Yes, an orthopedic mattress can have springs: innerspring mattresses use a coil base, and hybrids pair coils with foam or latex comfort layers. Check the listing for its support core and coil type; pocket coils are fabric-wrapped, while microcoils, nanocoils, and minicoils most often sit in comfort or transitional layers. Firmness labels may follow each maker’s own system.
Innerspring mattresses use a coil base, while dense blocks of memory foam are used instead of coils. Naturepedic says its EOS Trilux is made entirely of latex, using three interchangeable layers.
Innerspring
The coil base has a comfort layer above it.
That layer is usually foam, wool, or fiberfill.
Check the product details for the coil base and the comfort-layer material above it.
Polyfoam
High-density foam can provide support as a core material.
Check whether the description calls the foam high density.
Check whether the listing names it as a core material.
Memory Foam
Dense blocks of memory foam are used instead of coils.
Look for dense blocks in the product details.
The blocks are described as having a spongy cushioning feel.
Coils are designed to provide support and airflow, while coil type influences motion transfer and pressure relief. Pocket coils are isolated from one another and dampen movement transfer across the bed. The Sleep Foundation says coil support may vary with coil type, gauge, total coil count, and overall design. Check those details when comparing coil-based models.
The Sleep Foundation says there is no universally accepted firmness measurement, so manufacturers may use their own systems. A hybrid pairs a coil support core with thicker foam or latex comfort layers. When checking a hybrid, read its support-core and comfort-layer details, then compare firmness labels within that maker’s system.
The cited description does not say whether a traditional box spring is separate from the mattress, so check the product listing for that detail. Brooklyn Bedding describes a traditional box spring as typically having a covered wooden frame and springs, also called coils.
The Sleep Foundation says firmness labels have no universally accepted measurement, and each manufacturer may use its own system. When comparing mattress listings, check the maker’s firmness scale and descriptions instead of treating a label as universal.
Yes, pocketed coils move independently inside their fabric casings, even though the fabric-wrapped springs are glued or sewn together to form a support layer.
We read 8 published pages from 6 sites (tomsguide.com, Sleep Foundation, homesandgardens.com, originalmattress.com and 2 more), checked in October 2026. Every sentence in the answers above cites one of them; the offer card at the end names its own source. This page reports published sources only; we did not test mattresses in person.