The desire to feel perfectly rested and get enough sleep requires a careful approach to the selection of orthopedic mattresses. A huge range of products, which are filled in regular and online stores, leads buyers to confusion more than to take the only right decision.

The question of acquiring the most suitable product according to the characteristics worries many consumers. The prepared review will help to understand the differences between models with different fillers and different degrees of rigidity.

STEP 1 Choosing the hardness of the mattress

This is one of the fundamental characteristics of an orthopedic mattress. A person’s rest and well-being depend largely on its firmness. For a comfortable rest, medium-firm mattresses are considered the best choice, but the choice is individual.

Extra firmness
Hard mattresses are recommended for diseases of the spine, osteochondrosis. The filler can be such materials as compacted polyurethane foam, struttofiber, coconut fibers, composites. As a result, the surface is not soft, does not provide comfortable sleep, but in the case of spinal problems will perfectly support painful or damaged vertebrae. Sleeping on such mattresses is also suitable for people with excellent health, but those who are over 50 years should be careful when choosing a mattress that is too hard. In any case, hard mattresses are rather specific products, which are chosen either because of the love of hard sleeping surfaces or because of medical prescriptions.

Medium firmness
The most recommended stiffness for a healthy person of average build and height. Inexpensive mattresses for medium hardness use composite materials such as struttofiber, artificial latex, and polyurethane foam with distinctive orthopedic qualities, while the more expensive ones use a combination of natural latex and coconut coir, and also memory. Such mattresses with medium hardness are in great demand. You should notice that medium firmness is optimal if you want to cuddle with your spouse. Check the top-notch mattresses for snuggling and learn more.

Low firmness
To provide mattresses with low rigidity, manufacturers use polyurethane foam and natural latex layers. Natural latex filler refers to orthopedic padding, and polyurethane foam is not suitable for sleeping people who have increased weight. Often soft and moderately soft mattresses are chosen for the elderly, as well as for children aged 8-15 years.


In order to clarify the hardness of the mattress, it is necessary to use the accompanying passport which specifies the weight the product can bear. A thin person will be comfortable sleeping on a soft model, and for those who have extra pounds, it is advisable to opt for a stiffer version.

STEP 2: Take into account the weight of the sleepers

In addition to the above-mentioned selection criteria, the weight of the future owner plays an important role. It is very important to take this factor into account, because, firstly, this determines the life of the product, and secondly – the feeling of stiffness of the mattress.

It is not recommended to exceed the maximum weight per bed stated in the characteristics of the mattress. It is better to have a margin of 5-20 kg on this indicator. Apart from this, the hardness of mattresses is specified for people with average complex (with a weight of 70-90 kg). For example, for overweight people weighing more than 110 kg, a mattress with medium stiffness will seem quite soft, and for the person weighing 40-50 kg, this mattress can be perceived as moderately stiff.

The models with small thickness limited by two or three centimeters are not suitable for sleeping. Such products are suitable for creating comfort on the couch, bed, and leveling their surfaces and are called mattress pads.

STEP 3 Choose mattress size and height

The comfort of rest depends largely on the height of the mattress. In addition, this factor is also important in terms of aesthetics. The thinnest mattresses are those up to 14 cm thick, such mattresses are usually intended for children or infrequent seasonal use. Specialists claim that the thin models can adversely affect health, cause damage to the spine in case of the significant weight of the person sleeping. For adults as the main mattress of constant use, these height guidelines will be suitable:

Important! For children, older than 4 years old very thin mattresses (3-6 cm) are strictly unacceptable.

The question about the size of a mattress with orthopedic properties refers to its correspondence to the base and/or bed on which it will be placed:

Tip: The best option is considered to be the simultaneous selection of bed and mattress with exact compliance of mutual parameters.

STEP 4 Choosing the type: non-spring or spring mattresses?

Answering the question of which model to choose – no spring or spring – it is necessary to understand their differences.

You can read more about the differences and choices between spring mattresses and no-spring mattresses here.

Bonnel spring mattresses

Mattresses with dependent spring units are called classic, and their use dates back more than a hundred years. They are called Bonnell. Such mattresses have no orthopedic properties.

Important! The use of old and failed spring mattresses leads to damage to the vertebral joints, the curvature of the spine.
Among the other disadvantages – wear and tear springs with mutual friction, which leads to creaking and the inability to rest comfortably in silence. Dust collects between the springs, not only negatively affecting the sleeping person but also contributes to the development of parasites and harmful microorganisms.

The low cost of spring models attracts buyers. However, before buying it is desirable to weigh the pros and cons, so that for a minimum fee will get problems with health neither children nor adults.

Mattresses with independent spring blocks

Such mattresses attract the attention of consumers by their uncomplicated, but very comfortable design. Each of the springs is placed in a separate cover, allowing movement without contact with other blocks. When several blocks are pressed, the neighboring springs will remain in the same position. Fillers are placed horizontally along the top and bottom of the blocks, which together with the springs create a mattress with excellent orthopedic and anatomical qualities.

Each spring works point by point, independently. This means that the mattress will perfectly bend to every curve of the human body and provide the necessary support for the spine. The standard spring density is 250 springs per square meter, but there are also models with an improved design – Multipocket (about 500 springs per square meter) and Micropocket (more than 900 springs per square meter). These models can be advised to people with a lot of weight and those who want the best orthopedic support for the back from all that modern spring mattresses offer.

The use of mattresses with an independent spring block is recommended for people over the age of 12 years, taking into account the degree of surface firmness. The advantages of models with these springs include:

Non-spring foam mattresses.

This is the most common type of inexpensive no-spring mattress today. They are often sold in a compact twist pack. These mattresses are often purchased for children, teens, and adults as economical options. They are great as mattresses for cottage or rental apartments. However, there are good options among them, perfectly suitable for the role of mattresses for permanent use, the only thing to pay attention to is the density of PPU, such mattresses should have a hardness index “medium” or “moderately hard”.

Advantages and disadvantages



Non-spring mattresses with orthopedic properties

When choosing a springless version, you should be guided by the filler, which is responsible for the stiffness of the product. Mattresses without springs are characterized by sufficient strength and soundlessness, which has earned considerable popularity among users.

The manufacture of fillers used latex, coconut fiber, Struttofiber, horsehair, polyurethane foam, and other materials that provide orthopedic properties of the surface, and the owners – a comfortable and healthy sleep.

Thanks to the wisely chosen filling products have tremendous endurance, can withstand considerable stress, jumping, and playing children. Orthopedic springless mattresses can be structurally divided:

Advantages and disadvantages



STEP 5 The choice of filling material

A thoughtful approach to the choice of a filler for an orthopedic mattress will allow you to buy a model that is suitable for the personal needs of the buyer because it directly affects the stiffness, environmental friendliness, and reliability.

Remember! Fillings such as down, inexpensive foam padding, and absorbent cotton do not have orthopedic characteristics. Among the unpopular properties of absorbent cotton – bunching into uneven clumps, which prevents the comfort of sleep.
The basis for the manufacture of latex layers is the sap of the Hevea, processed in a special way to obtain a foamy mass. The prepared material serves as an excellent filling material for orthopedic mattresses, which takes the contours of the body and perfectly supports the spine. Latex can be both soft and quite hard. At the same time, the artificial material has a higher degree of rigidity compared to the natural one. The popularity of latex mattresses is proved by their popularity among both children’s and adult audiences.

List of advantages of latex filler:

Among the disadvantages are the high cost of products, as well as the brittleness of the artificial material, which after some time dries up, leading to delamination.

Polyurethane foam

The high popularity of polyurethane foam (PPU, thiophene, artificial latex) is due to the fact that the basis is the usual for many users foam rubber with various orthopedic additives. The use of FPU makes it possible to produce orthopedic mattresses with good characteristics at a fairly low price.

Among the positive aspects of using FPU are:

The problematic moments include the difficulty of removing moisture absorbed, as well as the problem of cleaning from contaminants. In addition, the service life of mattresses with the use of polyurethane foam is short – from 4 to 9 years.

Coconut coir

The elastic board of pressed coconut fibers refers to a rather rigid material that is often used to fill orthopedic mattresses. Coir is usually combined with latex and polyurethane interlayers to create excellent quality and comfortable surfaces for sleeping and resting. Or it can be used without additional softening fillers, thus obtaining mattresses with high stiffness

The advantages of choosing mattresses with coconut coir include:

It is necessary to know! Mattresses with coconut filling are fragile, which should be taken into account when using, not subjecting the product to shocks and twists.

Hollofiber and Struttofiber

The interesting name refers to the material, which has unique properties due to the unique structure in the form of vertically arranged fibers. The manufacture of mattresses with struttofiber fibers can also add goat hair, horsehair, linen threads. The excellent combination is obtained by combining struttofiber or hollofiber with polyurethane foam or with independent spring units. Hollofiber is a very similar material, but its fibers are not oriented vertically, but randomly, which makes this material slightly softer compared to struttofiber.

The advantages of struttofiber/hollofiber are as follows:

Mattresses with memory foam effect

Memory foam is a material with a foam structure that allows the surface to adjust to the shape of the body. Memory Form sags under the person, acquiring its shape, and after cessation of loading, it recovers in a few minutes. Such mattresses with a “memory effect” provide excellent conditions for sleeping, but at low temperatures, the unique material becomes more rigid.

Update: our friends have shared a very useful guide on how to repair your Lazy Boy recliner footrest – really worth reading!