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Arthritis is a common medical condition that affects the joints in your body. There are many forms of arthritis but they all share some similar symptoms, including joint pain, stiffness, swelling, and tenderness. These symptoms can make it more difficult for a person to get the quality sleep they need. The right mattress can help ease arthritis pain, while the wrong mattress may worsen these symptoms.

Our sleep expert team has personally tested hundreds of mattresses for performance areas that can affect people with arthritis, such as durability, support, pressure relief, and ease of movement. In addition to hands-on testing, we’ve consulted with medical professionals to ensure our recommendations are accurate and beneficial to the people who need them most. The picks listed below reflect our latest findings.

Our Verdict – What’s the Best Mattress for Arthritis?
Strong pressure relief is a key criteria if you’re looking for a mattress that helps alleviate arthritis symptoms while you sleep. The WinkBed is our top choice in this category, thanks to a quilted Euro-top that cushions your joints. Four firmness options makes this bed a great choice for nearly all body types and sleep positions.

To learn more about these mattresses, please visit the detailed product profiles below. We’ve awarded each one a unique accolade based on areas where that model performed particularly well. Scroll down further for our buyer’s guide aimed at mattress buyers with arthritis-related considerations. We’ll discuss mattress qualities that can improve – or, in some cases, worsen – arthritis symptoms, price expectations for different mattress types, and mattress qualities you should take into account if you or your partner live with arthritis pain.

Product Details

Best Overall


Brand Logo
Price Range: $1,149 – $2,049
Mattress Type: Innerspring
Firmness: Medium Soft (4), Medium Firm (6), Firm (7), Firm (8)
Trial Length: 120 nights (30 night requirement)
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King

Who it’s best for:

  • People who need a mix of cushioning and support
  • Those who prefer responsive mattresses
  • Hot sleepers


  • Plush Euro-top provides pressure relief
  • Zoned coil system ensures sturdy edge support
  • Airflow through coils promotes breathability and temperature control

Sleep Foundation Exclusive Offer!

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Bottom Line

The WinkBed is a standout pick thanks to its balanced feel. The mattress offers significant pressure relief without sacrificing support and responsiveness.

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

The WinkBed caters to sleepers across all weight ranges and sleep positions, thanks to its four firmness options. We found that side sleepers prefer the cushioned surface of the medium soft (4) and medium firm (6) models while back sleepers gravitate toward the firm (7) and firm (8). Stomach sleepers up to 230 pounds received the most support from the luxury firm and firm, while those over 230 pounds fared well on the firm (8). In general, those who weigh over 230 pounds will probably receive inadequate support from the softer options and may prefer the firm (7) or firm (8).

What It’s Made of

All firmness options of the WinkBed feature a Euro-top quilted with adaptive polyfoam encased in a breathable Tencel fabric cover. Beneath is a layer of proprietary SupportCell polyfoam with a higher-density composition than conventional polyfoam. The medium soft option includes an additional layer of polyfoam to enhance cushioning.

The support core is composed of a pocketed coil system zoned to offer enhanced support in the lumbar region and less support to lighter parts of the body. The coil system is reinforced with thicker coils around the perimeter to bolster edge support.

WinkBeds provides free ground shipping for all customers in the contiguous U.S. Your order includes a sleep trial that allows you to test out the WinkBed for up to 120 nights, along with a lifetime warranty that covers structural defects for as long as you own the mattress.

Read our Full WinkBed Review to learn more

Best Value

DreamCloud Mattress

Brand Logo
Price Range: $799 – $1,499
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial Length: 365 nights (30-night requirement)
Warranty: Lifetime, limited
Sizes: Twin, Twin XL, Full, Queen, King, California King

Who it’s best for:

  • Side and back sleepers
  • People who tend to sleep hot
  • Shoppers looking for a mattress with a lengthy trial period


  • Luxury hybrid design with deep foam layers and a strong coil system
  • Cooling cashmere-blend cover and steady interior airflow ensure excellent temperature control
  • All orders include a year-long sleep trial

Sleep Foundation Exclusive Offer!

25% off everything + $599 of accessories included with mattress purchase

Bottom Line

It’s rare to find a mattress as comfortable and luxurious as the DreamCloud that’s also suitable for shoppers on a budget. The foam layers cushion and contour to the body, but you’ll never feel trapped or stuck in the mattress.

The DreamCloud Mattress offers luxurious construction at an approachable price. Thick foam layers over a pocketed coil system create a balanced feel with even body-contouring and stable support. The deep cushioning of this mattress is particularly well suited to people who experience arthritis-related pain and other conditions that cause frequent discomfort.

How It Performed

The side and back sleepers on our team awarded favorable ratings to the DreamCloud during our hands-on tests. Those who weigh up to 230 pounds were particularly impressed with the mattress. The foam layers contour closely enough to improve spinal alignment and alleviate pressure for side sleepers, while the coils provide the support needed for back sleepers to lie comfortably without sinking too much around the midsection.

Temperature regulation is another major strength of the DreamCloud. The cashmere-blend cover helps the mattress maintain a comfortable surface even on hot or humid nights, and the coil layer promotes steady airflow to keep the interior cool. We also found that the DreamCloud isolates motion very well compared to other hybrid models. This can be attributed to the thick comfort system and pocketed coils that generate little to no transfer.

What It’s Made of

The mattress begins with a layer of adaptive polyfoam quilted into the cover, followed by a memory foam comfort layer and a polyfoam transitional layer. These layers conform to your body without sinking or buckling beneath your weight, creating a luxuriously plush feel as you settle into the surface. The support core contains a pocketed coil system over a base layer of high-density polyfoam.

The entire mattress is encased in a cover woven with cashmere, a material that has natural cooling and moisture-wicking properties. Measuring 14 inches thick, the DreamCloud is considered a high-profile mattress. Its feel is medium firm (6).

In addition to its affordable price-point, the DreamCloud Mattress qualifies for free ground shipping anywhere in the contiguous U.S. DreamCloud’s 365-night sleep trial is among the longest in the online mattress industry. Those who keep their DreamCloud also receive a lifetime warranty, which covers structural defects for as long as you retain original ownership of the mattress.

Read our Full DreamCloud Mattress Review to learn more

Most Comfortable

Helix Midnight Luxe

Brand Logo
Price Range: $1,199 – $2,499
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial Length: 100 nights (30-night requirement)
Warranty: 15 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King

Who it’s best for:

  • People who weigh up to 230 pounds
  • Hot sleepers
  • Those who struggle getting in and out of bed


  • Luxury pillow-top design with a plush medium feel
  • Tencel cover and steady internal airflow ensure excellent temperature regulation
  • Reinforced coils prevent excessive sinkage along the edges

Sleep Foundation Exclusive Offer!

20% off sitewide + 2 free Dream Pillows with mattress purchase

Bottom Line

The Helix Midnight Luxe is a versatile model that hits the sweet spot between cushioning and support. The pillow-top gives the surface a plush feel while the pocketed coils and reinforced perimeter prevent excessive sinkage.

Helix offers a wide selection of hybrid mattresses to suit different types of sleepers, including the Luxe line of pillow-top models aimed at high-end shoppers. The Midnight Luxe is one of the most comfortable and balanced mattresses in this collection thanks to a medium firm (6) feel.

How It Performed

The Midnight Luxe’s pillow-top provides a plush surface that doesn’t interfere with its overall firmer feel. Extra coil support along the perimeter also reduces sinkage when weight is applied, so most people weighing up to 230 pounds will feel secure lying near the edges or getting in and out of bed. Air circulates freely through the coil system and the entire mattress is encased in a breathable Tencel cover, so people who run hot in bed should remain fairly cool throughout the night.

What It’s Made of

The Midnight Luxe begins with two memory foam layers that cushion the body without sinking or squeezing too tightly. The pocketed coil support core is reinforced around the midsection to create added stability for the lower back and hips – two areas where people with arthritis tend to feel sharp pains. Despite its name, the Midnight Luxe has a price-point that is lower than average for a hybrid model.

Helix provides free ground shipping to all 50 states. The company’s sleep trial spans 100 nights in length, and the mattress is backed by a 15-year manufacturer’s warranty.

Read our Full Helix Midnight Luxe Review to learn more
A picture of the Saatva Classic Mattress in Sleep Foundation's test lab.

Best Luxury

Saatva Classic

Brand Logo
Price Range: $995 – $2,710
Mattress Type: Innerspring
Firmness: Soft (3), Medium Firm (6), Firm (8)
Trial Length: 365 Nights ($99 Return Fee)
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, Split King, California King, Split California King

Who it’s best for:

  • Sleepers with specific firmness preferences
  • People who tend to sleep hot
  • Those with sharp pressure points


  • Euro-top and foam layers provide strong pressure relief
  • Coil-on-coil design is exceptionally supportive
  • Cotton cover and pocketed coils enhance breathability and airflow

Sleep Foundation Exclusive Offer!

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Bottom Line

The Saatva Classic comes in an impressively wide selection of firmness levels and profiles. The thoughtful coil-on-coil design is very supportive, while the Euro-top and lumbar pad provide relief to pressure points.

The Saatva Classic is a luxury hybrid model with the thoughtful construction to match. The mattress has strong pressure relief and three firmness options, which may make it a good choice for people with arthritis from all weight groups.

How It Performed

Compared to other hybrid models, the Saatva Classic is quite affordable. Our testers found that it also excels in temperature neutrality, pressure relief, and ease of movement. The mattress is available in three firmness options, so it felt comfortable to most testers regardless of their sleep position and weight group. However, not all firmness options will be ideal for all individuals. Testers who weigh under 130 pounds tended to favor the Plush Soft version, while those who weigh over 230 pounds preferred the Firm version. Most testers from all weight groups found the Luxury Firm version comfortable.

What It’s Made of

You can select between three firmness options: Plush Soft (3), Luxury Firm (6), and Firm (8). You can also choose between two profiles, 11.5 inches or 14.5 inches. The hybrid design combines a Euro-top and two layers of coils. The Euro-top contains polyfoam, fiber fill, and Dacron. To adjust the feel of each mattress, the thickness and firmness of the polyfoam vary between models. The Plush Soft and Luxury Firm options use softer foam in their Euro-tops, and the Firm model uses firmer foam.

A layer of polyfoam rests under the Euro-top. The lumbar region is supported by a layer of memory foam. This layer adds to the pressure relief while promoting proper spinal alignment. A layer of wrapped coils adds bounce, breathability, and support. The base layer consists of hourglass coils, which add durability and cooling airflow. This layer is thinner in the 11.5-inch version of the Saatva and thicker in the 14.5-inch version. Final base pads support the core. A layer of foam wraps around the edge of the mattress to reduce sagging.

The Saatva Classic comes with free White Glove delivery. You can try the mattress at home during the 365-night trial. A lifetime warranty protects against defects in materials and workmanship.

Read our Full Saatva Classic Review to learn more
Nectar Parallax

Best Temperature-Regulating

Nectar Premier

Brand Logo
Price Range: $799 – $1,698
Mattress Type: Foam
Firmness: Medium Firm (6)
Trial Length: 365 nights
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Split King

Who it’s best for:

  • Sleepers with sharp pressure points
  • Hot sleepers
  • Value seekers


  • All-foam composition deeply contours to the body to relieve pressure buildup
  • Phase change material in the comfort system is intended to regulate surface temperature
  • 365-night sleep trial

Sleep Foundation Exclusive Offer!

Save 33% sitewide on Nectar products

Bottom Line

The Nectar Premier is a great choice if you love the feel of foam mattresses but find them overly hot. The Premier is one of the coolest all-foam models we’ve tested, thanks to the use of phase change material in the comfort system.

Sleepers with arthritis often appreciate mattresses made with adaptive foam comfort systems, which typically offer excellent pressure relief for the joints. However, these mattress types can often trap more heat. The Nectar Premier is a notable exception, using phase change material and proprietary cooling technology to prevent heat buildup.

How It Performed

The Premier has a medium firm (6) feel that performed best among our side-sleeping testers who weigh at least 130 pounds. These sleepers often experience pressure buildup in their hips and shoulders, and our testers noted the adaptive foam layers helped reduce this discomfort. For this reason, we also recommend the Premier for sleepers with persistent joint pain. Back sleepers weighing less than 130 pounds also found it comfortable and received cushioning for their lumbar area without sinking excessively.

Cooling was a standout feature for the Premier, but it performed well in other categories as well. We highly recommend this pick for couples who value motion isolation. The mattress’ foam construction absorbed nearly all movement and noise during our tests. You should notice little to no sleep disturbances when your partner switches positions or gets up at night.

What It’s Made of

Gel-infused memory foam in the top layer adapts to your body to relieve pressure buildup. The gel in this layer is designed to absorb and dissipate heat, and this layer features phase change material (PCM) for enhanced cooling. PCM reacts to your body heat and regulates the surface temperature throughout the night. A dense polyfoam transitional layer ensures your weight is evenly distributed across the mattress surface.

The support core features high-density polyfoam that prevents your midsection from sinking too deeply into the mattress, promoting healthy sleep posture. A cover made from a polyester/nylon blend encases the mattress.

Along with the competitive price-point, Nectar ships free to customers in the contiguous U.S. The Premier is backed by a 365-night sleep trial, one of the longest in the industry. During the trial, you can test the mattress and return it for a full refund. The mattress is backed by a lifetime warranty against structural defects.

Read our Full Nectar Premier Review to learn more
A picture of the Layla Mattress in Sleep Foundation's test lab.

Best for Side Sleepers

Layla Mattress

Brand Logo
Price Range: $749 – $1,249
Mattress Type: Foam
Firmness: Medium Soft (4), Firm (7)
Trial Length: 120 nights
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King

Who it’s best for:

  • People with firmness preferences that shift from night to night
  • Those who are prone to sharp pressure points in the shoulders, back, or hips
  • Co-sleepers who use an adjustable bed


  • Reversible construction with a different feel and contouring level on each side
  • Mattress is lightweight and easy to flip as needed
  • Breathable cover helps minimize heat retention on the surface

Sleep Foundation Exclusive Offer!

Get $160 off a Layla Memory Foam Mattress + 2 free memory foam pillows with code: SLEEPFOUNDATION

Bottom Line

Both sides of the Layla Mattress feel completely different, so you’re bound to find a side that feels comfortable for you. If you need lots of cushioning for pressure points, we recommend the medium soft side.

The Layla Mattress is an all-foam model with a flippable design. Each side of the mattress has a different firmness level, making it comfortable for people who enjoy plush sleep surfaces as well as those who need firm support. Both sides offer even contouring, which is ideal for side sleepers, and the dual firmness means the bed will feel comfortable for a wide range of body types.

How It Performed

Like many flippable mattresses, the Layla has two distinct sides that each performed well in certain areas where the opposite side fell short. The medium soft (4) surface contoured closely to cradle the spine and reduce pressure throughout our testing. This side was most comfortable for side-sleeping testers up to 230 pounds and back and stomach sleepers weighing less than 130 pounds. The firm (7) side felt much more supportive and was best suited to side sleepers over 230 pounds and back and stomach sleepers weighing 130 pounds or more.

If you need a mattress that isolates motion, you may prefer the Layla’s medium soft side, as the thick foam layers absorb most movement and reduce motion transfer significantly. On the other hand, couples who need a more responsive surface with strong edge support for sleep or sex will probably prefer the firm side instead.

What It’s Made of

Each side of the Layla is cushioned with a memory foam comfort layer. The medium soft surface features 3 inches of memory foam over a 2-inch polyfoam transitional layer. Conversely, the opposite side is constructed with 1 inch of memory foam and no transitional polyfoam. This thinner comfort system resulted in a firm feel with minimal contouring during our tests. A shared support core of high-density polyfoam is sandwiched between the two comfort systems.

Both memory foam layers are infused with copper intended to make the material more breathable. The transitional layer on the medium soft side is zoned with added support and less sinkage around the midsection. A cover made from a fabric blend of polyester, viscose, and Lycra spandex encases the entire mattress. We found the Layla to be relatively lightweight for a reversible model, and the sides are equipped with handles to assist you whenever you want to flip the mattress.

An accessible price-point makes the Layla a good option for shoppers on a budget. If you live in the contiguous U.S., you also qualify for free ground shipping. The mattress comes with a 120-night sleep trial and a lifetime warranty against structural defects.

Read our Full Layla Mattress Review to learn more
A picture of the Bear Hybrid Mattress in Sleep Foundation's test lab.

Best for Back Pain

Bear Hybrid

Brand Logo
Price Range: $1,248 – $1,998
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial Length: 120 nights (30-night break-in period)
Warranty: Lifetime warranty
Sizes: Twin, Twin XL, Full, Queen, King, California King

Who it’s best for:

  • Back and side sleepers
  • People with painful pressure points
  • Those who sleep hot


  • Foam layers cushion sensitive pressure points
  • Supportive coil system prevents excessive sinkage
  • Cooling fabric maintains temperature neutrality

Sleep Foundation Exclusive Offer!

30% off sitewide + free accessories

Bottom Line

People with persistent joint pain will love the Bear Hybrid’s thick foam comfort system. These polyfoam and memory foam layers closely contour to the hips, shoulders, and lower back to alleviate pressure buildup and reduce aches and pains.

The Bear 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

The medium firm (6) feel makes the Bear Hybrid a good fit for most types of sleepers, but it’s especially ideal for back and stomach sleepers below 130 pounds and side sleepers between 130 and 230 pounds. The balance of cushioning and support is perfect for these sleepers, who need the best of both worlds to keep the head, neck, and spine in healthy alignment. Hot sleepers will appreciate the cooling properties of the Celliant fabric in the cover, as well as the ample air circulating through the coils.

What It’s Made of

The bed’s cover is quilted with polyfoam, followed by a memory foam layer that closely contours to the body. A transitional polyfoam layer enhances the top layers’ contouring and has a firmer feel that supports the body and helps keep it from sinking into the bed. The support core is composed of pocketed coils that excel in support but also have a responsive feel. The slight give of the coils helps relieve pressure in areas like the hips, shoulders, and spine.

Bear offers a 120-night sleep trial with the Hybrid. If you choose to keep the bed, you also receive a lifetime warranty. The mattress ships free to the contiguous U.S.

Read our Full Bear Hybrid Review to learn more
A picture of the Brooklyn Bedding Aurora Luxe Mattress in Sleep Foundation's test lab.

Best Pressure Relief

Brooklyn Bedding Aurora Luxe

Brand Logo
Price Range: $999 – $2,249
Mattress Type: Hybrid
Firmness: Medium Soft (4), Medium Firm (6), Firm (7)
Trial Length: 120 nights (30-night requirement)
Warranty: 10 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Custom Sizes

Who it’s best for:

  • Individuals who experience back pain
  • Hot sleepers
  • Those who prefer a balance of support and pressure relief


  • Copper-infused foam and cooling cover help regulate temperature
  • Foam comfort system evenly distributes weight to promote spinal alignment
  • Zoned coils enhance support

Sleep Foundation Exclusive Offer!

Get 25% off at Brooklyn Bedding!

Bottom Line

The Aurora Luxe from Brooklyn Bedding is a plush mattress that feels exceptionally cool. The thick foam comfort system cushions and contours to your body without overheating.

The Brooklyn Bedding Aurora Luxe is a hybrid mattress with foam comfort layers that conform closely to cradle the spine, promote even alignment, and alleviate pressure in sensitive areas. While many beds with close contouring are prone to heat retention, the Aurora Luxe is designed with cooling features to reduce heat buildup overnight.

How It Performed

The Aurora Luxe comes in three firmness levels: medium soft (4), medium firm (6), and firm (7). Our hands-on tests showed the medium soft model was comfortable and sufficiently supportive for side sleepers weighing up to 230 pounds. Back and stomach sleepers under 130 pounds also gave the mattress favorable ratings. The medium firm model felt most comfortable to testers between 130 and 230 pounds, while testers who sleep on their back or stomach and weigh over 130 pounds felt most comfortable on the firm model.

We detected minimal heat retention during our temperature control tests. Phase change material and copper infusions in the topmost foam layers effectively cool off the surface, and none of our testers felt excessively warm. The zoned coils also helped maintain an even surface for our bodies, and the extra perimeter reinforcement reduced sinkage when we tested the mattress for edge support.

What It’s Made of

In the medium soft and medium firm models, the topmost polyfoam layer is infused with copper and phase change material, so bothersome heat absorption shouldn’t be an issue. The second layer is made of TitanFlex, a proprietary polyfoam designed to cushion the body while providing latex-like responsiveness. Memory foam forms the transitional layer. The firm model has a thinner TitanFlex layer and uses a firmer VariFlex foam instead of memory foam in the transition layer.

The Aurora Luxe’s pocketed coils are divided into three firmness zones, ensuring extra reinforcement for the torso and hips and gentler cradling for lighter areas of the body. A layer of high-density base polyfoam completes the hybrid design. The entire mattress is encased in a polyester cover containing phase change material.

The Aurora Luxe is available in 10 sizes, including a split California king for couples who use adjustable beds and three RV-friendly options. Shipping is free throughout the contiguous U.S., and each order is backed by a 120-night sleep trial. Those who choose to keep their mattress after the trial period also receive a 10-year warranty against structural defects.

Read our Full Brooklyn Bedding Aurora Luxe Review to learn more
A picture of the Nolah Evolution 15 in Sleep Foundation's testing lab

Best for Spinal Alignment

Nolah Evolution 15

Brand Logo
Price Range: $1,599 – $2,499
Mattress Type: Hybrid
Firmness: Medium (5), Medium Firm (6), Firm (8)
Trial Length: 120 nights (30-night requirement)
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King

Who it’s best for:

  • People who experience pressure points in the lower back, stomach, or hips
  • Hot sleepers
  • Those who enjoy sleeping on tall mattresses


  • Balanced hybrid design pairs a plush Euro-top with a robust coil system
  • Three firmness options
  • Breathable foams and steady internal airflow allow the mattress to sleep very cool

Sleep Foundation Exclusive Offer!

Get an additional $30 off the Nolah Evolution Mattress for total savings of $730 with code: SFSAVE730

Bottom Line

The Nolah Evolution 15 stands out from other hybrids with an excellent pressure-relieving pillow-top and supportive coils. Three firmness levels ensure comfort across different weight categories.

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

Each firmness level offers distinct benefits for sleepers. The medium feel conformed very closely during tests, cushioning the body and improving spinal alignment. This option best suited side-sleeping testers who weigh up to 230 pounds and back sleepers under 130 pounds. Firm models are quite supportive and barely contour at all, so back and stomach sleepers over 230 pounds will probably prefer these models. If you fall in the middle of these weight ranges, you should consider the medium firm Evolution 15, the most balanced of the three.

Breathable foams, a cooling cover, and excellent air circulation allowed the mattress to excel at temperature control during tests. The foams used in the comfort system are more responsive than memory foam, and the coils generate a fair amount of bounce, so the surface was also fairly easy to move across for our testers. This was especially true of firm models.

What It’s Made of

The Evolution 15’s Euro-top is cushioned with a layer of open-cell polyfoam. A border gusset around this layer is intended to capture and dissipate body heat near the surface. Three additional foam layers make up the comfort system, including a comfort layer of proprietary AirFoamICE designed to promote additional cooling. The support core contains pocketed coils divided into three zones, resulting in more reinforcement for the midsection and softer cradling for the head, shoulders, and legs. The dense base layer is composed of plant-based material, and the entire mattress is encased in a cooling ArcticTex fabric cover.

Nolah offers free ground shipping throughout the contiguous U.S. All Evolution 15 purchases are backed by a 120-night sleep trial, but customers may opt out of the trial period and reduce their up-front costs. The mattress is also protected with a lifetime warranty against structural defects.

Read our Full Nolah Evolution 15 Review to learn more
A picture of the Birch Mattress in Sleep Foundation's test lab.

Best for Hip Pain

Birch Mattress

Brand Logo
Price Range: $1,349 – $2,099
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial Length: 100 nights (30-night requirement)
Warranty: 25 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King

Who it’s best for:

  • People who weigh between 130 and 230 pounds
  • Hot sleepers
  • Consumers who prefer to buy eco-friendly products


  • Composed of sustainably sourced latex and organic cover materials
  • Hybrid construction with reinforced perimeter coils ensures excellent edge support
  • Free shipping to all 50 states and a lifetime warranty

Sleep Foundation Exclusive Offer!

20% off sitewide + 2 free Dream Pillows with mattress purchase

Bottom Line

The Birch Mattress excels at temperature regulation, so we highly recommend this mattress for hot sleepers. Latex’s natural breathability and airflow through the coil support core help maintain a cool internal and surface temperature.

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

Our testers found that the mid-range firmness and moderate contouring was particularly well suited to people in the range of 130 to 230 pounds, regardless of which sleep position they prefer. The surface was just cushioned enough to cradle sensitive joints such as the hips and shoulders, but the coils delivered plenty of support to keep your body from sagging. Since the Birch Mattress is a latex hybrid, you can expect more responsiveness on the surface.

What It’s Made of

The mattress begins with a comfort layer of Talalay latex that conforms to the body without hugging too tightly while pocketed coils stabilize the entire mattress. A base layer of wool and rayon acts as a fire barrier while providing reinforcement for the coils. Extra-strength outer coils create strong perimeter support. This ensures added stability when you sleep near the edges of your mattress or get in and out of bed.

Eco-conscious shoppers should be drawn to this model due to its environmentally friendly composition. The latex has earned certification from the Rainforest Alliance, indicating the rubber trees that produce the latex have been sustainably grown. The cotton cover is certified as organic by the Global Organic Textile Standard, while the fire barrier is made of natural wool.

Birch is one of the only online mattress brands to offer free ground shipping to customers in all 50 states. Each purchase is backed by a sleep trial that runs 100 nights in length, as well as a manufacturer’s warranty covering structural defects in the mattress for up to 25 years after you purchase it.

Read our Full Birch Mattress Review to learn more

Why You Can Trust Us

We’ve tested hundreds of mattresses firsthand. Drawing on our expertise, we’ve picked the models that can help prevent the kind of aches and pressure points that exacerbate arthritis. Our team includes testers with different body types and position preferences, ensuring our ratings are inclusive of all sleepers.

How We Evaluated These Mattresses

Our mattress evaluations focused on pressure buildup, ease of movement, durability, and motion isolation, all of which can affect how comfortable people with arthritis feel in bed. We also use thermal imaging technology to determine how well a mattress regulates temperature and measure sinkage when testers sit or lie along the edges of the mattress.

To learn more about our testing process, check out our product research methodology below:

  • Motion Isolation: We use this criteria to evaluate how well a bed absorbs movement. Couples and co-sleepers may prefer a bed with strong motion isolation to avoid waking each other up at night.
  • Temperature Control: Design and materials can affect how cool a mattress feels on the surface. Beds typically regulate temperature well if they contain latex layers, coils, phase change material, or proprietary cooling fabrics and foams.
  • Pressure Relief: Sleepers who experience arthritis and joint pain usually prefer beds with strong pressure relief. These mattresses offer deep contouring to cradle sensitive areas that are prone to painful pressure buildup.
  • Off-Gassing: Most beds release off-gassing odor after they are unboxed. While the smell is unpleasant, it typically dissipates within 2 to 3 days – though some beds produce odor that lingers longer.
  • Ease of Movement: This criteria measures how a mattress facilitates movement across the surface. Beds with a responsive or bouncy feel usually provide greater ease of movement.
  • Edge Support: If you struggle to get in and out of bed, strong edge support may be an important feature to have in a mattress. When testing edge support, we evaluate the amount of sagging that occurs when sleepers sit or sleep near the bed’s perimeter.
  • Sex: Ideal beds for sex are a matter of personal preference, but many people may prefer beds with a responsive or bouncy feel. This enables easier movement across the surface.
  • Body Weight: Body weight plays a big role in firmness preference. People with arthritis and joint pain will want a mattress with adequate firmness and support for their particular weight category.

Other Mattress Guides

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.

How to Choose a Mattress for Arthritis and Joint Pain

Choosing a mattress is a big decision for anyone, but it can be particularly impactful for people living from joint pain. This section will highlight some of the most important things to consider when selecting a new mattress.

What to Look for in a Mattress

While comfort preferences may vary between individuals, some factors tend to come into play in determining a mattress’s overall performance. It may help to consider these categories when selecting the best mattress for you.

  • Price: A mattress can cost anywhere between a few hundred and a few thousand dollars. A cheap mattress may be easy on the pocketbook, but some higher-priced models are also good values for their durability and advanced features. When budgeting for their mattress purchase, those with joint pain might want to leave room in case they purchase additional accessories for added comfort. Adjustable bed frames, pillows, and mattress toppers may be helpful tools to customize the sleep surface to better meet an individual’s needs and preferences.
  • Contouring: Contouring is how a mattress adjusts to a sleeper’s body shape. A mattress that contours well allows a sleeper’s wider, heavier body parts to sink in, which can help support better spinal alignment. Better spinal alignment may help reduce some of the aches and pains often associated with sleeping.
  • Quality Materials: High-quality materials are often more expensive, but they may also contribute to superior performance and durability. Since higher-quality materials often resist sagging and indentations, they could help ensure that a comfortable mattress remains comfortable longer.
  • Firmness Level: While firmness preferences are subjective, they tend to be closely linked to an individual’s weight. Lighter individuals usually prefer a softer mattress that allows them to sink in enough to enjoy contouring, while heavier individuals tend to prefer a firmer model for more support. A mattress that is too soft may lead to spinal strain, and a mattress that is too firm could contribute to pressure buildup, so people with arthritis and joint pain may benefit from selecting their firmness level carefully.
  • Pressure Relief: Pressure relief may be one of the most important factors for people with joint pain to consider when selecting a mattress. Body parts that are wider or heavier apply more force to a mattress. If the mattress does not have strong pressure relief, pressure could build up in these areas. Pressure relief is usually directly linked to contouring because mattresses that contour to the sleeper’s body help redistribute their weight more evenly across the surface.
  • Edge Support: Edge support refers to how sturdy the perimeter of the bed feels. A strong perimeter may make it easier for people with arthritis-related mobility issues to sit on the edge of the bed, which may, in turn, facilitate getting into or out of bed. Individuals who frequently sleep near the perimeter of the bed may also feel more secure on a bed with good edge support.
  • Temperature Regulation: Depending on their materials and construction, mattresses may retain heat or allow it to dissipate away from the sleep surface. Individuals who tend to sleep hot usually prefer a breathable sleep surface. Latex, hybrid, and innerspring models tend to have the strongest temperature regulation, but some all-foam models also have features to support cooling airflow through the mattress.
  • Ease of Movement: Ease of movement can affect how easy it is to change positions on a mattress. Mattresses with materials that conform closely and/or are slow to respond to changes in pressure are usually the most difficult to move on. Softer, high-density memory foam comfort layers are sometimes associated with a “trapped in the bed” feel, while latex, coils, and more responsive foams are generally easier to move on. Those with joint pain who have mobility issues may prefer a more responsive mattress.
  • Mattress Type: The type of mattress may influence its potential benefits and drawbacks. Hybrid, innerspring, latex, airbed, and foam are the most common types of mattresses, and any of these may be a good choice for some sleepers with arthritis. We’ll discuss these mattress types in greater depth below.

How Does Sleeping Position Affect Joint Pain?

As with any condition that causes pain or discomfort, arthritis could make it harder to get restful, quality sleep. Aches and pains may make it harder to fall asleep or could lead to tossing and turning during the night. The position someone uses could either reduce or contribute to pain. Depending on an individual’s pains, they may prefer any sleep position. However, most experts usually recommend back or side sleeping. If you continue to experience arthritis and/or joint pain that interrupts your sleep, we recommend talking to your doctor.

Back Sleepers

Back sleeping can have both pros and cons for people with chronic pain pain. Neck pain could be aggravated by sleeping face up. However, some people find sleeping on their backs alleviates their lower-back pain. Others may experience more back pain in this position, but the Cleveland Clinic suggests that placing a pillow under the knees could help.

The right mattress can help support a back sleeper’s natural spinal alignment. If the mattress sags excessively near the midsection, the sleeper could experience strain in their lower backs. If the mattress is too firm, they might have some pressure buildup around their hips. Since sagging tends to be the most common problem for back sleepers, many people who prefer this sleep position select a firmer-than-average mattress to get the support they need.

Side Sleepers

People tend to be wider near their shoulders and hips, so these body parts usually put more force on the mattress when a person sleeps on their side. This can contribute to pressure points.

Without the right mattress, a side sleeper’s spinal alignment could also become uneven. Too soft of a mattress may allow the shoulders and hips to sink in excessively, while too firm of a mattress may not allow them to sink in enough. Either of these options could put a strain on a side sleeper’s lower back.

Side sleepers could also experience knee and hip pain from their legs resting on each other. Some side sleepers place a pillow between their knees for added relief for their hips and knees.

Stomach Sleepers

Most experts do not recommend stomach sleeping, but some people prefer it.

People tend to carry extra weight near their midsections, which could pull their hips too far into the mattress and put a strain on their lower backs. Since stomach sleepers often turn their heads to the side, they may also strain the neck. Some stomach sleepers prefer to use a thin pillow or no pillow to keep their neck in a more neutral position. Thicker pillows may force the neck to extend backward, contributing to additional strain.

If you want to transition away from sleeping on your stomach, using a body pillow may help.

Combination Sleepers

Combination sleeping can bring together the potential benefits and drawbacks of multiple sleep positions. Switching positions during the night can shift the location of strain and/or pressure. Depending on which sleep positions the person prefers, they may still experience pressure buildup in their hips and shoulders, lower back strain, and/or neck strain. However, switching positions may make these aches and pains less pronounced.

What Type of Mattress is Best for Arthritis and Joint Pain

Hybrid, innerspring, latex, airbed, and foam mattresses are the major types of mattresses currently sold. Each mattress model may have some variations from other mattresses that use similar constructions due to differences in materials, quality, and construction techniques. However, there are some common similarities between mattresses in each category.


Definition: Hybrid models pair comfort layers of memory foam, polyfoam, latex, wool, microcoils, and/or other materials with a coil support system. This combination usually gives some of the benefits of innerspring and foam or latex mattresses with fewer drawbacks.
Highlight: Balanced Support and Contouring. People with joint pain may enjoy cushioning, contouring, and pressure relief from a hybrid mattress’s comfort system. The coil core tends to give more even support, which could be beneficial for spinal alignment.


Definition: Innerspring models are generally seen as the most traditional type of mattress. They consist primarily of springs. While they may have a comfort layer for cushioning, this layer is usually thin.
Highlight: Stable Support. High-quality innerspring mattresses do not permit much sinkage and usually have a relatively even plane. People with joint pain who want support without a lot of contouring may like innerspring models.


Definition: Natural latex is made from the sap of the rubber tree. Latex mattresses may include natural latex, synthetic latex, or a blend. Dunlop latex is generally denser, while Talalay latex has a bouncier feel.
Highlight: Pressure Relief Without Hug. Latex has low point elasticity, which means that rather than compressing exclusively directly under the sleeper’s weight, it spreads the compression over a wider area. This lends to pressure relief without the hug often associated with memory foam, so those with joint pain who have mobility issues may find a latex mattress easier to move on.


Definition: The support system of an airbed consists of fillable air chambers. These chambers can usually be filled or emptied using either a crank, a remote control, or an app. Airbeds may also contain comfort layers for added cushioning, though these comfort layers are usually relatively thin.
Highlight: Adjustable Firmness. The firmness of an airbed can be adjusted by filling or emptying the air chambers. Arthritis and people with joint pain may appreciate the flexibility of being able to change the firmness of their mattress to adjust their current preferences. Additionally, many airbeds have separate air chambers on each side of the bed, allowing partners to select different firmness settings.


Definition: Foam mattresses are constructed of multiple layers of foam. These may include memory foam, polyfoam, or a combination of both. Most foam mattresses use softer, closer conforming foam in their comfort layers and firm polyfoam in their support cores.
Highlight: Close Conforming. All-foam models often conform more closely than other types of mattresses. People with joint pain looking for a pressure-relieving hug may enjoy this close conforming.

Last Things to Consider with a Mattress for Arthritis and Joint Pain

Purchasing a mattress is a big decision, and you may still have some lingering questions or concerns. We’ll answer some of the top questions customers have when buying a new mattress.

How Can I Get Relief On a Budget?

While there are budget-friendly mattresses on the market that could be good options for people with arthritis, pillows and mattress toppers may also prove effective. A good pillow can help support your natural spinal alignment. Some people with arthritis may also like a wedge pillow to support their knees or upper bodies. If your existing mattress is in good condition but you’re looking for more pressure relief, a quality mattress topper can add plushness and contouring without the expense of replacing the whole mattress.

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. 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.

Mattress Warranty and Other Policies

A company’s policies may play a role in your purchasing decision. The shipping, trial period, and warranty may be particularly important to consider.

Customers with joint pain may find it more challenging to set up their mattresses. If you need assistance, you may want to consider whether the company offers White Glove delivery. Most online mattress companies offer trial periods that give customers a chance to try the mattress at home. Those with arthritis may use this window to determine whether the mattress provides any relief. Finally, the mattress’s warranty can provide customers with additional protection for their purchase.

Mattresses for Arthritis FAQ

What type of mattress is best for rheumatoid arthritis?

Rheumatoid arthritis (RA) is an autoimmune disease that causes joint problems such as pain, swelling, and stiffness. RA is most common in the wrists and fingers, but can affect other joints. The condition may also spread to the eyes, mouth, lungs, and other areas of the body.

People with RA usually feel comfortable on mattresses that cradle the spine and cushion other areas of the body. This can take pressure off of the affected joints. At the same time, the mattress should feel firm and supportive enough to keep your body upright without sinking too much beneath heavier areas like the midsection and hips. Memory foam mattresses, latex mattresses, and hybrids often meet this criteria. The adjustable firmness of an airbed may also appeal to people with RA, especially if their ideal firmness level varies with the degree of pain they experience on a given night.

Sleepers with RA who weigh less than 130 pounds may find a soft or medium soft mattress most comfortable. Those who weigh between 130 and 230 pounds will probably prefer a medium to medium firm feel instead, since people with heavier weights generally require the support of firmer beds. People with RA who weigh more than 230 pounds may need a firm or extra firm mattress to feel comfortable while they sleep.

Is a firm mattress better for arthritis?

The best mattress firmness for anyone with arthritis comes down to that person’s body type and primary sleep position. A firm mattress – which corresponds to 7 or 8 on the 1-10 firmness scale – offers stronger support than softer models, but also won’t conform as closely to the body. People with arthritis who weigh more than 230 pounds and those who sleep on their backs and/or stomachs will probably feel most comfortable on a firm mattress.

However, everyone has different preferences regardless of their weight or sleep position. We recommend testing out mattresses with different firmness levels to determine which best meets your needs and reduces your arthritis pain.

Is a memory foam mattress good for arthritis?

Memory foam becomes softer when exposed to body heat, allowing it to conform closely around the unique contours of your body. This cradling effect results in even weight distribution, optimal spinal alignment, and – for many people – fewer pressure points in sensitive areas like the shoulders and hips. If you feel less arthritis pain on softer surfaces with more cushioning, then a memory foam mattress may be right for you.

If you prefer less contouring and a more even, supportive surface, then you may want to consider a latex mattress over a memory foam model. Latex conforms to the body without hugging or sinking and keeps the body upright. It also sleeps cooler than foam, so a latex mattress may be a good alternative if you sleep hot.

Still have questions?

Our product experts have extensive experience testing just about every sleep product on the market. Send an email to [email protected] or call us at (877) 672-8966 with your questions and we'll help you find exactly what you're looking for.

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