It didn't offer the support I needed, and left me in more pain than when I had gone to bed. Below are our favorites to sleep on if you have back pain, plus advice for how to navigate back pain and sleep overall. While you're here, don't miss our related buying guides, including the Best Mattresses, Best Pillows, and Best Sheets, for an all-around best sleeping experience. You’re looking for something that can provide spinal support if your pain originates in your spine, or pressure relief if your pain comes from pressure points you’re sleeping on. It's not just about what you're sleeping on, but how well you're taking care of yourself before you go to bed too.