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

Visit Site

Visit Site

• 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

Visit Site

Visit Site

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

• Great for maintaining spinal alignment

WinkBed Plus

Best for Arthritis

Visit Site

Visit Site

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

• Gently hugs the body to relieve joint pressure

Best mattresses for fibromyalgia in 2026

• 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

Comparison Features	Saatva Rx Visit Sitefor Saatva Rx	Helix Midnight Luxe Visit Sitefor Helix Midnight Luxe	WinkBed Plus Visit Sitefor WinkBed Plus	Nolah Evolution Luxury Firm Visit Sitefor Nolah Evolution Luxury Firm	Birch Natural Visit Sitefor Birch Natural
Score (out of 10)	9.5	9	8.4	9.2	9.1
Best for	Best Overall	Side Sleepers	Arthritis	Couples	Organic
Mattress type	Hybrid	Hybrid	Hybrid	Hybrid	Hybrid
Brand firmness rating (out of 10)	3.5	6	8.5	6.5	6.5
Trial period (nights)	360	120	120	120	120

Understanding our scoring

Our mattress recommendations are based on our thorough research and testing. We created two scores to reflect the needs of our audience:

• Accessibility score: A combined score reflecting factors that make it easier for older adults to move around and get in and out of bed.
• Pain relief score: A combined score reflecting factors that help relieve pain while in bed.

What we look for in a mattress for fibromyalgia

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

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 Overall

Visit Site

Visit Site

• Saatva Review
• 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

Pros and cons

Pros

• Feels soft while providing great support
• Adjusts as you move to relieve pressure in any position
• Extra lower-back support 
• Free in-room delivery and setup
• Free one-year trial

Cons

• Most expensive mattress on this list
• Edges could be stronger
• Couples may be disturbed by partner’s movements

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 for Side Sleepers

Visit Site

Visit Site

• Helix Review
• 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

Pros and cons

Pros

• Good pain and pressure relief for side sleepers
• Supports and cradles joints
• Easier to change positions 
• Doesn’t trap heat

Cons

• Could have better seated edge support
• Couples may be disturbed by a partner’s movements
• White-glove delivery (delivery and setup of new mattress and removal of old) costs extra

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

Visit Site

Visit Site

• WinkBed Review
• 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

Pros and cons

Pros

• Even weight distribution keeps stress off joints
• Contours to add gentle support for side and back sleepers
• Great stability makes moving easier for sore muscles
• Breathable, gel-infused memory foam stays cool

Cons

• No white-glove delivery option
• Not great for partnered sleeping due to poor motion isolation
• May be too firm for some

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

Visit Site

Visit Site

• Nolah Review
• 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

Pros and cons

Pros

• Absorbs motion between partners
• Relieves pressure in all sleeping positions
• Stays cool

Cons

• Tends to trap heat
• Memory foam topper may make switching positions difficult
• White-glove delivery costs extra

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, which allow it to be supportive, responsive, and breathable—helpful for someone who has trouble sleeping due to chronic pain.

Birch Natural

Best Organic

Visit Site

Visit Site

• Birch Review
• 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

Pros and cons

Pros

• High marks for pain relief and support
• Certified organic materials
• Stable edges and strong surface
• Natural materials wick moisture and help regulate temperature

Cons

• May be disturbed by partner’s movement
• May be too firm for some 
• Shorter trial period (100 days)

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.⁴ 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, since the average temperature of human skin is around 90–94 degrees.⁵ 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 a serious impact 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 asleep⁶

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 that 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.

8 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. Here are eight tips for managing fibromyalgia, according to Dr. Bard:

1. 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.
2. Do some gentle stretching and relaxation techniques before bed.
3. 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. 
4. A heated blanket or heating pad may help soothe aching muscles and relieve stiffness. 
5. 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.
6. A weighted blanket, eye mask, earplugs, or white noise machine may all help decrease light and noise that can disrupt sleep.
7. 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.⁷ 
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.⁸

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. 

Comparing costs of the best mattresses for fibromyalgia

Comparison Features	Saatva Rx Visit Sitefor Saatva Rx	Helix Midnight Luxe Visit Sitefor Helix Midnight Luxe	The WinkBed Plus Visit Sitefor The WinkBed Plus	Nolah Evolution Luxury Firm Visit Sitefor Nolah Evolution Luxury Firm	Birch Natural Visit Sitefor Birch Natural
Cost for a queen*	$3,399	$2,399	$2,856	$2,277	$1,873
Shipping costs	Free	Free	Free	Free	Free
White glove delivery available?	Yes, free	Yes, starting at $149	No	Yes, starting at $125	Yes, starting at $199
Warranty length	Limited lifetime	Limited lifetime	Limited lifetime	Limited lifetime	Limited lifetime
Return fees	$99 processing fee for pickup	Free	Free	$99 processing fee for pickup	$99 processing fee for pickup

*Most mattress brands run frequent or ongoing promotions. Sale prices are typically lower and may change often.

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

Are natural/organic mattresses better for fibromyalgia sufferers?

Natural or organic mattresses can be a good choice for anyone with sensitivities to synthetic chemicals. Some people with fibromyalgia report increased sensitivity to smells or textures, so choosing a low-VOC or organic mattress may feel more comfortable.

Can a mattress really help with fibromyalgia?

Mattresses are no substitute for medical care, and cannot “cure” fibromyalgia or chronic pain. But some mattresses can help ease fibromyalgia pain and other symptoms. This is usually accomplished by providing correct support for the spine and joints. A mattress may also help with mobility issues that people with fibromyalgia may have.

What firmness is best for fibromyalgia?

The best mattress firmness for someone with fibromyalgia varies widely and depends on body weight, sleep position, and personal comfort.

How long should I trial a mattress to know if it works for my fibromyalgia?

A few weeks of sleeping on a new mattress can help you decide how it feels and whether it helps your fibromyalgia symptoms, does nothing for them, or makes them feel worse. Most mattress manufacturers have at least a 100-night trial period, and some go up to 365 nights.

Questions? Email us at reviewsteam@ncoa.org.