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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 disruptive sleep, lack of restorative sleep, and/or insomnia. The condition can also lead to sleep apnea and restless leg syndrome. While you should consult a doctor about treating fibromyalgia, a supportive, comfortable mattress can promote quality sleep regardless of underlying conditions.
Our testing team took these factors into account when choosing the best mattresses for fibromyalgia. The picks we’ve selected offer a balance of cushioning and support, which may alleviate fibromyalgia-related aches and pains. They also perform well when it comes to breathability and temperature regulation. Other criteria for our picks include longevity, quality of materials, motion isolation for couples, and overall value. We relied on recommendations from a testing team composed of people with different body types, primary sleep positions, and firmness preferences.
Below, you’ll find detailed profiles for each of our best mattress for fibromyalgia picks. We’ve assigned a unique accolade to each mattress based on performance areas where that particular model stood out. Scroll further down to read our comprehensive buyer’s guide. We’ll cover fibromyalgia symptoms that impact sleep, considerations for mattress buyers with fibromyalgia, and pros and cons of different mattress types.
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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 sleepers with fibromyalgia who weigh 230 pounds or less. Side and back sleepers should find the mattress particularly comfortable.
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. Airflow through this layer 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 Midnight Luxe’s support core also contains a base layer of dense polyfoam.
A 100-night sleep trial gives you time to try the Midnight Luxe at home, and the mattress is also protected by a 10-year limited warranty. Shipping is free for customers in all 50 states. If you have a limited budget, Helix Sleep’s standard Midnight hybrid might be a better choice. While the Midnight doesn’t include a pillow-top or zoned interior coils, the mattress retains many features of its Luxe counterpart while carrying a lower price-tag.
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The Nectar Mattress’ all-foam construction expertly contours to your body’s pain points to provide excellent pressure relief at a great price, while also providing a medium firm (6) feel that is more supportive than the average foam bed. The plush comfort layers excel at absorbing nighttime movements, making this great for couples.
The cover is made with breathable Tencel fabric that can wick away moisture. Next is a 3-inch layer of gel-infused memory foam with an open-cell construction and phase change material designed to disperse heat away from the surface. Most all-foam models are notorious for trapping heat, but the Nectar ranks above-average in temperature regulation compared to other foam beds, thanks to these cooling components. The memory foam closely contours the sleeper’s body to relieve pressure points.
Beneath the memory foam is a 2-inch transitional layer of polyfoam that separates the comfort layer and the support core. The support core features a 7-inch layer of high-density polyfoam for extra stability. The firmness of this layer also helps provide an even sleep surface.
The mattress’ medium firm feel should support most sleepers up to 230 pounds, but side and back sleepers will experience the most benefits. Side and back sleepers under 230 pounds will find that the memory foam provides sufficient contouring and pressure relief for areas like the hips, shoulders, and spine, along with adequate support for areas like the lower back.
In addition to its generous 365-night sleep trial, Nectar offers free shipping to the contiguous U.S. The mattress also comes with a lifetime warranty.
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Combining the pressure relief of thick foam layers with the support of zoned coils, the GhostBed 3D Matrix is a quintessential hybrid mattress. The top layer is composed of polyfoam infused with gel polymer material designed to draw heat away from the body and release it from the surface. This is followed by a second comfort layer of gel memory foam, a layer of responsive Ghost Bounce material, and a transitional polyfoam layer.
Although the 3D Matrix has a medium (5) feel and contours closely to alleviate pressure along the spine, these foam layers offer decent reinforcement and reduce sinkage for people who weigh less than 130 pounds. Side sleepers weighing up to 230 pounds may also find the mattress adequately supportive. The foam layers absorb movement quite well, giving the 3D Matrix an edge over other hybrids in terms of motion isolation for couples.
The support core consists of pocketed coils that stabilize the mattress without making the surface feel overly stiff or responsive. Stronger coils reinforce the perimeter to prevent uncomfortable sinkage when you sleep near the edges or get in and out of bed. In addition to the gel polymer layer, the coils also promote breathability and temperature regulation by pushing air currents throughout the interior. The entire mattress is encased in Ghost Ice fabric, which feels cool to the touch.
All GhostBed customers in the contiguous U.S. receive free ground delivery with their purchase. The company offers a 101-night sleep trial for testing out the 3D Matrix, as well as a 25-year warranty against structural defects for those who choose to keep the mattress.
Best for Back Pain
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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 suffer from back pain. Since patients with fibromyalgia may already be suffering from musculoskeletal pain, they may benefit from a mattress that helps reduce any additional pain in the body.
The WinkBed’s comfort system contains a gel-infused foam pillow-top over a layer of microcoils. Beneath this is a support core comprised of pocketed coils. The foam layer offers softness and contouring that helps relieve various pressure points on the body. The pocketed coils are zoned to offer targeted support that promotes proper alignment of the back, hips, and shoulders, making the WinkBed an option for sleepers who suffer from back pain.
Since the comfort system contains microcoils, the WinkBed is more responsive than hybrid mattresses with all-foam comfort systems. The responsiveness enables sleepers to move around more easily on the contouring foam layer without sinking too far in. The foam and microcoil 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, WinkBed’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.
The WinkBed comes in three firmness options: Softer, Luxury Firm, and Firm. A fourth version of the mattress, known as the WinkBed Plus, is specifically designed for people who weigh more than 230 pounds, and contains latex in its comfort system instead of minicoils. The edge is reinforced with thick coils to help prevent sagging edges over time.
A 120-night trial period is available for customers to try out the bed. Shipping and returns are free of charge.
Best Pressure Relief
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The Amerisleep AS3 is an all-foam mattress with contouring features that may help relieve pressure points for patients with fibromyalgia. The proprietary foam runs cooler than traditional memory foam, which can also make the mattress more suitable for those with temperature sensitivity.
A 3-inch layer of Bio-Pur memory foam has an open-cell design that promotes air flow and makes the mattress fairly breathable. In addition, a breathable polyester and cotton cover encases the Amerisleep AS3 and helps the mattress run cool.
The memory foam conforms to the body to provide comfort and alleviate pressure points. At the same time, the mattress is also responsive and readily bounces back to prevent excessive sinkage. This helps facilitate ease of movement for sleepers who frequently move around to find a comfortable sleeping position at night.
Beneath the memory foam is a 2-inch transition layer of polyfoam that is zoned to offer targeted support to different parts of the body. The zoned design provides additional support to the head, back, and legs, while offering more cushion for the shoulder and hips. Finally, the 7-inch base polyfoam layer is engineered to enhance durability.
The Amerisleep AS3 has a medium feel and rates 5 on the 10-point firmness scale. The mattress is a good option for those who prefer a bed that is soft but also provides support.
Amerisleep offers a 100-night trial with free shipping and returns. The AS3 is also backed by a 20-year warranty.
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The Saatva Classic is a hybrid mattress that offers a combination of pressure relief and breathability. These features may be appropriate for fibromyalgia patients who experience physical pain and temperature sensitivity during sleep.
As with all hybrid mattresses, the Saatva Classic is comprised of a comfort system on top and coil-based support core underneath, all encased in an organic cotton cover. A 3-inch Euro-top and 1-inch layer of polyfoam and memory foam offer plushness, contouring, and pressure relief. These features may be beneficial for patients with fibromyalgia who seek a mattress that helps alleviate discomfort or pain at various pressure points on the body.
The mattress also contains a transitional layer of pocketed minicoils and a support core of hourglass coils. Since the comfort layer is made with foam, which tends to trap heat, the coils enhance air circulation and regulate the temperature of the bed during sleep. The coil-on-coil system also produces responsiveness, which balances out the contouring provided by the comfort system. The responsiveness helps active sleepers move around the bed without feeling “trapped” in the plush layer.
The Saatva Classic comes in three firmness options, ranging from soft to firm. The edge of the mattress is reinforced by high-density foam rails. The supportive edge may help people who find it difficult to get in and out of beds with sagging edges.
Saatva offers a 180-night trial and free White Glove delivery, during which the company will also remove your old mattress for free upon request.
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People whose firmness preferences may change over time due to their fibromyalgia symptoms might appreciate the two firmness options of the Layla Hybrid. The Layla Hybrid is a flippable hybrid model with a different firmness on each side. One side has a medium soft feel, rating around 4. The other side is firm, coming in around 7.
Both sides of the mattress excel in edge support. The medium-soft side also performs well in motion isolation and pressure relief, while the firm side excels in temperature regulation, sex, and ease of movement. All sleepers who weigh under 130 pounds and side sleepers who weigh between 130 and 230 pounds may like the plusher feel of the medium-soft side. Individuals with any position preferences who weigh over 130 pounds may enjoy the firm side.
The cover is constructed of polyester, viscose, and poly Lycra. This soft-to-the-touch material is also breathable to let air circulate through the mattress.
Each side of the mattress has a memory foam comfort layer that adapts to the individual’s body shape to take pressure off areas prone to pressure buildup. The medium-soft side has a 2.5-inch layer of memory foam, while the firm side uses just 1 inch. A copper-gel infusion in each of these comfort layers transfers heat away from the sleeper’s body to keep the mattress surface cooler.
Both sides also use a zoned polyfoam transition layer with firmer support near the middle of the bed. Deep channels in the foam let heat escape. The medium-soft side uses a 2-inch transition layer, and the firm side uses a 1.5-inch layer.
The Layla Hybrid’s support core is made up of 6 inches of pocketed coils. These coils move independently to respond to changes in pressure without transferring excessive motion. Two rows of narrower coils line the perimeter to reinforce the edge.
Sleepers can try the Layla Hybrid Mattress during a 120-night trial period. A 10-year warranty covers defects in materials and workmanship.
Best for Side Sleepers
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Engineered for support and cooling, the Casper Wave Hybrid’s close conforming helps relieve pressure without trapping much heat. People who suffer from fibromyalgia-related pain and temperature sensitivity may appreciate this combination.
The cover uses a mixture of materials, including recycled polyester, polyester, rayon, Lycra, and upcycled cotton, giving it breathability and slight stretch. The Wave Hybrid features three layers in its comfort system, starting with a small layer of poly foam to give the surface a conforming feel. Under that is a layer of aerated latex, which has a responsive feel and doesn’t trap a ton of body heat. Below that is a zoned memory foam layer, which conforms to the back and shoulders while supporting the mid-section.
The transition layer is made of gel-infused polyfoam and is also zoned. Individually-pocketed coils in the support core give the mattress bounce while allowing ample airflow. A layer of foam wraps around the outside of the layer to reinforce the edge.
The Wave Hybrid has a medium firm feel, coming in around 6 on the 10-point firmness scale. Because this is on the softer end of the range most sleepers tend to prefer, it may be best suited for sleepers under 230 pounds, particularly those who sleep on their sides or backs. Those who weigh over 230 pounds may sink in more than ideal for optimal spinal alignment, especially when sleeping on their stomachs.
Thanks to its medium firm feel and close hug, the Wave Hybrid excels in motion isolation and pressure relief. Its cooling features also help it maintain a more neutral temperature than most close-conforming mattress models.
The Casper Wave Hybrid comes with a 10-year limited warranty. Customers can try the mattress at home with the 100-night trial period.
People who experience fibromyalgia understand that the right mattress can go a long way toward a more comfortable night’s sleep. The team at Sleep Foundation has tested and reviewed hundreds of mattresses to find the best models on the market. We examine each model to determine its performance in categories like support, pressure relief, and temperature control, all of which are important factors for people with fibromyalgia.
Each person’s body type and preferred sleeping position affect how their mattress feels. That’s why our team includes product testers with different body types and sleep position preferences. We perform intensive research and thorough in-person trials that help us decide which mattresses are worth considering. In addition to lying on each mattress, we use body mapping technology to locate pressure points as well as thermal imaging that measures heat retention. We update our top picks regularly as we test new mattresses that could benefit sleepers with fibromyalgia.
The following factors can play a role in which mattress is best for an individual. While some mattress companies may claim their mattress is universally comfortable, it is important to remember that comfort is subjective. What is comfortable for another person may not be comfortable for you. Considering your fibromyalgia symptoms and how each factor may affect them can help you select the best mattress for you.
Most mattress models can be classified as one of five main types: hybrid, innerspring, latex, airbed, or foam. Performance varies between individual models due to their unique materials, quality, and construction techniques, but mattresses within the same category tend to share some similarities.
Definition: Hybrid mattresses use a combination of two or more materials. The support core is constructed of coils, while the 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 to allow heat to dissipate.
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.
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.
Definition: 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 adjust 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.
Definition: Foam models may include multiple types of foam, including memory foam and polyfoam. Memory foam is most often used in the comfort and/or transition layer, while polyfoam may be used in the comfort layer, transition layer, and/or support core.
Highlight: Pressure Relief and Motion Isolation. All-foam models usually hug 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.
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 common with the condition could also lead to discomfort.
Sleep problems are a common concern for people with fibromyalgia. Those with fibromyalgia may experience insomnia, disruptive sleep, and/or 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 could help fibromyalgia sufferers get more restful sleep by limiting other factors that could interrupt sleep. Heat retention, motion transfer, noise, lack of support, and pressure buildup could interfere with sleep, and the right mattress could help minimize these.
The position an individual sleeps in can affect the pain they experience. Each position has certain potential benefits and drawbacks. People with fibromyalgia often select their sleep position based on their current aches and pains, but that sleep position could have unforeseen consequences.
Many individuals with fibromyalgia may find sleeping on their backs comfortable. The right mattress can support proper spinal alignment and reduce spinal strain by allowing the sleeper’s hips to sink in just the right amount.
While opinions vary between individuals, some sleepers feel that sleeping on their backs reduces lower-back pain. Fibromyalgia patients who experience more back pain when sleeping in the position might consider using a pillow under their knees.
Back sleeping may be more problematic for fibromyalgia sufferers who also snore or have sleep apnea since this position may worsen symptoms. However, propping up the upper body with a wedge pillow may help.
Back sleepers tend to prefer a slightly firmer mattress that doesn’t let their hips sink in too far. Too soft of a mattress could strain the sleeper’s lower back, while too firm of a mattress could contribute to pressure buildup.
The wider areas of a side sleeper press harder on the mattress than the rest of their body. Some mattresses redistribute the sleeper’s weight to reduce pressure on key areas, like their hips and shoulders. Side sleepers with fibromyalgia are likely to prefer a mattress that cradles their curves to reduce pressure buildup and support their spinal alignment.
As with any sleep position, finding the right firmness is critical. A side sleeper’s hips and shoulders could sink too deeply into an overly soft mattress, which could put the spine out of alignment. Too firm of a mattress could contribute to pressure points and put a strain on the sleeper’s lumbar region.
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. A pillow placed between the knees may make the position more comfortable for some individuals.
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. When sleeping on their stomach, this weight can pull their 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, some methods might help limit strain and discomfort. A firmer mattress may be more supportive of the sleeper’s hips 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.
Alternating between multiple sleep positions may help those with fibromyalgia sleep more comfortably by switching which body parts experience pressure. Combination sleepers may experience both the pros and cons of each sleep position they employ.
While we’ve discussed some of the main factors that may influence your mattress decision, you may still have some questions. Here are a few more things to consider while you shop.
Mattresses come in a wide range of price points, so individuals with fibromyalgia may be able to find a budget-friendly option that provides relief. If you don’t want to replace your mattress, you can also purchase accessories that may make the sleep surface more comfortable. People who have temperature sensitivity may benefit from a cooling pillow or sleepwear, breathable sheets, and/or a fan. 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.
Most mattress models cost between a few hundred and a few thousand dollars, so how much of an investment you make depends on what you’re comfortable with. Lower-cost options frequently perform well, but some breakdown more quickly. Higher-end models may feature advanced materials to enhance the mattress’s performance, and they are often more durable.
The warranty, sleep trial, and shipping options might ultimately influence your mattress selection.
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 generally 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.
Since fibromyalgia is a condition that causes musculoskeletal pain and temperature sensitivity, people with fibromyalgia should invest in a mattress that keeps them comfortable and won’t overheat while they sleep.
Since comfort is subjective, every person should select a mattress with the right balance of cushioning and support for their body type. People who weigh less than 130 pounds tend to feel most comfortable on softer mattresses that contour closely, cradle the spine, and alleviate pressure points in sensitive areas like the shoulders and hips. Those who weigh 130 to 230 pounds typically prefer a mid-range firmness to reduce pressure and maintain an even surface for their bodies. Most sleepers weighing more than 230 pounds need a medium firm to firm mattress that conforms very little – otherwise they’re likely to sink too deeply and experience new aches and pains.
Sleep position is another important factor for choosing a mattress. Side sleeping – the most common position – does not promote even alignment like back or stomach sleeping. People who primarily use the side position need a mattress that cushions the shoulders and hips, creating a straight line down the spine. For this reason, side sleepers who weigh up to 230 pounds often need a soft to medium mattress. Those who weigh more should consider a medium to medium firm model.
Back and stomach sleepers need less cushioning and more support to prevent excessive sinkage around the torso and hips, which carry a disproportionate amount of weight. Many of the best mattresses for back and stomach sleepers have “zoned” layers that feel firmer around the midsection and cradle the body in lighter areas like the head and legs.
For people with fibromyalgia that experience temperature sensitivity, a cooling mattress can be a valuable investment. Certain mattress components promote better breathability and temperature control than others. These include comfort layer materials like ventilated latex and open-cell foam infused with cooling agents such as gel, copper, or graphite. Hybrids and innersprings often sleep very cool thanks to their coil layers, which circulate air throughout the interior of the mattress. Cover materials are also important. Fabrics that offer the best breathability and moisture-wicking include cotton, wool, Tencel, and rayon from bamboo.
People with fibromyalgia who order a mattress online should take advantage of sleep trials. These periods – which can last 90 days to a year or longer – allow you to test out the mattress and decide if it’s right for you. If you choose to return the mattress, most online brands will issue a full refund and either cover your return shipping costs or dispatch couriers to retrieve the mattress from your residence.
Your experience with a mattress will differ from those of other sleepers, so what you call a “bad” mattress might be perfectly suitable to someone else. That said, a mattress that feels uncomfortable or overly hot to you will likely compound the aches, pains, and temperature sensitivity caused by fibromyalgia.
Start your mattress search by deciding which firmness level is right for you. This may require lying down on different beds to determine what feels too stiff, too soft, or just right. Your weight and sleep position will be major factors when figuring out your ideal firmness level.
It’s also important to test mattresses for temperature control. Many people complain about uncomfortable heat retention on all-foam mattresses, whereas all-latex, innerspring, and hybrid models have a reputation for sleeping cool. Since these experiences are subjective, we recommend testing out different mattress types to see which ones feel most comfortable – and which ones sleep too warm.
Adjustable beds can alleviate some of the aches, pains, and pressure points people feel due to fibromyalgia. Adjustable beds can be elevated at the head, allowing you to sleep at an angle while the rest of your body remains flat. Some models can also be elevated at the foot of the bed. People with sensitivity in the shoulders, lower back, and hips can benefit from sleeping at an angle. This is especially true for those who use zero-gravity settings, which involve the legs being elevated at a higher angle than the head.
Adjustable beds can also reduce snoring. Snoring often occurs when a sleeper’s head falls back on their pillow, narrowing the breathing passages in the process. Many people with fibromyalgia are at higher risk of developing sleep apnea, a disorder for which heavy snoring is a common symptom.
Our product experts have extensive experience testing just about every sleep product on the market. Send an email to [email protected] with your questions and we’ll help you find exactly what you’re looking for.
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