Woman lying sleeping on her side on a purple mattress

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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 many different types of mattresses. We will only focus on these two in this article.

  • 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 excess sweating or allergy issues. We also included mattresses that can help you sleep better if non-pain symptoms are interfering with your sleep.
  • All of our mattress picks meet federal safety requirements. Many of them are made of components that are certified safe from a third party and comply with socially and environmentally responsible standards.

Pricing guide

Pricing for mattresses depends on what size you want. The 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: $$
  • Sizes: twin, twin XL, full, queen, king, split king, California king, split California king

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 has a 180-night home trial.

Pros

  • Spring coil offer full-body support.
  • The foam cushion layers help the spine.

Cons

  • If you sleep on your side, the mattress may feel too firm.

Buy the Saatva Luxury Firm Mattress online.

Nectar Memory Foam Mattress

  • Price: $$
  • Sizes: twin, twin XL, full, queen, king, split king, California king

Reviewers say the medium-firm memory foam mattress from Nectar is very comfortable. Nectar uses multiple layers of memory foam to keep you from getting too hot at night.

Some reviewers say the mattress is too firm and can cause back pain.

A lifetime warranty, free shipping, and a365-night trial are offered by Nectar.

Pros

  • People who sleep on their side have great reviews.
  • The memory foam helps prevent overheating.

Cons

  • Reviewers think the mattress is too firm.

Buy the Nectar Memory Foam Mattress online.

Layla Memory Foam Mattress

  • Price: $
  • Sizes: twin, twin XL, full, queen, king, California king

Side sleepers with larger hips and smaller waists should consider a softer mattress to help maintain a neutral spine position while sleeping. If you think that sounds like you, this mattress could be a good fit for you.

Reviewers rave about its ability to flippable, which means that one side is firm and the other soft. The side sleepers love the soft side of the mattress.

A 120-night trial, free shipping, and lifetime warranty are offered by Layla.

Pros

  • Thepable design has 2 firmness options.
  • Some people prefer the softer option.

Cons

  • Reviewers think the mattress is too firm on the soft side.

Buy the Layla Memory Foam Mattress online.

Best for excess sweating

Brooklyn Bedding Aurora Hybrid

  • Price: $$
  • Sizes: twin, twin XL, full, queen, king, California king, split California king, short queen, RV king, RV bunk

Some people with FM experience hyperhidrosis, or excess 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, choose the softer version.

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

Pros

  • The cooling properties help with overheating.
  • There are multiple firmness options.

Cons

  • Reviewers think the mattress is too soft.

Buy the Brooklyn Bedding Aurora Hybrid online.

Cocoon by Sealy Chill Mattress

  • Price: $
  • Sizes: twin, twin XL, full, queen, king, California king

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.

Extra firm and medium soft are what this mattress has for back and side sleepers.

A 10-year warranty is offered by Cocoon.

Pros

  • Some reviewers say that the mattress helped with hot flashes.
  • There are multiple firmness options.

Cons

  • Reviewers think the mattress is too hard.

Buy the Cocoon by Sealy Chill Mattress online.

Best budget

Tuft & Needle Original Mattress

  • Price: $
  • Sizes: twin, twin XL, full, queen, king, California king

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

  • The price point is lower than other mattresses.
  • Reviewers like the mix of support and softness.

Cons

  • Some reviewers say the mattress becomes uncomfortable after a few years.

Buy Tuft & Needle Original Mattress online.

Best splurge

Purple Hybrid Premier

  • Price: $$$
  • Sizes: twin XL, full, queen, king, split king, California king

The Purple hybrid premier is a mattress that will cost you a bit more, but you will find it to be a good one. The hybrid mattress has a grid layer that is thick, and you can choose how thick you want it.

“Reviewers with the magazine say they noticed a difference in sleep and pain. Some reviewers say that the mattress takes some getting used to, so don’t be alarmed if your first few nights don’t feel great.”

A 10-year warranty is offered by Purple.

Pros

  • It is made with materials that are not harmful to the environment.
  • There are options for thickness.
  • The squares in the grid allow for air to flow.

Cons

  • The price point is higher than other mattresses.
  • Some people find the feel of the grid uncomfortable.

Buy the Purple Hybrid Premier online.

Best for hip and shoulder pain

Purple Mattress

  • Price: $$
  • Sizes: twin, twin XL, full, queen, king, split king, California king

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.

The purple mattress is a box of beds that are made of foam. It is meant to eliminate pressure points completely, making it perfect for back sleeping.

A 100 night trial, free shipping, and a 10-year warranty are offered by Purple.

Pros

  • It is made with materials that are not harmful to the environment.
  • Pressure point pain can be alleviated with gridded foam.
  • “It’s 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: $$$
  • Sizes: twin, twin XL, full, queen, king, split king, California king, split California king

It can be difficult to share a bed with someone with FM when they are easily woken up.

“Remember those commercials with the glass of red wine? It’s an ideal choice for anyone sleeping next to a partner.”

The TEMPUR-Adapt mattress has cooling benefits.

There is a 90-night trial, free delivery, and 10-year warranty on the products.

Pros

  • Motion isolation is good for couples.
  • The cooling properties help keep the temperature down.

Cons

  • The price point is higher than other mattresses.
  • The trial period is shorter than other competitors.

Buy the Tempur-Pedic TEMPUR-Adapt Mattress online.

Best hypoallergenic

Puffy Lux Memory Foam Mattress

  • Price: $$
  • Sizes: twin, twin XL, full, queen, king, California king

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.

The Puffy Lux is made of foam to prevent overheating. Reviewers say this mattress has a reduction in pressure points.

A lifetime warranty, free shipping, and a 101-night trial are offered by Puffy.

Pros

  • Comes with a cover that is non-allergitating.
  • The foam helps prevent overheating.
  • Lifetime warranty is included.

Cons

  • Some stomach sleepers may feel the mattress is not strong.
  • The memory foam can be very hot.

Buy the Puffy Lux Memory Foam Mattress online.

You know that the best way to find out if you like a mattress is to try it. Bed-in-a-box options and extended at- home trials are some of the things that are popular with online shopping.

“If you dislike the mattress you are returning, it will help you rest easy knowing you won’t be stuck with it.”

Consider your symptoms

It is a good idea to consider what symptoms are affecting your sleep.

  • 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 issues: 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 issues: 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.

Two other symptoms of Fibromyalgia are chronic pain and fatigue.

  • “It’s difficult to sleep.”
  • “Nonrestorative sleep is 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 issues.

It is hard for people with Fibromyalgia to get quality sleep. Finding a mattress that considers your most troublesome symptoms can be a great way to improve sleep.

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