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Sleep Foundation Mattress Testing Lab
Credit: Sleep Foundation Test Lab

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. Other criteria for our picks include temperature control, longevity, quality of materials, motion isolation for couples, and overall value. We relied on recommendations from our testing team composed of people with different body types, primary sleep positions, and firmness preferences.

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Best Mattress for Fibromyalgia of 2024

Luxury Firm Winkbed

To help alleviate pain related to fibromyalgia, it’s important to pick a mattress that relieves pressure and retains minimal heat. We recommend the Luxury Firm WinkBed, which performed very well in temperature control tests and cushioned sensitive areas without sacrificing support.

See The Top Pick

In-Depth Reviews

“I’ve owned the Luxury Firm WinkBed for over 3 years and it’s one of the most well-rounded mattresses I’ve ever slept on. The cushioning is generous thanks to the foam layers, but the overall firmness always kept my back and shoulders supported.” – Logan Foley, Managing Editor

  • Pros

    1. Foam layers and pocketed coil system promote motion isolation

    2. Coils and gel-infused foam increase breathability

    3. Zoned construction offers targeted support

  • Cons

    1. Sleepers who weigh more than 230 pounds may prefer one of the WinkBed’s firmer models

    2. May lack cushioning for sleepers with particularly sharp pressure points

Mattress Type

Innerspring

Firmness Options

Medium Firm (6)

Price Range

$1,149 – $2,049

Trial Period

120 nights (30 night requirement)

Product Details

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.

“The Brooklyn Bedding Signature Hybrid checked off a lot of boxes for our testers, who noted significant cushioning from the foam comfort layers and sturdy support from the coils. We were especially impressed by the price-point, considering the well-rounded design.” – Jackson Lindeke, Director of Product Experience

  • Pros

    1. Three firmness levels

    2. Foam comfort system contours to the body to relieve pressure buildup

    3. Breathable cotton cover help reduce heat retention

  • Cons

    1. Shoppers can’t exchange one firmness level for another during sleep trial

    2. Two softer models may sag too much along the edges

Mattress Type

Hybrid

Firmness Options

Medium Soft (4), Medium Firm (6), Firm (8)

Price Range

$499 – $1,199

Trial Period

120 nights (30-night requirement)

Product Details

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. 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.

“The Saatva Rx is softer and more adaptive than most hybrids we’ve tested, especially those with coil-on-coil designs. I noticed sturdy support and never felt like I was sinking too much, but the surface was plush enough to reduce pressure points along my spine.” – Tom Ryan, Head of Product Testing

  • Pros

    1. Memory foam pad provides extra cushioning for the lumbar region

    2. Coil-on-coil design ensures a responsive feel without too much motion transfer

    3. All orders include complimentary White Glove delivery

  • Cons

    1. Too soft for most stomach sleepers

    2. Above-average pricing for a hybrid and $99 fee for all returns

Mattress Type

Hybrid

Firmness Options

Medium Soft (4)

Price Range

$1,995 – $4,390

Trial Period

365 Nights ($99 Return Fee)

Product Details

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.

What It’s Made of

The Rx begins with a memory foam pad that rests directly beneath your lower back. This feature is intended to cushion the lumbar region and prevent pressure from building up at the base of your spine. Minicoils encased in dense foam create a transitional layer that adds to the mattress’ plush feel while serving as a sturdy buffer between your body and the support core.

The Rx’s pocketed coils are unique because each one is topped with a 2-inch foam disc. This helps suppress motion transfer and minimize nighttime disruptions for couples, and also prevents the mattress from feeling too stiff. Each disc is infused with graphite and phase change material to promote breathability and heat dissipation. Thicker coils line the perimeter to stabilize the edges when you get in and out of bed, though you still may notice some sinkage. The cover is made of organic cotton. At 15 inches thick, the Rx is a high-profile mattress and may require a deep-pocket fitted sheet.

How It Performed

During hands-on tests, the Rx earned praise from most side sleepers on our team. The mattress received particularly favorable ratings from side sleepers weighing up to 230 pounds, all of whom felt plenty of cushioning beneath their shoulders and hips — two common areas of pressure buildup for people who use this position. Back and stomach sleepers under 130 pounds also felt comfortable on the Rx, but those who weigh more experienced deep sinkage. We generally recommend firmer mattresses for back and stomach sleepers weighing 130 pounds or more.

Motion isolation was a major testing highlight because most hybrids underperform in this category. The Rx’s soft feel and thick cushioning layers absorb movement well, and most of us felt little to no motion transfer when lying side by side with another tester. Temperature control was another strength. Both coil layers promote steady airflow, and the cover is exceptionally breathable.

Although the Rx carries an expensive sticker price reflective of its luxurious design, Saatva provides free White Glove delivery for each order. This service includes full in-home setup and removal of your old mattress upon request. Your purchase also comes with a generous 365-night sleep trial, and those who keep their Rx after the return period ends also receive a lifetime warranty against structural defects.

“The side sleepers on our testing team enjoyed the Helix Midnight Luxe’s foam comfort system, which provided needed relief to their pressure points. Our field tester has slept on the bed for 2 years and says the pillow-top is soft enough to cradle his side but not so thick that it detracts from the coil support.” – Logan Foley, Managing Editor

  • Pros

    1. Luxurious pillow-top hybrid construction with a balanced medium firm feel

    2. Pocketed coil core cradles the body and limits sinkage

    3. Breathable Tencel cover reduces heat buildup

  • Cons

    1. Sleepers weighing more than 230 pounds may find they sink too deeply into the mattress

    2. Foam layers may emit off-gassing odor after unboxing

Mattress Type

Hybrid

Firmness Options

Medium Firm (6)

Price Range

$1,099 – $2,299

Trial Period

100 nights (30-night requirement)

Product Details

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.

“The Leesa Sapira Hybrid is a true medium firm mattress that should appeal to a wide range of sleepers. It was popular among our testers across various weight and sleep position groups.” — Logan Foley, Managing Editor

  • Pros

    1. Polyfoam over memory foam creates a balance of light bounce and close contouring

    2. Reinforced coils protect the perimeter when you get in and out of bed

    3. Excellent cooling thanks to aerated comfort layer and steady support core airflow

  • Cons

    1. Stomach sleepers over 130 pounds may not receive enough support

    2. Foam may produce off-gassing odors for a short period after unboxing

Mattress Type

Hybrid

Firmness Options

Medium Firm (6)

Price Range

$1,349 – $2,299

Trial Period

100 nights (30 night requirement)

Product Details

The Leesa Sapira Hybrid has a mixed-foam design that incorporates polyfoam and memory foam in the comfort system, resulting in a feel that is both adaptive and responsive. The mattress has a medium firm (6) feel that cushions the body without sacrificing support or sinking excessively. These qualities make the bed comfortable for many types of sleepers.

How It Performed

The balanced medium firm feel made the mattress popular with our testers across a wide range of weight and sleep position groups. The most favorable ratings came from side sleepers weighing at least 130 pounds, and back and stomach sleepers under 130 pounds. Thanks to its thick foam layers, the mattress also performed better in the motion isolation and pressure relief categories than many of the other hybrids we’ve evaluated.

We found that temperature control is another strength of the Sapira Hybrid. Both the coils and aerated polyfoam layer promote airflow within the interior, which helps the surface of the mattress stay cool. The knit polyester cover is also fairly breathable. The coils are effective at pushing back against deep compression along the perimeter, so deep sinkage shouldn’t be a major concern for people who weigh up to 230 pounds.

What It’s Made of

The Leesa Sapira Hybrid’s topmost layer is composed of adaptive polyfoam ventilated with holes to push air close to the surface. This material molds to the body but also feels somewhat springy, creating a light bounce when you lie on the mattress. A second comfort layer of medium-density memory foam cushions and contours evenly as your body settles into the surface, followed by a high-density polyfoam layer that prevents excessive sinkage.

The support core features a pocketed coil system followed by another thin layer of high-density polyfoam. These components stabilize the mattress to keep your body on an even plane. The coils are also reinforced along the perimeter to minimize sagging on the edges. A knit polyester cover with Leesa’s signature stripe design encases the entire mattress.

Competitive pricing and free shipping to all 50 states make the Leesa Sapira Hybrid a good option for shoppers on a budget. Each purchase includes a 100-night sleep trial with free returns and a standard 10-year manufacturer’s warranty against certain structural defects.

“As a side sleeper, I really enjoyed the Nolah Evolution 15’s balance of cushioning and zoned support. The mattress helped relieve pressure points in my shoulders, hips, and lower back, while keeping my body on an even plane.” – Jackson Lindeke, Director of Product Experience

  • Pros

    1. Available in three firmness levels

    2. Polyfoam-quilted Euro-top gives the surface a plush feel that relieves pressure

    3. Zoned coils offer targeted support to the midsection

  • Cons

    1. Customers must pay a $99 fee when returning the mattress

    2. Foam layers may emit off-gassing odor

Mattress Type

Hybrid

Firmness Options

Medium (5), Medium Firm (6), Firm (8)

Price Range

$1,004 – $2,143

Trial Period

120 nights (30-night requirement)

Product Details

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.

Six standard sizes are available, as well as a split king size. 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.

“The Bear Elite Hybrid has thick foam layers that really cushioned our bodies in the test lab, but no one complained about lack of support thanks to the sturdy coils. It helps that the bed comes in three firmness options to cater to different body weights.” – Eric Suni, Staff Writer

  • Pros

    1. Three firmness options

    2. Cooling cover features Celliant fiber and phase change material

    3. Memory foam surface enhances pressure relief

  • Cons

    1. Softer models may lack responsiveness for sex

    2. Higher price-point compared to the average hybrid

Mattress Type

Hybrid

Firmness Options

Medium (5), Medium Firm (6), Firm (8)

Price Range

$1,231 – $2,548

Trial Period

120 nights (30-night break-in period)

Product Details

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.

“We’ve tested many beds with strong pressure relief, but few of them offer the support that our testers experienced in the Birch. The latex really keeps your body buoyant but still cradles you enough to relieve pressure buildup.” – Colin Simpson, Research Manager

  • Pros

    1. Breathable cotton and moisture-wicking wool help the surface stay cool

    2. Reinforced perimeter coils protect the edges from sinkage

    3. Sustainably sourced cover and comfort layer components

  • Cons

    1. Higher price-point due to natural and organic materials

    2. Sleepers who weigh more than 230 pounds may need a model with more support

Mattress Type

Latex Hybrid

Firmness Options

Medium Firm (6)

Price Range

$1,099 – $1,799

Trial Period

100 nights (30-night requirement)

Product Details

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.

“The Turmerry Natural and Organic Latex Mattress – Soft is a perfect option for sleepers who need lots of cushioning without sacrificing too much bounce. The mattress’ materials are also naturally breathable, which our hot-sleeping testers enjoyed.” – Logan Foley, Managing Editor

  • Pros

    1. Soft latex strikes a balance of cushioning and responsiveness

    2. Breathable cotton, wool, and latex help regulate temperature

    3. Materials hold GOLS and GOTS certifications

  • Cons

    1. Latex construction could trigger allergies for some sleepers

    2. Sleepers over 230 pounds may sink excessively

Mattress Type

Latex

Firmness Options

Soft (3)

Price Range

$1,149 – $2,099

Trial Period

120 nights

Product Details

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.

What It’s Made of

Three profiles are available: 8, 10, and 12 inches. All models contain three to four layers (depending on the profile) of Dunlop latex that gently cradle the body and alleviate pressure in the joints and along the spine. This can help ease aches and pains for people who have fibromyalgia, while a sturdy support core reinforces the sleep surface and prevents you from sinking too deeply. The zoned design enhances cushioning and support where they’re most needed.

On top of the latex is a cotton layer and New Zealand wool batting that adds some surface cushioning while acting as a natural fire barrier. A breathable cover made from organic cotton encases the mattress.

How It Performed

One of the standout strengths of the Turmerry Natural and Organic Latex Mattress – Soft was pressure relief, given the overall soft (3) feel. Motion isolation was another pleasant surprise. Most latex beds allow a fair amount of motion transfer across the surface, but this model transferred less motion than other latex models we’ve tested, due to the plushness of the surface.

Our testers found the mattress best suited for side and back sleepers who weigh less than 130 pounds. If you prefer more supportive surfaces, the bed is available in firmer options. Temperature regulation was another strength. All the materials are naturally breathable, and our heat guns detected minimal heat retention during tests.

Turmerry ships free to customers in the contiguous U.S. You can test the mattress and return it within 120 nights. The mattress is backed by a 20-year warranty.

“The Puffy Cloud Smart Bed Set is ideal for people affected by frequent fibromyalgia-related pain who are hoping to refurbish their entire sleep space. This budget-friendly bundle includes a deluxe all-foam mattress, adjustable bed, two pillows, and a sheet set.” – Tom Ryan, Head of Product Testing

  • Pros

    1. High-value bundle includes the Puffy Cloud Mattress and Serenity Adjustable Bed

    2. Ideal for people with persistent aches, pains, and sore spots

    3. Full bedding set included with each purchase

  • Cons

    1. Not sold in twin or California king sizes

    2. Mattress is too soft for most back and stomach sleepers over 230 pounds

Mattress Type

Foam

Firmness Options

Medium (5)

Price Range

$1,648 – $3,296

Trial Period

101 Nights

Product Details

Investing in a new mattress and adjustable bed can be a daunting process for anyone operating with less than 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.

What It’s Made of

The three-layer Cloud begins with 2 inches of adaptive memory foam that contours closely to create a soothing, pressure-relieving cradle for your entire body. Denser transitional foam provides additional cushioning and keeps your body upright, while the high-density base foam provides good overall stability. This medium (5) mattress is encased in a stain-resistant cover that can be removed and machine-washed for easy cleaning.

Puffy’s Serenity Adjustable Base allows you to elevate your upper and lower body with a wide range of positions, including zero gravity. Other key features include zoned massage, under-bed lighting, and USB ports for charging your devices overnight. Your order also comes with two shredded memory foam pillows, along with sheets and a mattress protector made of breathable bamboo-derived rayon. Twin, full, queen, king, and split king sizes are available.

How It Performed

Our initial tests for the Puffy Cloud indicate the bed’s deep contouring and cushioning are ideal for side sleepers up to 230 pounds and back sleepers under 130 pounds. Heavier individuals who use these positions and stomach sleepers may need a firmer, more supportive mattress to address their pain needs. Standout qualities we observed when testing the mattress include strong motion isolation and consistent pressure relief.

The Serenity Adjustable Base holds its own against the competition. We particularly enjoyed the zoned massage and extensive position options. If you’re a hot sleeper, the Puffy Sheet Set and Puffy Mattress Protector both provide great cooling and wick moisture away from your body. Puffy’s Signature Pillow offers adjustable firmness and loft, making it suitable for virtually any sleep position.

Standard ground shipping is available to shoppers in all 50 states. You can test out your Puffy Cloud Smart Bed Set for up to 101 nights, during which returns are allowed and full refunds are issued. Warranty terms vary by product.

Watch Video: We Tested the Best Mattresses for Fibromyalgia – Here Are Our Favorites

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.

Data-Driven Results You Can Trust

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 Our Testing Process Works

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.

Dive Deeper — In-Depth Mattress Guides

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

What to Look For in 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.

“Sleep and pain have a bidirectional relationship, and the current data suggest that the effects of sleep on pain are likely stronger than the effects of pain on sleep. Focusing on improving your sleep quality may help with your overall pain level. Common changes to sleep quality could include difficulty falling and/or staying asleep, more sleep fragmentation (i.e., more awakenings during the night), early morning awakenings, and unrefreshing/non-restorative sleep.”

Sarah Silverman, Psy.D., a licensed psychologist and holistic sleep wellness consultant who treats patients in New York and Florida.

How Does Sleep Position Affect People with Fibromyalgia?

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. Picking a mattress that promotes healthy sleep posture is important for all sleepers, but even more so for people with fibromyalgia.

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.

Why Buy a New Mattress?

Sleepers purchase new beds for many different reasons. While some people are simply looking to replace old beds, others may need a mattress to help alleviate pain from chronic conditions. We surveyed thousands of Sleep Foundation readers to find out some of the top reasons people buy new mattresses.

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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.

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