The Spruce reached out to NYC based physical therapist, Dr. Karena Wu of ActiveCare Physical Therapy NYC & Mumbai to discuss pillow top mattresses. Dr. Wu is Clinical Director of ActiveCare PT and trains her team of physical therapists specializing in orthopedics and manual therapy. Physical Therapists discuss sleeping positions and bed mattress health as it relates to a person’s orthopedic condition. A pillow top mattress can provide additional cushioning without sacrificing support. They can help alleviate pressure points for side sleepers. Pillow tops come in a variety of different materials for a balance of support and comfort. They offer good spinal support and alignment. They can also extend the life of your mattress.