Little scientific research exists on which mattress is best for back pain or for maintaining a healthy back. The mattress that's right for you lets you wake up feeling rested and free of pain or soreness. Unless you have a condition that may need a certain type of mattress, you should choose a mattress that provides support for the natural curves of your spine and is comfortable.
If you sleep with a partner, you should have enough space to move into a comfortable sleeping position. Consider replacing your mattress every 6 to 8 years, according to the National Sleep Foundation. If you have a back problem, ask your doctor or physical therapist to advise the type of mattress that would be best for you.