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Fibromyalgia is a common health condition that can contribute to widespread musculoskeletal pain. Many fibromyalgia sufferers are also more sensitive to temperature. Not only can the pain and temperature sensitivity associated with the condition lead to poor sleep, but fibromyalgia may also be linked to other sleep problems, including disruptive sleep, a lack of restorative sleep, and/or insomnia. Many individuals with fibromyalgia also suffer from sleep apnea and/or restless leg syndrome, making it even more difficult to get much-needed rest.
While you should consult your doctor for a treatment plan, quality sleep is important regardless of underlying medical conditions. The best mattresses for fibromyalgia can help support better sleep, which may help fibromyalgia sufferers feel less daytime fatigue.
In this guide, we’ll share information on our favorite mattresses for fibromyalgia. We’ll also detail important factors to consider as you shop for the best mattress for you.
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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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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.
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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.
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.
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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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The Brooklyn Bedding Aurora Hybrid is a luxury hybrid built for cooling, so it may be a good choice for people who are sensitive to temperature as a result of fibromyalgia.
Its cooling features start in the cover, which is infused with a phase change molecule crafted to keep the skin temperature 88 degrees. Contouring and pressure relief comes from the 1.5-inch top layer of polyfoam. This material is infused with copper and a phase change molecule to help transfer heat away from the sleeper’s body. Next, a 2-inch layer of polyfoam gives extra cradling while responding quickly when the sleeper changes position.
A 1-inch memory foam transition layer separates the comfort system from the core, giving deep compression support. Thanks to its gel swirl, this layer also contributes to cooling. The support core uses 8 inches of pocketed coils. Coils give the bed more bounce, but they move independently of each other to limit motion transfer. Air can circulate between the coils, further cooling the sleep surface. A final 1-inch layer of polyfoam gives the coils a base to rest on.
The Brooklyn Bedding Aurora Hybrid comes in three firmness options, which are called Soft, Medium, and Firm. Since the Soft version rates around 4 on the 10-point firmness scale, we consider it medium soft. The Medium rates around 6, which could be classified as medium firm. The Firm comes in at 7, making it truly firm.
All three versions of the mattress excel in pressure relief. The Soft and Medium options also isolate motion quite well, while the Medium and Firm versions rate well for ease of movement, temperature neutrality, sex, and edge support.
The Soft version of the mattress may be best suited for sleepers who weigh under 130 pounds. The Medium option performs well across weight groups, but stomach sleepers who weigh over 230 pounds may sink in too deeply. The Firm option can also accommodate all weight groups, though side sleepers who weigh under 130 pounds may experience more pressure buildup.
A 10-year warranty protects against defects. The Aurora Hybrid also comes with a 120-night trial period.
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The PlushBeds Botanical Bliss is a latex model that cradles the sleeper’s body without allowing much sinkage. Fibromyalgia patients who have difficulty moving on a bed with more hug may like the Botanical Bliss’s mixture of pressure relief and ease of movement.
Multiple options are available when purchasing the Botanical Bliss Mattress. Customers can select between three thickness options: 9 inches, 10 inches, and 12 inches. They can also choose between two firmness options: medium firm (6) and firm (7). Note that Botanical Bliss refers to the medium firm option as “Medium.” Owners can modify the firmness of their mattress at home by unzipping the cover and repositioning the layers.
A knitted organic cotton cover encases the bed. This material absorbs moisture and allows airflow to keep the sleep surface cool and dry. It’s also soft to the touch. Next, a layer of organic wool adds to the Botanical Bliss’s temperature regulation and moisture-wicking.
The 9-inch version of the mattress uses one 2-inch layer and two 3-inch layers of Dunlop latex. Three 3-inch layers are used in the 10-inch version. The 12-inch version uses four 3-inch layers. Dunlop latex offers cradling and pressure relief with a buoyant feel. While the material contours to the sleeper’s body, it spreads the compression over a wider area. This leads to a sensation more akin to floating than sinking.
Temperature regulation, ease of movement, pressure relief, edge support, and sex are some of the biggest strengths of the Botanical Bliss. Sleepers who weigh under 230 pounds may enjoy the medium version of the mattress, while those who weigh over 130 pounds might like the firm version. Those who weigh between 130 and 230 pounds may find either firmness comfortable depending on their personal preferences.
A 25-year limited warranty covers qualifying defects. The Botanical Bliss also has a 100-night trial period.
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.
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.
Price: For many individuals, price may be one of the main deciding factors in their mattress purchase. While low-priced options are appealing, higher-priced models may also be a good value. More expensive mattresses may carry a higher sticker price due to their quality materials and durable builds.
A mattress in any price range may be suitable for fibromyalgia sufferers, but shoppers may 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.
Firmness Level: A mattress’s firmness influences how much contouring and support an individual will experience. People with fibromyalgia may wish to select their mattress firmness carefully 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: 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. Therefore, those suffering from fibromyalgia are likely to prefer a mattress with strong pressure relief.
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. Fibromyalgia sufferers 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.
Contouring: Contouring refers to how a mattress adjusts to the sleeper’s body shape. Mattresses with more contouring often have strong pressure relief. However, close contouring can also make it more difficult for some individuals to change positions on a bed. People with fibromyalgia may appreciate pressure relief from contouring, but those who have mobility issues and like to change positions during the night may find close contouring somewhat restrictive.
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 fibromyalgia sufferers 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.
Mattress Type: Different types of mattresses vary in their performance. Those with fibromyalgia may like any type of mattress depending on their personal preferences. However, paying attention to the traits of each mattress type may make it easier for people with fibromyalgia to select a model that meets their needs.
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.
Psychology Today also notes that sleep problems are now viewed as one of the main characteristics of 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.
A study published in Nature Reviews Rheumatology suggests that poor sleep quality may be both a cause and a result of pain, creating a vicious cycle. With so many symptoms that can impact sleep, it should come as no surprise that many people with fibromyalgia 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.
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