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The Advantages of an Orthopedic Mattress Double If you suffer from back pain or need a firmer mattress, an orthopedic mattress double might be the right option for you. It is essential to understand the differences between these and other types of mattresses before purchasing one. For instance orthopedic mattresses are designed to be firm and help support good posture. However, if they're too firm, you could feel uncomfortable. Support Orthopaedic mattresses provide a more firm feel than normal mattresses