Best Mattress for Fibromyalgia in 2026

Fibromyalgia is a condition that can contribute to widespread musculoskeletal pain and temperature sensitivity, which in turn, may cause poor sleep. People with fibromyalgia may experience other sleep problems such as interrupted sleep, lack of restorative sleep, and/or insomnia. The condition also frequently co-exists with sleep apnea and restless leg syndrome. While you should consult a doctor about treating fibromyalgia, a supportive, comfortable mattress can promote quality sleep.

How We Tested the Best Mattresses for Fibromyalgia

Testing Criteria

Fibromyalgia can heighten sensitivity to pressure, temperature, and the way a surface feels. For this category, we focused on mattresses that can ease tension at common pressure points, regulate temperature, and provide adaptive support without feeling too rigid.

These are the following factors we considered when looking for the best mattress for fibromyalgia.

Pressure relief: Pressure-relieving materials can help reduce discomfort associated with fibromyalgia. We prioritized mattresses made with materials such as memory foam and latex that contour closely to the body, cushioning areas like the shoulders, hips, and back while minimizing pressure buildup that can contribute to pain and tension.

Temperature regulation: Temperature sensitivity is a common symptom of fibromyalgia, and overheating can disrupt sleep. We evaluated how well each mattress promotes airflow and dissipates heat through breathable covers, open-cell foam structures, and cooling design features that help maintain a breathable sleep temperature.

Adaptive support: Support for fibromyalgia should feel responsive, not rigid. We looked for mattresses that adapt to the sleeper’s movements and body shape, providing gentle reinforcement that maintains spinal alignment without creating resistance or pressure spikes as positions change.

How We Evaluated

Our evaluation of mattresses for fibromyalgia combined performance data with hands-on evaluations conducted in our Seattle Test Lab. We began by reviewing sleeper feedback and performance scores across categories most relevant to fibromyalgia comfort, including:

• High-quality construction and materials
• Durability
• Mid-level firmness (5 to 7 on the 1-10 scale)

The goal: Identify mattresses from our database of more than 1,000 options that demonstrate consistent pressure relief while remaining breathable and adaptable. Each finalist underwent in-depth testing to assess how materials respond under sustained contact and whether comfort remained stable throughout the night.

Multiple testers with different body types and sleep positions evaluated each mattress to understand how adaptive support and medium-firmness interact with heightened sensitivity. We also compared performance across different materials and construction. From there, our testers assigned accolades to each of our picks, ultimately choosing the best mattresses for fibromyalgia.

Our Testing Team

Logan Foley

Editorial Director

Full Bio

Logan Foley

Editorial Director

Logan is a Certified Sleep Science Coach with a deep understanding of what it means to struggle with sleep. Her years of experience researching and testing sleep products – including mattresses, natural sleep aids, and bedding – are critical to her role helping lead the editorial team. When she’s not testing mattresses or researching CBT-I, she enjoys spending time in the sunshine with her husband and her dogs Pepper and Winston.

Mary Fenton

Head of Product Content

Full Bio

Mary Fenton

Head of Product Content

Mary is a product-content marketer who applies a pedigree in journalism, human-centered design, and cultural trends to inform strategy. Prior to Sleep Doctor, Mary led editorial and creative at ESPN and Rad Power Bikes. She likes to build and grow things, and break and fix things, and only sometimes in that order.

Jeremy Klein

Senior Product Testing Manager

Full Bio

Jeremy Klein

Senior Product Testing Manager

Jeremy is a sleep product tester with a passion for methodology and data collection. He’s spent the last six years at Sleep Foundation testing nearly every mattress, pillow, and sheet on the market, and has gained a holistic understanding of how to get the most accurate and universal results possible. When he’s not working, Jeremy likes to make music, play tennis, and watch old movies.

Brad Nehring

Senior Product Analyst

Full Bio

Brad Nehring

Senior Product Analyst

Brad is a lifelong resident of the Pacific Northwest who holds a bachelor’s degree in English from Western Washington University. As someone who has lived with sleep problems throughout his adult life, Brad is passionate about helping others get the rest they need. He’s professionally tested and reviewed sleep products for nearly a decade.

Colin Simpson

Product Research Manager

Full Bio

Colin Simpson

Product Research Manager

Colin leads our product research team and doubles down as our head of video production. He has a distinct passion for translating complicated topics into fun and digestible content.

Best Overall Mattress: Helix Midnight Luxe

Best Overall Mattress

9.7/10Test Lab Score

Helix Midnight Luxe

A premium quality, hybrid mattress created with side sleepers in mind.

27% off sitewide with code: SF27 Shop At Helix

Price: $1,799

Mattress Type: Hybrid

Firmness Options: Medium Firm (6)

Trial Period: 120 nights (30-night requirement)

Key Details

• Who It’s Best For: Side sleepers between 130 and 230 pounds.
• Feel: Cushioning pillow-top and close-conforming memory foam for a plush yet supportive feel. Cool surface and breathable construction.
• What It’s Made Of: A three-layer comfort system with two layers of polyfoam and one layer of copper-infused memory foam. A zoned pocketed coil core and a final polyfoam base layer. Cover is Tencel.
• What We Don’t Like: Stomach sleepers may sink in deeply.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

9.5/10

130-230 lbs

10/10

Above 230 lbs

9.5/10

Back Sleepers

Under 130 lbs

8.5/10

130-230 lbs

8/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

8.5/10

130-230 lbs

7.5/10

Above 230 lbs

6.5/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

8.5/10

8.5/10

As a medium firm mattress with thick foam comfort layers, it’s no surprise that the Midnight Luxe tested very well for motion isolation. Our testers could barely feel any movement across the surface of the mattress when fellow testers rolled around on it.

Pressure Relief

9.5/10

9.5/10

All of the Helix Luxe models have thick foam comfort layers and conform fairly close to the body. Consequently, they’ve all performed well in our pressure mapping tests, with notably less pressure in the hips and shoulders than many hybrids. With it’s 6 out of 10 firmness, The Midnight Luxe in particular performs average among other Helix Luxe beds.

Temperature Control

8/10

8/10

The Helix mattresses perform about average for hybrids when it comes to sleeping cool. Memory foam is well-known for its tendency to sleep hot, as it often traps and retains heat through the night, but the coil cores of these beds promote airflow to help balance out heat retention.

Edge Support

9.5/10

9.5/10

All Helix mattresses feature a reinforced perimeter, meaning the coils on the edges are thicker than the coils in the middle of the bed. When putting this to the test, we found significantly less sinkage on the edge than the middle while applying weight.

Ease of Movement

7.5/10

7.5/10

Helix Luxe mattresses tend to be somewhat responsive and bouncy, and all tested pretty well for ease of movement. The Midnight Luxe in particular had a middle-of-the-road performance in our tests, as the medium firm surface conforms a bit to the body, but doesn’t fully provide that ‘stuck’ feeling and inhibit motion.

Durability

8.5/10

8.5/10

The Helix Luxe collection of hybrid mattresses is built for durability, and the firmer options will likely extend the life even further. Each model is 14 inches thick and features three layers of foam (memory and poly), plus has 1,000 individually wrapped coils, including zone and perimeter support. It’s likely that you’ll be able to enjoy this mattress for close to a decade.

Read Our Full Helix Midnight Luxe Review

The Midnight Luxe is part of Helix Sleep’s luxury pillow-top hybrid line. While all Luxe models have their strong points, the Midnight Luxe has a balanced medium firm (6) feel that caters to the needs and preferences of most side sleepers up to 230 pounds.

How It Performs

Best Value Mattress: Brooklyn Bedding CopperFlex Memory Foam

Best Value Mattress

8.6/10Test Lab Score

Brooklyn Bedding CopperFlex Memory Foam

Hugs and soothes pressure points for restful sleep.

25% off sitewide Shop At Brooklyn Bedding

Price: $466

Mattress Type: Foam

Firmness Options: Medium Firm (6)

Trial Period: 120 nights (30-night requirement)

Key Details

• Who It’s Best For: Side sleepers at least 130 pounds and back sleepers up to 230 pounds, as well as couples.
• Feel: Medium firm (6) with some plushness and body-contouring but transitional and base layers offer pushback. Top layer helps draw heat away from your body.
• What It’s Made Of
• Comfort system of adaptive polyfoam sewn to the cover, two memory foam layers, and three-zone transitional polyfoam. Top memory foam layer has a copper infusion and the cover is GlacioTex cooling fabric. Support core is two layers of high-density polyfoam.
• What We Don’t Like: Strong initial odor for up to 72 hours after unboxing. Too soft for stomach sleepers 130 pounds or more.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

8/10

130-230 lbs

7/10

Above 230 lbs

6/10

Stomach Sleepers

Under 130 lbs

8/10

130-230 lbs

6/10

Above 230 lbs

5.5/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

8.5/10

8.5/10

The CopperFlex Memory Foam provides great motion isolation, with our testers clocking almost no motion transfer across the bed during movement. This is due to the all-foam construction—with memory foam comfort layers and an all-foam base, there is little means for one side of the bed to affect the other.

Pressure Relief

9/10

9/10

This bed provides excellent pressure relief, which notably reduced pressure on the shoulders and hips compared to other beds. With a thick foam comfort layer and a foam base, the bed conforms close to the body and ‘hugs’ the sleeper quite a bit.

Temperature Control

7/10

7/10

As an all-foam bed, the CopperFlex is inevitable going to trap a decent amount of body heat. Luckily, the top layer of quilted polyfoam isn’t very dense, allowing for some airflow. We don’t find copper-infused foam to make too much of a difference in cooling.

Edge Support

7/10

7/10

Like most all-foam beds, the edge support of the CopperFlex memory foam is mediocre. The high density support core provides a bit of support, but there’s definitely some noticeable sinkage when sitting around the edges. Perhaps not the best choice for those with mobility issues.

Ease of Movement

6.5/10

6.5/10

As an all foam bed with a memory foam comfort layer, it’s no surprise that our testers found the CopperFlex Memory Foam a bit hard to move around on. The foam conforms close to the body, giving you that sinking sensation, and it definitely requires a bit more effort to roll around on the bed, especially for heavier sleepers.

Durability

7/10

7/10

The CopperFlex Memory Foam’s expected lifespan is about 5 to 6 years with proper use and regular rotations. This is average for an all-foam model. The topmost layers will eventually develop impressions and indentations that make the surface feel uneven, but the base layer is dense enough to provide several years of solid reinforcement.

Read Our Full Brooklyn Bedding CopperFlex Memory Foam Review

Brooklyn Bedding’s CopperFlex Memory Foam is both high-quality and budget-friendly — a rare combination in today’s mattress market. Composed of six individual foam layers, the CopperFlex offers plush cushioning on the surface and sturdy underlying support. This design helps ensure relief for your pressure points and sore spots without too much sinkage beneath your midsection.

How It Performs

Most Comfortable Mattress: Luxury Firm WinkBed

Most Comfortable Mattress

9.5/10Test Lab Score

Luxury Firm WinkBed

High end hybrid bed providing ample support, cushion, and cool sleep.

Get $300 off all mattresses at Winkbeds Shop At WinkBeds

Price: $2,570

Mattress Type: Innerspring

Firmness Options: Medium Firm (6)

Trial Period: 120 nights (30-night requirement)

Key Details

• Who It’s Best For: Side sleepers.
• Feel: Medium firm (6) feel and hybrid design. Combines bounce, breathability, and pressure relief. Gentle hugging sensation that doesn’t restrict airflow or movement.
• What It’s Made Of: Two layers of gel-infused polyfoam quilted into a Euro-top cover, followed by another layer of polyfoam. Zoned coil core and a reinforced perimeter. The cover is Tencel.
• What We Don’t Like: May notice movement.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

9.5/10

130-230 lbs

10/10

Above 230 lbs

9.5/10

Back Sleepers

Under 130 lbs

8.5/10

130-230 lbs

8/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

8.5/10

130-230 lbs

7.5/10

Above 230 lbs

6.5/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

6.5/10

6.5/10

The Luxury Firm WinkBed offers above-average motion isolation compared to other hybrids we’ve tested. The polyfoam layers significantly absorb vibrations, preventing motion from traveling across the surface. Although the coil core gives the mattress some bounce, the foam layers are substantial enough to dampen motion transfer.

Pressure Relief

8/10

8/10

Like with many hybrid models, the Luxury WinkBed’s strong contouring can help relieve painful pressure points. Using pressure-mapping sensors, we found the mattress generously cradles your body and ease pressure off sensitive joints, thanks largely to the multiple foam layers.

Temperature Control

9/10

9/10

The Luxury WinkBed’s Tencel cover wicks heat and moisture away from the sleeper’s body. Polyfoam infused with cooling gel also helps to minimize heat retention annd the coil core promotes significant air circulation. All of these components make the Luxury WinkBed one of the best cooling mattresses on the market.

Edge Support

9.5/10

9.5/10

While many hybrid models have sturdy edges, the Luxury WinkBed’s perimeter is exceptionally strong. Thanks to extra reinforcement along the edges, our testers noticed minimal compression when sitting along the edge. Most sleepers should feel secure enough to sleep or sit on the full surface of the mattress without worrying about rolling off.

Ease of Movement

7.5/10

7.5/10

The Luxury WinkBed Mattress features polyfoam comfort layers. Polyfoam is more responsive than memory foam, so the mattress won’t hug your body as closely as hybrid mattresses made with memory foam. The result is strong ease of movement across the surface.

Durability

8/10

8/10

Read Our Full Luxury Firm WinkBed Review

The Luxury Firm WinkBed is a hybrid mattress that offers strong support as well as comfort. It provides targeted support to promote spinal alignment, making it well-suited for people who experience back pain. Since patients with fibromyalgia may already be suffering from musculoskeletal pain, they can benefit from a mattress that helps reduce any additional pain in the body.

How It Performs

Best Mattress for Side Sleepers: Leesa Sapira Chill Hybrid

Best Mattress for Side Sleepers

9.0/10Test Lab Score

Leesa Sapira Chill Hybrid

A foam hybrid that cushions your body without trapping heat.

25% off sitewide Shop At Leesa

Price: $1,698

Mattress Type: Hybrid

Firmness Options: Medium (5), Medium Firm (6), Firm (7)

Trial Period: 120 nights (30-night requirement)

Key Details

• Who It’s Best For: Side, back, and stomach sleepers across most weight groups – especially those with frequent pain or pressure points.
• Feel: Available in medium (5), medium firm (6), and firm (6) designs.
• What It’s Made Of: Comfort layers of adaptive polyfoam and memory foam encased in a Euro-top cover, followed by zoned pocketed coils with perimeter reinforcement and high-density base foam.
• What We Don’t Like: Initial off-gassing odor can be strong for up to 72 hours after the mattress is unboxed.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

9/10

130-230 lbs

9.5/10

Above 230 lbs

9/10

Back Sleepers

Under 130 lbs

8/10

130-230 lbs

7.5/10

Above 230 lbs

6.5/10

Stomach Sleepers

Under 130 lbs

8/10

130-230 lbs

7/10

Above 230 lbs

6/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

7.5/10

7.5/10

In our tests, the Sapira Chill Hybrid’s foam-heavy comfort system absorbed most motion with ease. Even when one tester shifted positions or got up, the other hardly noticed — especially on the medium and medium firm models. For couples, this mattress is a standout in motion isolation for a hybrid.

Pressure Relief

8.5/10

8.5/10

Pressure relief was a top-scoring category across the board. Our side sleepers noted significant cushioning in the hips and shoulders, and even our back sleepers experienced a nice balance of support and contouring. The plush top layers adapted closely without making us feel stuck.

Temperature Control

7.5/10

7.5/10

Though it contains multiple foam layers, the Sapira Chill didn’t trap as much heat as we expected. The open-cell construction and airflow from the coil core helped maintain a neutral sleep temperature for most of our testers — particularly on the firmer options where we didn’t sink in as deeply.

Edge Support

7/10

7/10

We were impressed with how well the Sapira Chill held up around the edges. The reinforced perimeter coils gave us a stable feel when sitting or lying near the sides of the bed, which is especially helpful for co-sleepers or anyone who likes to spread out.

Ease of Movement

8/10

8/10

Movement on the Sapira Chill felt smooth, especially for a hybrid with four foam layers. While the softer model had a bit of a “sink-in” feel, the underlying coil support and responsive transition foam made it easy to shift positions or get in and out of bed on all three firmness levels.

Durability

8/10

8/10

The Leesa Sapira Chill Hybrid earns high marks for durability. As a hybrid mattress that uses four distinct foam layers, two of which are high-density polyfoam, sleepers can rely on cradling support without sinkage. Add to that the pocketed coil layer with individually wrapped springs, and the mattress should provide at least eight years of comfort.

Read Our Full Leesa Sapira Chill Hybrid Review

A comfortable night’s sleep can be elusive for people living with fibromyalgia, but the Leesa Sapira Chill Hybrid is thoughtfully designed to help alleviate many symptoms of this medical condition. A thick comfort system with four individual foam layers helps to ensure a soothing, adaptive surface, while zoned coils support your midsection to reduce pain and pressure buildup in your shoulders, lower back, and hips.

How It Performs

Best Luxury Mattress: Saatva Rx

Best Luxury Mattress

8.5/10Test Lab Score

Saatva Rx

The Saatva RX is a luxury model specifically designed for individuals with chronic pain conditions

$300 off orders of $1,000 or more Shop At Saatva

Price: $2,801

Mattress Type: Hybrid

Firmness Options: Medium Soft (4)

Trial Period: 365 Nights ($99 return fee)

Key Details

• Who It’s Best For
• Side sleepers with fibromyalgia.
• Feel: Medium soft (4) with a gentle, cradling sensation, which relieves pressure while supporting the spine. Surface maintains a relatively neutral temperature.
• What It’s Made Of: Comfort system includes memory foam, polyfoam, and microcoils. The core includes 8 inches of pocketed coils topped with 2-inch polyfoam modules. The cover is cotton.
• What We Don’t Like: Movement difficult for some sleepers. Back and stomach sleepers might sink in too deeply.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

9/10

130-230 lbs

7.5/10

Above 230 lbs

6.5/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

7/10

Above 230 lbs

6.5/10

Stomach Sleepers

Under 130 lbs

7.5/10

130-230 lbs

7/10

Above 230 lbs

6.5/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

8/10

8/10

We found that the Saatva Rx excels at isolation movement and preventing motion transfer. The memory foam comfort layer helps absorb surface vibrations, while the microcoil layer is encased in high-density polyfoam to further isolate movement. In addition to wrapping the support core’s individual coils in fabric — a standard feature of most hybrid mattresses — Saatva includes 2-inch foam caps on top of each coil. This helps muffle vibrations when pressure is exerted on the coils.

Pressure Relief

8/10

8/10

Designed by Saatva specifically for those who need extra pressure relief, our testers reported that the Rx delivers on their claims. The memory foam lumbar pad promotes spinal alignment, which can reduce lower back strain.We found the medium soft (4) surface relieved the most pressure for side and back sleepers under 230 pounds. The mattress compressed too much for stomach sleepers over 130 pounds, putting pressure on the lower back.

Temperature Control

8/10

8/10

The mattress’ temperature control is on par with most quality hybrids on the market, with a breathable cotton cover and wool flame barrier that help regulate surface temperature.The support core also has a number of temperature-regulating features. The Rx Foam Module has an open-cell structure that’s more ventilated than traditional polyfoam. It also contains graphite infusions and thermally conductive fibers designed for cooling.

Edge Support

7/10

7/10

Our testers sit and lie near the edges of a mattress to determine how sturdy its perimeter is.The Saatva Rx’s firmer coils along the perimeter keep the mattress from warping at the sides, so couples should be able to sleep comfortably near the edges of the mattress. That said, the mattress is pretty soft and some sinkage along the perimeter is to be expected.

Ease of Movement

7/10

7/10

A mattress that facilitates movement is helpful if you have joint or muscle pain. It’s also an advantage for sleepers who toss and turn at night.Our testers could easily move on the Saatva Rx despite its plush surface. Responsive microcoils prevent the comfort system from overly conforming to sleepers. Additionally, the strong pocketed coil core helps the mattress’ surface regain its shape more quickly.

Durability

7.5/10

7.5/10

The unique construction of the Saatva Rx makes it slightly more durable than some other hybrid mattress models. Below a half-inch layer of memory foam toward the top, there’s a support core that includes a one-inch layer of flexible microcoils encased in high-density polyfoam, followed by an eight-inch pocketed coil base layer. Even though the mattress’ medium-soft feel can reduce its durability a bit, you can expect it to last around eight years.

Read Our Full Saatva Rx Review

The Rx is one of the newest additions to Saatva’s mattress lineup, and the brand’s first model specifically designed for people with chronic pain. Although the mattress is medium soft (4) and contours very closely, the coil-on-coil support system helped maintain an even surface with minimal sinkage for side and back sleepers on our team weighing up to 230 pounds.

How It Performs

Best Mattress for Pressure Relief: Nolah Evolution 15

Best Mattress for Pressure Relief

8.7/10Test Lab Score

Nolah Evolution 15

A cloud-like experience with a plush euro-top in multiple firmnes options.

30% off sitewide + extra $50 off with code: SF50 Shop At Nolah Sleep

Price: $1,480

Mattress Type: Hybrid

Firmness Options: Medium (5), Medium Firm (6), Firm (8)

Trial Period: 120 nights (30-night requirement), $99 return pickup fee

Key Details

• Who It’s Best For: Those who prioritize pressure relief without sacrificing temperature neutrality.
• Feel: Plush yet supportive. Cushions and relieves pressure from sensitive areas, while adapting to the body for buoyant cradling.
• What It’s Made Of: Euro-top consisting of 2 inches of polyfoam quilted into a cotton cover, followed by another three layers of polyfoam. Base is zoned pocketed coils rest on top of polyfoam.
• What We Don’t Like: Initial odor. May be difficult for some sleepers to get into or out of depending on bed-frame height.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8.5/10

130-230 lbs

9/10

Above 230 lbs

8.5/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

7/10

Above 230 lbs

6/10

Stomach Sleepers

Under 130 lbs

7.5/10

130-230 lbs

6.5/10

Above 230 lbs

5.5/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

7.5/10

7.5/10

Thanks to its thick polyfoam layers, the Nolah Evolution 15 Hybrid absorbs enough movement to prevent most sleep disruptions. However, there is still some motion transfer because of the bounciness of the coils. You can expect the most motion transfer on the firm (8) model and the least on the plush (5) option. Across the board, though, our testers noticed only light motion transfer across all three firmness levels.

Pressure Relief

8.5/10

8.5/10

The combination of zoned coils and multiple polyfoam layers, including zoned AirFoam, enable the Nolah Evolution Hybrid to cushion pain points and provide above-average pressure relief. Choosing the right firmness option can optimize pressure relief. While individual preferences vary, a plush (5) or luxury firm (6) model works best for most side sleepers under 230 pounds, while the luxury firm (6) or firm (8) are better suited to the majority of back and stomach sleepers.

Temperature Control

7/10

7/10

Like many hybrids, the Nolah Evolution 15 excels at temperature regulation. Cooling fibers in the cover are engineered to draw heat away from the body, and the aerated polyfoam layers help reduce heat retention. The coil layer also promotes steady ventilation.In our testing, all three models resisted heat retention. That said, compared to the firm (8) model, the plush (5) and luxury firm (6) permit more sink and allow slightly less cooling airflow around the skin.

Edge Support

8.5/10

8.5/10

The sturdy 8-inch coils gives the Nolah Evolution Hybrid a reliable level of edge support. While there can be some sink from the foam layers, resilient polyfoam prevents instability around the perimeter of the bed.Edge support does vary based on the firmness level. Our team noticed a reduction in edge support between the firm (8) and the luxury firm (6) and plush (5) models. Even on the softer models, though, you get solid edge support from this mattress.

Ease of Movement

6.5/10

6.5/10

The Nolah Evolution 15’s foam layers don’t sink or hug excessively, and the bounce of the coils facilitates movement on the surface. This makes this mattress a solid fit for combination sleepers or anyone who hates feeling stuck in place when lying in bed. With its softer surface, the plush (5) model restricts movement a bit more than the other two. The firm (8) model provided standout ease of movement to all of our sleepers.

Durability

7.5/10

7.5/10

With a stunning 15-inch profile, seven inches of which are polyfoam found in the comfort layer, the Nolah Evolution 15 is a highly durable mattress. Beneath that are 8-inch coils to give the bed more support. If longevity is your main concern, going with the firmer of the three options may extend the life a bit more. Otherwise, you can generally expect around eight or nine years of comfort.

Read Our Full Nolah Evolution 15 Review

The Nolah Evolution 15 features foam layers that cushion pressure points along the spine, while zoned coils promote healthy spinal alignment. Three firmness levels — medium (5), medium firm (6), and firm (8) — ensure comfortable and supportive options for a wide swath of sleepers.

How It Performs

Best Mattress for Back Pain: Bear Elite Hybrid

Best Mattress for Back Pain

8.5/10Test Lab Score

Bear Elite Hybrid

A close-conforming memory foam hybrid offering great pressure relief.

40% sitewide with code: SF40 Shop At Bear

Price: $1,499

Mattress Type: Hybrid

Firmness Options: Medium (5), Medium Firm (6), Firm (8)

Trial Period: 120 nights (30-night break-in period)

Key Details

• Who It’s Best For: Individuals between 130 and 230 pounds and side sleepers of all weights.
• Feel: Plush, supportive, and relatively cool with good pressure relief.
• What It’s Made Of: A top layer of memory foam, a polyfoam transition layer, and zoned pocketed coil system. These rest on a polyfoam base and are encased in a polyester-blend cover. Also incorporates several cooling technologies.
• What We Don’t Like: Stomach sleeper’s midsection could sag, potentially putting pressure on the lower back.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8.5/10

130-230 lbs

9/10

Above 230 lbs

8.5/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

7/10

Above 230 lbs

6/10

Stomach Sleepers

Under 130 lbs

7.5/10

130-230 lbs

6.5/10

Above 230 lbs

5.5/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

7/10

7/10

The Bear Elite Hybrid shows considerable ability to prevent vibrations from traveling across the surface of the mattress. Its memory foam layer only reacts where weight is directly applied, which helps keep movement from causing ripple effects that spread to the other side of the bed.However, the bounce of the coils can cause some motion transfer, especially on the firm model that has a reduced amount of contouring.

Pressure Relief

8/10

8/10

The Bear Elite Hybrid offers excellent pressure relief that stems from its comfort system and the zoned, pocketed coils in its support core. In our testing, it was side and back sleepers who tended to get the best pressure relief and support. That said, stomach sleepers liked the firm (8) model that maintained a flat, stable surface with just enough cushioning for the midsection.

Temperature Control

7/10

7/10

This mattress doesn’t feel overwhelmingly hot, but it also probably shouldn’t be the top choice for hot sleepers. The copper-infused foam makes it slightly cooler than some other memory foam mattresses, but heat can still collect in and around the foam. The risk of overheating is highest on the Luxury Plush model because it has the closest contouring around the skin, which may make it harder for heat around the body to dissipate during the night.

Edge Support

7.5/10

7.5/10

Reinforced edges in the support core help give this mattress a solid rating for edge support. While you’ll notice foam compression around the perimeter, it’s not so significant that you’ll feel like the mattress is giving out beneath you.Of the three different firmness options, edge support is clearly strongest in the firm (8) model and weakest in the one with a firmness level of medium (5).

Ease of Movement

6.5/10

6.5/10

When you need to switch your sleeping position or adjust your body’s alignment on the mattress, you generally won’t encounter much resistance. Sleepers over 230 pounds may find that there’s less ease of movement, especially on the softer models. But in most cases, the springiness from the thick layer of pocketed coils enables relatively easy movement on the surface of the Bear Elite Hybrid.

Durability

7.5/10

7.5/10

The Bear Elite Hybrid Mattress scores above average for durability thanks to its pocketed coils, reinforced perimeter, and memory foam and polyfoam layers. The mattress comes in three firmness levels, and going firmer will typically extend the life of the mattress a bit more. Overall, you should expect around seven to eight years of use.

Read Our Full Bear Elite Hybrid Review

Bear produces a lineup of mattresses that cater to different sleep preferences and budgets. The Elite Hybrid has the thickest profile with foam layers that cushion along the spine to reduce pressure-induced pain.

How It Performs

Best Temperature-Regulating Mattress: Birch Mattress

Best Temperature-Regulating Mattress

8.8/10Test Lab Score

Birch Mattress

A latex hybrid with responsive comfort materials and a robust support system.

27% off sitewide with code: SF27 Shop At Birch

Price: $1,499

Mattress Type: Latex Hybrid

Firmness Options: Medium Firm (6)

Trial Period: 120 nights (30-night requirement)

Key Details

• Who It’s Best For: Hot sleepers and those over 130 pounds.
• Feel: Buoyant yet pressure relieving with a noticeably cool surface. Responsive latex and springy pocketed coils.
• What It’s Made Of: Organic cotton cover, organic wool layers, natural Talalay latex, and a pocketed coil core.
• What We Don’t Like: May notice motion transfer. Latex doesn’t conform like memory foam.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

8/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

9/10

130-230 lbs

8.5/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

9/10

130-230 lbs

8/10

Above 230 lbs

7/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

6/10

6/10

The Birch Natural Mattress definitely has more bounce than contouring, which in our testing lab meant more motion transfer. Vibrations from movement on one part of the bed could be felt at least lightly on other parts of the bed. For most couples, a little motion transfer doesn’t create significant problems. But if you’re easily awoken during the night, you may encounter more sleep disruptions from your bed partner’s movement when sleeping on the Birch Natural Mattress

Pressure Relief

6.5/10

6.5/10

The Birch Natural Mattress offers effective pressure relief for many sleepers, but it may not be the top option for people who want deep contouring around their body.The wool and latex layers of the Birch Natural Mattress lightly cradle the joints and heavier parts of your body, but these materials do not hug you closely. In most cases, the cushioning from the latex is enough to relieve pressure, but it may be lacking in this category for people with very sharp pressure points.

Temperature Control

8.5/10

8.5/10

We found that the Birch Natural Mattress offers excellent temperature control. It has several components that promote cooling and temperature neutrality. Wool and cotton are highly breathable to wick away moisture and dissipate heat. Latex does not heat up the way foam does, and the coil support core promotes plenty of ventilation.The responsiveness of the mattress also keeps you from sinking in too far. As a result, airflow can reach your skin and help cool you down.

Edge Support

8.5/10

8.5/10

The Birch Natural Mattress offers solid edge support that comes from the bounciness of its materials and its thick layer of pocketed coils. The coils are reinforced around the perimeter to give the mattress a more stable feel when sitting or lying down near the edge.

Ease of Movement

8.5/10

8.5/10

The Birch Natural Mattress keeps you from feeling stuck in one position. Our testers observed that, thanks to its responsive materials like latex and coils, you can easily adjust your sleeping position, roll over, or get up out of bed.The ease of movement on the Birch Natural Mattress makes it a good fit for combination sleepers and anyone else who prefers to feel like they are sleeping on top of the bed rather than “in” the bed.

Durability

8/10

8/10

The Birch Mattress has a strong durability score thanks to its construction and natural materials. As a hybrid mattress, it combines individual pocketed metal coils in the support core with layers of Talalay latex and wool. Latex is a denser material than memory or polyfoam. That, along with the medium firm feel give this mattress more longevity up to eight or nine years.

Read Our Full Birch Mattress Review

Latex hybrids are often well suited to people with fibromyalgia because they provide gentle cradling to relieve pressure. The Birch Mattress is no exception, featuring airy Talalay latex that alleviates pain in pressure-prone areas. The Birch’s affordable price-point also makes it a good option for shoppers with limited budgets.

How It Performs

Best Soft Mattress: Turmerry Natural and Organic Latex Mattress – Soft

Best Soft Mattress

8.1/10Test Lab Score

Turmerry Natural and Organic Latex Mattress – Soft

A durable all-latex mattress that sleeps cool and feels supportive.

$1,799 from Turmerry (queen) Shop At Turmerry

Price: $1,799

Mattress Type: Latex

Firmness Options: Soft (3)

Trial Period: 120 nights

Key Details

• Who It’s Best For: Eco-conscious side and back sleepers under 130 pounds.
• Feel: Plush and cool. Adjusts to the sleeper’s shape to limit pressure points, and allows good airflow.
• What It’s Made Of: Organic cotton, natural wool, and organic latex. You can reposition the latex layers to change the feel.
• What We Don’t Like: May not provide enough support for stomach sleepers. May also inhibit motion.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8.5/10

130-230 lbs

7/10

Above 230 lbs

6/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

7/10

Above 230 lbs

6.5/10

Stomach Sleepers

Under 130 lbs

6.5/10

130-230 lbs

6/10

Above 230 lbs

5.5/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

7/10

7/10

Motion isolation is limited on this mattress. Latex responds to movement with a light bounce, so you and your partner will probably notice some motion transfer when the other person changes positions or gets up during the night.

Pressure Relief

8/10

8/10

As with edge support, pressure relief for this mattress varies by firmness. Softer models conform more closely, and may be a better match for side sleepers and other people who experience painful pressure points along their spine while they sleep.

Temperature Control

7.5/10

7.5/10

This mattress sleeps exceptionally cool thanks to the ventilated latex layers, which promote steady airflow throughout the interior. The breathable organic cotton cover also boosts temperature control.

Edge Support

6/10

6/10

Edge support for the Turmerry varies by selected firmness. Firmer models feel fairly stable, especially compared to their counterparts, but those seeking a mattress with maximum perimeter reinforcement may want to consider a hybrid or innerspring instead.

Ease of Movement

7/10

7/10

This mattress is very easy to move on thanks to its all-latex design. You should encounter little to no resistance from the layers, and feel a bounce in response to movements.

Durability

8.5/10

8.5/10

As an organic latex mattress made with Dunlop latex, you can expect to enjoy many years of use from your Turmerry bed. The Dunlop method produces a denser latex that holds its shape despite repeated compression and decompression, meaning it’s unlikely to form permanent body indentations. We would estimate the mattress will last at least 10 years. The firmer models and the thicker models will likely stand up even better to the test of time.

Turmerry’s Natural and Organic Latex Mattress – Soft is a plush model that conforms closely for pressure relief while maintaining a buoyant quality. The mattress boasts GOTS and GOLS certifications, ensuring its materials were organically sourced and produced with environmental factors in mind.

How It Performs

Best Mattress and Adjustable Bed Set: Puffy Cloud Smart Bed Set

Best Mattress and Adjustable Bed Set

8.5/10Test Lab Score

Puffy Cloud Smart Bed Set

A pressure-relieving mattress and adjustable bed combo.

$750 off + free accessories at Puffy Shop At Puffy

Price: $2,148

Mattress Type: Foam

Firmness Options: Medium (5)

Trial Period: 101 Nights

Key Details

• Who It’s Best For: Sleepers looking for extra comfort-related features.
• Feel: Medium (5) all-foam model. Along with a close, pressure-relieving hug, the adjustable base adds to the overall comfort and pressure relief.
• What It’s Made Of
• An all-foam mattress (memory foam and polyfoam encased in a polyester cover) and an adjustable base.
• What We Don’t Like: Too soft for most stomach and back sleepers over 230 pounds. Not available in twin or California king.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

9.5/10

130-230 lbs

9/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

6.5/10

Above 230 lbs

6/10

Stomach Sleepers

Under 130 lbs

6.5/10

130-230 lbs

6/10

Above 230 lbs

5.5/10

In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.

SELECT AN ICON TO VIEW DETAILS:

Motion Isolation

Pressure Relief

Temperature Control

Edge Support

Ease of Movement

Durability

Motion Isolation

9/10

9/10

The Puffy Cloud excels at motion isolation thanks to its all-foam design. You and your partner shouldn’t notice much movement transferring from the other person when they change positions or get up during the night.

Pressure Relief

8.5/10

8.5/10

Pressure relief is one of the Puffy Cloud’s defining strengths. The foam layers conform closely to create a close, pressure-reducing cradle for your entire body. This mattress is a great match for anyone who likes being hugged by their mattress.

Temperature Control

6/10

6/10

You will probably notice some heat retention on the Puffy Cloud’s surface. This is a common complaint about all-foam mattresses, and this model — like many counterparts — can lack cooling on the surface that many hot sleepers need to be comfortable.

Edge Support

7/10

7/10

Edge support is so-so at best due the Cloud’s all-foam construction, which uses high-density polyfoam as the base layer. This material is sturdy, but still prone to deep compression when weight is applied — especially compared to other support core materials like steel coils or latex.

Ease of Movement

6/10

6/10

Most of our testers struggled at least a little bit when moving on the Puffy Cloud. The top layers are pretty adaptive, so it’s easy to feel stuck or trapped as you cross the surface.

Durability

7/10

7/10

Expected durability for the Puffy Cloud is average for a memory foam model. The mattress will feel plush and adaptive on the surface for many years, but indentations are inevitable as the foams break down over time. The estimated lifespan for this mattress is about 6 years.

Investing in a new mattress and adjustable bed can be daunting for anyone without an unlimited budget. With the Puffy Cloud Smart Bed Set, you get not only these two components but also a handful of bedding accessories — all at a decent sticker price.

The flagship Puffy Cloud Mattress has proven popular among side sleepers and people living with chronic pain, while the Serenity Adjustable Base offers a handful of features to enhance and optimize your sleep experience.

How It Performs

Video: Best Mattresses for Fibromyalgia

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

What Is Fibromyalgia and How Does It Affect Sleep?

The symptoms of fibromyalgia can impair sleep in several different ways. Widespread pain is one of the most common symptoms associated with fibromyalgia. As with any condition that causes pain, fibromyalgia may make it more difficult to fall asleep and/or stay asleep. Temperature sensitivity is also common with the condition and can make it hard to get comfortable.

“The mechanisms leading to fibromyalgia are an area of active research, but the exact cause remains unknown,” says Dr. Wells. “Both genetic and environmental factors are thought to contribute to one’s susceptibility to the condition. Fibromyalgia is understood to result from nervous system dysregulation, which heightens pain sensitivity, disrupts sleep, and causes fatigue—symptoms that perpetuate and intensify one another.”

Sleep problems are a common concern for people with fibromyalgia. You may experience insomnia, disruptive sleep, or simply a lack of restorative sleep. Further exacerbating the issue, people with fibromyalgia also frequently suffer from other disorders that can interrupt sleep, like sleep apnea and restless leg syndrome. With so many symptoms that can impact sleep, it should come as no surprise that many people with fibromyalgia also experience daytime fatigue.

While mattresses can’t relieve all the symptoms associated with fibromyalgia, the right mattress can help people with fibromyalgia get more restful sleep by limiting other factors that could interrupt sleep. Heat retention, motion transfer, noise, lack of support, and pressure buildup all interfere with sleep, and the right mattress can help minimize these.

How Does Sleep Position Affect People With Fibromyalgia?

Your sleeping position can directly impact the pain you experience with fibromyalgia. Each position has certain potential benefits and drawbacks. It’s common to select your sleep position based on your current aches and pains, but that sleep position could have unforeseen consequences. Picking a mattress that promotes healthy sleep posture is important for all sleepers, but even more so for people with fibromyalgia.

Back Sleepers

Many people with fibromyalgia find it comfortable to sleep on their backs because it can reduce lower back pain. Back sleepers tend to prefer a slightly firmer mattress that doesn’t let their hips sink in too far. If you do experience more pain while on your back, try placing a pillow under your knees.

“I often recommend back (supine) sleeping for a person with fibromyalgia because it promotes even weight distribution and minimizes pressure on sensitive areas like the hips and shoulders. While sleeping on your back, pillows under your knees and a small bolster pillow under your neck can further help by keeping the spine supported and in alignment.”

Audrey Wells, MD

Sleep Medicine Physician, CPAP Expert, MD

Back sleeping can be more problematic for people with fibromyalgia who also snore or have sleep apnea since this position can worsen symptoms, but propping up the upper body with a wedge pillow may help. 

Side Sleepers

Side sleepers tend to experience pressure at the shoulders and hips because these spots are heavier. As with any sleep position, finding the right mattress firmness is critical. Those with fibromyalgia tend to prefer a mattress that’s on the softer side and cradles their curves to reduce pressure buildup and support spinal alignment. Just don’t go too soft, or your hips and shoulders might sink too far, pulling your spine out of alignment. 

Since side sleepers’ legs rest on top of each other, any side sleeper could also experience hip and knee discomfort, but this may be more pronounced for people with fibromyalgia. Placing the pillow between your knees or hugging a body pillow can make the position more comfortable.

Stomach Sleepers

Sleeping on your stomach can strain the spine and neck, so it generally isn’t advisable. However, many people with fibromyalgia may choose to sleep in whichever position feels the best that night.

The bulk of a person’s weight is usually centered around a person’s belly and hips. If you sleep on your stomach, this weight can pull your midsection into the mattress and put a strain on the lumbar region. Stomach sleepers also generally turn their heads to the side, which may lead to neck strain. A thick pillow could further exacerbate this neck strain by forcing it to extend backward.

If you frequently sleep on your stomach, there are ways to help limit strain and discomfort. A firmer mattress will provide better midsection support and promote better spinal alignment. Many stomach sleepers also choose to use no pillow or a very thin pillow to reduce neck strain. Stomach sleepers might also transition away from the position by using a body pillow to prop themselves onto their sides.

Combination Sleepers

Alternating between multiple sleep positions may help those with fibromyalgia sleep more comfortably by switching which body parts experience pressure. Combination sleepers will experience the pros and cons of each sleep position they choose, but switching positions through the night will likely minimize any negative impacts.

“For people with fibromyalgia,” says Dr. Wells, “I validate that living with chronic pain is hard.  So prioritizing comfort isn’t just about feeling good – it’s about managing pain and promoting restorative sleep so you can make a meaningful difference in improving daily resilience.”

What Type of Mattress Is Best for Fibromyalgia?

Most mattress models can be classified as one of five main types: hybrid, innerspring, latex, airbed, or foam. Performance varies between individual models because of their unique materials, quality, and construction techniques, but mattresses within the same category tend to share some similarities.

Hybrid

Definition: Hybrid mattresses use a combination of two or more materials. The support core is constructed of coils, while the top comfort layer may include memory foam, polyfoam, latex, microcoils, and/or other materials.
Highlight: Contouring and breathability. People with fibromyalgia may prefer a model with good contouring to help relieve their pressure points. However, close conforming can also trap heat. The comfort layers of most hybrid models cradle the sleeper to relieve pressure, while their coil cores tend to allow significant airflow for heat to dissipate.

“Hybrid mattresses are often a smart choice for people with fibromyalgia because they combine the pressure-relieving benefits of a plush comfort layer with the robust support of an innerspring core. This balance helps cushion sensitive areas while maintaining spinal alignment, making sleep more comfortable and restorative.”

Audrey Wells, MD

Sleep Medicine Physician, CPAP Expert, MD

Innerspring

Definition: The main feature of an innerspring model is its coil system. This layer makes up the bulk of the mattress, though some models also include thin comfort layers.
Highlight: Responsiveness. Innerspring models usually have a springy feel that makes it easier to move on the bed. People who frequently change positions due to their fibromyalgia pain may like the responsive feel of most innerspring models, though there might not be enough cushioning to ease aches and pains.

Latex

Definition: Made from the sap of rubber trees, natural latex foam can be fabricated using either the Talalay or Dunlop process. Talalay is usually springier and more breathable, while Dunlop tends to be denser and more durable. Some models also use synthetic or blended latex.
Highlight: Weightless pressure relief. The low point elasticity of latex means that it compresses over a wider area when weight is applied. This redistributes the sleeper’s weight to relieve pressure buildup with what many sleepers liken to a floating sensation. People with fibromyalgia who like pressure relief without a lot of hug may find latex models ideal.

Airbed

Definition: Mattresses known as airbeds use air chambers as their support system. Depending on the model, the sleeper can fill or empty the chambers using a remote, an app, or a crank. Some airbeds also have thin comfort layers to soften the surface of the mattress.
Highlight: Adjustability. Emptying or filling an airbed’s chambers adjusts the firmness of the sleep surface. Since fibromyalgia symptoms can change over time, this adjustability may give individuals more flexibility to cater their sleep surface to meet their current needs, even if they change every night.

Foam

Definition: The term “foam mattress” may include models with multiple types of foam, including memory foam and polyfoam. Memory foam, known for its deep contouring, is most often used in the comfort and/or transition layer, while polyfoam, which is springier, may be used in any layer but is most common in the support core.
Highlight: Pressure relief and motion isolation. All-foam models usually conform closely to the sleeper’s body to reduce pressure buildup around the shoulders and hips. They also tend to absorb motion, which reduces the vibrations a sleeper feels when their partner moves. Individuals who awaken easily or experience pains as a result of their fibromyalgia may like this combination of pressure relief and motion isolation.

What to Look for in a Mattress for Fibromyalgia

When purchasing a mattress, shoppers should take into account the things that are most likely to impact their sleep. For many individuals, sleep position and weight are the biggest factors, but people with fibromyalgia should also consider their symptoms. In this section, we’ll highlight some of the most important things to examine when selecting a mattress.

Firmness and Support

A mattress’s firmness influences how much contouring and support an individual will experience. The right firmness is key for people with fibromyalgia to ensure they enjoy the best balance of contouring and support. Models that are too soft may not support the sleeper’s natural spinal alignment, while mattresses that are too firm could contribute to pressure buildup. The ideal firmness varies based on an individual’s weight, sleep position, and personal preferences. As a general rule, lighter individuals usually prefer softer models and heavier individuals generally favor firmer models.

Pressure Relief and Contouring

When an individual lies down, their wider, heavier body parts generally put more force on the mattress. On some mattresses, this could lead to pressure buildup. Any sleeper could experience aches and pains as a result of pressure points. However, since people with fibromyalgia usually already experience significant pain, added discomfort could be more problematic for them. Aim for a mattress with a significant amount of contouring to ease pressure points.

Price

Price is one of the main deciding factors for most people in their mattress purchase. While cheap mattress options are appealing, higher-priced models may also be a good value. Higher sticker prices typically reflect quality materials and durable builds. You’re likely to find a mattress that works for you in most price ranges,, but you might also want to set money aside for mattress accessories. Those with fibromyalgia may enjoy a mattress topper for extra cushioning, breathable sheets for more temperature regulation, and/or additional pillows to accommodate changing aches and pains.

Quality Materials

High-quality materials often make a mattress more expensive, but they can have distinct advantages. Some materials are specially engineered to regulate temperatures, relieve pressure points, and/or support proper spinal alignment. Quality materials also frequently last longer than lower-quality materials.

Edge Support

A sturdy edge can make it easier to use the full surface of the mattress. This may be important to couples who want the extra space that sleeping close to the perimeter of the bed affords. People with fibromyalgia whose pains make it harder to get into or out of bed may also prefer a strong perimeter so that they can sit near the edge of the bed without it feeling unstable.

Temperature Regulation

People with fibromyalgia are often sensitive to temperature. Some mattress models trap heat, which could make a comfortable night’s sleep more challenging. Memory foam is usually most associated with heat retention, but many memory foam models use special materials and construction techniques to keep the sleep surface cooler. Innerspring, hybrid, and latex models tend to be breathable, which allows heat to dissipate away from the sleeper’s body.

Ease of Movement

People with fibromyalgia may change positions throughout the night in order to find the most comfortable sleep position. Some mattresses are easier to move on than others, so those with mobility issues may prefer a model that rates well for ease of movement. Memory foam often hugs closely to the sleeper’s body and usually responds relatively slowly to changes in pressure, which could contribute to a “trapped in the bed” feel. Mattresses that use foams engineered for responsiveness, latex, and/or coils are usually easier to move on.

Warranty, Sleep Trial, and Shipping

Mattresses generally come with a warranty that protects against certain defects. Understanding what’s covered, how long the coverage lasts, and what you need to do to ensure you don’t void the policy may give you a better idea of what to expect.

Direct-to-consumer mattresses also typically come with a sleep trial during which customers can try the mattress at home and return it if they are not satisfied. People with fibromyalgia may prefer a mattress with a generous trial period so that they can see how the mattress performs with their symptoms.

Shipping policies may also be worth considering. If your fibromyalgia pain would make it difficult for you to move the mattress to your room of choice and unpack it, you may wish to look for a company that offers White Glove delivery.

Tips for Relieving Fibromyalgia Pain During Sleep

While finding the right mattress is an excellent step toward getting better sleep with fibromyalgia, there are other steps you can take to help alleviate pain and discomfort at night.

Talk to Your Doctor

According to Dr. Wells, sleep often represents a “blind spot” in care when it comes to chronic pain conditions.  “Especially for those with fibromyalgia,” she says, “it’s important to discuss all of your sleep and wake symptoms with your doctor.  Restless legs syndrome and sleep apnea commonly coexist with fibromyalgia, so ruling out these diagnoses or treating them effectively is important.  Cognitive behavioral therapy for insomnia (CBT-I) can also offer tools that help with managing chronic pain.”

Focus on Temperature Control

If you experience temperature sensitivity with your fibromyalgia, focus on temperature control for a more comfortable sleep environment. Consider investing in a cooling pillow or sleepwear, breathable sheets, and/or a fan. 

“Cold hands and feet can interfere with getting to sleep,” says Dr. Wells. “Instead of warming the whole bedroom or layering on blankets, consider applying heat locally with a heating pad or microwavable rice pouch.”

Invest in a Mattress Topper and Pillows

Those who have aches and pains may like a mattress topper for extra cushioning and/or a selection of pillows to give them more options. While a mattress topper can’t fix an unsupportive mattress, it can make a difference if your mattress could use a little more contouring. 

Try a variety of pillows depending on how your body feels each night. You might appreciate a higher loft pillow if sleeping on your side feels best or no pillow at all if you want to sleep on your stomach. A pillow under your knees can help your lower back, and a body pillow can be moved around depending on where you need extra cushioning.

How We Test: Your Comfort Is Our Science

Our industry-leading product testing team cares deeply about improving your sleep. Having a holistic understanding of a mattress’s role as part of a sleep system is paramount to our testing process. Since a bed’s comfort and feel depend largely on body weight and sleeping position, our testing team represents a wide range of body types, sleep positions, and comfort preferences.

In our Seattle-based Test Lab, we use an objective, hands-on process to evaluate mattresses across performance categories. The following are the key guidelines that inform our performance ratings. Our ultimate goal is to ensure you have all the information you need to make the best purchase decision for you.

How We Determine Our Overall Scores

To determine a mattress’s overall score, we assign weighted percentages to performance categories based on how important they are to the individual sleep experience. For instance, areas like pressure relief and temperature control tend to matter more to people than something like off-gassing, and because more people sleep on their side and back than on their stomach, we weigh those positions more heavily.

Dive Deeper — Mattress Guides by Purpose

For more help finding a mattress that checks all of your boxes, take a look at our recommendations broken down by mattresses for particular uses.

Still have questions? Ask our community!

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