocado's natural latex gives responsive pressure relief at the hip without the deep compression of memory foam. The buoyant feel distributes weight without trapping you in one position, making it easier to shift through the night. ACA-endorsed with five independent certifications.
Common Mistakes We See In Store
- Testing on your back when you actually sleep on your side. This is the most common mistake for hip pain customers. A mattress can feel completely fine on your back and terrible on your side. You need to test in your actual sleep position — on your side, for at least 10 minutes — to know whether the hip relief is really there.
- Going too soft. A plush mattress feels like it's taking pressure off your hip in the first few seconds. But once the foam fully compresses and your hip has sunk all the way through the comfort layer, your spine misaligns and a different kind of pain sets in. You want the hip to settle — not disappear.
- Ignoring the adjustable base. A lot of hip pain customers find that slight knee elevation changes everything. It reduces the angle at the hip joint and takes pressure off areas that even a great mattress can't fully address. Worth testing in store before you rule it out.
- Buying based on a partner's recommendation. Hip pain is individual. What took pressure off your partner's hip may create pressure on yours, depending on your body weight, hip width, and sleep position. Test it yourself in your actual sleep position.
— Drew Miller, Vice President, Sit 'n Sleep
Why In-Store Testing Matters for Hip Pain
Hip pain is position-specific. The same mattress can feel fine on your back but create pressure problems on your side. Testing in store in your actual sleep positions — and staying in each for at least 10 minutes — is the only way to know whether a mattress will relieve or worsen your hip pain.
At Sit 'n Sleep, BedMATCH measures your body profile to recommend mattresses with appropriate pressure relief for your specific build. Our sleep consultants average over 10 years of experience and have worked with many customers dealing with hip pain — they know what to look for and what questions to ask. With 37+ stores across Los Angeles, Orange County, the Inland Empire, and Ventura County, there's a location near you. Every purchase includes a 120-night comfort trial.
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