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Home / Best Mattress / Best Mattress for Fibromyalgia

Best Mattress for Fibromyalgia

Keith Cushner

Written by

Keith Cushner, Sleep Product Expert

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Methodology

We personally test every mattress featured in our reviews and guides to provide accurate, data-driven recommendations. Learn More

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After recent tests, we’ve updated our picks to include the Brooklyn Bedding Signature Hybrid as our most comfortable pick and the Nolah Evolution 15 as our best pick for spinal alignment.

We may earn a commission through products purchased using links on this page. Products or services advertised on this page may be offered by an entity that is affiliated with us. Learn more about our process here

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.

Best Mattress for Fibromyalgia Video

Watch the video below to learn more about our top mattress picks for sleepers with fibromyalgia.

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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Product Details

Best Overall

Luxury Firm WinkBed

Luxury Firm WinkBed
Price Range: $1,149 - $2,049
Mattress Type: Innerspring
Firmness: Medium Firm (6)
Trial length: 120 nights (30 night requirement)
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • Sleepers who frequently experience back pain
  • Those looking for motion isolation
  • People seeking a balance of comfort and support
Highlights:
  • Foam layers and pocketed coil system promote motion isolation
  • Coils and gel-infused foam increase breathability
  • Zoned construction offers targeted support
Sleep Foundation Exclusive Offer!

Get $300 off all mattresses

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.

What It’s Made of

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.

How It Performed

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.

A 120-night trial period is available for customers to try out the bed. Shipping and returns are free of charge. Mattress purchases come with a lifetime warranty.

Lab Notes – What Our Testers Thought

“The Luxury Firm WinkBed has a balanced feel that suits a wide range of sleepers, particularly stomach and back sleepers. Hot sleepers should also find the WinkBed stays cool thanks to airflow through the coil support core.”

Best Value

Nectar Mattress

Nectar Mattress
Price Range: $399 - $1,138
Mattress Type: Foam
Firmness: Medium Firm (6)
Trial length: 365 nights
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Split King
Who it's best for:
  • Value seekers
  • Side sleepers
  • Customers looking for a bed that isolates motion
Highlights:
  • Memory foam comfort layer provides good pressure relief
  • Contains phase change material to help keep the bed cool
  • 365-night sleep trial
Sleep Foundation Exclusive Offer!

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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.

What It’s Made of

The cover is made with breathable Tencel fabric that can wick away moisture. Next is a layer of gel-infused memory foam with an open-cell construction and phase change material designed to disperse heat away from the surface. The memory foam closely contours the sleeper’s body to relieve pressure points.

Beneath the memory foam is a transitional layer of polyfoam that separates the comfort layer and the support core. The support core features a layer of high-density polyfoam for extra stability. The firmness of this layer also helps provide an even sleep surface.

How It Performed

The mattress’ medium firm (6) feel should support most sleepers up to 230 pounds, but side and back sleepers will experience the most benefits. People who sleep in these positions and weigh up to 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.

Most all-foam models are notorious for trapping heat, but the Nectar ranks above-average in temperature regulation compared to other foam beds. This is thanks to the mattress’ cooling components like its open-cell construction and cooling gel infusions.

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.

Lab Notes – What Our Testers Thought

“The Nectar stands out from other all-foam models because of its above-average firmness. As a side sleeper, I found relief for my pressure points while feeling supported.”

Best Luxury

DreamCloud Premier

DreamCloud Premier
Price Range: $999 - $1,899
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial length: 365 nights (30-night requirement)
Warranty: Lifetime, limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • Side sleepers who find most hybrids too firm
  • Hot sleepers
  • Shoppers looking for a mattress with a lengthy trial/return period
Highlights:
  • Luxury Euro-top hybrid complete with thick cushioning layers and a robust coil system
  • Steady airflow and a cooling cover help the mattress regulate temperature
  • All orders include a year-long trial period
Sleep Foundation Exclusive Offer!

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The DreamCloud Premier is a luxury hybrid that is well suited to people with fibromyalgia due to its deep body cushioning and excellent temperature regulation. The balanced design of this mattress is also a great fit for side sleepers who need a mattress that provides contouring and support in equal measure.

What It’s Made of

Measuring 14 inches thick, the Premier is a high-profile mattress featuring a Euro-top quilted with a layer of gel-infused memory foam, followed by a second memory foam comfort layer and a polyfoam transitional layer. These components cushion and contour to the body, resulting in a cradling feel many people liken to sleeping “in” – as opposed to sleeping “on” – the mattress. That said, the Premier has a medium firm (6) feel, so excessive sinkage shouldn’t be an issue.

The support core contains pocketed coils over a base layer of high-density polyfoam. Extra perimeter reinforcement in the coil system is intended to make the mattress feel sturdy along the edges. The entire mattress is encased in a cashmere-blend cover that feels cool to the touch and wicks moisture away from the body.

How It Performed

When testing the DreamCloud Premier with fibromyalgia in mind, we found the mattress excels at temperature regulation. Thanks to steady airflow throughout the coil system and the breathable, moisture-wicking cashmere-blend cover, the Premier slept cool for each of our testers. The deep foam layers also earned the mattress above-average ratings during our tests for pressure relief and motion isolation.

Among the various testers on our team, side sleepers between 130 and 230 pounds felt most comfortable on the Premier, but ratings were strong across the board for side and back sleepers in different weight categories. The reinforced coils also make the edges feel secure and no one weighing 230 pounds or less encountered too much difficulty moving across the surface.

The sticker price for this mattress is quite reasonable given its high-end design, and ground shipping is free for all customers in the contiguous U.S. DreamCloud allows you to test out the Premier for up to 365 nights, ensuring plenty of time to decide whether it’s right for you. You’ll also receive a lifetime warranty should you decide to keep the mattress.

Lab Notes – What Our Testers Thought

“Above-average pressure relief, standout cooling, and sturdy overall support make the DreamCloud Premier a solid pick for people with fibromyalgia. This is especially true for those who favor the side position.”

Helix Midnight Luxe

Best for Side Sleepers

Helix Midnight Luxe

Helix Midnight Luxe
Price Range: $1,199 - $2,499
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial length: 100 nights (30-night requirement)
Warranty: 15 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • People who weigh up to 230 pounds
  • Sleepers with sharp pressure points
  • Those who prefer thicker mattresses
Highlights:
  • Luxurious pillow-top hybrid construction with a balanced medium firm feel
  • Pocketed coil core cradles the body and limits sinkage
  • Breathable Tencel cover reduces heat buildup
Sleep Foundation Exclusive Offer!

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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 side sleepers up to 230 pounds.

What It’s Made of

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.

How It Performed

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.

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.

Lab Notes – What Our Testers Thought

“The side sleepers on our testing team enjoyed the Helix Midnight Luxe’s foam comfort system, which provided needed relief to their pressure points. The balanced feel also suited many of our team’s back sleepers.”

Brooklyn Bedding Signature Hybrid

Most Comfortable

Brooklyn Bedding Signature Hybrid

Brooklyn Bedding Signature Hybrid
Price Range: $699 - $1,499
Mattress Type: Hybrid
Firmness: Medium Soft (4), Medium Firm (6), Firm (8)
Trial length: 120 nights (30-night requirement)
Warranty: 10 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Custom Sizes
Who it's best for:
  • People with sharp pressure points
  • Hot sleepers
  • Couples
Highlights:
  • Three firmness levels
  • Foam comfort system contours to the body to relieve pressure buildup
  • Breathable cotton cover help reduce heat retention
Sleep Foundation Exclusive Offer!

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The Brooklyn Bedding Signature Hybrid features a foam comfort system and a robust coil system, creating a great balance between cushioning and support. Thanks to the three firmness levels – medium soft (4), medium firm (6), and firm (8) – most of our testers found a comfortable option that suited their needs.

What It’s Made of

The two softer models begin with a polyfoam-quilted cotton cover for a plush initial feel. The firmest option’s quilted cotton cover offers slight cushioning for the surface. A comfort layer of proprietary TitanFlex foam contours to the body and relieves pressure without sinking to the same degree as traditional memory foam. The VariFlex polyfoam transitional layer acts as a buffer between your body and the coils.

Pocketed coils make up the support core, offering targeted support to your body to promote healthy sleep posture. Thicker coils line the perimeter of the mattress to support your weight when you sit or sleep near the edges. A polyfoam base layer provides additional stability.

How It Performed

The firmness levels vary in their performance across sleeping positions and weight groups. Our side sleepers weighing up to 230 pounds and back sleepers weighing less than 130 pounds enjoyed the deep cushioning from the softest model. The mid-range model was the most versatile, earning its highest ratings from side and back sleepers between 130 and 230 pounds. Our back and stomach sleepers weighing at least 130 pounds appreciated the firmest model’s even sleep surface.

Mattresses made with foam layers tend to trap more heat, but our testing found every model of the Signature Hybrid slept fairly cool. This is likely due to the breathable cotton cover and steady airflow through the coils. The softest model absorbed most movement and noise during our tests, making it a great choice if you share the bed with a restless sleep partner. The firm model had a more responsive feel couples may appreciate for sex. If you’re seeking a balance of motion isolation and responsiveness, we recommend the medium firm model.

Brooklyn Bedding ships free to customers in the contiguous U.S. Mattress purchases are backed by 120-night sleep trials, during which you can return it for a full refund anytime after a 30-night break-in period. The Signature Hybrid is backed by a 10-year warranty.

Lab Notes – What Our Testers Thought

“Our testers enjoyed the Brooklyn Bedding Signature Hybrid’s balanced feel. The foam hybrid offered significant cushioning for our pressure points without sinking too deeply.”

Nolah Evolution 15

Best for Spinal Alignment

Nolah Evolution 15

Nolah Evolution 15
Price Range: $999 - $1,699
Mattress Type: Hybrid
Firmness: Medium (5), Medium Firm (6), Firm (8)
Trial length: 120 nights (30-night requirement)
Warranty: Lifetime, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • People who have trouble maintaining healthy spinal alignment
  • Couples
  • Hot sleepers
Highlights:
  • Available in three firmness levels
  • Polyfoam-quilted Euro-top gives the surface a plush feel that relieves pressure
  • Zoned coils offer targeted support to the midsection
Sleep Foundation Exclusive Offer!

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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.

What It’s Made of

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.

How It Performed

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.

Nolah ships free to customers in the contiguous U.S. The mattress is backed by a 120-night sleep trial and a generous lifetime warranty against structural defects.

Lab Notes – What Our Testers Thought

“We enjoyed the Nolah Evolution 15’s balance of cushioning and zoned support. The mattress helped relieve pressure points in our shoulders, hips, and lower back, while keeping our bodies on an even plane.”

Bear Elite Hybrid

Best for Back Pain

Bear Elite Hybrid

Bear Elite Hybrid
Price Range: $1,721 - $3,565
Mattress Type: Hybrid
Firmness: Medium (5), Medium Firm (6), Firm (8)
Trial length: 120 nights (30-night break-in period)
Warranty: Lifetime warranty
Sizes: Twin, Twin XL, Full, Queen, King, California King, Split King
Who it's best for:
  • Hot sleepers
  • People who experience painful pressure buildup
  • Couples
Highlights:
  • Three firmness options
  • Cooling cover features Celliant fiber and phase change material
  • Memory foam surface enhances pressure relief
Sleep Foundation Exclusive Offer!

30% off sitewide, plus 2 free Cloud Pillows with mattress purchase

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.

What It’s Made of

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.

How It Performed

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.

Bear includes a 120-night sleep trial with this mattress, as well as a lifetime warranty. Shipping is free to addresses in the contiguous U.S.

Lab Notes – What Our Testers Thought

“Everyone on our team enjoyed the cool feel of the Bear Elite Hybrid’s cover. Even hot sleepers found the bed very comfortable to lie on.”

Tempur-Pedic TEMPUR-Cloud

Best for Hip Pain

Tempur-Pedic TEMPUR-Cloud

Tempur-Pedic TEMPUR-Cloud
Price Range: $1,699 - $3,398
Mattress Type: Foam
Firmness: Medium (5)
Trial length: 90 nights (30-night requirement)
Warranty: 10 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King, Split King
Who it's best for:
  • Side sleepers
  • People who awaken easily due to their partner’s movements
  • Those who wish to invest in a long-lasting memory foam mattress
Highlights:
  • High-density TEMPUR foam contours closely to improve alignment and alleviate pressure
  • Foam layers excel at motion isolation
  • Above-average durability
Sleep Foundation Exclusive Offer!

Save 30% on TEMPUR-Cloud & TEMPER-Cloud Hybrid mattresses with code: CLOUD30

Tempur-Pedic has earned a reputation for producing high-quality mattresses and other sleep products made with memory foam. The TEMPUR-Cloud is one of the brand’s more affordable models, but it still performs at the same level as its more expensive counterparts. The bed’s well-cushioned surface cradles your hips and other areas that are susceptible to painful pressure buildup in sleepers with fibromyalgia.

What It’s Made of

The TEMPUR-Cloud’s comfort and transitional layers are composed of proprietary TEMPUR memory foam. The second layer has a denser composition, creating a progressively firmer feel as the sleeper’s body sinks into the surface. A high-density polyfoam base layer completes the all-foam design, and a polyester cover encases the entire mattress. The TEMPUR-Cloud measures 10 inches thick and has a medium (5) feel. You can also opt for a hybrid version of the TEMPUR-Cloud, which has the same sequence of foam layers with an added coil layer between the transitional and base foam layers. The coils give the bed enhanced support.

How It Performed

During our hands-on tests, the TEMPUR-Cloud earned excellent ratings from side sleepers who weigh up to 230 pounds. The adaptive foam layers provide adequate cushioning to cradle the spine, improve alignment, and relieve pressure points that often occur when people lie on their sides. If you need extra support for your back, you may want to consider the hybrid model.

We’ve found the all-foam model excels at motion isolation, which can benefit anyone whose sleep is easily disturbed by their partner’s movements during the night. Durability is another strong point for the TEMPUR-Cloud. Most memory foam mattresses have relatively short lifespans, but the dense TEMPUR foam resists sagging, indentations, and other types of wear and tear that often affect these beds.

Tempur-Pedic offers free ground delivery anywhere in the contiguous U.S. Each TEMPUR-Cloud purchase comes with a 90-night sleep trial that includes free return shipping. Those who keep the mattress also qualify for a 10-year warranty against manufacturing defects.

Lab Notes – What Our Testers Thought

“Even with a medium feel, the TEMPUR-Cloud provides great support compared to the average memory foam mattress. I felt plenty of cradling and cushioning without too much sink.”

Birch Mattress

Best Pressure Relief

Birch Mattress

Birch Mattress
Price Range: $1,349 - $2,099
Mattress Type: Hybrid
Firmness: Medium Firm (6)
Trial length: 100 nights (30-night requirement)
Warranty: 25 Year, Limited
Sizes: Twin, Twin XL, Full, Queen, King, California King
Who it's best for:
  • Hot sleepers
  • People who weigh 130 to 230 pounds
  • Eco-conscious mattress shoppers
Highlights:
  • Breathable cotton and moisture-wicking wool help the surface stay cool
  • Reinforced perimeter coils protect the edges from sinkage
  • Sustainably sourced cover and comfort layer components
Sleep Foundation Exclusive Offer!

SleepFoundation readers get $400 off a Birch Mattress.

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.

What It’s Made of

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.

How It Performed

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.

All Birch Mattress purchases include two Eco-Rest Pillows free of charge. Birch also offers complimentary mattress-in-a-box shipping to customers in all 50 states. The mattress comes with a 100-night sleep trial, and those who choose to keep it also receive a 10-year manufacturer’s warranty.

Lab Notes – What Our Testers Thought

“Eco-conscious shoppers will love the Birch Mattress. I really appreciated the mattress’ use of organic materials while keeping an affordable price-point.”

Why You Can Trust Us

The team at Sleep Foundation has tested and reviewed hundreds of mattresses to find the best models on the market. We examine each mattress to determine its performance in categories like support, pressure relief, and temperature control, all of which are important factors for people with fibromyalgia.

How We Evaluated These Mattresses

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 special tools to measure heat retention and pressure buildup. We update our top picks regularly as we test new mattresses that could benefit sleepers with fibromyalgia.

Read our product research methodology below to learn more about our testing methods:

  • Motion Isolation: For this criteria, we evaluate how effectively a mattress absorbs motion when sleepers move around. Beds with plush comfort layers rate well in this category and can reduce sleep disruptions between co-sleepers.
  • Temperature Control: We use thermal imagery to determine how cool a mattress feels. Our testers also look for materials that can help cool a bed, such as latex layers, coil systems, and phase change material.
  • Pressure Relief: Our team looks closely at mattress construction and also uses body mapping technology to determine how much pressure builds up on a mattress surface. Materials like foam typically provide stronger pressure relief, which people with fibromyalgia may find more comfortable.
  • Off-Gassing: Our testers routinely encounter off-gassing odors that emit from a mattress after it’s unpacked. The smell is normal and typically disappears within a couple of days.
  • Ease of Movement: We evaluate how easily sleepers can move across a mattress surface, which may be especially important to people with fibromyalgia who frequently change positions. Beds with firmer feels perform well in this category.
  • Edge Support: Edge support may be important to sleepers with fibromyalgia, as it affects how easily one gets in and out of bed. Our testers measure the amount of sagging on a bed’s perimeter and also consider the construction and materials used to stabilize the edges.
  • Sex: Ideal bed surfaces are a matter of personal preference when it comes to sex, but many sleepers find that responsive or bouncy surfaces are most comfortable. Latex and hybrid beds perform well with this criteria.
  • Body Weight: When evaluating mattresses, we routinely factor in body weight, since this can affect how comfortable a bed feels for any given person. Firmer mattresses tend to fare best with testers over 230 pounds, while softer models appeal more to testers under 230 pounds.

How to Choose a Mattress for Fibromyalgia


When purchasing a mattress, shoppers should take into account the things that 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.

What to Look for in a Mattress

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 cheap mattress options are appealing, higher-priced models may also be a good value. Higher sticker prices may reflect quality materials and durable builds. A mattress in any price range may be suitable for people with fibromyalgia, 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 experiencing 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. 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.
  • 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 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.
  • 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.

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 due to 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 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.

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: 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.

Foam

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 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.

How Does Fibromyalgia 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 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 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 could interfere with sleep, and the right mattress could help minimize these.

How Does Sleep Position Affect People with Fibromyalgia?

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.

Back Sleepers

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 people with fibromyalgia 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.

Side Sleepers

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.

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. 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.

Combination Sleepers

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.

Last Things to Consider with a Mattress for Fibromyalgia

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.

How Can I Get Relief On a Budget?

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.

How Much of an Investment Do I Need to Make?

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 break down more quickly. Higher-end models may feature advanced materials to enhance the mattress’s performance, and they are often more durable.

Mattress Warranty and Other Policies

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.

infographic of reasons why people buy new mattresses

infographic of reasons why people buy new mattresses

Frequently Asked Questions

  • What type of mattress is best for fibromyalgia?

    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. Back and stomach sleepers need less cushioning and more support to prevent excessive sinkage around the torso and hips.

    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.

    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 so – 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.

  • Does a bad mattress contribute to fibromyalgia?

    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.

  • Is an adjustable bed good for fibromyalgia?

    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.

Still have questions?

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

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About Our Editorial Team

author
Keith Cushner

Sleep Product Expert

Keith is a sleep product expert with nearly a decade of experience researching, developing, and testing sleep products.