Best for Side Sleepers: Nolah Mattress Topper
Score: 9.5 out of 10
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Pros and cons
Pros
- Favorable pressure relief for side sleepers
- Solid responsiveness
- Conforms to the lower back
Cons
Features
- Height: 2 inches
- Materials: Memory foam
- Firmness: Plush or luxury firm
- Straps: Yes
Key takeaways from our testing
Contouring pressure relief for side sleepers. We tested the luxury firm model of the Nolah Mattress Topper, and tester Jennifer awarded it an impressive pressure relief score for side sleeping. She said it was supportive while conforming to the shape of her body. “It takes the pressure off my hips and shoulders,” she said. She also gave this topper a near-perfect pressure relief score for back sleeping. She noted the topper took the pressure off her lower back and cradled her body comfortably.
Plush while still being responsive. Jennifer said the Nolah Mattress Topper had solid responsiveness. “I can turn comfortably, and it’s not overly bouncy,” she said. “It’s just the right amount of plushness.” Surprisingly, despite Jennifer’s generally decent experience with the topper’s responsiveness and overall support, when our lab team performed the sinkage test, this topper sank 4 inches, the second-highest sinkage rate on this list. (The Helix Premium Mattress Topper With GlacioTex sank the most at 4.2 inches.) This test result indicates that the memory foam material may be more limiting than expected for some when it comes to movement. For some older adults with mobility issues or sensitive joints, this topper’s plushness may make it harder to change positions. Jennifer did say that while there wasn’t much edge support while she was sitting — which was in alignment with this topper’s sinkage test results — when she lay on the edge, she said it felt just as supportive as when she lay in the middle of the topper.
Tester Jennifer said the Nolah Mattress Topper felt plush to the touch but still supported her body.
Courtesy of AARP Smart Picks
So-so temperature regulation. If this topper’s memory foam lets you sink deeply, that means it also allows more of your body to come in contact with the fabric, which could make you feel hot. In our cooling gun test, this topper earned middling scores. “I felt my temperature increasing slightly after I lay down,” Jennfier said. Hot sleepers or older adults who experience hot flashes may want more cooling benefits from their topper.
Toppers vs. mattress pads
While mattress toppers and mattress pads often are grouped together, they are two distinct products.
Mattress toppers are thicker — typically between 2 and 4 inches — and adjust a mattress’s comfort level. Besides adding pressure relief capabilities to your bed, mattress toppers also may be a good temporary fix if you’re recovering from surgery or an illness and want to “deviate from your usual mattress firmness” for more comfort, says Dr. Michael Breus, clinical psychologist and sleep medicine doctor in Manhattan Beach, California. The more affordable price allows toppers to serve as a temporary or longer-term adjustment.
Mattress pads are thinner — typically between 1 and 2 inches — and wrap around the edges of beds like fitted sheets do. They often are machine-washable and reduce wear and tear on your bed. Mattress pads generally do not change the feel or firmness level of a bed as much as a topper would.
Survey highlight: Mattress toppers and pain relief
In our 2026 survey of 300 older adults ages 50 and older who had bought a mattress topper in the last three years, almost three-quarters (73 percent) of respondents reported feeling less pain since their purchase.
How we tested the best mattress toppers
We started our process by researching the market. Which mattress toppers are popular and why? Who has the best customer reviews — and are the reviews legitimate? After talking with medical experts, we narrowed our list from 20 toppers to the 11 we tested in our lab.
To identify their strengths and weaknesses, we used controlled tests to assess features like pressure relief, responsiveness, edge support, sinkage and temperature regulation. Then we recruited testers ages 45 and older to give us their unbiased feedback.
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These testers answered questions like: How far are you sinking into the mattress topper? Is it taking more effort to change positions? Do you feel any pressure building up? The models that excelled in our tests made our list of the best mattress toppers.
For more details on our process, see our mattress and sleep products testing methodology.
How to choose the best mattress topper for you
Toppers can give your mattress a new feel — making it firmer to help support your spine or softer to ease pressure points for older adults with chronic hip pain or other chronic pain conditions like arthritis and fibromyalgia, says Breus, the sleep medicine doctor in California.
However, the right topper for you can depend on a number of factors. If you’re looking for a quality topper, consider the following features.
Thickness
A thinner topper may offer less cushion than a thicker one. So if your goal is maximum pressure relief, you may want to consider a topper on the thicker side of the 2- to 4-inch range.
Given this added thickness, Breus cautions that a mattress topper will add a few inches to your bed's height. “Make sure you can still get in and out of bed, and double-check that your sheets will be deep enough to accommodate the extra height,” he says. This detail is especially key to consider if you already have a taller mattress like the Saatva Classic, which is 14.5 inches high, or if you have a tall bed frame.
Firmness
Firmness is one of the most important factors to consider when shopping for the best mattress topper. You can use a topper to change the firmness and feel of your bed, based on how much pressure relief or support it offers.
Straps, such as the one shown here on the Saatva Graphite Memory Foam Topper, help to better secure a topper to a bed and limit shifting.
Courtesy of AARP Smart Picks
FAQs:
How thick should your mattress topper be?
Most sleepers can benefit from a 2- to 4-inch topper because the thickness can lend to more cradling and added support. That said, it’s important to consider how comfortable you are with the total height of your bed — including the frame — and to ensure that you can still get in and out of bed safely with the added height of a topper. For example, if you already have a tall mattress — like the Saatva Classic, which is 14.5 inches — and add a 4-inch topper, that combination would result in a height of 18.5 inches, a clear difference from the average mattress height of around 12 to 14 inches.
What is the best type of mattress topper?
The best type of topper includes memory foam or latex foam comfort layers for pressure relief, based on our testing. Our pick for the best overall mattress topper, the Saatva Graphite Memory Foam, contains this foam infused with cooling graphite.
What is the best place to buy a mattress topper?
The best place to buy a mattress topper can depend on individual factors such as geographical location or your level of mobility. While some shoppers may prefer to buy in-person at a store — if their preferred store has topper options — other shoppers may find it easier to shop online. If the best place for you to shop is online, know that many online companies offer sleep trials that allow you to try a topper before committing to it. If you don’t like the topper during the trial period, these companies can allow you to return it and get your money back, though some companies may charge return or processing fees.
Dr. Hana Patel, National Health Service (NHS) general practitioner and resident sleep expert at Time4Sleep in South London in the United Kingdom, says the ideal firmness for your topper depends on what you’re hoping to achieve. For example, if you want to sink into a memory foam topper and feel its contouring around your joints, you may want a softer product. But a firmer topper may be a better choice if you’re focused on spinal alignment.
Generally, Patel cautions against using a soft topper if you have back pain, as it can sometimes worsen existing pain if your hips or shoulders sink too deeply. “A firmer topper might seem more uncomfortable, but it will likely help your back pain in the long run,” she says. If you’re not sure what firmness to choose, you can use your sleeping positions as a guide for firmness.
- Side sleepers: In general, people who sleep on their side benefit from a softer mattress topper that prioritizes pressure relief by allowing them to sink into the materials. Medium firm or softer tends to be best.
- Back sleepers: People who sleep on their backs typically prefer a firmer mattress topper to keep their spine in a neutral position. Sleeping on a topper or mattress that’s too soft may cause your hips and shoulders to sink in unevenly. Consider aiming for a medium firm or higher.
- Stomach sleepers: Stomach sleepers typically do best with the firmest topper to keep their spine aligned. Medium firm or higher tends to be the typical range.
You also can talk with your health care provider about which kind of topper would work best for you, especially if you’re dealing with pain.
Material
A topper’s construction may impact the overall feel you get while lying on the bed. Here are some examples of popular materials found in mattress toppers.
Memory foam: Many toppers include memory foam layers because the material often offers a sinking sensation that cradles joints and relieves pressure. In our 2026 survey of adults ages 50 and older who bought a topper in the last three years, the most common topper material was memory foam by a large margin. Manufacturers also can infuse memory foam with a cooling material like gel or graphite, which may help the topper regulate your temperature more effectively. However, older adults with mobility challenges may find that these memory foam toppers make it harder to change positions due to the sinkage that these materials allow.
Hybrid: Hybrid mattress toppers aren’t as common as memory foam — they’re made with both memory foam and metal coils. The Helix Premium Mattress Topper With GlacioTex is the only hybrid topper on this list with a layer of coils. Hybrid toppers may help your spine stay neutral since the metal coils can provide stronger support than foam alone.
Latex foam: Natural latex foam, which is foam derived from the sap of rubber trees, is generally perforated to help with airflow and is very responsive, according to our testing. The downside of latex foam is that it tends to be heavier than other materials. Older adults who have limited dexterity also may find these toppers more difficult to position on their beds because of these toppers’ weight and floppiness, often referred to as a “wet noodle” effect.
Straps
Straps secure a mattress topper to your bed to minimize its shifting as you sleep and help the topper stay secure. According to testers, strapping a topper to a mattress is similar to putting on a fitted sheet. But if you have arthritis or other dexterity limitations, you may find that straps are more difficult to secure to your mattress.
In this review, the Saatva Graphite Memory Foam, Helix Premium Mattress Topper With GlacioTex and Nolah Mattress Topper include straps.
How much do the best mattress toppers cost?
The best mattress toppers on our list range in price from around $305 to about $533. You can see details on pricing in the chart below. All models noted are queen size.
Questions or feedback? Email us at AARPSmartPicks@aarp.org.
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