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Best Mattress for Arthritis and Joint Pain in 2026
Arthritis affects roughly one-third of U.S. adults. While there are multiple types of arthritis, most people experience inflammation, joint pain, stiffness, and limited mobility. Sleeping on the right mattress can be critical for those with joint pain since an unsupportive bed can aggravate arthritis symptoms and cause additional discomfort.
Looking for more information as you explore mattress options? Our picks for the overall best mattresses of 2026 have earned solid ratings across a variety of performance categories. Also, check out our best mattresses for back pain and other guides focused on helping you sleep comfortably.

The Clear Winner: WinkBed
Our Test Lab findings and thousands of five-star reviews point to the same conclusion: the WinkBed is the best mattress for arthritis. This foam-on-coil hybrid offers a soothing balance of cushioning and multi-zone support, and you can choose from four firmness levels based on your body type and preferred sleep position.
Our Top Picks
Best Mattress Overall
:WinkBed
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Best Mattress for Side Sleepers
:Helix Midnight Luxe
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Best Value Mattress
:Brooklyn Bedding CopperFlex Memory Foam
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Best Luxury Mattress
:Saatva Rx
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Best Mattress for Pressure Relief
:Leesa Sapira Chill Hybrid
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Best Mattress for Back Pain
:Nolah Evolution 15
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Best Mattress for Hip Pain
:DLX Premier Hybrid
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Best Mattress for Spinal Alignment
:Bear Elite Hybrid
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Best Organic Mattress
:Birch Mattress
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Best Mattress Deals of the Week
- Save $771 — WinkBed
$1,799(List Price $2,570) - Save $600 — Helix Midnight Luxe
$1,799(List Price $2,399) - Save $150 — Brooklyn Bedding CopperFlex Memory Foam
$449(List Price $599) - Save $300 — Saatva Rx
$3,099(List Price $3,399) - Save $748 — Leesa Sapira Chill Hybrid
$1,719(List Price $2,467)
How We Tested the Best Mattresses for Arthritis
Testing Criteria
Arthritis can make sleep uncomfortable, especially if joints aren’t properly supported or pressure builds overnight. When it came to finding the best mattress for arthritis, we focused on beds that can help reduce joint stress, promote ease of movement throughout the night, and help maintain neutral spinal alignment.
The following criteria guided our evaluation of mattresses that are best suited for sleepers managing arthritis-related discomfort.
Pain and pressure relief: Effective pressure relief is essential for reducing joint pain. We prioritized mattresses that can adapt to the body’s shape and absorb weight evenly while resisting sagging over time. Materials like foam and latex tend to perform well here since they cradle and cushion sensitive joints without creating additional pressure buildup.
Ease of movement: Stiffness and limited mobility can make it harder to change positions during the night. We evaluated how responsive each mattress feels and how easily sleepers can move, sit, or get in and out of bed. Strong edge support was also a key consideration for reducing strain during transitions.
Spinal support and alignment: Proper spinal alignment can help minimize strain on joints and surrounding muscles. We assessed how well each mattress supports the spine in a neutral position, especially for common pressure areas like the hips, lower back, and shoulders.
How We Evaluated
To identify the best mattresses for arthritis, we combined performance data from our mattress database with hands-on testing in our Seattle Test Lab. We reviewed sleeper ratings and test results across key performance areas, including:
- Responsiveness and contouring
- Edge support
- Durability
- Variety of firmness levels
Next, we narrowed the field down to mattresses that demonstrated strong performance in reducing pressure while still remaining supportive and stable. Our testing team conducted in-depth assessments of each finalist, focusing on how materials respond under weight and whether that support layer holds up across the full sleep surface.
Multiple testers evaluated each mattress to better understand how different body types and sleep positions interact with the design. We also compared results across mattress constructions to ensure a range of comfort and support options.
Based on these findings, we selected the following as the best mattresses for arthritis.
Our Testing Team

Logan Foley
Editorial Director
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Mary Fenton
Head of Product Content
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Jeremy Klein
Senior Product Testing Manager
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Brad Nehring
Senior Product Analyst
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Colin Simpson
Product Research Manager
Full Bio
Best Mattress Overall: WinkBed
Best Mattress Overall
9.4/10Test Lab Score
WinkBed
High end hybrid bed providing ample support, cushion, and cool sleep.
Key Details
- Who It’s Best For: Side, back, and stomach sleepers across different weight groups – provided they choose the best firmness for their position and body type.
- Feel: Available in plush medium soft (4), balanced medium firm (6), supportive firm (7), and responsive “Plus” (8) designs.
- What It’s Made Of: Plus models feature comfort layers of zoned latex, while the other three contain adaptive polyfoam layers. All are built with zoned pocketed coils in their support core.
- What We Don’t Like: May not hug the body closely enough for people with sharp pain.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
All four firmness options offer above-average motion isolation compared to other hybrids we’ve tested. The Softer, Luxury Firm, and Firmer models have polyfoam layers that significantly absorb vibrations, preventing motion from traveling across the surface. The Plus features latex, and does not isolate as much motion – though it still received high marks from our team. Although the coil core gives the mattress some bounce, the foam layers are substantial enough to dampen motion transfer.

Pressure Relief
Like with many hybrid models, the WinkBed’s strong contouring can help relieve painful pressure points. Using pressure-mapping sensors, we found the Softer, Luxury Firm, and Firmer versions of the mattress generously cradle your body and ease pressure off sensitive joints, thanks largely to the multiple foam layers. The Plus version uses polyfoam and latex layers, which offer gentle contouring as well.

Temperature Control
The WinkBed’s Tencel cover wicks heat and moisture away from the sleeper’s body. In the Softer, Luxury Firm, and Firmer models, polyfoam infused with cooling gel helps to minimize heat retention. The Plus version uses latex, a naturally breathable material that resists heat buildup.The coil core also promotes significant air circulation. All of these components make the WinkBed one of the best cooling mattresses on the market.

Edge Support
While many hybrid models have sturdy edges, the WinkBed’s perimeter is exceptionally strong . Thanks to extra reinforcement along the edges, our testers noticed minimal compression when sitting along the edge. Most sleepers should feel secure enough to sleep or sit on the full surface of the mattress without worrying about rolling off.The edge of the Softer model may not seem quite as sturdy as the Luxury Firm, Firmer, and Plus versions, due to its plusher design.

Ease of Movement
The three softest versions of the WinkBed Mattress feature polyfoam comfort layers. Polyfoam is more responsive than memory foam, so the WinkBed won’t hug your body as closely as hybrid mattresses made with close-conforming memory foam. The result is strong ease of movement across the surface.The Plus model features a very responsive latex layer, so this option shines when it comes to ease of movement.

Durability
As a hybrid mattress with a polyfoam comfort layer, the Winkbed should last slightly longer than the average bed. Hybrids tend to be durable because the inner coils last a long time, and polyfoam is more durable than memory foam. That being said, the foam comfort layer isn’t too thick on the Winkbed (2 to 2.5 inches, depending on the firmness you choose), so you might find the bed getting less comfortable after around eight or nine years when impressions and sagging start to set in.
Many people with arthritis and joint pain also experience discomfort in the lower back and hips. A mattress that cushions the spine and provides strong overall support is essential to waking up without aches and pains. The WinkBed is designed to keep your body on an even plane while providing a comfortable, well-cushioned surface.
How It Performed
Best Mattress for Side Sleepers: Helix Midnight Luxe
Best Mattress for Side Sleepers
9.7/10Test Lab Score
Helix Midnight Luxe
A premium quality, hybrid mattress created with side sleepers in mind.
Key Details
- Who It’s Best For: Side and back sleepers weighing up to 230 pounds.
- Feel: Medium firm (6) design with plush cushioning on the surface and responsive, targeted support around the midsection.
- What It’s Made Of: Two memory foam comfort layers, followed by transitional polyfoam and zoned pocketed coils with reinforced perimeter support.
- What We Don’t Like: Not soft enough for most back and stomach sleepers over 230 pounds.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
As a medium firm mattress with thick foam comfort layers, it’s no surprise that the Midnight Luxe tested very well for motion isolation. Our testers could barely feel any movement across the surface of the mattress when fellow testers rolled around on it.

Pressure Relief
All of the Helix Luxe models have thick foam comfort layers and conform fairly close to the body. Consequently, they’ve all performed well in our pressure mapping tests, with notably less pressure in the hips and shoulders than many hybrids. With it’s 6 out of 10 firmness, The Midnight Luxe in particular performs average among other Helix Luxe beds.

Temperature Control
The Helix mattresses perform about average for hybrids when it comes to sleeping cool. Memory foam is well-known for its tendency to sleep hot, as it often traps and retains heat through the night, but the coil cores of these beds promote airflow to help balance out heat retention.

Edge Support
All Helix mattresses feature a reinforced perimeter, meaning the coils on the edges are thicker than the coils in the middle of the bed. When putting this to the test, we found significantly less sinkage on the edge than the middle while applying weight.

Ease of Movement
Helix Luxe mattresses tend to be somewhat responsive and bouncy, and all tested pretty well for ease of movement. The Midnight Luxe in particular had a middle-of-the-road performance in our tests, as the medium firm surface conforms a bit to the body, but doesn’t fully provide that ‘stuck’ feeling and inhibit motion.

Durability
The Helix Luxe collection of hybrid mattresses is built for durability, and the firmer options will likely extend the life even further. Each model is 14 inches thick and features three layers of foam (memory and poly), plus has 1,000 individually wrapped coils, including zone and perimeter support. It’s likely that you’ll be able to enjoy this mattress for close to a decade.
Helix offers a wide selection of hybrid mattresses to suit different types of sleepers. The Midnight is one of the most comfortable and balanced mattresses in this collection thanks to a medium firm (6) feel.
How It Performed
Best Value Mattress: Brooklyn Bedding CopperFlex Memory Foam
Best Value Mattress
8.6/10Test Lab Score
Brooklyn Bedding CopperFlex Memory Foam
Hugs and soothes pressure points for restful sleep.
Key Details
- Who It’s Best For: Side sleepers weighing at least 130 pounds and back sleepers up to 230 pounds.
- Feel: Medium firm (6) with zoned transitional foam to push back against the extra weight in your torso and hips.
- What It’s Made Of: Adaptive polyfoam and memory foam comfort layers, zoned transitional foam, and two base layers of high-density polyfoam. Cover is made of cooling GlacioTex fabric.
- What We Don’t Like: Strong off-gassing odor for up to 72 hours after unboxing.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The CopperFlex Memory Foam provides great motion isolation, with our testers clocking almost no motion transfer across the bed during movement. This is due to the all-foam construction—with memory foam comfort layers and an all-foam base, there is little means for one side of the bed to affect the other.
Pressure Relief
This bed provides excellent pressure relief, which notably reduced pressure on the shoulders and hips compared to other beds. With a thick foam comfort layer and a foam base, the bed conforms close to the body and ‘hugs’ the sleeper quite a bit.
Temperature Control
As an all-foam bed, the CopperFlex is inevitable going to trap a decent amount of body heat. Luckily, the top layer of quilted polyfoam isn’t very dense, allowing for some airflow. We don’t find copper-infused foam to make too much of a difference in cooling.
Edge Support
Like most all-foam beds, the edge support of the CopperFlex memory foam is mediocre. The high density support core provides a bit of support, but there’s definitely some noticeable sinkage when sitting around the edges. Perhaps not the best choice for those with mobility issues.
Ease of Movement
As an all foam bed with a memory foam comfort layer, it’s no surprise that our testers found the CopperFlex Memory Foam a bit hard to move around on. The foam conforms close to the body, giving you that sinking sensation, and it definitely requires a bit more effort to roll around on the bed, especially for heavier sleepers.
Durability
The CopperFlex Memory Foam’s expected lifespan is about 5 to 6 years with proper use and regular rotations. This is average for an all-foam model. The topmost layers will eventually develop impressions and indentations that make the surface feel uneven, but the base layer is dense enough to provide several years of solid reinforcement.
If you’re shopping for a new mattress with a limited budget, the Brooklyn Bedding CopperFlex Memory Foam is a high-quality option that won’t break the bank. This six-layer all-foam mattress offers an appealing balance of close contouring, sturdy support, and consistent cooling – all at a reasonable price that falls well below much of the competition.
How It Performs
Best Luxury Mattress: Saatva Rx
Best Luxury Mattress
8.5/10Test Lab Score
Saatva Rx
The Saatva RX is a luxury model specifically designed for individuals with chronic pain conditions
Key Details
- Who It’s Best For: Side and back sleepers under 130 pounds who live with back pain.
- Feel: A medium soft (4) feel with deep contouring and light responsiveness.
- What It’s Made Of: Thick polyfoam and lumbar padding in the comfort system, followed by pocketed coils with foam tips to suppress motion transfer.
- What We Don’t Like: High sticker price and $99 return fee.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
We found that the Saatva Rx excels at isolation movement and preventing motion transfer. The memory foam comfort layer helps absorb surface vibrations, while the microcoil layer is encased in high-density polyfoam to further isolate movement. In addition to wrapping the support core’s individual coils in fabric — a standard feature of most hybrid mattresses — Saatva includes 2-inch foam caps on top of each coil. This helps muffle vibrations when pressure is exerted on the coils.
Pressure Relief
Designed by Saatva specifically for those who need extra pressure relief, our testers reported that the Rx delivers on their claims. The memory foam lumbar pad promotes spinal alignment, which can reduce lower back strain.We found the medium soft (4) surface relieved the most pressure for side and back sleepers under 230 pounds. The mattress compressed too much for stomach sleepers over 130 pounds, putting pressure on the lower back.
Temperature Control
The mattress’ temperature control is on par with most quality hybrids on the market, with a breathable cotton cover and wool flame barrier that help regulate surface temperature.The support core also has a number of temperature-regulating features. The Rx Foam Module has an open-cell structure that’s more ventilated than traditional polyfoam. It also contains graphite infusions and thermally conductive fibers designed for cooling.
Edge Support
Our testers sit and lie near the edges of a mattress to determine how sturdy its perimeter is.The Saatva Rx’s firmer coils along the perimeter keep the mattress from warping at the sides, so couples should be able to sleep comfortably near the edges of the mattress. That said, the mattress is pretty soft and some sinkage along the perimeter is to be expected.
Ease of Movement
A mattress that facilitates movement is helpful if you have joint or muscle pain. It’s also an advantage for sleepers who toss and turn at night.Our testers could easily move on the Saatva Rx despite its plush surface. Responsive microcoils prevent the comfort system from overly conforming to sleepers. Additionally, the strong pocketed coil core helps the mattress’ surface regain its shape more quickly.
Durability
The unique construction of the Saatva Rx makes it slightly more durable than some other hybrid mattress models. Below a half-inch layer of memory foam toward the top, there’s a support core that includes a one-inch layer of flexible microcoils encased in high-density polyfoam, followed by an eight-inch pocketed coil base layer. Even though the mattress’ medium-soft feel can reduce its durability a bit, you can expect it to last around eight years.
The Rx is one of the newest entries to Saatva’s mattress lineup, and the only model specifically designed to reduce chronic pain. Ultra-plush foam layers over a coil-on-coil support system create a medium soft (4) feel, making the Rx much more adaptive than the average hybrid model. Foam-tipped pocketed coils also cut down on motion transfer, making the mattress a solid option for couples.
How It Performed
Best Mattress for Pressure Relief: Leesa Sapira Chill Hybrid
Best Mattress for Pressure Relief
9.0/10Test Lab Score
Leesa Sapira Chill Hybrid
A foam hybrid that cushions your body without trapping heat.
Key Details
- Who It’s Best For: Side, back, and stomach sleepers across all weight groups who sleep hot and want a mattress that reduces pressure buildup.
- Feel: You can choose from medium (5), medium firm (6), and firm (7) designs.
- What It’s Made Of: Comfort layers of gel-infused polyfoam, memory foam, and transitional foam over three-zone pocketed coils with perimeter reinforcement and high-density base foam.
- What We Don’t Like: The thick profile requires a deep-pocket fitted sheet and off-gassing smells can be overpowering for the first few nights.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
In our tests, the Sapira Chill Hybrid’s foam-heavy comfort system absorbed most motion with ease. Even when one tester shifted positions or got up, the other hardly noticed — especially on the medium and medium firm models. For couples, this mattress is a standout in motion isolation for a hybrid.
Pressure Relief
Pressure relief was a top-scoring category across the board. Our side sleepers noted significant cushioning in the hips and shoulders, and even our back sleepers experienced a nice balance of support and contouring. The plush top layers adapted closely without making us feel stuck.
Temperature Control
Though it contains multiple foam layers, the Sapira Chill didn’t trap as much heat as we expected. The open-cell construction and airflow from the coil core helped maintain a neutral sleep temperature for most of our testers — particularly on the firmer options where we didn’t sink in as deeply.
Edge Support
We were impressed with how well the Sapira Chill held up around the edges. The reinforced perimeter coils gave us a stable feel when sitting or lying near the sides of the bed, which is especially helpful for co-sleepers or anyone who likes to spread out.
Ease of Movement
Movement on the Sapira Chill felt smooth, especially for a hybrid with four foam layers. While the softer model had a bit of a “sink-in” feel, the underlying coil support and responsive transition foam made it easy to shift positions or get in and out of bed on all three firmness levels.
Durability
The Leesa Sapira Chill Hybrid earns high marks for durability. As a hybrid mattress that uses four distinct foam layers, two of which are high-density polyfoam, sleepers can rely on cradling support without sinkage. Add to that the pocketed coil layer with individually wrapped springs, and the mattress should provide at least eight years of comfort.
Most mattresses that are suitable for people with arthritis also excel at alleviating painful pressure points in the shoulders, lower back, and hips. The Leesa Sapira Chill Hybrid scored particularly well during our pressure relief tests – we’ve attributed its strong performance in this category to a thick comfort system composed of four individual layers and pocketed coils that are zoned to support heavier areas of your body. You can also choose from three firmness levels based on how much you weigh and which sleep position you prefer.
How It Performs
Best Mattress for Back Pain: Nolah Evolution 15
Best Mattress for Back Pain
8.7/10Test Lab Score
Nolah Evolution 15
A cloud-like experience with a plush euro-top in multiple firmnes options.
Key Details
- Who It’s Best For: Most side and back sleepers regardless of body type, as well as stomach sleepers up to 230 pounds.
- Feel: Available in medium (5), medium firm (6), and firm (8) designs – all feel plush on the surface with targeted midsection support.
- What It’s Made Of: Four comfort layers of adaptive polyfoam and a zoned pocketed coil support core with a reinforced perimeter.
- What We Don’t Like: High profile requires a deep-pocket fitted sheet and returns incur a $99 fee.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
Thanks to its thick polyfoam layers, the Nolah Evolution 15 Hybrid absorbs enough movement to prevent most sleep disruptions. However, there is still some motion transfer because of the bounciness of the coils. You can expect the most motion transfer on the firm (8) model and the least on the plush (5) option. Across the board, though, our testers noticed only light motion transfer across all three firmness levels.

Pressure Relief
The combination of zoned coils and multiple polyfoam layers, including zoned AirFoam, enable the Nolah Evolution Hybrid to cushion pain points and provide above-average pressure relief. Choosing the right firmness option can optimize pressure relief. While individual preferences vary, a plush (5) or luxury firm (6) model works best for most side sleepers under 230 pounds, while the luxury firm (6) or firm (8) are better suited to the majority of back and stomach sleepers.

Temperature Control
Like many hybrids, the Nolah Evolution 15 excels at temperature regulation. Cooling fibers in the cover are engineered to draw heat away from the body, and the aerated polyfoam layers help reduce heat retention. The coil layer also promotes steady ventilation.In our testing, all three models resisted heat retention. That said, compared to the firm (8) model, the plush (5) and luxury firm (6) permit more sink and allow slightly less cooling airflow around the skin.

Edge Support
The sturdy 8-inch coils gives the Nolah Evolution Hybrid a reliable level of edge support. While there can be some sink from the foam layers, resilient polyfoam prevents instability around the perimeter of the bed.Edge support does vary based on the firmness level. Our team noticed a reduction in edge support between the firm (8) and the luxury firm (6) and plush (5) models. Even on the softer models, though, you get solid edge support from this mattress.

Ease of Movement
The Nolah Evolution 15’s foam layers don’t sink or hug excessively, and the bounce of the coils facilitates movement on the surface. This makes this mattress a solid fit for combination sleepers or anyone who hates feeling stuck in place when lying in bed. With its softer surface, the plush (5) model restricts movement a bit more than the other two. The firm (8) model provided standout ease of movement to all of our sleepers.

Durability
With a stunning 15-inch profile, seven inches of which are polyfoam found in the comfort layer, the Nolah Evolution 15 is a highly durable mattress. Beneath that are 8-inch coils to give the bed more support. If longevity is your main concern, going with the firmer of the three options may extend the life a bit more. Otherwise, you can generally expect around eight or nine years of comfort.
The Nolah Evolution is a Euro-top hybrid available in three firmness levels: medium (5), medium firm (6), and firm (8). This selection, which ranges from deep contouring to sturdy support, should accommodate most people with arthritis regardless of their weight or which sleep position they primarily use.
How It Performed
Best Mattress for Hip Pain: DLX Premier Hybrid
Best Mattress for Hip Pain
8.6/10Test Lab Score
DLX Premier Hybrid
Versatile hybrid with six differet firmness options.
Key Details
- Who It’s Best For: Most side and back sleepers living with back and hip pain.
- Feel: Your choice of plush medium soft (4), balanced medium firm (6), or ultra-supportive firm (8) designs.
- What It’s Made Of: Adaptive polyfoam comfort layers over pocketed coils with a reinforced perimeter.
- What We Don’t Like: Initial off-gassing odor can be strong and unpleasant for the first few nights.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The DLX Premier Hybrid tested pretty well for motion isolation. As a polyfoam hybrid, the foam comfort layers are gonna eat up a fair amount of motion transfer, but the coil support core won’t isolate motion as well as an all-foam base. Also the fact that the comfort layer is all polyfoam instead of memory foam contributes to this. Since this bed has three firmness options, it’s also important to consider that the softer the bed is, the better it will isolate motion.
Pressure Relief
With a hefty 4″ foam comfort layer, the DLX Premier Hybrid did a really good job easing pressure points across the body, particularly in the shoulders and hips. If you like that close-conforming mattress feel, this is a good option for you.
Temperature Control
This bed tested pretty well for temperature neutrality. We found that while the coils in the support core allows for a good amount of airflow, the foam in the comfort layers trap a good amount of body heat throughout the night.
Edge Support
This bed tested very well for edge support, with our testers find very little sinkage when applying weight to the edge of the mattress. This is due to the reinforced perimeter, where the coils on the edge are a bit thicker than those in the middle of the bed.Since this bed has three firmness options, it’s also important to consider that the firmer the bed is, the better edge support it will have.
Ease of Movement
Our testers, particularly the heavier ones, noticed a bit more resistance to move across the bed when performing our ease of movement tests. This comes as no surprise, since the foam comfort layers are pretty thick and conform close to the body.
Durability
The DLX Premier Hybrid mattress has better than average durability thanks to its construction. It has four foam layers (though density levels are just mediocre) and pocketed coil support. You might be able to extend the life of the mattress beyond seven or eight years by choosing the firmer option and going with the 8-inch coils (versus the 6-inch), which should help postpone sinkage.
The DLX Premier Hybrid earns points for a thoughtful design three firmness options to accommodate different sleeper types. A quintessential hybrid design bolstered with sturdy coils helps ensure a good balance of cushioning and support. Our testing team also appreciated the feel of the Premier Hybrid’s foam layers, which contour closely but shouldn’t hug too tightly — a common complaint about memory foam.
How It Performed
Best Mattress for Spinal Alignment: Bear Elite Hybrid
Best Mattress for Spinal Alignment
8.5/10Test Lab Score
Bear Elite Hybrid
A close-conforming memory foam hybrid offering great pressure relief.
Key Details
- Who It’s Best For: Side and back sleepers who need extra back support.
- Feel: Available in medium (5), medium firm (6), and firm (8) designs, all of which offer gentle contouring and targeted multi-zone support.
- What It’s Made Of: Memory foam comfort layer, zoned transitional foam, and seven-zone pocketed coils with a reinforced perimeter.
- What We Don’t Like: Some couples report motion transfer in response to movement.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The Bear Elite Hybrid shows considerable ability to prevent vibrations from traveling across the surface of the mattress. Its memory foam layer only reacts where weight is directly applied, which helps keep movement from causing ripple effects that spread to the other side of the bed.However, the bounce of the coils can cause some motion transfer, especially on the firm model that has a reduced amount of contouring.
Pressure Relief
The Bear Elite Hybrid offers excellent pressure relief that stems from its comfort system and the zoned, pocketed coils in its support core. In our testing, it was side and back sleepers who tended to get the best pressure relief and support. That said, stomach sleepers liked the firm (8) model that maintained a flat, stable surface with just enough cushioning for the midsection.
Temperature Control
This mattress doesn’t feel overwhelmingly hot, but it also probably shouldn’t be the top choice for hot sleepers. The copper-infused foam makes it slightly cooler than some other memory foam mattresses, but heat can still collect in and around the foam. The risk of overheating is highest on the Luxury Plush model because it has the closest contouring around the skin, which may make it harder for heat around the body to dissipate during the night.
Edge Support
Reinforced edges in the support core help give this mattress a solid rating for edge support. While you’ll notice foam compression around the perimeter, it’s not so significant that you’ll feel like the mattress is giving out beneath you.Of the three different firmness options, edge support is clearly strongest in the firm (8) model and weakest in the one with a firmness level of medium (5).
Ease of Movement
When you need to switch your sleeping position or adjust your body’s alignment on the mattress, you generally won’t encounter much resistance. Sleepers over 230 pounds may find that there’s less ease of movement, especially on the softer models. But in most cases, the springiness from the thick layer of pocketed coils enables relatively easy movement on the surface of the Bear Elite Hybrid.
Durability
The Bear Elite Hybrid Mattress scores above average for durability thanks to its pocketed coils, reinforced perimeter, and memory foam and polyfoam layers. The mattress comes in three firmness levels, and going firmer will typically extend the life of the mattress a bit more. Overall, you should expect around seven to eight years of use.
The Bear Elite Hybrid is an excellent match for sleepers who seek relief from painful pressure points at night. The foam layers and responsive coils cradle joints where pressure tends to build up while also delivering enough support to ensure healthy sleep posture.
How It Performed
Best Organic Mattress: Birch Mattress
Best Organic Mattress
8.8/10Test Lab Score
Birch Mattress
A latex hybrid with responsive comfort materials and a robust support system.
Key Details
- Who It’s Best For: Side and back sleepers seeking a responsive, breathable mattress.
- Feel: A medium firm (6) design with a cool surface and plenty of bounce.
- What It’s Made oO: Organic wool. and organic cotton batting, followed by a latex comfort layer and pocketed coil support core.
- What We Don’t Like: Not enough contouring for people who want to be hugged by their mattress.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
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Motion Isolation
The Birch Natural Mattress definitely has more bounce than contouring, which in our testing lab meant more motion transfer. Vibrations from movement on one part of the bed could be felt at least lightly on other parts of the bed. For most couples, a little motion transfer doesn’t create significant problems. But if you’re easily awoken during the night, you may encounter more sleep disruptions from your bed partner’s movement when sleeping on the Birch Natural Mattress

Pressure Relief
The Birch Natural Mattress offers effective pressure relief for many sleepers, but it may not be the top option for people who want deep contouring around their body.The wool and latex layers of the Birch Natural Mattress lightly cradle the joints and heavier parts of your body, but these materials do not hug you closely. In most cases, the cushioning from the latex is enough to relieve pressure, but it may be lacking in this category for people with very sharp pressure points.

Temperature Control
We found that the Birch Natural Mattress offers excellent temperature control. It has several components that promote cooling and temperature neutrality. Wool and cotton are highly breathable to wick away moisture and dissipate heat. Latex does not heat up the way foam does, and the coil support core promotes plenty of ventilation.The responsiveness of the mattress also keeps you from sinking in too far. As a result, airflow can reach your skin and help cool you down.

Edge Support
The Birch Natural Mattress offers solid edge support that comes from the bounciness of its materials and its thick layer of pocketed coils. The coils are reinforced around the perimeter to give the mattress a more stable feel when sitting or lying down near the edge.

Ease of Movement
The Birch Natural Mattress keeps you from feeling stuck in one position. Our testers observed that, thanks to its responsive materials like latex and coils, you can easily adjust your sleeping position, roll over, or get up out of bed.The ease of movement on the Birch Natural Mattress makes it a good fit for combination sleepers and anyone else who prefers to feel like they are sleeping on top of the bed rather than “in” the bed.

Durability
The Birch Mattress has a strong durability score thanks to its construction and natural materials. As a hybrid mattress, it combines individual pocketed metal coils in the support core with layers of Talalay latex and wool. Latex is a denser material than memory or polyfoam. That, along with the medium firm feel give this mattress more longevity up to eight or nine years.
For many sleepers with arthritis, a combination of body contouring and even support is key to managing nightly aches and pains. The Birch Mattress is a medium firm (6) latex hybrid that delivers a balanced feel. The mattress’ components are also quite breathable and the coils distribute air evenly throughout the interior, so it should sleep cool for most people regardless of where they live.
How It Performed
What You Should Consider in a Mattress for Arthritis and Joint Pain
While researching the best mattress for arthritis and joint pain, there are a few details you’ll need to keep in mind.
What Do You Need From Your Bed?
If you have arthritis, it’s important to choose a mattress that cushions tender areas without sacrificing support. Anyone looking for a mattress needs to think about the same factors – namely sleeping position, body weight, and personal preference. Ultimately, the most suitable mattress depends on the needs of the individual. Those with joint pain must add adequate pain relief to their list.
Though mattress preferences vary, those with arthritis typically enjoy some of the same characteristics in a mattress. A mattress with plenty of contouring can be beneficial, because it can cradle joints and evenly disperse weight to prevent pressure buildup. If you have joint pain, you may want to avoid a mattress that doesn’t have adequate spinal support or cushioning.
Reducing pain can mean a major difference for your sleep quality. Based on data from 160,000 Sleep Foundation profiles, roughly a quarter of respondents feel pain “often” or “always” — and the vast majority of these individuals say pain negatively affects their sleep. The most common pain-related issues include insufficient sleep, difficulty falling asleep, and difficulty staying asleep.
Mattress Type and Firmness
Though there are endless mattress material combinations, there are only several ways to combine those materials and most mattress constructions fall within a few certain types.
- Foam: All-foam beds usually adapt to your shape and cushion your body, which can be particularly helpful for people with joint pain. They isolate motion well and are excellent for those who like the feeling of a full-body hug. However, because they have support cores and comfort systems made entirely from foam, these mattresses tend to sleep warmer than other constructions.
- Latex: If you want a surface that’s both pressure-relieving and responsive, a latex mattress may be worth considering. These models are buoyant, slightly bouncy, and often quite cool. Natural latex is derived from tree sap and it’s often sustainably sourced and organic, which can cause latex mattresses to be expensive.
- Innerspring: Innerspring mattresses are well-known for their structure and responsive support and have long been a popular choice because of how affordable they are. These mattresses have a coil support core and typically a thin comfort layer to prevent you from feeling the springs. If you have joint pain, make sure to choose one with a pillow-top, Euro-top, or some other kind of cushioning. You may want to try a thicker mattress topper to add some comfort to an innerspring.
- Hybrid: Hybrid mattresses have a support core made from pocketed coils. Many manufacturers use the terms innerspring and hybrid interchangeably, though hybrid models have thicker comfort systems than innersprings. They’re highly versatile and usually regulate temperature well. You can find hybrids at many price-points, though they’re generally more expensive than both basic innersprings and foam mattresses.
Once you choose a mattress type, you’ll want to shift your focus to firmness level. We measure mattress firmness on a scale of 1 to 10. The softer mattresses have lower numbers while the firmer models have higher ones. If you experience joint pain, you should get a model that’s firm enough to support your weight while you’re in your preferred sleeping position. Although the best firmness level may vary person to person, a large 2003 trial showed that a medium-firm mattress can help alleviate individuals with back and joint pain the most.
Your body weight can also play a part in joint pain during sleep as well as the firmness to the mattress. If you weigh more than 230 pounds, you may want to search for a firmer mattress that can distribute your weight evenly to minimize pressure points.
How Does Sleeping Position Affect Joint Pain?
If you sleep in a position that puts strain on your joints, lower back, or spine, you could wake up with increased pain and discomfort. The best sleeping position for joint pain is one that minimizes pressure points and evenly distributes your weight while protecting your spine. Doctors generally agree that side and back sleeping are better than stomach sleeping because they’re more supportive of your spine. “While sleeping laterally, adding a pillow in between your knees can help align the spine, give additional support and prevent joint pain.” says Dr. Guo.
| Weight | Side Sleepers | Back Sleepers | Stomach Sleepers |
|---|---|---|---|
| Less than 130 lbs. | Soft (3) to Medium (5) | Soft (3) to Medium (5) | Medium Soft (4) to Medium Firm (6) |
| 130 to 230 lbs. | Medium Soft (4) to Medium (5) | Medium (5) to Firm (7) | Medium (5) to Firm (7) |
| More than 230 lbs. | Medium Firm (6) to Firm (7) | Firm (7, 8) to Extra Firm (9) | Firm (7, 8) to Extra Firm (9) |
Cushioning and Pressure Relief
While most sleepers enjoy a mattress with cushioning and pressure relief, they are particularly important qualities for people with joint pain or arthritis. A pressure-relieving mattress adapts to the body’s shape and absorbs weight without sagging. Materials like latex and foam cradle joints and prevent joint stress because they cushion the body while also supporting it.
Edge Support and Ease of Movement
Being able to get into and out of bed as well as easily move around on a mattress’ surface is important for people with pain and mobility issues. Some models give sleepers the feeling that they’re sunken “in” the mattress rather than “on” it, and they restrict movement, leaving sleepers feeling like they’re being hugged by their mattress. While some people like this sensation, it’s not ideal for those with restricted mobility, because it can make getting in and out of bed difficult.
A mattress with strong edge support and an even surface with plenty of pushback can make it easier to move around. Look for models with a reinforced perimeter and responsive surface if you have concerns about moving on your mattress.
Shipping and Delivery
If you buy a mattress online, read the shipping and delivery fine print thoroughly. Many manufacturers ship mattresses in a box, which is convenient but requires planning, especially if you’re not able to lift and move the box yourself.
Ask a friend or partner to help set up your bed, or consider hiring a service to deal with the heavy lifting. If it’s offered, White Glove delivery may be worthwhile. This service involves a delivery team setting your new mattress up and possibly removing your old mattress. Some companies offer White Glove delivery for free, while others have it for an added fee.
Trials and Warranties
Most mattress companies offer a sleep trial window that allows you to test a mattress and send it back for a full or partial refund if you don’t like it. Some even allow you to switch between models with different firmness levels during this timeframe, which can be particularly helpful for people with joint pain.
However, not all manufacturers are transparent about trial terms. Check the fine print to learn if returns incur costs such as return shipping fees, and read customer reviews to see how a company deals with trials in real life. It’s also important to read about a bed’s warranty to find out what issues it covers and whether it’s pro-rated or not.
How Much of an Investment Do I Need to Make?
Budget-friendly mattresses may cost just a few hundred dollars. These models often offer strong pressure relief and good support, but some may be more prone to forming impressions over time. Higher-priced models may seem like a big investment, but quality materials and construction can help the mattress last longer, which may make it a better value in the long run. Natural versus synthetic materials can also play a difference in price though there are benefits and downsides to both. Direct-to-consumer mattresses sold online are often less expensive, since the manufacturer isn’t paying for showrooms and additional staff. These “mattress in a box” models are comparable to those sold in brick-and-mortar stores in terms of construction and performance.
Why Buy a New Mattress?
Sleepers invest in new beds for different reasons, whether it’s to help alleviate painful pressure buildup or simply to upgrade an old bed. “We spend about one-third of our lives sleeping. A good mattress is one of the most important investments we can make. “ says Dr. Guo. We asked thousands of Sleep Foundation readers why they purchase new mattresses. Below are three of the top reasons from our poll.

Tips for Sleeping Comfortably With Arthritis and Joint Pain
Sleeping more comfortably through the night is possible, even if you have arthritis and joint pain. There are several easy and inexpensive ways to make your bed more comfortable and supportive.
“Sleep and pain have a bidirectional relationship, and the current data suggest that the effects of sleep on pain are likely stronger than the effects of pain on sleep. Focusing on improving your sleep quality may help with your overall pain level. Common changes to sleep quality could include difficulty falling and/or staying asleep, more sleep fragmentation (i.e., more awakenings during the night), early morning awakenings, and unrefreshing/non-restorative sleep.”
– Sarah Silverman, Psy.D., a licensed psychologist and holistic sleep wellness consultant who treats patients in New York and Florida.
Talk to Your Doctor
Your doctor should be the first stop on the road to relief from arthritis symptoms. While our team of experts has thoroughly tested each mattress, our advice is not a substitute for medical treatment. Your healthcare team knows your specific needs and can create a plan that helps alleviate sleep-related pain.
Invest in a Mattress Topper or Pad
Using a mattress pad or topper is an easy and inexpensive way to extend your current mattress’ lifespan or change its feel. Pads are thinner than toppers and are often used for mattress protection and subtle changes. Toppers tend to be 2 to 4 inches thick and can give more support and alter a mattress’ firmness level.
You can find toppers designed to increase support or enhance pressure relief, two important factors for people with arthritis. If you want pain relief but like your mattress’ overall feel, consider a heated mattress pad that can help loosen joint tension.
Use Extra Pillows for Support
Before purchasing an entirely new mattress, try strategically using pillows for extra support. If you’re a side sleeper with knee pain, a pillow between your knees can align the spine and ease pressure while extending additional support to your hips. One pillow under the knees can be similarly beneficial for your lower back if you’re a back sleeper.
Body pillows can also take stress off your hips, shoulders, and knees, especially if you’re a side sleeper and you use it lengthwise from head to toe. Neck, or cervical, pillows can bridge the gap between your shoulders and head and ensure that your neck doesn’t curve where your head meets the pillow.
How We Test: Your Comfort Is Our Science
Our industry-leading product testing team cares deeply about improving your sleep. Having a holistic understanding of a mattress’s role as part of a sleep system is paramount to our testing process. Since a bed’s comfort and feel depend largely on body weight and sleeping position, our testing team represents a wide range of body types, sleep positions, and comfort preferences.
In our Seattle-based Test Lab, we use an objective, hands-on process to evaluate mattresses across performance categories. The following are the key guidelines that inform our performance ratings. Our ultimate goal is to ensure you have all the information you need to make the best purchase decision for you.
Construction analysis:We begin testing each mattress by analyzing its design and making note firmness, height, individual layer composition, and sticker price. This allows us to evaluate qualities like support, durability, and value.
Product testing:Firsthand testing is crucial to our evaluation and ratings system. We use a wide range of tools and technology to test mattresses in six performance categories: motion isolation, pressure relief, temperature control, ease of movement, edge support, and odor potential.
Field testing: In addition to lab-based tests, we base our ratings on feedback from field testers who use the mattresses in their own homes. They spend several weeks collecting data — this gives us insights into how the mattress performs night after night for an extended period.
User testing:We curate feedback verified owners have provided in surveys, sleep stories, and product reviews. This helps us evaluate our initial findings and, if needed, tweak our ratings to reflect real-world experiences.
How We Determine Our Overall Scores


To determine a mattress’s overall score, we assign weighted percentages to performance categories based on how important they are to the individual sleep experience. For instance, areas like pressure relief and temperature control tend to matter more to people than something like off-gassing, and because more people sleep on their side and back than on their stomach, we weigh those positions more heavily.
Performance Categories
Motion Isolation
This criteria alludes to the amount of motion a mattress absorbs when a sleeper moves on the surface. We use two testers lying side by side to evaluate motion isolation, who each feel for transfer while the other person moves on the mattress.
Temperature Control
To determine how well a mattress regulates temperature, we perform temperature tests and look closely at its materials and construction. Many mattresses are designed with cooling components meant to reduce heat retention.
Pressure Relief
A bed with strong pressure relief excels at preventing pressure from building up in areas like the shoulders and hips. Beds with even contouring and weight distribution are top performers when it comes to pressure relief.
Off-Gassing
A mattress in a box may release unpleasant chemical odors for a short period after you’ve unboxed it. The initial smell may be strong but typically fades within 2 or 3 days.
Ease of Movement
This criteria reflects how easily a sleeper can move across a bed’s surface. Responsive surfaces made of latex typically perform better than foam surfaces, which can inhibit movement.
Edge Support
We perform sit tests along a bed’s perimeter to measure how well the edges push back against weight. Mattresses with strong edge support have minimal sagging when sleepers sit on or lie close to the perimeter.
Dive Deeper – Mattress Guides by Purpose
If you need further help choosing a mattress that checks all of your boxes, you can read through our detailed guides broken down by mattresses for your particular requirements.
Best Mattress by Specific Purpose
Mattresses for Arthritis FAQ
Can a mattress make arthritis worse?
While a mattress may not affect your arthritis’ overall severity, an unsupportive bed can worsen symptoms and make you uncomfortable.For example, a mattress that allows your spine to become misaligned can put stress on your joints. Choose a mattress that has the right firmness level for your body weight and sleeping position to avoid this issue.
What is the best mattress type for arthritis?
The best type of mattress for arthritis is a model that promotes an aligned spine while cushioning the joints. Mattresses that are easy to move around on can also be beneficial because you don’t have to use extra effort to shift sleeping positions or get in and out of bed. The right hybrid, innerspring, foam, and latex mattresses for your body type and sleep position preference can all offer these benefits.
Is a firm mattress good for arthritis?
A firm mattress may be good for arthritis as long as it’s the right firmness level for your body weight and it has adequate cushioning for your joints. Although research shows a medium-firm mattress best alleviates back pain there is no one-size-fits-all perfect mattress firmness. Sleeping position can also play a role where generally back sleepers tend to feel more comfortable on a firmer mattress compared to side sleepers. You should purchase one that’s right for your weight and sleeping position. If you’re a side sleeper or weigh less than 130 pounds, a firm mattress may cause discomfort.
What is the best sleeping position for arthritis?
The best sleeping positions for arthritis are typically back or side sleeping because they minimize joint stress while keeping your spine in a healthy posture. Stomach sleeping can increase discomfort because it’s tricky to support your back and neck properly while you’re in this position. Back and side sleeping can also cause discomfort in the lower back, hips, or knees, but it’s typically easier to maintain an even spine while sleeping in these positions.
Still have questions?
Our product experts have extensive experience testing just about every sleep product on the market.
Send an email to AskAnExpert@sleepfoundation.org with your questions and we’ll help you find exactly what you’re looking for.