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For people living with fibromyalgia (FM), getting good quality sleep can feel like a pipe dream. The many symptoms of FM can make falling and staying asleep hard.

On top of that, research from 2015 has shown that poor sleep can actually cause or worsen chronic pain, which is one of the most common and debilitating symptoms that people with FM experience.

Luckily, there are things you can do to work toward better sleep — including upgrading your mattress.

There are a lot of different types of mattresses out there. But for this article, we’ll focus just on these two:

  • Foam. Foam mattresses are coil-free and typically made of memory foam, gel foam, or latex foam. They provide good pressure relief and motion isolation. Gel foam is known to be cooler than memory and latex, while latex is known for preventing the “sinking in” feeling of memory foam.
  • Hybrid. Hybrid mattresses are a cross between innerspring (traditional mattresses made with spring coils) and foam mattresses. The coils allow some bounce and pressure point relief, while the foam provides extra comfort and support.

Knowing that fibromyalgia can cause pain in different areas of the body, we looked for mattresses that suit various sleeping positions. That way, you can choose what works best for you, whether you sleep on your back to avoid hip and shoulder pain or on your side to avoid back pain.

Beyond musculoskeletal pain, FM can also cause other symptoms that might affect sleep, like excessive sweating or allergy problems. We also included mattresses that can help you sleep better if non-pain symptoms are interfering with your sleep.

Additionally, all of our mattress picks meet federal safety requirements. Many of them are made of components that are certified safe from a reputable third party and comply with socially and environmentally responsible standards.

Pricing guide

Pricing for mattresses depends on what size you’re looking to buy. For comparison’s sake, the listed prices are for queen-size mattresses.

  • $ = under $1,300
  • $$ = $1,301-$2,000
  • $$$ = over $2,000

Best for back and neck pain

Saatva Luxury Firm Mattress

Price: $$

Hybrid mattresses like the Saatva Luxury Firm Mattress are awesome for people that like to sleep on their back. The spring coils offer full body support, while the foam cushion layers provide extra comfort and spinal alignment.

This mattress gets glowing reviews from people with FM and people with back and neck pain. However, reviewers that sleep on their side note that luxury firm is a bit too firm for them.

Saatva offers free delivery and a 180-night home trial.

Pros

  • Spring coils offer full-body support.
  • Foam cushion layers help spinal alignment.

Cons

  • The mattress may feel too firm if you sleep on your side.

Buy the Saatva Luxury Firm Mattress online.

Nectar Memory Foam Mattress

Price: $$

Side-sleeping reviewers say this medium-firm memory foam mattress from Nectar is amazingly comfortable for their sleep style. Even better, Nectar uses multiple layers of memory foam to prevent you from getting too hot at night.

While the majority of purchasers enjoyed this mattress, some reviewers say the mattress is too firm and caused back pain.

Nectar offers a 365-night at-home trial, free shipping, and a lifetime warranty.

Pros

  • Great reviews from folks who sleep on their side.
  • Memory foam helps prevent overheating at night.

Cons

  • Some reviewers find the mattress too firm.

Buy the Nectar Memory Foam Mattress online.

Layla Memory Foam Mattress

Price: $

Side sleepers with wider hips and a smaller waist should consider a softer mattress to help maintain a neutral spine position while sleeping. If that sounds like your body type, this Layla mattress could be a great fit for you.

Reviewers rave about its “flippable firmness” — aka the fact that one side is firm and the other is soft. Side sleepers love the soft side and the reduced pressure felt from this mattress.

Layla offers a 120-night trial, free shipping, and a lifetime warranty.

Pros

  • Flippable design offers 2 firmness options.
  • Some people who sleep on their side like the softer option.

Cons

  • Some reviewers find the mattress too firm, even on the soft side.

Buy the Layla Memory Foam Mattress online.

Best for excessive sweating

Brooklyn Bedding Aurora Hybrid

Price: $$

Some people with FM experience hyperhidrosis, or excessive sweating, which can make sleeping super uncomfortable. If that’s the case for you, finding a mattress with cooling properties — like this one from Brooklyn Bedding — can help a ton.

If you sleep on your back, try the medium or firm version. If you sleep on your side, go with the softer version.

Brooklyn Bedding offers a 120-day risk-free trial, free shipping, and 10-year warranty.

Pros

  • Cooling properties help with overheating.
  • Multiple firmness options are available.

Cons

  • Some reviewers find the mattress too soft.

Buy the Brooklyn Bedding Aurora Hybrid online.

Cocoon by Sealy Chill Mattress

Price: $

Finding a great foam mattress can be a struggle since some foams trap body heat. Luckily, reviewers say the Chill Mattress is truly cool to the touch — with some reviewers even saying it has helped with hot flashes.

This mattress comes in extra firm for back sleepers and medium soft for side sleepers.

Cocoon offers a 100-night trial, free shipping, and a 10-year warranty.

Pros

  • Some reviewers say this mattress helped with hot flashes.
  • Multiple firmness options are available.

Cons

  • Some reviewers find the mattress too hard.

Buy the Cocoon by Sealy Chill Mattress online.

Best budget

Tuft & Needle Original Mattress

Price: $

The Tuft & Needle Original Mattress is a foam mattress that promises pressure point relief. Reviewers with FM say it’s the perfect mix of soft and supportive.

Tuft & Needle says it’s ideal for any sleeping position, and reviewers of all sleeping positions seem to agree. It’s also a lot less expensive than some other mattresses out there.

Tuft & Needle offers a 100-night at-home trial, free shipping, and a 10-year limited warranty.

Pros

  • Lower price point than other mattresses.
  • Reviewers with FM like the mix of softness and support.

Cons

  • Some reviewers say the mattress loses its firmness and becomes uncomfortable after a few years.

Buy Tuft & Needle Original Mattress online.

Best splurge

Purple Hybrid Premier

Price: $$$

If you’re not afraid to splurge a bit to find the right mattress, look no further than the Purple Hybrid Premier. This hybrid mattress has supportive coils and is somewhat customizable — you can choose how thick you want the grid layer to be.

Reviewers with FM say they noticed a big difference in pain and sleep quality. However, some reviewers say this mattress takes some getting used to, so don’t be alarmed if your first few nights don’t feel incredible.

Purple offers a 100-night trial, free shipping, and a 10-year warranty.

Pros

  • Made with hypoallergenic materials.
  • Customizable thickness options are available.
  • Squares in the grid allow for airflow to avoid overheating.

Cons

  • Higher price point than other mattresses.
  • The feel of the Purple gel grid takes getting used to; some people find it uncomfortable.

Buy the Purple Hybrid Premier online.

Best for hip and shoulder pain

The Purple Mattress

Price: $$

FM pain is widespread — meaning it can occur throughout the body. People who experience hip and shoulder pain may sleep best on their back, as side sleeping can put extra pressure on already painful joints.

One of the many beds in a box on the market, The Purple Mattress is made of a gridded polyurethane foam. It’s meant to eliminate pressure points entirely, making it perfect for back sleepers.

Purple offers a 100-night at-home trial, free shipping, and a 10-year warranty.

Pros

  • Made with hypoallergenic materials.
  • Gridded foam can help relieve pressure point pain.
  • Can be a great option for back sleepers.

Cons

  • The feel of the Purple gel grid takes getting used to; some people find it uncomfortable.

Buy The Purple Mattress online.

Best for light sleepers

Tempur-Pedic TEMPUR-Adapt Mattress

Price: $$$

Many people with FM are easily woken up — and it can be tough to share a bed with someone else when that’s the case.

Tempur-Pedic has long been known for its motion isolation — remember those commercials with the glass of red wine? This makes it an ideal choice for anyone sleeping next to a tossing-and-turning partner.

Even better, the TEMPUR-Adapt mattress has cooling benefits.

Tempur-Pedic offers a 90-night trial, free delivery, and a 10-year warranty.

Pros

  • Motion isolation is good for couples.
  • Cooling properties help prevent overheating.

Cons

  • Higher price point than other mattresses.
  • The 90-night trial period is shorter than other competitors.

Buy the Tempur-Pedic TEMPUR-Adapt Mattress online.

Best hypoallergenic

Puffy Lux Memory Foam Mattress

Price: $$

There isn’t a ton of research on what types of mattresses are best for those with allergies. But a 2016 study found that using mattress covers could help reduce exposure to allergens like dust mites.

This Puffy Lux Memory Foam Mattress comes with a hypoallergenic washable cover to help in your pursuit of reduced allergy symptoms.

Additionally, the Puffy Lux is made of breathable foam to prevent overheating. Reviewers also say this mattress has good pressure point reduction.

Puffy offers a 101-night trial, free shipping, and a lifetime warranty.

Pros

  • Comes with a hypoallergenic washable cover.
  • The breathable foam helps prevent overheating.
  • Lifetime warranty included.

Cons

  • Some stomach sleepers may feel the mattress lacks support.
  • The memory foam can trap heat.

Buy the Puffy Lux Memory Foam Mattress online.

You probably already know that the best way to see if you like a mattress is to try it. But while in-person shopping used to be the way to go, shopping online is getting increasingly popular with bed-in-a-box options and extended at-home trials.

Either way, make sure you’re able to return the mattress if you’re not loving it — it’ll help you rest easy knowing you won’t be stuck with a mattress you dislike.

Consider your symptoms

It’s also a good idea to consider what FM symptoms are affecting your sleep quality most.

  • Back and neck pain. Incredibly common in people with FM, back and neck pain can make sleeping seem impossible. A 2019 review of studies shows that side sleeping can be the best option for those with back and neck pain, but there are ways to make sleeping on your back more comfortable too. Just make sure to choose a mattress that’s geared toward your sleep style.
  • Hip, leg, shoulder, and arm pain. Sleeping on your side might not be the best option if you have hip or shoulder pain, since it can put extra pressure on those joints. If this kind of pain is affecting you most, make sure to look for mattresses made for back sleepers.
  • Trouble falling and staying asleep. FM can make it hard to fall or stay asleep. If you’re a light sleeper, look for a mattress with good motion isolation, like you often see in memory foam mattresses.
  • Bladder problems. If bladder issues, including interstitial cystitis, are keeping you up at night, you might want to consider buying a waterproof mattress cover to help put your mind at ease and protect your mattress.
  • Allergy problems. A 2010 study found that people with FM are more likely to have allergies, asthma, or eczema. If these are messing with your ability to get good sleep, consider a hypoallergenic mattress or cover.
  • Abdominal pain. If you sleep on your stomach and deal with abdominal pain, including irritable bowel syndrome (IBS) or menstrual pain, you might want to try sleeping on your side or back to take extra pressure off of your abdominal area.
  • Excess sweating. FM can make you sweat more than usual. If that’s the case, a cooling mattress or topper might be a great way to find some relief.

In addition to chronic pain, two other symptoms of fibromyalgia are:

  • trouble sleeping
  • nonrestorative sleep (aka sleep that doesn’t make you feel rested)

Research from 2015 shows that sleep issues can be caused by chronic pain, or they can be a risk factor for developing chronic pain. That means finding ways to improve your sleep quality may help manage your chronic pain too.

While there isn’t a one-size-fits-all approach to treating fibromyalgia, research from 2016 suggests that healthy sleep hygiene habits and exercise can help improve sleep quality. There are also medications your doctor can prescribe to address pain and sleep problems.

Getting quality sleep is a must for people with fibromyalgia — even if it feels super hard to come by. While the right mattress might not help alleviate symptoms on its own, finding one that takes your most troublesome symptoms into consideration can be an awesome step toward better sleep.

Keep in mind that not every new mattress will feel amazing on your first night using it — it might take some time for your body to adjust to a totally new sleeping surface.