Best Mattress for Arthritis and Joint Pain
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Arthritis affects roughly one-third of U.S. adults. While there are multiple types of arthritis, most people experience inflammation, joint pain, stiffness, and limited mobility. Sleeping on the right mattress can be critical for those with joint pain, since an unsupportive bed can aggravate arthritis symptoms and cause additional discomfort.
“Buying a mattress can be overwhelming considering all the options out there, but it is very important to find the right one, especially if you have joint or arthritic pain as it can make a huge difference in alleviating some pain symptoms.” says Dr. Lulu Guo, M.D.
We’ve compiled the best mattresses for people with arthritis and included tips on how to ease joint pain. Our top picks have a combination of support, cushioning, and responsiveness that promotes ease of movement and relief from joint pain.
Our Top Picks
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Best Mattress Overall – WinkBed
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Best Mattress for Side Sleepers – Helix Midnight
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Best Luxury Mattress – Saatva Rx
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Best Mattress for Back Pain – Nolah Evolution 15
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Best Mattress for Hip Pain – DLX Premier Hybrid
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Best Organic Mattress – Birch Mattress
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Best Mattress Overall
WinkBed
8.9 /10
Test Lab Score
Get $300 off all mattresses at Winkbeds
Get $300 off all mattresses at Winkbeds
People with arthritis need a mattress that’s sturdy and able to cushion their joints, which is why the WinkBed takes the top spot. Strong edge support lets you take advantage of the whole mattress to stretch out and get comfortable, and you can pick from four firmness levels to optimize support.
Credit: Sleep Foundation Test Lab
Price
$1,499
Mattress Type
Innerspring
Firmness Options
Medium Soft (4), Medium Firm (6), Firm (7), Firm (8)
Trial Period
120 nights (30 night requirement)
Our Verdict
Who It’s Best For
There is a model of the WinkBed that can accommodate just about every type of sleeper. Most people with arthritis get the best cushioning from the luxury plush (6), but other options are available based on individual comfort preferences.
Feel
How the mattress feels depends on the firmness level, and you can choose from four models that range from medium soft (4) to firm (8). No matter which you choose, you’ll find that there’s cushioning from the top layers along with extra lumbar support.
What It’s Made Of
A core of pocketed coils is at the heart of the WinkBed. Most models have layers of polyfoam above the coils, but the WinkBed Plus incorporates natural latex designed to give more support to sleepers over 230 pounds.
What We Don’t Like
Although it has noticeable cushioning, the WinkBed doesn’t offer the deep hug that some sleepers prefer. Some people also report feeling vibrations when a bed partner moves on the other side of the mattress.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 8573 validated customer reviews of the Winkbed. This is what people who bought the mattress had to say:- Pain Relief and Support: A significant number of users report alleviation of back, hip, and shoulder pain, attributing this to the mattress’s supportive design. Individuals with chronic back issues have noted substantial improvements in sleep quality.
- Comfort Across Sleep Positions: Reviewers from various sleep positions—side, back, and stomach—find the mattress comfortable. The availability of different firmness levels allows users to select options that best suit their sleeping style.
- Temperature Regulation: Many customers appreciate the mattress’s ability to stay cool, enhancing overall comfort throughout the night.
- Edge Support: Users frequently mention the robust edge support, which provides a stable and usable sleeping surface across the entire mattress.
- Firmness Options: Customers appreciate the variety of firmness options available, finding the right balance for their personal preferences.
- Durability and Craftsmanship: The mattress is often praised for its high-quality construction and materials, with users expressing confidence in its longevity. The lifetime warranty further reinforces trust in the product’s durability.
- Customer Service and Trial Experience: Customers value the 120-night risk-free trial and responsive customer service, noting that these factors contribute to a positive purchasing experience.
Full Details
Construction Breakdown
All firmness options of the WinkBed feature a Euro-top quilted with adaptive polyfoam encased in a breathable Tencel fabric cover. Beneath is a layer of proprietary SupportCell polyfoam with a higher-density composition than conventional polyfoam. The medium soft option includes an additional layer of polyfoam to enhance cushioning.
The support core is composed of a pocketed coil system zoned to offer enhanced support in the lumbar region and less support to lighter parts of the body. The coil system is reinforced with thicker coils around the perimeter to bolster edge support.
Trial, Shipping, and Warranty
WinkBeds provides free ground shipping for all customers in the contiguous U.S. Your order includes a sleep trial that allows you to test out the WinkBed for up to 120 nights, along with a lifetime warranty that covers structural defects for as long as you own the mattress.
Best Mattress for Side Sleepers
Helix Midnight
9.1 /10
Test Lab Score
25% off sitewide + 2 free Dream Pillows with mattress purchase. Code: WKFLSH
25% off sitewide + 2 free Dream Pillows with mattress purchase. Code: WKFLSH
The Helix Midnight provides the balanced performance that side sleepers need to wake up without aches and pains. Memory foam softens impact near the hips, shoulders, and neck, but the Midnight retains an even surface to keep the spine in a healthy position.
Credit: Sleep Foundation Test Lab
Price
$1,099
Mattress Type
Hybrid
Firmness Options
Medium Firm (6)
Trial Period
100 nights (30-night requirement)
Our Verdict
Who It’s Best For
The Helix Midnight is a great fit for side sleepers, and in our testing got especially high marks from those under 230 pounds. It’s also a solid option for couples who want to avoid disrupting a bed partner when moving on the mattress.
Feel
The Helix Midnight is medium firm (6) and has the ability to softly cradle joints like the hips and shoulders while maintaining a flat, level surface. Its temperature stays relatively cool, and its memory foam dampens vibrations from movement on the other side of the bed.
What It’s Made Of
The Helix Midnight has two comfort layers, one made with memory foam and another with a responsive polyfoam. The support core includes a thick layer of pocketed coils and a bottom layer of polyfoam.
What We Don’t Like
Although suitable for many sleepers, it may lack firmness for some people over 230 pounds. While responsive, it’s also not the best choice for people who want an extra-bouncy mattress.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 6653 validated customer reviews of the Helix Midnight. This is what people who bought the mattress had to say:
- Comfort and Firmness: Most reviewers praised the mattress for its medium-firm feel, which strikes a balance between support and plushness. Side sleepers in particular reported enhanced comfort due to effective cradling of pressure points.
- Heat Regulation: While many found the mattress sufficiently cool, some customers noted slight heat retention, which is typical for mattresses with foam comfort layers.
- Pain Relief: A standout theme was relief from back, hip, and shoulder pain. Customers with chronic pain or those who sleep on their sides frequently noted a reduction in discomfort.
- Durability Concerns: A minority of reviewers reported early signs of sagging or indentations, raising concerns about long-term durability.
- Sleep Quality: Numerous customers mentioned improved sleep quality, citing deeper, uninterrupted rest as a key benefit.
- Edge Support: Reviews indicated mixed opinions, but the mattress generally supports weight well at the edges, aligning with what hybrid beds typically offer.
Full Details
Construction Breakdown
The Midnight begins with an adaptive memory foam layer that cushions the body without sinking or squeezing too tightly. Underneath is transitional polyfoam that ensures your weight is evenly distributed while preventing your body from sinking too deeply into the coils. The pocketed coil support core creates added stability for the lower back and hips – two areas where people with arthritis tend to feel sharp pains. Thicker coils are zoned along the perimeter of the mattress to help its edges bear your weight. A breathable polyester cover encases the mattress.
Trial, Shipping, Warranty
Despite the premium construction, the Midnight has a price-point that is lower than average for a hybrid model. Helix provides free ground shipping to the contiguous U.S. The company’s sleep trial spans 100 nights in length, and the mattress is backed by a 10-year manufacturer’s warranty.
Best Value Mattress
Brooklyn Bedding CopperFlex Memory Foam
8.6 /10
Test Lab Score
30% off sitewide. Code: MLK30
30% off sitewide. Code: MLK30
The budget-friendly Brooklyn Bedding CopperFlex Memory Foam delivers quality construction and excellent pain relief at a reasonable price. Plush foam layers ensure a close contour and deep cradling for your most sensitive areas, but the underlying transitional and base foams push back against your weight to prevent uncomfortable sinkage.
Credit: Sleep Foundation Test Lab
Price
$466
Mattress Type
Foam
Firmness Options
Medium Firm (6)
Trial Period
120 nights (30-night requirement)
Our Verdict
Who It’s Best For
Due to its adaptive medium firm (6) feel, the CopperFlex is a solid match for side sleepers who weigh at least 130 pounds and back sleepers weighing up to 230 pounds. Our tests also show the mattress excels at motion isolation for couples, sleeps cooler than most competing all-foam models, and alleviates pain and pressure throughout the night.
Feel
We found the CopperFlex offers a nice balance of surface-level cushioning and sturdy base support. You’ll notice a close contour from the comfort layers and extra pushback around the midsection from the zoned transitional foam. Copper fibers infused into the top memory foam layer – along with the cooling cover – also help the mattress maintain a comfortable temperature.
What It’s Made Of
The CopperFlex consists of six foam layers. Adaptive polyfoam quilted to the cover and two memory foam layers give the surface an invitingly plush feel, while zoned transitional foam feels more supportive beneath your torso and hips. Two high-density foam layers in the support core round out the design. A cover made of cooling GlacioTex fabric encases the mattress.
What We Don’t Like
There’s some strong off-gassing odor after the mattress is unboxed – these smells eventually dissipate, but the first 72 hours may be unpleasant. Despite the zoned transitional layer, our tests also show the CopperFlex is too soft for most stomach sleepers who weigh 130 pounds or more.
Scoring Breakdown
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
Full Details
Construction Breakdown
The CopperFlex’s topmost layer consists of adaptive polyfoam quilted to the cover, and this is followed by two memory foam layers. Copper fibers infused into the first memory foam layer are intended to minimize heat absorption. The transitional foam is zoned with extra firmness and density beneath your midsection, allowing your body to remain on an even plane. Two high-density foam layers make up the support core, and the cover is made of proprietary GlacioTex fabric engineered to dissipate body heat when it comes into contact with your skin.
Trial, Shipping, and Warranty
Brooklyn Bedding offers free ground shipping for customers in the contiguous U.S. Each CopperFlex Memory Foam order includes a 120-night sleep trial, during which you may return the mattress for a refund after testing it out for at least 30 nights. If you decide to keep the CopperFlex, it’s also covered under a 10-year manufacturer’s warranty.
Best Luxury Mattress
Saatva Rx
8.7 /10
Test Lab Score
$300 off orders of $1,000 or more
$300 off orders of $1,000 or more
With the Saatva Rx, there’s luxury at every turn. An innovative design provides deep cushioning to soothe the joints of arthritis sufferers. An extra perk is free in-home installation with every purchase.
Price
$2,801
Mattress Type
Hybrid
Firmness Options
Medium Soft (4)
Trial Period
365 Nights ($99 Return Fee)
Our Verdict
Who It’s Best For
The Saatva Rx is an ideal mattress for side sleepers who weigh less than 130 pounds. Its plush cushioning can appeal to some back and stomach sleepers under 130 pounds as well.
Feel
The Saatva Rx is medium soft (4) and cradles the hips, shoulders, and other joints to enhance comfort and pressure relief. A reinforced lumbar area creates support instead of sinkage under the midsection.
What It’s Made Of
The top layers have thick polyfoam and lumbar padding along with quilted fabric and gel-infused memory foam. The next layer is made with responsive micro-coils. The support core has tall coils that are all individually topped with a small piece of foam to minimize unwanted vibration.
What We Don’t Like
The plushness of the Saatva Rx may be too soft for many sleepers over 230 pounds. The luxury price-point won’t fit many budgets, plus Saatva charges $99 if you choose to return the mattress.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 40 validated customer reviews of the Saatva Rx. This is what people who bought the mattress had to say:- Comfort and Support: A significant number of reviewers mentioned the comfort and support provided by the Saatva Rx mattress, particularly for those with chronic pain or orthopedic issues. Users reported significant improvements in sleep quality and reductions in pain.
- Product Quality: Feedback on the quality of the Saatva Rx mattress was overwhelmingly positive. Reviewers felt that the mattress was well-made and worth the investment, often citing the materials and construction as superior to other brands.
- Temperature Regulation: Some reviewers appreciated the temperature regulation features of the mattress, noting that it stayed cooler than other mattresses they had used, which contributed to a better sleep experience.
- Issues with Firmness and Support: While most feedback was positive, a few reviewers noted issues with the firmness and support of the mattress, particularly concerning edge support and suitability for lighter individuals. These were minor compared to the overall positive feedback but were important for some buyers’ comfort.
- Return and Exchange Policy: Saatva’s return and exchange policy was frequently mentioned as a positive aspect, with customers feeling reassured by the ability to return or exchange the mattress if it did not meet their needs. This policy enhanced customer confidence in making a purchase.
Full Details
Construction Breakdown
The Rx’s comfort system begins with a strip of dense memory foam located beneath the lower back, which is intended to alleviate pain and pressure in your lumbar region. A cooling gel infusion helps the foam resist heat buildup. Microcoils encased in dense polyfoam provide additional cushioning while creating a buffer between your body and the support core.
Pocketed coils stabilize the mattress and reinforce the sleep surface, but each coil is topped with a foam tip to minimize motion transfer when you and your partner change sleep positions or get up during the night. A breathable organic cotton cover treated with Guardin antimicrobial agent encases the mattress. At 15 inches thick, the Rx is a high-profile model and requires a deep-pocket fitted sheet.
Trial, Shipping, and Warranty
Although the Rx is on the expensive side, Saatva sweetens the deal with free White Glove delivery anywhere in the contiguous U.S. This service includes full setup in your room of choice and removal of your old mattress and box spring upon request. Additional perks include a generous sleep trial spanning 365 nights and a lifetime warranty for those who decide to keep the mattress after the trial ends.
Best Mattress for Pressure Relief
Leesa Oasis Chill Hybrid Mattress
8.5 /10
Test Lab Score
20% off + 2 free pillows with mattress purchase
20% off + 2 free pillows with mattress purchase
The Leesa Oasis Chill Hybrid is excellent at relieving the pressure that can affect the joints when people with arthritis lie down in bed. With a carefully layered internal construction, the Oasis Chill cushions pain points and at the same time dissipates heat to promote cooler sleep.
Price
$1,343
Mattress Type
Hybrid
Firmness Options
Medium Soft (4), Medium (5)
Trial Period
100 nights (30 night requirement)
Our Verdict
Who It’s Best For
In our testing, the Oasis Chill was best suited to sleepers under 130 pounds who can benefit from its foam cushioning without sinking too far into the bed. Its cooling features also make it compelling for hot sleepers.
Feel
The mattress can feel either medium soft (4) or medium (5) depending on which firmness level you choose. With either option, you’ll notice considerable cushioning that cradles around sharp pressure points like the hips, lower back, and shoulders.
What It’s Made Of
The cover is quilted with gel-infused polyfoam and includes a fabric engineered to sleep cool. The next layers include copper-infused memory foam and a responsive polyfoam. The support core has pocketed coils and a base layer of polyfoam for stability.
What We Don’t Like
Sleepers over 230 pounds, especially those who sleep on their back or stomach, are likely to find this mattress to be too soft. It offers less edge support than many hybrid mattresses.
Scoring Breakdown
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
Full Details
Construction Breakdown
The Leesa Oasis Chill Hybrid is available in a medium soft (4) or medium (5) design, and both feature three foam layers over a thick coil system. The top polyfoam layer is quilted into the cover and is infused with a cooling gel. This is followed by memory foam with a copper infusion intended to reduce heat retention. Beneath is another memory foam layer that cushions your body but is responsive enough to prevent deep sinkage. The coil system is zoned to deliver extra support and pressure relief where they’re most needed on your body.
Trial, Shipping, and Warranty
The Leesa Oasis Chill Hybrid comes with a 100-night sleep trial, and the bed is further backed by a 10-year warranty. Leesa offers free shipping to all 50 states.
Best Mattress for Back Pain
Nolah Evolution 15
9.2 /10
Test Lab Score
35% off mattresses + 2 free pillows
35% off mattresses + 2 free pillows
The Nolah Evolution 15 takes on back pain with a hybrid design that caters to sleepers who want a choice of firmness options. Its mix of responsive materials softly cradle pressure points so that your spine can stay aligned without unwanted bending or twisting.
Credit: Sleep Foundation Test Lab
Price
$1,624
Mattress Type
Hybrid
Firmness Options
Medium (5), Medium Firm (6), Firm (8)
Trial Period
120 nights (30-night requirement), $99 return pickup fee
Our Verdict
Who It’s Best For
The Nolah Evolution 15 is great for most sleepers because there are three firmness levels to choose from. Most people with back pain benefit from the luxury firm (6) or firm (8) model, but sleepers under 130 pounds may get the best results from the medium (5).
Feel
The Nolah Evolution 15 feels both stable and inviting with soothing support for the lower back and joints of the body. The firmness is medium (5), medium firm (6), or firm (8) based on the model you pick.
What It’s Made Of
The top four layers of the Nolah Evolution are all made with varieties of resilient polyfoam. The support core has pocketed coils featuring targeted zones for extra support.
What We Don’t Like
Many users have to buy a new sheet set so their fitted sheet will fit on the tall Nolah Evolution mattress. If you return the mattress, Nolah charges a $99 return shipping fee.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 897 validated customer reviews of the Nolah Evolution 15. This is what people who bought the mattress had to say:- Motion Isolation: Couples note the excellent motion isolation, which minimizes disruptions from partner movements during the night.
- Edge Support: The edge support of the mattress is frequently highlighted, with many finding it adequate for sitting or sleeping near the edge without feeling like they will roll off.
- Softness: Many reviewers discuss the softness of the mattress. Some find it too soft, causing discomfort, especially for heavier individuals, while others appreciate the plushness.
- Pressure Relief and Support: Reviewers frequently highlight relief from back and shoulder pain, attributing this to the supportive foam layers and zoned coil system.
- Heat Retention: A few reviewers note that the mattress retains heat, making it uncomfortable for some, particularly in warmer climates or for those who sleep hot.
- Durability and Quality: Users often comment on the high quality and durability of the mattress, noting that it maintains its shape and comfort over time.
Full Details
Construction Breakdown
The Evolution 15’s Euro-top is cushioned with a layer of open-cell polyfoam. A border gusset around this layer is intended to capture and dissipate body heat near the surface. Three additional foam layers make up the comfort system, including a comfort layer of proprietary AirFoamICE designed to promote additional cooling. The support core contains pocketed coils divided into three zones, resulting in more reinforcement for the midsection and softer cradling for the head, shoulders, and legs. The dense base layer is composed of plant-based material, and the entire mattress is encased in a cooling ArcticTex fabric cover.
Trial, Shipping, and Warranty
Six standard sizes are available, as well as a split king size for adjustable beds. Nolah offers free ground shipping throughout the contiguous U.S. All Evolution 15 purchases are backed by a 120-night sleep trial, but customers may opt out of the trial period and reduce their up-front costs. The mattress is also protected with a lifetime warranty against structural defects.
Best Mattress for Hip Pain
DLX Premier Hybrid
8.9 /10
Test Lab Score
Extra $100 off with code: SLEEP
Extra $100 off with code: SLEEP
The DLX Premier Hybrid delivers essential cushioning for the hips and keeps the whole body in a supported position that won’t exacerbate other pain points. Its bouncy feel prevents you from feeling stuck in bed, and different firmness levels give you options when selecting a mattress.
Price
$2,100
Mattress Type
Hybrid
Firmness Options
Medium Soft (4), Medium Firm (6), Firm (8)
Trial Period
120 nights (30-night requirement)
Our Verdict
Who It’s Best For
This mattress accommodates most to side and back sleepers who deal with hip pain. Since it comes in three firmness levels, most people can pick out a model that will provide the support they need.
Feel
The Premier Hybrid has a bouncy feel, allowing you to sleep on top of the mattress without sinking too deeply. How supportive it feels is directly tied to whether you pick the medium soft (4), medium firm (6), or firm (8) model.
What It’s Made Of
The Premier Hybrid has a cover quilted with cooling viscose fibers to help maintain a comfortable surface temperature. Polyfoam comfort layers relieve pressure while gently pushing back against your weight. In the support core, pocketed coils provide bounce and stability to keep your body on an even plane.
What We Don’t Like
Since the mattress contains thick foam layers, initial off-gassing can be somewhat strong. These odors eventually clear out, but the first few nights may be unpleasant.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
Full Details
Construction Breakdown
The DLX Hybrid’s three firmness levels share the same material composition, but each has a unique firmness level. Three foam layers — each one progressively denser from top to bottom — cushion your sore spots while gently pushing back against your weight. The result is a surface that offers the contouring of memory foam without too much hug.
Pocketed coils over base foam make up the Premier Hybrid’s support core. The perimeter coils are thicker to help you get in and out of bed with ease. A polyester cover quilted with moisture-wicking viscose fibers encases the mattress. At 14 inches thick, the Premier Hybrid is considered a high-profile model.
Trial, Shipping, and Warranty
The Premier Hybrid qualifies for free ground delivery throughout the contiguous U.S. DLX Mattress offers a 120-night sleep trial for all orders. Firmness exchanges are not permitted during this time frame. If you decide to keep the mattress after the trial concludes, it’s further backed by a lifetime manufacturer’s warranty.
Best Mattress for Spinal Alignment
Bear Elite Hybrid
8.5 /10
Test Lab Score
35% off + free pillows with code: SF35
35% off + free pillows with code: SF35
For people with arthritis, what the Bear Elite Hybrid brings to the table is a powerful combination of thoughtful design, specialty materials, and well-rounded performance. It gives targeted support to key areas of the body so that the spine stays in a neutral position, and the unique material in its cover helps the mattress stay comfortably cool.
Credit: Sleep Foundation Test Lab
Price
$1,499
Mattress Type
Hybrid
Firmness Options
Medium (5), Medium Firm (6), Firm (8)
Trial Period
120 nights (30-night break-in period)
Our Verdict
Who It’s Best For
This mattress is a great choice for sleepers looking for spinal support. People who find themselves sleeping hot appreciate its cooling features, and every sleeper can choose the firmness level that they like the most.
Feel
The Bear Elite Hybrid has either a medium (5), medium firm (6), or firm (8) feel. Our testers found that all models feel sturdy, lightly cradle pressure points, and contribute to healthy sleep posture.
What It’s Made Of
The top of this mattress is made with copper-infused memory foam that can contour to match the body’s weight. Next up is a layer of responsive polyfoam followed by dense polyfoam and innerspring coils. The cover’s Celliant fabric was fashioned to regulate temperature and aid muscle recovery.
What We Don’t Like
You may need to seek out a deep-pocketed fitted sheet to fit the Bear Elite Hybrid. After you remove its packaging, you are likely to detect an odor that can last for a few hours up to a couple of days.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 3703 validated customer reviews of the Bear Elite Hybrid. This is what people who bought the mattress had to say:- Comfort and Support: Many reviewers highlight the mattress’s balance of comfort and support, often mentioning relief from back pain and improved sleep quality.
- Firmness Options: Customers appreciate the various firmness options, with some opting for firmer versions after experiencing discomfort with medium firmness.
- Temperature Regulation: Several reviews note the mattress’s ability to stay cool, which enhances sleep quality, especially in hot weather.
- Size and Upgrade Options: Customers are pleased with the availability of different sizes and the option to upgrade, which provides flexibility for different needs and preferences.
- Quality of Additional Products: Positive remarks on the quality of accompanying products like pillows and sheets, which are often included as free additions.
- Motion Isolation: Many reviewers highlight the mattress’s excellent motion isolation, making it ideal for shared sleeping arrangements.
Full Details
Construction Breakdown
The bed starts with a quilted cover followed by a memory foam layer that closely contours to the body. A transitional polyfoam layer enhances the contouring but has a firmer feel than the memory foam. This helps support the body and prevents it from sinking into the bed. The support core is composed of pocketed coils that excel in support but also have a responsive feel. The coils are zoned to boost support to the lumbar area.
Trial, Shipping, and Warranty
Bear offers a 120-night sleep trial with the Elite Hybrid. If you keep the bed, you also receive a lifetime warranty. The mattress ships free to the contiguous U.S.
Best Organic Mattress
Birch Mattress
8.5 /10
Test Lab Score
25% off sitewide + 2 free Eco-Rest Pillows with mattress purchase. Code: WKFLSH
25% off sitewide + 2 free Eco-Rest Pillows with mattress purchase. Code: WKFLSH
There’s no questioning the eco-friendly bonafides of the Birch Mattress. With natural and certified organic materials, it not only upholds principles of sustainability but also delivers a compelling blend of joint support, temperature regulation, and overall comfort.
Credit: Sleep Foundation Test Lab
Price
$1,499
Mattress Type
Latex Hybrid
Firmness Options
Medium Firm (6)
Trial Period
100 nights (30-night requirement)
Our Verdict
Who It’s Best For
The Birch Mattress is right in your wheelhouse if you place a premium on a dependable mattress that is built with eco-conscious materials. With its firmness and performance characteristics, it also suits hot sleepers and most people over 130 pounds.
Feel
You’ll notice the bed’s medium firm (6) feel along with its cool-as-a-cucumber mattress surface. Its materials give it considerable responsiveness, gentle cushioning, and a steady level of edge support.
What It’s Made Of
Organic wool and organic cotton are sewn together to make the exterior of the mattress. The interior includes bouncy organic latex and durable pocketed coils that leave no doubt about the stability of the mattress as a whole.
What We Don’t Like
Not all sleepers prefer this firmness level, which can be too hard for people under 130 pounds who sleep on their side. Bounciness of the mattress surface can also lead to some motion transfer that can bother a bed partner.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 1917 validated customer reviews of the Birch Mattress. This is what people who bought the mattress had to say:- Comfort and Support: Many reviewers mention the mattress provides excellent support and comfort, particularly noting improvements in back and shoulder pain.
- Dual Firmness: The flippable design offering a choice between firm and soft sides is frequently appreciated, allowing users to customize their sleeping experience.
- Durability and Quality: Customers commend the high-quality, eco-friendly materials and construction, expressing satisfaction with the mattress’s durability and longevity. The use of organic and natural materials not only ensures comfort but also contributes to the mattress’s overall durability.
- Temperature Regulation: Customers appreciate the mattress’s ability to maintain a comfortable sleep temperature, attributing this to its natural and organic materials. The use of organic wool and natural latex contributes to effective temperature regulation, enhancing overall sleep quality. .
- Price: Opinions on the mattress’s price vary, with some finding it a good value and others considering it somewhat expensive.
- Weight and Maneuverability: The mattress is noted to be heavy, making it difficult to move or flip without assistance.
- Smell and Off-gassing: A few reviewers mention an initial off-gassing smell that dissipates over time.
- Edge Support: Mixed reviews on edge support, with some some noting it could be improved.
Full Details
Construction Breakdown
The mattress begins with a comfort layer of Talalay latex that conforms to the body without hugging too tightly while pocketed coils stabilize the entire mattress. A base layer of wool and rayon acts as a fire barrier while providing reinforcement for the coils. Extra-strength outer coils create strong perimeter support. This ensures added stability when you sleep near the edges of your mattress or get in and out of bed.
Eco-conscious shoppers should be drawn to this model due to its environmentally friendly composition. The latex has earned certification from the Rainforest Alliance, indicating the rubber trees that produce the latex have been sustainably grown. The cotton cover is certified as organic by the Global Organic Textile Standard, while the fire barrier is made of natural wool.
Trial, Shipping, and Warranty
Birch is one of the only online mattress brands to offer free ground shipping to customers in all 50 states. Each purchase is backed by a sleep trial that runs 100 nights in length, as well as a manufacturer’s warranty covering structural defects in the mattress for up to 25 years after you purchase it.
Looking for more information as you explore mattress options? Our picks for the overall best mattresses of 2025 have earned solid ratings across a variety of performance categories. Also, check out our best mattresses for back pain and other guides focused on helping you sleep comfortably.
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Best Overall
WinkBed
8.9 /10
Test Lab Score
Get $300 off all mattresses at Winkbeds
Shop at WinkBedsArthritis relief from a supportive mattress offered in four firmness levels.
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Best for Side Sleepers
Helix Midnight
9.1 /10
Test Lab Score
25% off sitewide + 2 free Dream Pillows with mattress purchase. Code: WKFLSH
Shop at HelixGentle cushioning of the hips and shoulders helps ease pain for side sleepers with arthritis.
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Best Value
Brooklyn Bedding CopperFlex Memory Foam
8.6 /10
Test Lab Score
30% off sitewide. Code: MLK30
Shop at Brooklyn BeddingAn affordable all-foam mattress with a balanced feel to soothe pain points and pressure spots.
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Credit: Sleep Foundation Test Lab
Best Luxury
Saatva Rx
8.7 /10
Test Lab Score
$300 off orders of $1,000 or more
Shop at SaatvaA luxurious hybrid serving up cloud-like comfort for people with arthritis.
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Best Pressure Relief
Leesa Oasis Chill Hybrid Mattress
8.5 /10
Test Lab Score
20% off + 2 free pillows with mattress purchase
Shop at LeesaMultiple layers work as a team to relieve pressure and alleviate inflamed joints.
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Best for Back Pain
Nolah Evolution 15
9.2 /10
Test Lab Score
35% off mattresses + 2 free pillows
Shop at NolahA hybrid that combats arthritis and back pain with targeted cushioning and support.
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Best for Hip Pain
DLX Premier Hybrid
8.9 /10
Test Lab Score
Extra $100 off with code: SLEEP
Shop at DLX MattressA responsive hybrid mattress that provides deep cushioning around the lower back and hips.
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Best for Spinal Alignment
Bear Elite Hybrid
8.5 /10
Test Lab Score
35% off + free pillows with code: SF35
Shop at BearDependable foam hybrid design promotes spinal alignment for people with arthritis.
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Best Organic
Birch Mattress
8.5 /10
Test Lab Score
25% off sitewide + 2 free Eco-Rest Pillows with mattress purchase. Code: WKFLSH
Shop at BirchThe best option for people with arthritis who value both sustainability and mattress quality.
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What You Should Consider in a Mattress for Arthritis and Joint Pain
While researching the best mattress for arthritis and joint pain, there are a few details you’ll need to keep in mind.
What Do You Need From Your Bed?
If you have arthritis, it’s important to choose a mattress that cushions tender areas without sacrificing support. Anyone looking for a mattress needs to think about the same factors – namely sleeping position, body weight, and personal preference. Ultimately, the most suitable mattress depends on the needs of the individual. Those with joint pain must add adequate pain relief to their list.
Though mattress preferences vary, those with arthritis typically enjoy some of the same characteristics in a mattress. A mattress with plenty of contouring can be beneficial, because it can cradle joints and evenly disperse weight to prevent pressure buildup. If you have joint pain, you may want to avoid a mattress that doesn’t have adequate spinal support or cushioning.
Reducing pain can mean a major difference for your sleep quality. Based on data from 160,000 Sleep Foundation profiles, roughly a quarter of respondents feel pain “often” or “always” — and the vast majority of these individuals say pain negatively affects their sleep. The most common pain-related issues include insufficient sleep, difficulty falling asleep, and difficulty staying asleep.
Mattress Type and Firmness
Though there are endless mattress material combinations, there are only several ways to combine those materials and most mattress constructions fall within a few certain types.
- Foam: All-foam beds usually adapt to your shape and cushion your body, which can be particularly helpful for people with joint pain. They isolate motion well and are excellent for those who like the feeling of a full-body hug. However, because they have support cores and comfort systems made entirely from foam, these mattresses tend to sleep warmer than other constructions.
- Latex: If you want a surface that’s both pressure-relieving and responsive, a latex mattress may be worth considering. These models are buoyant, slightly bouncy, and often quite cool. Natural latex is derived from tree sap and it’s often sustainably sourced and organic, which can cause latex mattresses to be expensive.
- Innerspring: Innerspring mattresses are well-known for their structure and responsive support and have long been a popular choice because of how affordable they are. These mattresses have a coil support core and typically a thin comfort layer to prevent you from feeling the springs. If you have joint pain, make sure to choose one with a pillow-top, Euro-top, or some other kind of cushioning. You may want to try a thicker mattress topper to add some comfort to an innerspring.
- Hybrid: Hybrid mattresses have a support core made from pocketed coils. Many manufacturers use the terms innerspring and hybrid interchangeably, though hybrid models have thicker comfort systems than innersprings. They’re highly versatile and usually regulate temperature well. You can find hybrids at many price-points, though they’re generally more expensive than both basic innersprings and foam mattresses.
Once you choose a mattress type, you’ll want to shift your focus to firmness level. We measure mattress firmness on a scale of 1 to 10. The softer mattresses have lower numbers while the firmer models have higher ones. If you experience joint pain, you should get a model that’s firm enough to support your weight while you’re in your preferred sleeping position. Although the best firmness level may vary person to person, a large 2003 trial showed that a medium-firm mattress can help alleviate individuals with back and joint pain the most.
Your body weight can also play a part in joint pain during sleep as well as the firmness to the mattress. If you weigh more than 230 pounds, you may want to search for a firmer mattress that can distribute your weight evenly to minimize pressure points.
How Does Sleeping Position Affect Joint Pain?
If you sleep in a position that puts strain on your joints, lower back, or spine, you could wake up with increased pain and discomfort. The best sleeping position for joint pain is one that minimizes pressure points and evenly distributes your weight while protecting your spine. Doctors generally agree that side and back sleeping are better than stomach sleeping because they’re more supportive of your spine. “While sleeping laterally, adding a pillow in between your knees can help align the spine, give additional support and prevent joint pain.” says Dr. Guo.
| Weight | Side Sleepers | Back Sleepers | Stomach Sleepers |
|---|---|---|---|
| Less than 130 lbs. | Soft (3) to Medium (5) | Soft (3) to Medium (5) | Medium Soft (4) to Medium Firm (6) |
| 130 to 230 lbs. | Medium Soft (4) to Medium (5) | Medium (5) to Firm (7) | Medium (5) to Firm (7) |
| More than 230 lbs. | Medium Firm (6) to Firm (7) | Firm (7, 8) to Extra Firm (9) | Firm (7, 8) to Extra Firm (9) |
Cushioning and Pressure Relief
While most sleepers enjoy a mattress with cushioning and pressure relief, they are particularly important qualities for people with joint pain or arthritis. A pressure-relieving mattress adapts to the body’s shape and absorbs weight without sagging. Materials like latex and foam cradle joints and prevent joint stress because they cushion the body while also supporting it.
Edge Support and Ease of Movement
Being able to get into and out of bed as well as easily move around on a mattress’ surface is important for people with pain and mobility issues. Some models give sleepers the feeling that they’re sunken “in” the mattress rather than “on” it, and they restrict movement, leaving sleepers feeling like they’re being hugged by their mattress. While some people like this sensation, it’s not ideal for those with restricted mobility, because it can make getting in and out of bed difficult.
A mattress with strong edge support and an even surface with plenty of pushback can make it easier to move around. Look for models with a reinforced perimeter and responsive surface if you have concerns about moving on your mattress.
Shipping and Delivery
If you buy a mattress online, read the shipping and delivery fine print thoroughly. Many manufacturers ship mattresses in a box, which is convenient but requires planning, especially if you’re not able to lift and move the box yourself.
Ask a friend or partner to help set up your bed, or consider hiring a service to deal with the heavy lifting. If it’s offered, White Glove delivery may be worthwhile. This service involves a delivery team setting your new mattress up and possibly removing your old mattress. Some companies offer White Glove delivery for free, while others have it for an added fee.
Trials and Warranties
Most mattress companies offer a sleep trial window that allows you to test a mattress and send it back for a full or partial refund if you don’t like it. Some even allow you to switch between models with different firmness levels during this timeframe, which can be particularly helpful for people with joint pain.
However, not all manufacturers are transparent about trial terms. Check the fine print to learn if returns incur costs such as return shipping fees, and read customer reviews to see how a company deals with trials in real life. It’s also important to read about a bed’s warranty to find out what issues it covers and whether it’s pro-rated or not.
How Much of an Investment Do I Need to Make?
Budget-friendly mattresses may cost just a few hundred dollars. These models often offer strong pressure relief and good support, but some may be more prone to forming impressions over time. Higher-priced models may seem like a big investment, but quality materials and construction can help the mattress last longer, which may make it a better value in the long run. Natural versus synthetic materials can also play a difference in price though there are benefits and downsides to both. Direct-to-consumer mattresses sold online are often less expensive, since the manufacturer isn’t paying for showrooms and additional staff. These “mattress in a box” models are comparable to those sold in brick-and-mortar stores in terms of construction and performance.
Why Buy a New Mattress?
Sleepers invest in new beds for different reasons, whether it’s to help alleviate painful pressure buildup or simply to upgrade an old bed. “We spend about one-third of our lives sleeping. A good mattress is one of the most important investments we can make. “ says Dr. Guo. We asked thousands of Sleep Foundation readers why they purchase new mattresses. Below are three of the top reasons from our poll.
Tips for Sleeping Comfortably With Arthritis and Joint Pain
Sleeping more comfortably through the night is possible, even if you have arthritis and joint pain. There are several easy and inexpensive ways to make your bed more comfortable and supportive.
“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.
Talk to Your Doctor
Your doctor should be the first stop on the road to relief from arthritis symptoms. While our team of experts has thoroughly tested each mattress, our advice is not a substitute for medical treatment. Your healthcare team knows your specific needs and can create a plan that helps alleviate sleep-related pain.
Invest in a Mattress Topper or Pad
Using a mattress pad or topper is an easy and inexpensive way to extend your current mattress’ lifespan or change its feel. Pads are thinner than toppers and are often used for mattress protection and subtle changes. Toppers tend to be 2 to 4 inches thick and can give more support and alter a mattress’ firmness level.
You can find toppers designed to increase support or enhance pressure relief, two important factors for people with arthritis. If you want pain relief but like your mattress’ overall feel, consider a heated mattress pad that can help loosen joint tension.
Use Extra Pillows for Support
Before purchasing an entirely new mattress, try strategically using pillows for extra support. If you’re a side sleeper with knee pain, a pillow between your knees can align the spine and ease pressure while extending additional support to your hips. One pillow under the knees can be similarly beneficial for your lower back if you’re a back sleeper.
Body pillows can also take stress off your hips, shoulders, and knees, especially if you’re a side sleeper and you use it lengthwise from head to toe. Neck, or cervical, pillows can bridge the gap between your shoulders and head and ensure that your neck doesn’t curve where your head meets the pillow.
How We Test: Your Comfort Is Our Science
Our industry-leading product testing team cares deeply about improving your sleep. Having a holistic understanding of a mattress’s role as part of a sleep system is paramount to our testing process. Since a bed’s comfort and feel depend largely on body weight and sleeping position, our testing team represents a wide range of body types, sleep positions, and comfort preferences.
In our Seattle-based Test Lab, we use an objective, hands-on process to evaluate mattresses across performance categories. The following are the key guidelines that inform our performance ratings. Our ultimate goal is to ensure you have all the information you need to make the best purchase decision for you.
Construction analysis: We begin testing each mattress by analyzing its design and making note firmness, height, individual layer composition, and sticker price. This allows us to evaluate qualities like support, durability, and value.
Product testing: Firsthand testing is crucial to our evaluation and ratings system. We use a wide range of tools and technology to test mattresses in six performance categories: motion isolation, pressure relief, temperature control, ease of movement, edge support, and odor potential.
Field testing: In addition to lab-based tests, we base our ratings on feedback from field testers who use the mattresses in their own homes. They spend several weeks collecting data — this gives us insights into how the mattress performs night after night for an extended period.
User testing: We curate feedback verified owners have provided in surveys, sleep stories, and product reviews. This helps us evaluate our initial findings and, if needed, tweak our ratings to reflect real-world experiences.
So How Did We Pick the Best Mattress in Canada?
Like other mattresses our team has tested, we ran the Canadian models on this list through a barrage of hands-on tests to measure qualities like pressure relief, temperature control, motion isolation, and edge support. Testers also took turns lying on the mattresses to evaluate how comfortable and supportive they felt for different sleep positions and body weights. The final list of top picks reflects our team’s findings. We limited our selections to mattresses produced in Canada, though some models are available to shoppers in the U.S. and other countries.
How We Determine Our Overall Scores
To determine a mattress’s overall score, we assign weighted percentages to performance categories based on how important they are to the individual sleep experience. For instance, areas like pressure relief and temperature control tend to matter more to people than something like off-gassing, and because more people sleep on their side and back than on their stomach, we weigh those positions more heavily.
Performance Categories
Motion Isolation
This criteria alludes to the amount of motion a mattress absorbs when a sleeper moves on the surface. We use two testers lying side by side to evaluate motion isolation, who each feel for transfer while the other person moves on the mattress.
Temperature Control
To determine how well a mattress regulates temperature, we perform temperature tests and look closely at its materials and construction. Many mattresses are designed with cooling components meant to reduce heat retention.
Pressure Relief
A bed with strong pressure relief excels at preventing pressure from building up in areas like the shoulders and hips. Beds with even contouring and weight distribution are top performers when it comes to pressure relief.
Off-Gassing
A mattress in a box may release unpleasant chemical odors for a short period after you’ve unboxed it. The initial smell may be strong but typically fades within 2 or 3 days.
Ease of Movement
This criteria reflects how easily a sleeper can move across a bed’s surface. Responsive surfaces made of latex typically perform better than foam surfaces, which can inhibit movement.
Edge Support
We perform sit tests along a bed’s perimeter to measure how well the edges push back against weight. Mattresses with strong edge support have minimal sagging when sleepers sit on or lie close to the perimeter.
Dive Deeper – In-Depth Mattress Guides
If you need further help choosing a mattress that checks all of your boxes, you can read through our detailed guides broken down by mattresses for your particular requirements.
Best Mattress by Specific Purpose
Mattresses for Arthritis FAQ
While a mattress may not affect your arthritis’ overall severity, an unsupportive bed can worsen symptoms and make you uncomfortable.For example, a mattress that allows your spine to become misaligned can put stress on your joints. Choose a mattress that has the right firmness level for your body weight and sleeping position to avoid this issue.
The best type of mattress for arthritis is a model that promotes an aligned spine while cushioning the joints. Mattresses that are easy to move around on can also be beneficial because you don’t have to use extra effort to shift sleeping positions or get in and out of bed. The right hybrid, innerspring, foam, and latex mattresses for your body type and sleep position preference can all offer these benefits.
A firm mattress may be good for arthritis as long as it’s the right firmness level for your body weight and it has adequate cushioning for your joints. Although research shows a medium-firm mattress best alleviates back pain there is no one-size-fits-all perfect mattress firmness. Sleeping position can also play a role where generally back sleepers tend to feel more comfortable on a firmer mattress compared to side sleepers. You should purchase one that’s right for your weight and sleeping position. If you’re a side sleeper or weigh less than 130 pounds, a firm mattress may cause discomfort.
The best sleeping positions for arthritis are typically back or side sleeping because they minimize joint stress while keeping your spine in a healthy posture. Stomach sleeping can increase discomfort because it’s tricky to support your back and neck properly while you’re in this position. Back and side sleeping can also cause discomfort in the lower back, hips, or knees, but it’s typically easier to maintain an even spine while sleeping in these positions.
Still have questions?
Our product experts have extensive experience testing just about every sleep product on the market.
Send an email to [email protected] with your questions and we’ll help you find exactly what you’re looking for.
Logan is a Certified Sleep Science Coach with a deep understanding of what it means to struggle with sleep. Her years of experience researching and testing sleep products – including mattresses, natural sleep aids, and bedding – are critical to her role helping lead the editorial team. As a chronic insomniac, she aims to bring her findings to anyone struggling with getting adequate rest. Her expertise is in creating informative, trustworthy, and useful health content. When she’s not testing mattresses or researching CBT-I, she enjoys spending time in the sunshine with her husband and her dogs Pepper and Winston.
Dr. Iyo is a Doctor of Physical Therapy at an orthopedic clinic in Seattle. She specializes in hands-on therapy and tailored exercise programs.