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Best Mattress for Fibromyalgia in 2026
Sleep Foundation
Why Trust Us
Our mission to create a healthier, more well-rested world demands that our product reviews be best-in-class. You won’t find more expertise on mattresses and sleep products anywhere else.
The Sleep Foundation product testing team uses an industry-leading evaluation process paired with real world consumer feedback to come up with objective recommendations so that you can feel confident in your product decisions.
Fibromyalgia is a condition that can contribute to widespread musculoskeletal pain and temperature sensitivity, which in turn, may cause poor sleep. People with fibromyalgia may experience other sleep problems such as interrupted sleep, lack of restorative sleep, and/or insomnia. The condition also frequently co-exists with sleep apnea and restless leg syndrome. While you should consult a doctor about treating fibromyalgia, a supportive, comfortable mattress can promote quality sleep.
Our Top Picks
Best Mattress Overall
:Helix Midnight Luxe
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Best Value Mattress
:Brooklyn Bedding CopperFlex Memory Foam
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Most Comfortable Mattress
:Luxury Firm WinkBed
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Best Mattress for Side Sleepers
:Leesa Sapira Chill Hybrid
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Best Luxury Mattress
:Saatva Rx
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Best Mattress for Pressure Relief
:Nolah Evolution 15
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Best Mattress for Back Pain
:Bear Elite Hybrid
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Best Mattress for Combination Sleepers
:Ziwi ZiPP Zenergy
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Best Temperature-Regulating Mattress
:Birch Mattress
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Best Soft Mattress
:Turmerry Natural and Organic Latex Mattress – Soft
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Best Mattress Deals Happening Now
- Save $652 — Helix Midnight Luxe
$1,847(List Price $2,499) - Save $150 — Brooklyn Bedding CopperFlex Memory Foam
$449(List Price $599) - Save $771 — Luxury Firm WinkBed
$1,799(List Price $2,570) - Save $748 — Leesa Sapira Chill Hybrid
$1,719(List Price $2,467) - Save $300 — Saatva Rx
$3,099(List Price $3,399)
How We Tested the Best Mattresses for Fibromyalgia
Testing Criteria
Fibromyalgia can heighten sensitivity to pressure, temperature, and the way a surface feels. For this category, we focused on mattresses that can ease tension at common pressure points, regulate temperature, and provide adaptive support without feeling too rigid.
These are the following factors we considered when looking for the best mattress for fibromyalgia.
Pressure relief: Pressure-relieving materials can help reduce discomfort associated with fibromyalgia. We prioritized mattresses made with materials such as memory foam and latex that contour closely to the body, cushioning areas like the shoulders, hips, and back while minimizing pressure buildup that can contribute to pain and tension.
Temperature regulation: Temperature sensitivity is a common symptom of fibromyalgia, and overheating can disrupt sleep. We evaluated how well each mattress promotes airflow and dissipates heat through breathable covers, open-cell foam structures, and cooling design features that help maintain a breathable sleep temperature.
Adaptive support: Support for fibromyalgia should feel responsive, not rigid. We looked for mattresses that adapt to the sleeper’s movements and body shape, providing gentle reinforcement that maintains spinal alignment without creating resistance or pressure spikes as positions change.
How We Evaluated
Our evaluation of mattresses for fibromyalgia combined performance data with hands-on evaluations conducted in our Seattle Test Lab. We began by reviewing sleeper feedback and performance scores across categories most relevant to fibromyalgia comfort, including:
- High-quality construction and materials
- Durability
- Mid-level firmness (5 to 7 on the 1-10 scale)
The goal: Identify mattresses from our database of more than 1,000 options that demonstrate consistent pressure relief while remaining breathable and adaptable. Each finalist underwent in-depth testing to assess how materials respond under sustained contact and whether comfort remained stable throughout the night.
Multiple testers with different body types and sleep positions evaluated each mattress to understand how adaptive support and medium-firmness interact with heightened sensitivity. We also compared performance across different materials and construction. From there, our testers assigned accolades to each of our picks, ultimately choosing the best mattresses for fibromyalgia.
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
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Best Overall Mattress: Helix Midnight Luxe
Best Overall Mattress
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 sleepers between 130 and 230 pounds.
- Feel: Cushioning pillow-top and close-conforming memory foam for a plush yet supportive feel. Cool surface and breathable construction.
- What It’s Made Of: A three-layer comfort system with two layers of polyfoam and one layer of copper-infused memory foam. A zoned pocketed coil core and a final polyfoam base layer. Cover is Tencel.
- What We Don’t Like: Stomach sleepers may sink in deeply.
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.
Performance
The Midnight Luxe is part of Helix Sleep’s luxury pillow-top hybrid line. While all Luxe models have their strong points, the Midnight Luxe has a balanced medium firm (6) feel that caters to the needs and preferences of most side sleepers up to 230 pounds.
How It Performs
Airflow through the pocketed coils helps keep the bed cool. The coils are also zoned to reinforce the edges against sinkage and provide enhanced support for the torso, hips, and other areas where people tend to carry more weight.
The contouring comfort layer combined with the supportive coils make this a good fit for sleepers who weigh up to 230 pounds. Side and back sleepers should find the mattress particularly comfortable.
Construction Breakdown
A breathable, silky-soft Tencel cover encases the mattress. The quilted pillow-top followed by a comfort layer of soft foam creates a plush feel for the surface. The second comfort layer is also composed of memory foam, so you should expect some noticeable contouring and slow response from this mattress.
The third layer consists of transitional polyfoam for added conforming and support. The support core features pocketed coils that deliver bounce while limiting motion transfer. The Midnight Luxe’s support core also contains a base layer of dense polyfoam.
Trial, Shipping, and Warranty
Shipping is free for customers in in the contiguous U.S. The mattress comes with a 120-night sleep trial and lifetime warranty against structural defects.
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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 at least 130 pounds and back sleepers up to 230 pounds, as well as couples.
- Feel: Medium firm (6) with some plushness and body-contouring but transitional and base layers offer pushback. Top layer helps draw heat away from your body.
- What It’s Made Of: Comfort system of adaptive polyfoam sewn to the cover, two memory foam layers, and three-zone transitional polyfoam. Top memory foam layer has a copper infusion and the cover is GlacioTex cooling fabric. Support core is two layers of high-density polyfoam.
- What We Don’t Like: Strong initial odor for up to 72 hours after unboxing. Too soft for stomach sleepers 130 pounds or more.
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.
Performance
Brooklyn Bedding’s CopperFlex Memory Foam is both high-quality and budget-friendly — a rare combination in today’s mattress market. Composed of six individual foam layers, the CopperFlex offers plush cushioning on the surface and sturdy underlying support. This design helps ensure relief for your pressure points and sore spots without too much sinkage beneath your midsection.
How It Performs
Most of our testing team awarded positive ratings to the CopperFlex. The highest marks came from side sleepers of at least 130 pounds and back sleepers up to 230 pounds. Stomach sleepers on our team under 130 pounds also found the mattress comfortable. Despite a close contour from the comfort layers, the zoned transitional foam and dense base layers stabilize the mattress to push back against your weight and maintain a flat surface for your body.
We observed excellent motion isolation during our tests. All six foam layers work together to absorb movements on each side of the mattress and prevent motion from transferring elsewhere, so you and your partner shouldn’t wake each other up with position changes or trips to the bathroom during the night. Other standout qualities we noticed during performance tests include above-average temperature control and consistent pain and pressure relief.
Construction Breakdown
The CopperFlex’s topmost layer consists of adaptive polyflam quilted to the cover. Two memory foam layers add deep cushioning and contouring to the comfort system, the first of which is infused with copper fibers to increase cooling and reduce heat buildup on the surface. The transitional foam is divided into three zones to maximize support beneath your midsection and gently cradle lighter areas of your body. Two high-density foam layers make up the support system, and the cover is made of proprietary GlacioTex fabric engineered to capture and release body heat when it comes into contact with your skin.
Trial, Shipping, and Warranty
Ground shipping is free within the contiguous U.S. Each order comes with a 120-night sleep trial. If you keep the mattress, your purchase is backed by a lifetime warranty against manufacturing defects.
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Most Comfortable Mattress: Luxury Firm WinkBed
Most Comfortable Mattress
9.5/10Test Lab Score
Luxury Firm WinkBed
High end hybrid bed providing ample support, cushion, and cool sleep.
Key Details
- Who It’s Best For: Side sleepers.
- Feel: Medium firm (6) feel and hybrid design. Combines bounce, breathability, and pressure relief. Gentle hugging sensation that doesn’t restrict airflow or movement.
- What It’s Made Of: Two layers of gel-infused polyfoam quilted into a Euro-top cover, followed by another layer of polyfoam. Zoned coil core and a reinforced perimeter. The cover is Tencel.
- What We Don’t Like: May notice 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.
Performance
The Luxury Firm WinkBed is a hybrid mattress that offers strong support as well as comfort. It provides targeted support to promote spinal alignment, making it well-suited for people who experience back pain. Since patients with fibromyalgia may already be suffering from musculoskeletal pain, they can benefit from a mattress that helps reduce any additional pain in the body.
How It Performs
Our team found the mattress best suited back and stomach sleepers who weigh up to 230 pounds. Side sleepers who are between 130 and 230 pounds should find the feel comfortable as well. The mattress’ polyfoam layers are more responsive than hybrid mattresses with memory foam comfort systems. This responsiveness enables sleepers to move around more easily on the contouring foam layer without sinking too far in.
The foam comfort system, coupled with the pocketed coils in the support core, also offer excellent motion isolation. People who share a bed with restless sleepers may benefit from this feature. While traditional foam mattresses tend to trap heat, this model’s foam layer is infused with gel, which makes the foam more breathable for hot sleepers. The coils also help circulate air and the Tencel cover adds to the mattress’ breathability.
Construction Breakdown
The comfort system contains a gel-infused foam pillow-top over a layer of denser proprietary SupportCell polyfoam. Beneath this is a support core comprised of pocketed coils. The Euro-top offers softness and contouring that helps relieve various pressure points on the body, while the SupportCell foam evenly distributes weight and prevents sinkage. The pocketed coils are zoned to offer targeted support that promotes proper alignment of the back, hips, and shoulders, making the mattress an option for sleepers who experience back pain. The edge is reinforced with thick coils to help prevent sagging over time. A moisture-wicking Tencel cover encases the mattress.
Trial, Shipping, and Warranty
Shipping and returns are free. A 120-night trial period is available, and mattress purchases come with a lifetime warranty.
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Best Mattress for Side Sleepers: Leesa Sapira Chill Hybrid
Best Mattress for Side Sleepers
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 most weight groups – especially those with frequent pain or pressure points.
- Feel: Available in medium (5), medium firm (6), and firm (6) designs.
- What It’s Made Of: Comfort layers of adaptive polyfoam and memory foam encased in a Euro-top cover, followed by zoned pocketed coils with perimeter reinforcement and high-density base foam.
- What We Don’t Like: Initial off-gassing odor can be strong for up to 72 hours after the mattress is unboxed.
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.
Performance
A comfortable night’s sleep can be elusive for people living with fibromyalgia, but the Leesa Sapira Chill Hybrid is thoughtfully designed to help alleviate many symptoms of this medical condition. A thick comfort system with four individual foam layers helps to ensure a soothing, adaptive surface, while zoned coils support your midsection to reduce pain and pressure buildup in your shoulders, lower back, and hips.
How It Performs
Our team tested each of the Sapira Chill Hybrid’s three firmness levels. The medium (5) design earned its highest ratings from side and back sleepers under 130 pounds, while the firm (7) model was most popular among back and stomach sleepers over 230 pounds. The majority of our team agreed the medium firm (6) design was most comfortable, noting the balance of gentle cushioning, sturdy reinforcement, bounce, and cooling. Testers between 130 and 230 pounds were particularly impressed with this model.
Temperature regulation proved to be one of the Sapira Chill Hybrid’s defining strengths. Despite the thick foam layers, this mattress absorbs very little body heat and should be a solid match for people who run warm while they sleep. We also found the hybrid isolates motion well and alleviates pressure – two performance factors that are often lacking in coil mattresses.
Construction Breakdown
The Sapira Chill Hybrid’s comfort system begins with 2 inches of adaptive polyfoam sewn to the Euro-top cover. Additional memory foam and polyfoam comfort layers provide deep cushioning and contouring, while transitional foam pushes back against your body to keep you on an even plane.
Pocketed coils and high-density base foam make up the support core. The coils are zoned to feel sturdier beneath your torso and hips, and reinforced along the perimeter to bolster the edges when you get in and out of bed. At 14 inches, the Sapira Chill Hybrid is on the thicker side, so you will need to invest in a deep-pocket fitted sheet.
Trial, Shipping, and Warranty
Leesa is one of the few online mattress companies to offer free shipping to all 50 states. Select locations in Canada also qualify for free delivery. The Sapira Chill Hybrid comes with a 120-night sleep trial. If you decide to keep the mattress after the return period ends, your purchase is also covered under a lifetime manufacturer’s warranty.
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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 sleepers with fibromyalgia.
- Feel: Medium soft (4) with a gentle, cradling sensation, which relieves pressure while supporting the spine. Surface maintains a relatively neutral temperature.
- What It’s Made Of: Comfort system includes memory foam, polyfoam, and microcoils. The core includes 8 inches of pocketed coils topped with 2-inch polyfoam modules. The cover is cotton.
- What We Don’t Like: Movement difficult for some sleepers. Back and stomach sleepers might sink in too deeply.
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.
Performance
The Rx is one of the newest additions to Saatva’s mattress lineup, and the brand’s first model specifically designed for people with chronic pain. Although the mattress is medium soft (4) and contours very closely, the coil-on-coil support system helped maintain an even surface with minimal sinkage for side and back sleepers on our team weighing up to 230 pounds.
How It Performs
During hands-on tests, the Rx earned praise from most side sleepers on our team. The mattress received particularly favorable ratings from side sleepers weighing up to 230 pounds, all of whom felt plenty of cushioning beneath their shoulders and hips — two common areas of pressure buildup for people who use this position.
Back and stomach sleepers under 130 pounds also felt comfortable on the Rx, but those who weigh more experienced deep sinkage. We generally recommend firmer mattresses for back and stomach sleepers weighing 130 pounds or more.
Motion isolation was a major testing highlight because most hybrids underperform in this category. The Rx’s soft feel and thick cushioning layers absorb movement well, and most of us felt little to no motion transfer when lying side by side with another tester. Temperature control was another strength. Both coil layers promote steady airflow, and the cover is exceptionally breathable.
Construction Breakdown
The Rx begins with a memory foam pad that rests directly beneath your lower back. This feature is intended to cushion the lumbar region and prevent pressure from building up at the base of your spine. Minicoils encased in dense foam create a transitional layer that adds to the mattress’ plush feel while serving as a sturdy buffer between your body and the support core.
The Rx’s pocketed coils are unique because each one is topped with a 2-inch foam disc. This helps suppress motion transfer and minimize nighttime disruptions for couples, and also prevents the mattress from feeling too stiff. Each disc is infused with graphite and phase change material to promote breathability and heat dissipation.
Thicker coils line the perimeter to stabilize the edges when you get in and out of bed, though you still may notice some sinkage. The cover is made of organic cotton. At 15 inches thick, the Rx is a high-profile mattress and may require a deep-pocket fitted sheet.
Trial, Shipping, and Warranty
Saatva provides free White Glove delivery for each order, which includes full in-home setup and removal of your old mattress upon request. Your purchase also comes with a 365-night sleep trial, and those who keep their mattress receive a lifetime warranty against structural defects.
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Best Mattress for Pressure Relief: Nolah Evolution 15
Best Mattress for Pressure Relief
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: Those who prioritize pressure relief without sacrificing temperature neutrality.
- Feel: Plush yet supportive. Cushions and relieves pressure from sensitive areas, while adapting to the body for buoyant cradling.
- What It’s Made Of: Euro-top consisting of 2 inches of polyfoam quilted into a cotton cover, followed by another three layers of polyfoam. Base is zoned pocketed coils rest on top of polyfoam.
- What We Don’t Like: Initial odor. May be difficult for some sleepers to get into or out of depending on bed-frame height.
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.
Performance
The Nolah Evolution 15 features foam layers that cushion pressure points along the spine, while zoned coils promote healthy spinal alignment. Three firmness levels — medium (5), medium firm (6), and firm (8) — ensure comfortable and supportive options for a wide swath of sleepers.
How It Performs
Side sleepers on our team weighing up to 230 pounds and back sleepers weighing less than 130 pounds most enjoyed the softest model, which offered significant contouring for pressure points.
The medium firm model’s balanced feel earned its highest ratings from our side sleepers weighing more than 230 pounds, back sleepers weighing up to 230 pounds, and stomach sleepers weighing between 130 and 230 pounds. Back sleepers weighing at least 130 pounds and stomach sleepers weighing more than 230 pounds enjoyed the firmest model’s even sleep surface.
Our testing found all three models suitable for couples who value responsiveness for sex. The mattress excelled in our edge support and ease of movement tests, so couples can use the full surface of the bed without sinking too deeply.
Our heat guns also noticed minimal heat retention on the surface. The two firmer models slightly outperformed the softer one in temperature control, making them beneficial choices for especially hot sleepers.
Construction Breakdown
The Evolution’s comfort system begins with a polyfoam-quilted Euro-top that contours to the body to relieve pressure buildup. Next are two layers of polyfoam that offers extra cushioning.
The top polyfoam layer is infused with graphite meant to conduct and dissipate heat away from the surface. A polyfoam transitional layer prevents you from sinking too deeply into the mattress and ensures your weight is evenly distributed across the surface.
The support core features pocketed coils in a zoned configuration. Coils are strategically zoned to support heavier areas of your body, such as your hips and shoulders.
A reinforced perimeter prevents excessive sinkage along the edges. The coils rest on a polyfoam base layer to prevent shifting. A breathable organic cotton cover infused with cooling ArcticTex fibers encases the mattress.
Trial, Shipping, and Warranty
Nolah ships free to customers in the contiguous U.S. The mattress is backed by a 120-night sleep trial and a lifetime warranty against structural defects.
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Best Mattress for Back Pain: Bear Elite Hybrid
Best Mattress for Back Pain
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: Individuals between 130 and 230 pounds and side sleepers of all weights.
- Feel: Plush, supportive, and relatively cool with good pressure relief.
- What It’s Made Of: A top layer of memory foam, a polyfoam transition layer, and zoned pocketed coil system. These rest on a polyfoam base and are encased in a polyester-blend cover. Also incorporates several cooling technologies.
- What We Don’t Like: Stomach sleeper’s midsection could sag, potentially putting pressure on the lower back.
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.
Performance
Bear produces a lineup of mattresses that cater to different sleep preferences and budgets. The Elite Hybrid has the thickest profile with foam layers that cushion along the spine to reduce pressure-induced pain.
How It Performs
Thanks to the multiple firmness options, this bed is suitable for a wide range of sleepers. Sleepers up to 230 pounds may find the softer models more comfortable, while those over 230 pounds will receive more support from the firmest model.
The medium firm and firm models offer strong edge support for sleepers who frequently sit on the edge or sleep close to it. If you experience painful pressure points and value a bed with strong contouring, you may benefit from the plushness of the medium firmness option.
Construction Breakdown
The mattress is available in three firmness levels — medium (5), medium firm (6), and firm (8). All models feature a quilted polyester cover made with Celliant fiber and phase change material, both of which are engineered to keep the surface cool.
Beneath is a layer of copper-infused memory foam that conforms closely to the body, followed by a polyfoam layer with a channeled design that helps air flow and enhances support to the lumbar region. The coil support core generates strong, even support throughout the mattress and along the perimeter.
Trial, Shipping, and Warranty
Shipping is free to addresses in the contiguous U.S. Bear includes a 120-night sleep trial with this mattress, as well as a lifetime warranty.
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Best Mattress for Combination Sleepers: Ziwi ZiPP Zenergy
Best Mattress for Combination Sleepers
8.3/10Test Lab Score
Ziwi ZiPP Zenergy
An adaptive foam mattress reinforced with a patented pillar support system.
Key Details
- Who It’s Best For: People weighing between 130 and 230 pounds, co-sleepers, and those who experience regular discomfort in the back.
- Feel: The medium firm (6) design features a light surface cradle and supportive base, so there’s moderate contouring and minimal hug.
- What It’s Made Of: This 12-inch all-foam model features a top layer of adaptive polyfoam over a proprietary system of alternating firm and soft foam columns. The polyester cover is removable and machine-washable.
- What We Don’t Like: Strong off-gassing smells from the decompressing foam layers are common during the first few days 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.
Performance
The Ziwi ZiPP Zenergy is a supportive, responsive option for combination sleepers who frequently change positions. We selected this mattress for its ability to provide the pressure-relieving benefits of an all-foam bed without the deep, restrictive sinkage that often occurs with traditional memory foam. By utilizing the interlocking pillar system, this mattress keeps the body on an even plane while simultaneously cushioning sensitive joints.
How It Performs
Our testing team found that the Zenergy delivers exceptional motion isolation, as the foam layers effectively deaden vibrations before they can travel across the bed. This makes it a premier selection for couples, as you and your partner can change positions or exit the bed without waking the other person. We also observed high-level pressure relief during our trials, particularly for side and back sleepers who prefer a mattress that contours around the shoulders and hips. While edge support is typically a challenge for foam mattresses, the Zenergy’s columns provide enough perimeter strength to make the edges feel relatively secure.
Ease of movement on this model is notably better than standard foam designs because the interlocking pillars offer a subtle bounce. This prevents that “stuck” sensation many people dislike about memory foam and allows sleepers to switch postures effortlessly throughout the night. Temperature regulation was another strong point we observed, as gaps between the support pillars act as channels for airflow. This extra circulation helps the mattress maintain a comfortable interior temperature.
Construction Breakdown
The 12-inch Zenergy begins with an adaptive polyfoam comfort layer designed to mold slightly to the body. Unlike memory foam, this material reacts quickly to movement and provides a gentle cradle without excessive heat retention or a deep hug. This top layer also works to redistribute weight across the surface, which helps to minimize pressure buildup in the shoulders and lower back. The mattress is wrapped in a breathable polyester cover that can be removed and machine-washed to maintain a hygienic environment over time.
The foundation of the mattress consists of the patented ZiPP Support Core, which uses alternating firm and soft foam pillars to reinforce different areas of the body. These interlocking columns are engineered to compress under the midsection while providing firm pushback to keep the spine aligned, allowing the mattress to adapt to various body types and sleeping positions.
Trial, Shipping, and Warranty
ZiPP Zenergy orders include free ground shipping for customers in the contiguous U.S. Ziwi provides a 100-night sleep trial to ensure the mattress is a good fit, along with free returns if you are not satisfied. The mattress is also protected by a 20-year warranty that covers manufacturing defects and structural degradation.
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Best Temperature-Regulating Mattress: Birch Mattress
Best Temperature-Regulating 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: Hot sleepers and those over 130 pounds.
- Feel: Buoyant yet pressure relieving with a noticeably cool surface. Responsive latex and springy pocketed coils.
- What It’s Made Of: Organic cotton cover, organic wool layers, natural Talalay latex, and a pocketed coil core.
- What We Don’t Like: May notice motion transfer. Latex doesn’t conform like memory foam.
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.
Performance
Latex hybrids are often well suited to people with fibromyalgia because they provide gentle cradling to relieve pressure. The Birch Mattress is no exception, featuring airy Talalay latex that alleviates pain in pressure-prone areas. The Birch’s affordable price-point also makes it a good option for shoppers with limited budgets.
How It Performs
The Birch Mattress is a true medium firm (6) model, making it a solid pick for anyone in the range of 130 to 230 pounds regardless of their preferred sleep position. Side sleepers who weigh more and back and stomach sleepers who weigh less may also find the mattress comfortable.
Like many other latex hybrids, the Birch excels in temperature neutrality and sex. The combination of breathable materials like latex, cotton, and a coil support core regulates the core and the surface temperature.
Many couples should appreciate the responsive feel for sex, as well as the coil-reinforced perimeter. Couples can use the full surface of the bed without being confined to the middle, and they should have no trouble moving across the mattress surface.
Construction Breakdown
The mattress begins with two layers of organic wool batting, which serve as a natural fire barrier for the mattress and also have moisture-wicking properties to help you stay cool.
The comfort layer is composed of Talalay latex, a highly responsive material that contours to the body without hugging too closely – a common complaint about memory foam. The latex is ventilated to circulate air near the surface.
The support core contains pocketed coils that stabilize the mattress and promote additional airflow. The coils are reinforced along the perimeter, so the mattress shouldn’t sink too much when you sleep close to the edges or get in and out of bed. A cover made of GOTS-certified organic cotton encases the entire mattress.
Trial, Shipping, and Warranty
All Birch Mattress purchases include free mattress-in-a-box shipping to customers in the contiguous U.S. and two Eco-Rest Pillows at no extra cost. The mattress comes with a 120-night sleep trial, and those who choose to keep it also receive a lifetime manufacturer’s warranty.
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Best Soft Mattress: Turmerry Natural and Organic Latex Mattress – Soft
Best Soft Mattress
8.1/10Test Lab Score
Turmerry Natural and Organic Latex Mattress – Soft
A durable all-latex mattress that sleeps cool and feels supportive.
Key Details
- Who It’s Best For: Eco-conscious side and back sleepers under 130 pounds.
- Feel: Plush and cool. Adjusts to the sleeper’s shape to limit pressure points, and allows good airflow.
- What It’s Made Of: Organic cotton, natural wool, and organic latex. You can reposition the latex layers to change the feel.
- What We Don’t Like: May not provide enough support for stomach sleepers. May also inhibit motion.
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.
Performance
Turmerry’s Natural and Organic Latex Mattress – Soft is a plush model that conforms closely for pressure relief while maintaining a buoyant quality. The mattress boasts GOTS and GOLS certifications, ensuring its materials were organically sourced and produced with environmental factors in mind.
How It Performs
One of the standout strengths of the Turmerry Natural and Organic Latex Mattress — Soft was pressure relief, given the overall soft (3) feel. Motion isolation was another pleasant surprise. Most latex beds allow a fair amount of motion transfer across the surface, but this model transferred less motion than other latex models we’ve tested, due to the plushness of the surface.
Our testers found the mattress best suited for side and back sleepers who weigh less than 130 pounds. If you prefer more supportive surfaces, the bed is available in firmer options. Temperature regulation was another strength. All the materials are naturally breathable, and our heat guns detected minimal heat retention during tests.
Construction Breakdown
Three profiles are available: 8, 10, and 12 inches. All models contain three to four layers (depending on the profile) of Dunlop latex that gently cradle the body and alleviate pressure in the joints and along the spine. This can help ease aches and pains for people who have fibromyalgia, while a sturdy support core reinforces the sleep surface and prevents you from sinking too deeply. The zoned design enhances cushioning and support where they’re most needed.
On top of the latex is a cotton layer and New Zealand wool batting that adds some surface cushioning while acting as a natural fire barrier. A breathable cover made from organic cotton encases the mattress.
Trial, Shipping, and Warranty
Turmerry ships free to customers in the contiguous U.S. You can test the mattress and return it within 120 nights. The mattress is backed by a 20-year warranty.
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Video: Best Mattresses for Fibromyalgia
Watch the video below to learn more about our top mattress picks for sleepers with fibromyalgia.
What Is Fibromyalgia and How Does It Affect Sleep?
The symptoms of fibromyalgia can impair sleep in several different ways. Widespread pain is one of the most common symptoms associated with fibromyalgia. As with any condition that causes pain, fibromyalgia may make it more difficult to fall asleep and/or stay asleep. Temperature sensitivity is also common with the condition and can make it hard to get comfortable.
“The mechanisms leading to fibromyalgia are an area of active research, but the exact cause remains unknown,” says Dr. Wells. “Both genetic and environmental factors are thought to contribute to one’s susceptibility to the condition. Fibromyalgia is understood to result from nervous system dysregulation, which heightens pain sensitivity, disrupts sleep, and causes fatigue—symptoms that perpetuate and intensify one another.”
Sleep problems are a common concern for people with fibromyalgia. You may experience insomnia, disruptive sleep, or simply a lack of restorative sleep. Further exacerbating the issue, people with fibromyalgia also frequently suffer from other disorders that can interrupt sleep, like sleep apnea and restless leg syndrome. With so many symptoms that can impact sleep, it should come as no surprise that many people with fibromyalgia also experience daytime fatigue.
While mattresses can’t relieve all the symptoms associated with fibromyalgia, the right mattress can help people with fibromyalgia get more restful sleep by limiting other factors that could interrupt sleep. Heat retention, motion transfer, noise, lack of support, and pressure buildup all interfere with sleep, and the right mattress can help minimize these.
“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.
How Does Sleep Position Affect People With Fibromyalgia?
Your sleeping position can directly impact the pain you experience with fibromyalgia. Each position has certain potential benefits and drawbacks. It’s common to select your sleep position based on your current aches and pains, but that sleep position could have unforeseen consequences. Picking a mattress that promotes healthy sleep posture is important for all sleepers, but even more so for people with fibromyalgia.
Back Sleepers
Many people with fibromyalgia find it comfortable to sleep on their backs because it can reduce lower back pain. Back sleepers tend to prefer a slightly firmer mattress that doesn’t let their hips sink in too far. If you do experience more pain while on your back, try placing a pillow under your knees.
Back sleeping can be more problematic for people with fibromyalgia who also snore or have sleep apnea since this position can worsen symptoms, but propping up the upper body with a wedge pillow may help.
Side Sleepers
Side sleepers tend to experience pressure at the shoulders and hips because these spots are heavier. As with any sleep position, finding the right mattress firmness is critical. Those with fibromyalgia tend to prefer a mattress that’s on the softer side and cradles their curves to reduce pressure buildup and support spinal alignment. Just don’t go too soft, or your hips and shoulders might sink too far, pulling your spine out of alignment.
Since side sleepers’ legs rest on top of each other, any side sleeper could also experience hip and knee discomfort, but this may be more pronounced for people with fibromyalgia. Placing the pillow between your knees or hugging a body pillow can make the position more comfortable.
Stomach Sleepers
Sleeping on your stomach can strain the spine and neck, so it generally isn’t advisable. However, many people with fibromyalgia may choose to sleep in whichever position feels the best that night.
The bulk of a person’s weight is usually centered around a person’s belly and hips. If you sleep on your stomach, this weight can pull your midsection into the mattress and put a strain on the lumbar region. Stomach sleepers also generally turn their heads to the side, which may lead to neck strain. A thick pillow could further exacerbate this neck strain by forcing it to extend backward.
If you frequently sleep on your stomach, there are ways to help limit strain and discomfort. A firmer mattress will provide better midsection support and promote better spinal alignment. Many stomach sleepers also choose to use no pillow or a very thin pillow to reduce neck strain. Stomach sleepers might also transition away from the position by using a body pillow to prop themselves onto their sides.
Combination Sleepers
Alternating between multiple sleep positions may help those with fibromyalgia sleep more comfortably by switching which body parts experience pressure. Combination sleepers will experience the pros and cons of each sleep position they choose, but switching positions through the night will likely minimize any negative impacts.
“For people with fibromyalgia,” says Dr. Wells, “I validate that living with chronic pain is hard. So prioritizing comfort isn’t just about feeling good – it’s about managing pain and promoting restorative sleep so you can make a meaningful difference in improving daily resilience.”
What Type of Mattress Is Best for Fibromyalgia?
Most mattress models can be classified as one of five main types: hybrid, innerspring, latex, airbed, or foam. Performance varies between individual models because of their unique materials, quality, and construction techniques, but mattresses within the same category tend to share some similarities.
Hybrid
Definition: Hybrid mattresses use a combination of two or more materials. The support core is constructed of coils, while the top comfort layer may include memory foam, polyfoam, latex, microcoils, and/or other materials.
Highlight: Contouring and breathability. People with fibromyalgia may prefer a model with good contouring to help relieve their pressure points. However, close conforming can also trap heat. The comfort layers of most hybrid models cradle the sleeper to relieve pressure, while their coil cores tend to allow significant airflow for heat to dissipate.
Innerspring
Definition: The main feature of an innerspring model is its coil system. This layer makes up the bulk of the mattress, though some models also include thin comfort layers.
Highlight: Responsiveness. Innerspring models usually have a springy feel that makes it easier to move on the bed. People who frequently change positions due to their fibromyalgia pain may like the responsive feel of most innerspring models, though there might not be enough cushioning to ease aches and pains.
Latex
Definition: Made from the sap of rubber trees, natural latex foam can be fabricated using either the Talalay or Dunlop process. Talalay is usually springier and more breathable, while Dunlop tends to be denser and more durable. Some models also use synthetic or blended latex.
Highlight: Weightless pressure relief. The low point elasticity of latex means that it compresses over a wider area when weight is applied. This redistributes the sleeper’s weight to relieve pressure buildup with what many sleepers liken to a floating sensation. People with fibromyalgia who like pressure relief without a lot of hug may find latex models ideal.
Airbed
Definition: Mattresses known as airbeds use air chambers as their support system. Depending on the model, the sleeper can fill or empty the chambers using a remote, an app, or a crank. Some airbeds also have thin comfort layers to soften the surface of the mattress.
Highlight: Adjustability. Emptying or filling an airbed’s chambers adjusts the firmness of the sleep surface. Since fibromyalgia symptoms can change over time, this adjustability may give individuals more flexibility to cater their sleep surface to meet their current needs, even if they change every night.
Foam
Definition: The term “foam mattress” may include models with multiple types of foam, including memory foam and polyfoam. Memory foam, known for its deep contouring, is most often used in the comfort and/or transition layer, while polyfoam, which is springier, may be used in any layer but is most common in the support core.
Highlight: Pressure relief and motion isolation. All-foam models usually conform closely to the sleeper’s body to reduce pressure buildup around the shoulders and hips. They also tend to absorb motion, which reduces the vibrations a sleeper feels when their partner moves. Individuals who awaken easily or experience pains as a result of their fibromyalgia may like this combination of pressure relief and motion isolation.
What to Look for in a Mattress for Fibromyalgia
When purchasing a mattress, shoppers should take into account the things that are most likely to impact their sleep. For many individuals, sleep position and weight are the biggest factors, but people with fibromyalgia should also consider their symptoms. In this section, we’ll highlight some of the most important things to examine when selecting a mattress.
Firmness and Support
A mattress’s firmness influences how much contouring and support an individual will experience. The right firmness is key for people with fibromyalgia to ensure they enjoy the best balance of contouring and support. Models that are too soft may not support the sleeper’s natural spinal alignment, while mattresses that are too firm could contribute to pressure buildup. The ideal firmness varies based on an individual’s weight, sleep position, and personal preferences. As a general rule, lighter individuals usually prefer softer models and heavier individuals generally favor firmer models.
Pressure Relief and Contouring
When an individual lies down, their wider, heavier body parts generally put more force on the mattress. On some mattresses, this could lead to pressure buildup. Any sleeper could experience aches and pains as a result of pressure points. However, since people with fibromyalgia usually already experience significant pain, added discomfort could be more problematic for them. Aim for a mattress with a significant amount of contouring to ease pressure points.
Price
Price is one of the main deciding factors for most people in their mattress purchase. While cheap mattress options are appealing, higher-priced models may also be a good value. Higher sticker prices typically reflect quality materials and durable builds. You’re likely to find a mattress that works for you in most price ranges,, but you might also want to set money aside for mattress accessories. Those with fibromyalgia may enjoy a mattress topper for extra cushioning, breathable sheets for more temperature regulation, and/or additional pillows to accommodate changing aches and pains.
Quality Materials
High-quality materials often make a mattress more expensive, but they can have distinct advantages. Some materials are specially engineered to regulate temperatures, relieve pressure points, and/or support proper spinal alignment. Quality materials also frequently last longer than lower-quality materials.
Edge Support
A sturdy edge can make it easier to use the full surface of the mattress. This may be important to couples who want the extra space that sleeping close to the perimeter of the bed affords. People with fibromyalgia whose pains make it harder to get into or out of bed may also prefer a strong perimeter so that they can sit near the edge of the bed without it feeling unstable.
Temperature Regulation
People with fibromyalgia are often sensitive to temperature. Some mattress models trap heat, which could make a comfortable night’s sleep more challenging. Memory foam is usually most associated with heat retention, but many memory foam models use special materials and construction techniques to keep the sleep surface cooler. Innerspring, hybrid, and latex models tend to be breathable, which allows heat to dissipate away from the sleeper’s body.
Ease of Movement
People with fibromyalgia may change positions throughout the night in order to find the most comfortable sleep position. Some mattresses are easier to move on than others, so those with mobility issues may prefer a model that rates well for ease of movement. Memory foam often hugs closely to the sleeper’s body and usually responds relatively slowly to changes in pressure, which could contribute to a “trapped in the bed” feel. Mattresses that use foams engineered for responsiveness, latex, and/or coils are usually easier to move on.
Warranty, Sleep Trial, and Shipping
Mattresses generally come with a warranty that protects against certain defects. Understanding what’s covered, how long the coverage lasts, and what you need to do to ensure you don’t void the policy may give you a better idea of what to expect.
Direct-to-consumer mattresses also typically come with a sleep trial during which customers can try the mattress at home and return it if they are not satisfied. People with fibromyalgia may prefer a mattress with a generous trial period so that they can see how the mattress performs with their symptoms.
Shipping policies may also be worth considering. If your fibromyalgia pain would make it difficult for you to move the mattress to your room of choice and unpack it, you may wish to look for a company that offers White Glove delivery.
Tips for Relieving Fibromyalgia Pain During Sleep
While finding the right mattress is an excellent step toward getting better sleep with fibromyalgia, there are other steps you can take to help alleviate pain and discomfort at night.
Talk to Your Doctor
According to Dr. Wells, sleep often represents a “blind spot” in care when it comes to chronic pain conditions. “Especially for those with fibromyalgia,” she says, “it’s important to discuss all of your sleep and wake symptoms with your doctor. Restless legs syndrome and sleep apnea commonly coexist with fibromyalgia, so ruling out these diagnoses or treating them effectively is important. Cognitive behavioral therapy for insomnia (CBT-I) can also offer tools that help with managing chronic pain.”
Focus on Temperature Control
If you experience temperature sensitivity with your fibromyalgia, focus on temperature control for a more comfortable sleep environment. Consider investing in a cooling pillow or sleepwear, breathable sheets, and/or a fan.
“Cold hands and feet can interfere with getting to sleep,” says Dr. Wells. “Instead of warming the whole bedroom or layering on blankets, consider applying heat locally with a heating pad or microwavable rice pouch.”
Invest in a Mattress Topper and Pillows
Those who have aches and pains may like a mattress topper for extra cushioning and/or a selection of pillows to give them more options. While a mattress topper can’t fix an unsupportive mattress, it can make a difference if your mattress could use a little more contouring.
Try a variety of pillows depending on how your body feels each night. You might appreciate a higher loft pillow if sleeping on your side feels best or no pillow at all if you want to sleep on your stomach. A pillow under your knees can help your lower back, and a body pillow can be moved around depending on where you need extra cushioning.
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 by examining each mattress in terms of its design, making note of manufacturer specifications such as firmness and height. From there, we perform a detailed analysis to determine how materials and individual layers impact the bed’s ability to alleviate pressure, isolation motion, regulate temperature, and support your body.
Product testing: Using a slew of tools and tech resources, our team tests each mattress for performance in six individual categories. These tests also involve us lying on the mattress to gauge how comfortable and supportive it feels for different body types and sleep positions.
Field testing: In addition to our lab-based tests, we calculate ratings for mattresses based on feedback from field testers who use mattresses in their own homes. These testers provide data based on their experience with each bed over the course of several weeks.
User testing: Feedback from verified mattress owners also plays a role in our evaluation process. We collect data from surveys and product reviews to ensure our mattress ratings 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
For more help finding a mattress that checks all of your boxes, take a look at our recommendations broken down by mattresses for particular uses.
Best Mattress by Specific Purpose
Still have questions? Ask our community!
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Jackson leads editorial product recommendations at Sleep Foundation, transforming the data from our sleep product test lab into real world takeaways for consumers. He has spent over half a decade developing protocol to evaluate and measure the impacts of products on sleep quality. As a cited sleep product expert, Jackson helps guide millions of shoppers to find personalized recommendations for everything from pillows to bedding to mattresses.
Audrey Wells, MD attended University of Michigan Medical School and went on to train at Washington University School of Medicine in pediatrics and pediatric pulmonary medicine. It was during this time that she developed a specific interest in adult and pediatric sleep medicine. She returned to her home state of New Mexico to complete a sleep medicine fellowship.
Learn more about our medical advisory board