How to Choose the Perfect Mattress Firmness for Your Sleep Style

Mattress firmness refers to the immediate sensation you experience when first lying down on a bed. You need to know how soft or hard a mattress feels against your body upon initial contact. While often confused with support, firmness is distinct: a mattress can be soft yet supportive, or firm yet lacking proper support.

The mattress industry typically measures firmness on a scale from 1 (extremely soft) to 10 (extremely firm), with 6.5 being the industry standard for medium-firm. 

Selecting the right mattress firmness is imperative for your physical health and sleep quality. Research shows that medium-firm mattresses tend to provide the best outcome for most sleepers, particularly those experiencing back pain. A properly chosen firmness level promotes proper spinal alignment while cushioning sensitive pressure points like shoulders and hips. This balance prevents discomfort, reduces morning stiffness, and ensures restorative sleep cycles that benefit your overall well-being.

Understanding Mattress Firmness Levels

couple reviewing mattress firmness

 

Firmness is one of the most important yet confusing aspects to consider when shopping for a mattress. Firmness refers to the immediate sensation you feel when lying on a mattress: how soft or hard the surface feels against your body. But what exactly do terms like "plush," "medium firm," or "extra firm" actually mean?

The Mattress Firmness Scale

The table below explains mattress firmness levels and who benefits most from each. Understanding this scale can help you express your preferences more clearly when shopping.

Rating

Level

Description

Ideal For

1-2

Extra Soft

Significant sinkage, cloud-like feeling

Rarely manufactured; provides minimal support

3-4

Soft

Deep body contouring with considerable sinkage

Side sleepers under 130 lbs; those needing pressure relief

5-6

Medium

Balance of contour and support; moderate sinkage

Combination sleepers, couples, and those weighing 130-230 lbs

6.5-7

Medium-Firm

More support with some cushioning; minimal sinkage

Back sleepers, those with back pain, sleepers between 130-230 lbs

8-9

Firm

Solid surface with very little give

Stomach sleepers, those over 230 lbs, back pain sufferers

10

Extra Firm

Hard surface with virtually no sinkage

Rarely manufactured; those requiring maximum support


Factors Influencing Perceived Firmness

What feels "medium firm" to one person might feel "firm" to another. Several important factors influence how you perceive mattress firmness:

  • Body Weight: Heavier individuals (over 230 lbs) typically find mattresses softer than advertised, as they sink deeper into the comfort layers. Conversely, lighter individuals (under 130 lbs) often find mattresses firmer than their rating suggests.
  • Materials and Construction: The types of materials used significantly impact firmness. Memory foam typically offers more contouring, while latex and innerspring designs provide more pushback. The thickness and arrangement of comfort layers directly affect the perceived firmness.

Common Misconceptions About Mattress Firmness

  • The biggest misconception is that firmness and support are the same thing. Firmness refers to the mattress's initial feel, how soft or hard it feels when lying down. Support refers to how well the mattress maintains proper spinal alignment throughout the night. A soft mattress can still provide excellent support, while a firm mattress might lack adequate support for some sleepers. 
  • Another myth is that firmer mattresses are always better for back pain. Research actually suggests that medium-firm mattresses often provide the best results for reducing pain and improving sleep quality. The ideal firmness range for most people falls between 4-8 on the scale, avoiding extremes that might compromise proper spinal alignment.
  • A myth that you must be wary of is "universal comfort" claims. Despite marketing promises, no single mattress firmness works perfectly for everyone due to variations in body type, sleeping position, and personal preference.

Matching Mattress Firmness to Your Sleep Style

woman sleeping by side

 

Your ideal mattress firmness depends heavily on your unique sleeping style. Each sleep position creates different pressure points and alignment needs that can be addressed with the right firmness level.

  • Side sleepers typically benefit from softer surfaces that accommodate shoulder and hip pressure points. They place significant pressure on their shoulders and hips, which need cushioning to prevent pain and numbness. A softer mattress (3-6 out of 10 on the firmness scale) allows these pressure points to sink in while supporting the waist and maintaining proper spinal alignment. Memory foam or pillow-top mattresses often work well for side sleepers. Heavier side sleepers may need a medium-firm mattress to prevent excessive sinking.
  • Stomach sleepers usually need firmer support to prevent lower back arching and face unique challenges, as this position naturally places strain on the spine. A firmer mattress (7+ out of 10) is typically recommended to prevent the midsection from sinking too deeply, which can cause lower back pain. Without adequate support, the midsection can sag, creating an unnatural arch in the lower back.
  • Back sleepers generally find medium-firm options most comfortable. They typically need more support to maintain the natural curve of the spine. A medium-firm mattress (around 6.5 out of 10) usually provides the ideal balance, supporting the lower back while allowing slight contour for comfort. Medium-firm mattresses effectively promote comfort, sleep quality, and proper spinal alignment for back sleepers.
  • Combination Sleepers If you change positions throughout the night, a medium-firm mattress (around 6.5) typically offers the versatility needed. This firmness level provides enough support for back and stomach positions while still offering some pressure relief for side sleeping. Look for responsive materials that facilitate easy movement.

Choosing the right mattress firmness depends on more than just preference. Your sleep position, body weight, and health conditions play a major role. To help you narrow down your options, this chart outlines recommended firmness levels based on common sleeping positions and corresponding weight ranges. Use it as a reference point as you explore what feels best for your body and sleep style.

Sleep Position

Recommended Firmness

Weight Considerations

Side Sleepers

Soft to Medium

(3-6/10)

Under 130 lbs: Soft (3-4)
130-230 lbs: Medium (5)
Over 230 lbs: Medium-Firm (6)

Back Sleepers

Medium to Medium-Firm

(5-7/10)

Under 130 lbs: Medium (5)
130-230 lbs: Medium-Firm (6)
Over 230 lbs: Firm (7)

Stomach Sleepers

Medium-Firm to Firm

(6-8/10)

Under 130 lbs: Medium-Firm (6)
130-230 lbs: Firm (7)
Over 230 lbs: Extra Firm (8)

Combination Sleepers

Medium to Medium-Firm

(5-7/10)

Choose based on primary position and weight

 

Special Considerations

For couples with different preferences, consider split-firmness mattresses or mattress toppers to customize each side. Those with back pain may benefit particularly from medium-firm mattresses, which studies show can reduce pain and improve sleep quality. Remember that body weight significantly impacts how firm a mattress feels; heavier individuals will experience more sinkage on the same mattress compared to lighter individuals.

Tips for Finding Your Perfect Mattress Firmness

mattress firmness detail

Finding the right firmness level is a balance between your unique comfort preferences and what sleep experts recommend based on your body type and sleep position. Here are a few practical tips to guide your decision:

How to Feel the Firmness of a Mattress:

  • Lie in your usual sleep position for a few minutes.
  • Notice pressure points: your shoulders, hips, and lower back should feel supported, not strained.
  • Check your spinal alignment: your back should stay neutral.
  • Move around to see if the surface feels responsive or too soft.

Everyone feels firmness differently, so trust your body and take advantage of trial periods when possible.

  1. Know your sleep style: Side sleepers usually need softer surfaces for pressure relief, while back and stomach sleepers benefit from firmer support.
  2. Factor in body weight: Heavier individuals tend to need firmer mattresses to maintain proper spinal alignment and avoid sagging.
  3. Trust your body: Expert guidelines are helpful, but comfort is personal. Choose what feels right for you over what’s “recommended.”
  4. Test before you buy: If possible, lie on mattresses in-store for at least 10–15 minutes in your usual sleep position.

Finding your perfect mattress can improve your life and enhance your health. Discover Italian craftsmanship designed for your body and your sleep. At Dorelan, our expertly engineered mattresses combine advanced support with the right firmness to suit your unique sleep style. Whether you're a side sleeper in need of plush comfort or a back sleeper craving medium-firm support, you'll find your ideal match in our Italian-made collections. Explore Dorelan today and experience the difference of personalized sleep.