Sleep shouldn’t have to hurt, but for those of us with fibromyalgia, it does. Fibromyalgia is a chronic pain condition known for causing widespread tenderness and fatigue that can interfere with sleep. While some beds, like those on our list of the best mattresses for arthritis, can help ease pain symptoms, they might not offer the right support and pressure relief needed for fibromyalgia. That’s why we created this list of the best mattresses for fibromyalgia.

“People with fibromyalgia may have soft tissue pain all over the body, which prevents them from getting enough sleep,” explains Norman B. Gaylis, MD, FACP, MACR, a rheumatologist and internist based in Miami. And although researchers are still working to understand the root causes of fibromyalgia—and there’s no definitive cure—many people manage their symptoms through a combination of medical care and smart lifestyle adjustments. One such change? Upgrading to a mattress designed to reduce pain and support restful sleep.

Our Top Pick

Saatva Rx

Best Overall

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• Comfortable for all sleeping positions
• Contours to the body for better pressure relief

• Responsive, making movement on the bed easier

Helix Midnight Luxe

Best for Side Sleepers

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• Targeted support to reduce pressure
• Conforms well to the body in all positions

• Great for maintaining spinal alignment

WinkBed Plus

Best for Arthritis

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• Excellent pain relief
• Easier to change positions due to firm support

• Gently hugs the body to relieve joint pressure

Best mattresses for fibromyalgia in 2025

• Saatva Rx: Best Overall
• Helix Midnight Luxe: Best for Side Sleepers with Fibromyalgia
• The WinkBed Plus: Best for Arthritis and Fibromyalgia
• Nolah Evolution Luxury Firm: Best for Couples with Fibromyalgia
• Birch Natural: Best Organic Mattress for Fibromyalgia

Comparing the best mattresses for fibromyalgia

What we look for in a mattress for fibromyalgia

We looked for the following features when choosing the best mattresses for fibromyalgia:

Good pressure relief

Even support, especially around joints like the shoulders, hips, and knees, can be helpful for anyone with fibromyalgia pain or stiffness. We looked for pressure relief scores of 4 out of 5 or greater.

All-around comfort

The best mattress for someone with fibromyalgia will vary depending on their exact symptoms, so there is no one-size-fits-all option. We looked at how testers rated the overall experience of lying on the mattress, how comfortable they felt in each position, and how the mattress felt against their skin.

Accessibility

Unique to NCOA, a high accessibility score refers to a mattress that’s easier to get in and out of due to a balance of bounce, support, and firmness. This score is important for anyone who has fibromyalgia or chronic pain, as those conditions can often impact mobility.

Temperature regulation

People with fibromyalgia may experience increased symptoms with changes in the room temperature.¹ Mattresses with good airflow may help encourage a better night’s sleep.

Great customer service

We preferred mattress brands with free setup and delivery, lengthy trial periods, and positive reputations among consumers.

Saatva Rx: Best Mattress Overall

We chose the Saatva Rx as our Best Mattress Overall because it aced our tests for pain relief, earning one of the highest overall scores—the same reason it is our best mattress for back pain. This mattress has excellent support for sleepers with chronic pain to take pressure off sore muscles and joints. It also has cooling, contouring foam for extra layers of comfort.

Saatva Rx

Best Mattress Overall

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• Excellent pressure relief for any sleeping position
• Provides relief for chronic pain

• Gel-infused cooling foam helps soothe stiff muscles and joints
• Promotes spinal alignment

Saatva Rx features

• Our pain relief score: 4.32/5
• Accessibility score: 4.04/5
• Mattress type: Hybrid
• Brand’s firmness rating: 3.5/10

Why we chose the Saatva Rx as the Best Overall for Fibromyalgia

Saatva designed the Rx to provide maximum support and comfort to people with chronic pain, and it delivers. It earned one of the highest pain relief scores (4.32/5) of any mattress we tested, which is why it tops our list of mattresses that relieve chronic fibromyalgia pain. It received perfect scores in our pressure relief tests for back and side sleeping, and was top-rated for stomach sleeping as well. 

The Saatva Rx makes changing positions in bed easier for people with fibromyalgia or other chronic pain because its layer of microcoils gives this bed good bounce. The mattress surface is thoughtfully designed for pressure relief, with plush organic cotton quilting that’s gentle on sore muscles and joints, and extra lower-back support. Cooling memory foam reacts to your movement, adding support where it’s needed to soothe aches and pains. We found the combination of cooling properties and the plush cover offered the best chance for a comfortable night of sleep.

Saatva Rx pros and cons

Our testing experience with the Saatva Rx

The Saatva Rx has all the soft contouring of memory foam, but is so supportive our testers rated it as much firmer than the brand claims (6/10 vs. 3.5/10). This is because the mattress uses a special Therapeutic Support Core and gel-infused memory foam to keep the spine in the right position. The alignment support helps relieve pressure from key stress points in any sleeping position. Our testers reported this was the best support of any mattress they tried, especially for side sleeping.

Sheila, a 70-year-old average-weight woman who frequently switches sleeping positions, was happy with how well-supported she felt in every position. “Surprisingly, I feel even on my stomach,” she said. “Usually I feel more pressure in this position … and my chest in this position usually feels more elevated, but this mattress does a good job of contouring to my body.”

Testers also found that despite the Saatva Rx’s memory foam feel, it was still easier to move around on and didn’t trap heat, two typical pitfalls of memory foam. The Saatva Rx features a layer of individually wrapped coils and another of micro coils, which add support but are more flexible, making our testers feel almost weightless while lying on it. Sheila described it as feeling “gently hugged” and said she didn’t sink so far into the mattress that it was difficult to change positions. These features can all benefit someone with fibromyalgia or chronic pain, who may find moving difficult due to stiff or achy joints or muscles.

Our testers found the Saatva Rx lacked edge support and gave it a score of 3 out of 5. In our tests, the mattress edges sank about four inches, twice as much as the Saatva Classic, which would be a better choice if you are looking for more stability. Testers were also wary about this mattress’s ability to dampen motion, rating the Saatva Rx’s motion isolation a 3.5 out of 5. 

“I could feel movement when lying down, but I could probably sleep through it if I was dead asleep,” said one. If you have fibromyalgia or other pain and worry your partner’s movements might irritate it or wake you, you may want a bed that dampens motion better.

The Saatva Rx is also the most expensive mattress on this list. But when it comes to brand perks, Saatva is an industry leader. Its mattresses have an unrivaled free 365-night trial period and free white-glove delivery. That means Saatva will deliver your new mattress, set it up in your home, and remove your old mattress, all free of charge. 

Who is the Saatva Rx right for?

The Saatva Rx is our pick for the best mattress for fibromyalgia overall due to its great pain relief and pressure relief for any position. Its responsiveness help make it accessible for those with mobility issues or stiffness, and it is also a good choice if you prefer a cool mattress. It’s not a top pick if you are easily disturbed by a partner’s movement.

The Saatva Rx customer experience

• Trial period: 365 nights
• Shipping: Free
• In-home setup and mattress removal: Free
• Warranty: Limited lifetime

Customer service

You can contact Saatva customer service by:

• Phone: 860-452-3977, available 24/7
• Email: info@saatvamattress.com
• Live chat: Available via the chat icon on the website, 24/7
• Calling or visiting a viewing room

Payment options 

• Ways to pay
  • Visa
  • Mastercard
  • Discover
  • American Express
  • Google Pay
  • PayPal
• Discounts? Yes, find more information here
• Financing: Yes, Affirm

Helix Midnight Luxe: Best for Side Sleepers with Fibromyalgia

We chose the Helix Midnight Luxe as our Best Mattress for Side Sleepers with Fibromyalgia because it keeps the spine aligned and relieves joint pressure while lying on your side better than almost any mattress we tested. The Helix Midnight Luxe is also the best mattress for side sleepers with back pain because of its great support and had top pain relief scores in our testing. 

Helix Midnight Luxe

Best Mattress for Side Sleepers

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• Great at relieving pain in hip, neck, shoulder, and hips
• Contouring layers keep spine neutral and cradle joints

• Zoned support relieves joint pressure for side sleepers

Helix Midnight Luxe features

• Our pain relief score: 4.21/5
• Accessibility score: 4.06/5
• Mattress type: Hybrid
• Brand’s firmness rating: 6/10

Why we chose the Helix Midnight Luxe as the Best Mattress for Side Sleepers with Fibromyalgia

The Helix Midnight Luxe received top marks in our pain and accessibility tests. When our testers laid on their sides on this mattress, they said it was one of the best they had tried for easing tension on the hip, neck, shoulder, and knee joints. These areas can often trouble anyone with fibromyalgia. The Helix Midnight Luxe also earned top marks for back pain relief, making it the best mattress for side sleepers with fibromyalgia and back pain. The mattress is medium-firm and gets extra targeted support from an optional ErgoAlign contour layer ($259). This zoned foam layer cushions and supports pressure points, helping relieve stress on sore joints. 

The Helix Midnight Luxe was also stable, with good edge support and bounce. This can make it easier to change positions in bed, especially if you have pain or mobility issues.

Helix Midnight Luxe pros and cons

Our testing experience with the Helix Midnight Luxe.

Constructed with 1,000 individually wrapped steel coils and three layers of dense foam, the Helix Midnight Luxe evenly distributes weight to avoid excess pressure on joints and the spine. Testers said they could feel this support, especially when lying on their sides. “My body feels equally supported all over when lying on my side,” said one tester, Chris, a 66-year-old higher-weight back sleeper with back pain and spinal stenosis. “I don't feel any extra pressure on my lower back.” 

The mattress is medium-firm, but our testers thought it felt firmer than the brand claims, likely due to its exceptional stability and support. They also felt the contouring foam was very comfortable. One described lying on the Helix Midnight Luxe as feeling “hugged gently.” He said, “It feels firm, but not like I'm lying on a hard, flat surface. I feel the firmness, but I also feel support.”

Testers liked that the support was uniform across the mattress, with one noting, “It feels even throughout—not like I have more support on the edge versus the center of the bed.” That balance and stability can be helpful for sleepers who switch positions throughout the night. Lighter- and average-weight testers were satisfied with the responsiveness of the Helix Midnight Luxe. Still, higher-weight sleepers with mobility issues may want a mattress with a better accessibility score, like the Saatva Classic or Titan Plus.

Testers would also have liked better seated edge support to make getting in and out of bed easier for someone with joint or muscle pain or stiffness. But the Helix Midnight Luxe still scored 3.5/5 for edge support, so it performed above-average.

They also noted this mattress wasn’t great at dampening a partner’s motion, which could irritate or wake someone with fibromyalgia who sleeps with a partner. It scored a 3/5 for motion isolation. It was highly rated for cooling (4/5), which may feel soothing for sore muscles or joints.

Who is the Helix Midnight Luxe right for?

The Helix Midnight Luxe is our choice for the Best Mattress for Side Sleepers with Fibromyalgia because of its firm support and stability. Testers reported feeling most comfortable on their sides on this mattress, and said it was easy to move around on. But higher-weight sleepers may find a more supportive mattress, like the WinkBed Plus, gives them the structure needed to move easily.

The Helix customer experience

• Trial period: 100 nights
• Shipping: Free shipping
• In-home setup and mattress removal: $159
• Warranty: Limited lifetime

Customer service

You can contact Helix Sleep customer service by:

• Phone: 831-777-5976, Monday through Friday from 11 a.m. to 6 p.m. ET
• Email: help@helixsleep.com
• Live chat: Available via the chat icon on the website, Monday through Sunday from 10 a.m. to 10 p.m. ET
• Contact form: https://support.helixsleep.com/hc/en-us/requests/new
• Calling or visiting a viewing room

Payment options 

• Ways to pay
  • Visa
  • Mastercard
  • American Express
  • Discover
  • Paypal
  • Google Pay
  • Shop Pay
  • Amazon Pay
• Discounts? Yes, find more information here
• Financing: Yes, Affirm

The WinkBed Plus: Best for Arthritis and Fibromyalgia

We chose The WinkBed Plus as the Best Mattress for Arthritis and Fibromyalgia because it relieves pressure in any position, which can help soothe sore joints and muscles. It also earned the title of our best mattress for arthritis because its superior support and stability cradles joints while taking pressure off them, which benefits anyone with either or both of these painful conditions. 

The WinkBed Plus

Best for Arthritis

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• Good support for spine and joints
• Relieves pain better than almost any mattress we tested

• Feels softer than expected

WinkBed Plus features

• Our pain relief score: 4.78/5
• Accessibility score: 4.51/5
• Mattress type: hybrid
• Brand’s firmness rating: 8.5/10

Why we chose the WinkBed Plus as the Best for Arthritis and Fibromyalgia

Like our overall winner, the Saatva Rx, the WinkBed Plus is both soft and supportive. Its plush, cushioned surface covers a durable hybrid mattress with springs that don’t compress easily and layers of foam to support higher-weight sleepers. The result is a mattress that feels equally soft and supportive, which can be a great choice for anyone with fibromyalgia, arthritis, or other pain or joint issues. 

Often, fibromyalgia and arthritis, an inflammation of the joints, occur together. People with certain kinds of arthritis are up to 24% more likely to have fibromyalgia.² The symptoms of both diseases can include trouble sleeping, pain, and stiffness.

The WinkBed Plus mattress earned some of the highest scorers in our tests for pain and pressure relief. Its individually wrapped steel coil layer distributes weight evenly, taking stress off joints. Reinforced springs around the edge of the mattress provide good edge support, making it easier to get in and out of bed without putting too much pressure on sore muscles. Testers rated the WinkBed Plus as significantly softer (6/10) than its actual firmness rating (8.5/10). And the cushioned feel may benefit anyone who deals with fibromyalgia or arthritis pain. 

WinkBed Plus pros and cons

Our testing experience with the WinkBed Plus

Testers called this the best mattress they tried when it came to relieving pressure on their joints and spine when they were lying on their sides. Comfort in that position is a good indicator of how supportive a mattress is. Our testers gave the WinkBed Plus perfect scores for pressure relief and commented on how the even support kept their spine in a neutral position. 

One tester, Sheila, a 70-year-old average-weight combination sleeper, noted she could lie comfortably on the mattress without a pillow and her spine still felt supported and straight. “My body feels very nice and even,” she said. This kind of support helps relieve pressure from building up at the joints, where people with arthritis or fibromyalgia are likely to feel pain and stiffness. 

Sheila also said, “There isn't much pressure in any one point of my body.” The memory foam layers helped by contouring to her body without leaving any gaps. “Even my legs and lower back are filled in with the plushness of the mattress,” she said. “The bed is soft and cradles my body nicely.” 

Our testers also said this mattress felt softer and more comfortable than expected for how supportive it was. The combination of strong support for hip, shoulder, and neck joints and cushioning may benefit people with fibromyalgia, arthritis, or other joint issues or pain.

Our testers noted the mattress wasn’t so soft that it made moving around on it difficult. No one had trouble with “sinking into” the mattress, and one tester actually had the opposite experience. “It gently pushes you up and out of the bed,” she said. “I can easily stand without using my hands.” This kind of strong edge support can make it easier to get in and out of the bed, even with sore or painful muscles or joints.

But the WinkBed Plus wasn’t great at motion isolation, based on our testing. So if you share a bed and are woken easily, this mattress may not be a great choice. “There was no absorption of the movement,” said one tester. “I was definitely bounced. It's a bouncy bed, I think it would wake me up.” 

Who is the WinkBed Plus right for?

The WinkBed Plus is our Best Mattress for Arthritis and Fibromyalgia because it cradles joints and soothes sore muscles while providing solid support. Its firmness and durable construction support higher-weight sleepers or those looking for extra pressure relief on joints or muscles. It is a good choice for people with mobility issues or who prefer a cool mattress. If you are easily disturbed by a partner’s movement, you may want to look at other options.

WinkBed customer experience

• Trial period: 120 nights
• Shipping: Free shipping
• In-home setup and mattress removal: No
• Warranty: Limited lifetime

Customer service

You can contact WinkBed customer service by:

• Phone: Call 855-946-5233, Monday through Friday from 8 a.m. to 7 p.m. ET
• Email: info@winkbeds.com
• Chat: Live chat in lower right corner of website, available Monday through Friday from 8 a.m. to 7 p.m. ET
• Calling or visiting a showroom

Payment options 

• Ways to pay
  • American Express
  • Visa
  • Mastercard
  • Discover
  • Google Pay
  • Shop Pay
  • Apple Pay
• Discounts? Yes, the company currently offers an additional $50 off for military members and their families, first responders, law enforcement, and health care workers. This can be combined with other offers. 
• Financing: Yes, WinkBeds offers financing through Bread Pay and Katapult.

Nolah Evolution Luxury Firm: Best for Couples with Fibromyalgia

We chose the Nolah Evolution Luxury Firm as our Best Mattress for Couples with Fibromyalgia because it absorbed motion better than almost any mattress we tested. That’s good for couples who are easily disturbed by each other’s movements, especially if one or both of them have pain from fibromyalgia or a similar condition. This mattress also had great pressure relief overall in every sleeping position and was good at limiting heat buildup.

Nolah Evolution Luxury Firm

Best for Couples

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• Excellent at dampening movement
• Great overall pressure relief in any position

• Limits heat buildup

Nolah Evolution Luxury Firm features

• Our pain relief score: 4.31/5
• Accessibility score: 3.96/5
• Mattress type: Hybrid
• Brand’s firmness rating: 6.5/10

Why we chose the Nolah Evolution Luxury Firm as the Best for Couples with Fibromyalgia

The Nolah Evolution Luxury Firm is our pick for the Best Mattress for Couples with Fibromyalgia because of its superior ability to limit motion transfer. This hybrid mattress scored similarly to memory foam mattresses in our tests for motion isolation. Keeping movement from rippling across the bed is helpful if you have fibromyalgia or a similar condition where the slightest movements may cause a flare or disrupt sleep. 

The Nolah Evolution earned nearly perfect pressure relief scores across the board, which means it takes tension off sore joints and muscles. It also stayed fairly cool, which can help keep you comfortable while sleeping with fibromyalgia pain.

Nolah Evolution Luxury Firm pros and cons

Our testing experience with the Nolah Evolution Luxury Firm

Testers appreciated the quality construction and materials used for the Nolah Evolution Luxury Firm, a hybrid mattress with three layers of memory foam above a layer of 8-inch coils. The sturdy, individually wrapped coils give the mattress some bounce but keep motion transfer to a minimum. When one of our testers had someone else get in the bed with her to gauge how much the bed limits movement, she said, “I felt the initial motion, but there was no ripple effect. None of the motion reverberated.” 

Testers called the layers of memory foam, including the topper, comfortable and noted the material conformed to their body to add support. “This mattress does not feel hard,” said one tester. The topper felt “luxurious” according to that tester. “It feels soft and silky and is one of the best textures I have felt from all the mattress options,” she said.

The Nolah Evolution is available in three firmness options, and we tested the middle one, the Luxury Firm. Testers described the mattress as “soft and springy, but not unstable.” They found the layers of memory foam in this hybrid mattress great at contouring to their body’s curves and relieving pressure, which is backed up by the high marks for pressure and pain relief in our testing. 

While testers loved the feel of the Nolah Evolution Luxury Firm, they would’ve liked the mattress to be better at staying cool. When we tested how well the Nolah Evolution Luxury Firm regulates temperature, it earned one of the worst scores of any mattress we tested. Its temperature increased by 11.3 degrees Fahrenheit, while the average temperature increase of every mattress we tested was 8.5 degrees. This is likely due to the Nolah Evolution’s thick memory foam. Testers said the memory foam felt luxurious and absorbed motion (classic qualities of memory foam), but memory foam is also known for its tendency to store heat.

Who is the Nolah Evolution Luxury Firm right for?

The Nolah Evolution Luxury Firm is our pick for Best Mattress for Couples with Fibromyalgia because of its universal support and excellent ability to dampen motion from a partner. 

Its responsiveness makes it accessible to anyone who has mobility issues or stiffness. It does tend to trap heat, so if you sleep hot, you may want a mattress with better cooling.

Nolah customer experience

• Trial period: 120 nights
• Shipping: Free shipping, and in-home delivery is available starting at $150
• Warranty: Limited lifetime

Customer service

You can contact Nolah customer service by:

• Phone: 866-403-6615, available Monday through Friday from 8 a.m. to 5 p.m. CT
• Email: support@nolahmattress.com
• Live chat: Available via the chat icon on the website, Monday through Friday from 8 a.m. to 5 p.m. CT

Payment options 

• Ways to pay
  • Visa
  • Mastercard
  • American Express
  • Discover
  • Shop Pay
  • PayPal
• Discounts? Yes, find more information here. Military members, first responders, teachers, and health care workers can get an additional 5% off.
• Financing: Yes, Affirm

Birch Natural: Best Organic Mattress for Fibromyalgia

We chose the Birch Natural as our Best Organic Mattress for fibromyalgia because it has stable support for painful joints and muscles, and is made without phthalates and other chemicals that people with fibromyalgia may be sensitive to.³ The Birch Natural is made with natural materials, including certified organic latex, cotton, and wool that allow it to be supportive, responsive, and breathable—helpful for someone who has trouble sleeping due to chronic pain.

Birch Natural

Best Organic

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• Stable edges
• Easier to get in and out of

• Uses eco-friendly materials

Birch Natural features

• Our pain relief score: 4.5/5
• Accessibility score: 4.51/5
• Mattress type: hybrid
• Brand’s firmness rating: 6.5

Why we chose the Birch Natural as the Best Organic Mattress for Fibromyalgia

The Birch Natural mattress is our pick for Best Organic Mattress for Fibromyalgia. It earned high scores for pressure and pain relief, so it offers the support someone with fibromyalgia or other pain needs to relieve pressure on their body. This mattress also has exceptionally strong edge support, which can be helpful for getting in and out of bed when you feel achy or stiff.

The Birch Natural mattress is made with natural latex, cotton, and wool instead of synthetics that may bother sensitive skin or emit odors. All the materials used in the Birch mattress are certified to be organic and free of volatile organic compounds (VOCs), phthalates, and formaldehyde. That’s good for people with fibromyalgia, since fibromyalgia is linked with higher rates of allergies, including skin rashes that can be caused by contact with irritants.⁴

Latex has a natural bounce that makes this mattress easier to move around on compared to other kinds, which shows in its high accessibility scores in our testing. Organic cotton and wool layers also help with airflow and breathability, making this mattress cooler and more comfortable for sore muscles and joints.

Birch Natural pros and cons

Our testing experience with the Birch Natural

Testers gave this hybrid mattress high marks for its combination of stable support, responsiveness, and firmness. They rated it as even firmer than it is. “This is very supportive,” said Chris, a 66-year-old, higher-weight back sleeper with back pain and spinal stenosis. “You stay up high on this mattress and you're not sinking down into it. It's definitely better than my mattress at home.” 

The Birch Natural mattress is made with latex and coils, which are reinforced along the edge. Our tester noted the fantastic edge support, which received some of the highest scores of any mattress we tested. “It's easy to move positions near the edge,” he said. “I sleep on the edge a lot, and this is very comfortable. When I'm lying on the edge, I don't feel like I'm going to roll off.” That kind of edge-to-edge support can be helpful for anyone who has fibromyalgia or chronic pain because it can make switching positions or getting in and out of bed easier compared to less responsive mattresses. “I hardly need any effort to move around,” our tester said.

Our testers did not have any allergies or sensitivities but noted the organic cotton cover felt soft, cool, and comfortable against their skin. The Birch Natural has several certifications for its use of organic materials, like natural latex, wool, and cotton. These materials are free of many common allergens that may irritate fibromyalgia, and also help regulate temperature to keep the mattress surface cool and soothing on sore muscles or joints. 

While the Birch Natural showed strong edges and great pressure relief, testers wished it absorbed motion better. Testers rated it only a 2/5 for its ability to minimize motion. “It feels a little thin. I can feel every single movement,” one tester said. “Nothing felt dampened and I could feel a total bounce. It feels really springy and like none of the movement is dampened.” 

Who is the Birch Natural right for?

The Birch Natural is our pick for Best Organic Mattress for Fibromyalgia because it has strong support and is made without synthetic materials that may irritate conditions like fibromyalgia or those with chemical sensitivities. It is made with natural organic materials that are breathable and stay cool, and had good responsiveness scores in our tests. It may not be the best option for light sleepers who share their bed with a partner.

The Birch customer experience

• Trial period: 100 nights
• Shipping: Free shipping
• Warranty: Limited lifetime warranty
• Financing: Yes

Customer service

You can contact Birch customer service by:

• Phone: Call 917-540-5525, available Monday through Friday from 11 a.m. to 6 p.m. ET
• Email: info@birchliving.com
• Chat: Available Monday through Friday from 10 a.m. to 10 p.m. ET
• Website: Submitting a contact form

Payment options 

• Ways to pay
  • American Express
  • Visa
  • Mastercard
  • Discover
  • Shop Pay
• Discounts? Yes, the company currently offers a 40% discount for military members, first responders, law enforcement, health care workers, and teachers. This discount can’t be combined with other promotional codes. 
• Financing: Yes, through Affirm 

Our process testing the best mattresses for fibromyalgia 

Our team has spent thousands of hours researching and testing mattresses so you can feel confident in our reviews. We work with experts in sleep, rheumatology, physical therapy, and occupational therapy, so we know what features are most important when searching for a mattress to ease fibromyalgia pain. 

For this review, our team personally tested 30 mattresses identified through our research to offer arthritis pain relief. Each mattress was put through a rigorous testing process by older adults with pain to ensure we have real-world data about how they perform.

To find the best mattresses for fibromyalgia, we tested mattresses using pressure-sensing devices and other equipment such as heat measurement guns. We also recruited older adults to test the mattresses and report on their experiences, ranking firmness, edge support, pressure relief, and other factors. 

We considered these important factors when testing the best mattresses for fibromyalgia:

Good pressure relief

Good pressure relief, especially around joints, can be helpful for people with fibromyalgia. Our pressure relief score reflects our testers’ experiences on the mattress and the results shown on our pressure map. The pressure map uses sensors to show how much pressure the body feels when lying on the mattress, and in what areas.

Optimal firmness levels

For the average adult, a medium-firm mattress provides the most restful night’s sleep.⁵ Medium-firm is generally considered a mattress with a firmness of around 6.5 out of 10. Note: the research was done on people of an average weight, so higher- or lower-weight sleepers may perceive a mattress as more or less firm than stated. Personal preference also plays a role.

Accessibility

Along with taking stress off joints, the best mattresses for fibromyalgia need to be accessible, allowing people with chronic pain or mobility issues to move on them more easily. We created a unique score to evaluate a mattress’s accessibility, or how easily a person can get into and out of bed and change positions. To create our accessibility score, we combined and weighted the following factors:

• Edge support: A mattress with strong edge support offers a stable surface for getting in and out of bed, especially for those with chronic pain in their joints or back.
• Bounce: A bouncy mattress ensures sleepers don’t feel stuck, restricting the ability to change positions or get up out of bed.
• Motion isolation: A mattress with strong motion isolation ensures you remain comfortably placed in the bed, even if a partner moves through the night.
• Firmness: Finding the optimal mattress firmness will vary depending on your needs. But a medium-firm mattress is soft enough to rest comfortably, and firm enough to offer enough resistance to move easily. 

Pain relief

Pain is a common symptom of fibromyalgia. Our pain relief score is unique to our testing. In speaking with experts and surveying older adults, we learned the qualities a mattress should have to reduce pain. To determine our pain relief score, we created a weighted formula using our scores for pressure relief, mattress firmness, edge support, and bounce. Our combined pain relief score identifies mattresses with:

• Enough bounce to adjust positions freely
• Pressure relief so the body’s weight is evenly distributed
• A firmness level that supports spinal alignment
• Edge support for easier movement in and out of bed

Spinal alignment

Keeping the spine in proper alignment during sleep can ease some of the symptoms of fibromyalgia or chronic pain. A mattress offering strong spinal support contours to the body while offering enough resistance to press back into the curves of the lower spine. We specifically seek this support during our testing, and we confirm it using our pressure map results. If a mattress lacks support in the lower spine, it shows white on the pressure map, indicating no contact or support in the area.

Temperature regulation

Temperature can play a role in easing or worsening fibromyalgia symptoms. To determine how well a mattress regulates temperature, we used a heat gun to measure the mattress temperature before anyone lay on the mattress. Then we heated its surface to 90 degrees F, since the average temperature of human skin is around 90–94 degrees F.⁶ Next, we let the mattress cool for five minutes and took another temperature reading. The mattresses with the least amount of heat buildup earned higher scores. 

Understanding fibromyalgia and sleep

Fibromyalgia can have serious impacts on your sleep. “Fibromyalgia is felt as widespread body pain, and can be accompanied by fatigue, brain fog, and sleep disturbances,” said Stella Bard, MD, a rheumatologist in McKinney, Texas. That may mean sleep-related symptoms of fibromyalgia include:

• Sleeping for shorter time periods
• More light sleep versus deeper sleep (so you wake still not feeling refreshed)
• Difficulty falling or staying asleep⁷

What’s more, lack of sleep has been shown to worsen fibromyalgia symptoms, creating a vicious cycle.

Sleep disturbances worsen fibromyalgia symptoms, resulting in more fatigue, pain, depression, decreased physical functioning, and daytime sleepiness.”

— Stella Bard, MD

Sleep positions and fibromyalgia

“Fibromyalgia can present so differently in different people that it’s hard to say what sleeping positions may be best,” said Dr. Bard. “The key is to try different sleeping positions to see which works best for you,” she added. Here is some more guidance to figuring out the most comfortable rest for you:

• Avoid sleeping on your stomach. “Stomach sleeping increases neck and back strain and will likely result in more discomfort,” said Dr. Bard. Most people find side sleeping to be the most comfortable position, especially if they place a pillow between their knees to decrease pressure on the hips and lower back, she said.
• Use supportive pillows to improve personal comfort and sleep quality. “A full-length body pillow supports the entire body and decreases pressure on hips and shoulders,” said Dr. Bard. But depending on your symptoms and where you feel the least support or most pain, you may also opt for a pillow between the knees to decrease strain on the hips and lower back, a contoured cervical pillow for neck support, or a small lower-back support pillow for back sleepers.
• Try out a memory foam or gel mattress topper for an extra layer of support. These toppers may also help keep the surface of the mattress cooler.
• Choose a mattress with solid support and is responsive enough to make moving on it comfortable, even when you have stiffness or pain. If you sleep with a partner, take note of how much their movements may disrupt your sleep as well. Some mattresses, like our best mattress for couples with fibromyalgia, can minimize that motion better than others.

Tips for managing fibromyalgia

Fibromyalgia is a chronic disease with no known cure, but there are ways to manage the symptoms, including sleep disturbances. Getting diagnosed by a qualified medical professional should always be your first step. Your doctor can help you with a treatment plan.

After that, making some small changes to your lifestyle and sleep routine may help keep fibromyalgia symptoms in check. Some options to try, according to Dr. Bard:

• Practice good sleep hygiene. Try to go to bed around the same time each night, and make the room dark and cool with minimal distractions.
• Do some gentle stretching and relaxation techniques before bed.
• If your mattress is too firm or too soft, a quality mattress topper can help make it more comfortable without having to invest in a whole new mattress. 
• A heated blanket or heating pad may help soothe aching muscles and relieve stiffness. 
• An adjustable mattress or foundation can help you find a position that feels best for you. You can find out more in our guide to the best adjustable beds.
• A weighted blanket, eye mask, earplugs, or white noise machine may all help decrease light and noise that can disrupt sleep.
• Change your diet. That has the potential to improve pain symptoms in people with fibromyalgia, and plant-based diets seem most promising, according to research.⁸ 
• Get some exercise. Both aerobic and resistance exercise may help reduce the depression and pain linked with fibromyalgia and improve the quality of life in adults, according to research.⁹

How much do the best mattresses for fibromyalgia cost?

The mattresses in this guide range from $1,383–$3,049 for a queen size (before discounts). Along with size, factors that affect a mattress’s cost include the materials used in its construction, certifications, and added features such as a cooling layer or pillow top, as well as extras offered by the brand. Extras can include free shipping, white-glove delivery (where a mattress is delivered directly to your bedroom), or a lifetime warranty.

How to save money on mattresses

Buying a new mattress can be a big investment. There are some ways you can save on your purchase. 

• Keep your eye out for sales, especially around holidays like Labor Day and Memorial Day. 
• Look for coupons, sale codes, and discounts on a manufacturer’s website. 
• Many manufacturers offer discounts for current or former members of the military, students, teachers, older adults, and other groups. 
• If you’re not buying direct from a manufacturer, stores often have floor models at a big discount.
• Most mattress manufacturers offer some kind of financing plan, which can be a better bargain than paying for a mattress with a credit card. 

It’s a good idea to research mattresses before you buy, so you can find the best mattress for the best price. Knowing what features you need and which you can live without can save you some money, too. 

Frequently asked questions

Questions? Email us at reviewsteam@ncoa.org.