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The Advantages of an Orthopedic Mattress Double If you're suffering with back pain or require a more firm mattress, an orthopedic double could be the best option for you. It is essential to understand the differences between these and other types of mattresses before purchasing one. Orthopedic mattresses, for instance, are designed to support good posture and are firm. But if they are too firm, you might be uncomfortable. Support Orthopaedic mattresses provide a more firm feel than standard mattresses. This makes them ideal