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Many a mattress to choose from, but if you live with fibromyalgia, focus on the symptoms affecting you most while shopping. We’ve named our top picks below.

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

On top of that, research from 2015 indicated 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.

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

Types of mattresses for fibromyalgia

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

  • Foam: Foam mattresses are coil-free and typically made of memory foam, gel foam, or latex foam. They provide good pressure relief and motion isolation. Gel foam is known to be cooler than memory and latex, while latex is known for preventing the “sinking in” feeling of memory foam.
  • Hybrid: Hybrid mattresses are a cross between innerspring (traditional mattresses made with spring coils) and foam mattresses. The coils allow some bounce and pressure point relief, while the foam provides extra comfort and support.
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  • 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.
  • Additionally, all our mattress picks meet federal safety requirements. Many of them are made of components that are certified safe from a reputable third party and comply with socially and environmentally responsible standards.

Consider what FM symptoms are affecting your sleep quality most:

  • Back and neck pain: Back and neck pain are quite common in people with FM. The pain can make sleeping extremely challenging. A 2019 review of studies indicated 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 intensely, 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 indicated 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 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.

It depends on your sleeping position. If you sleep on your side, a mattress that’s too firm may increase pressure and pain points. But if you’re a back or stomach sleeper, a mattress that’s too plush may not offer enough support to help keep your body aligned or help prevent pain.

Yes, the original Purple mattress can offer support for hip and shoulder pain that people living with fibromyalgia may experience. We also recommend the Purple Premier for even more support if you’re willing to splurge. However, both mattresses’ gel grid may take some getting used to.

We chose the Temper-Pedic Tempur-Adapt as a good option if being easily awakened is a key symptom you’re dealing with. The mattress offers good motion isolation and cooling features that can help hot sleepers as well.

Yes, but it’s key to purchase a mattress brand that stresses breathable foam and adds cooling materials to avoid contributing to hot body temperatures. Additionally, if you’re a back or stomach sleeper, you may prefer a hybrid model with a little more support so your hips and shoulders do not sink out of alignment.

While there isn’t a one-size-fits-all approach to treating fibromyalgia, research from 2016 suggests that healthy sleep hygiene habits (such as going to bed at the same time, keeping your room cool, and avoiding screens at night) and exercise can help improve sleep quality. There are also medications doctors can prescribe to help address pain and sleep issues.

Getting quality sleep is a must for people with fibromyalgia — even if it feels super hard to come by.

While the right mattress might not help alleviate symptoms on its own, finding one that considers your most troublesome symptoms can be a great step toward better sleep.

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