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Best Mattresses for Arthritis – 2019 Reviews and Buyer’s Guide

Our Research

147
Mattresses Considered
140
Hours of Research
10
Mattress Executives Interviewed
5
Sleep Experts Consulted

Quick Overview

Arthritis comes in more than 100 forms, from bone cartilage deterioration to inflammation of the knees, ankles, and feet. All varieties are characterized by similar symptoms like pain, stiffness, swelling, and decreased range of motion. To ease such symptoms—rather than making them worse—there are certain characteristics and features shoppers should look for in a bed.

Best Mattresses for Arthritis

For more on choosing a suitable mattress for arthritis, refer to the guide below. We’ve included recommendations on the best mattresses for arthritis available in 2019, in addition to a buying guide that explains what to look for in a bed and other tips for improving sleep when you have arthritis.

Our Top 6 Picks

Editor's Pick – The WinkBed

Editor's Pick – The WinkBed

Highlights

  • Multiple firmness options (4.5, 6.5, 7.5)
  • 120-night sleep trial
  • Lifetime warranty
  • Extra support and pain relief
  • Cool and comfortable for most
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Editor’s Pick Overview

A combination of gel foam and coil-on-coil, the WinkBed mattress comes with a number of features ideal for sleepers suffering from arthritis. The WinkBed is built with a Euro-top layer for added padding, followed by hypersoft foam and gel memory foam comfort layers, foam-encased minicoils, and a compressed-cotton pad for extra lumbar support.

The support core features high-profile pocketed coils over a high-density foam foundation. The bed is wrapped in a breathable cover and features a foam encasement around the perimeter for added edge support.

Largely thanks to its Euro top, the WinkBed is able to offer superior pressure relief and contouring—essential for helping to ease ache and pains in sensitive joints. Fairly responsive, the WinkBed allows for a high degree of freedom of movement, which is helpful for chronic pain sufferers who tend to shift sleeping positions often throughout the night.

The WinkBed also offers decent temperature neutrality, ideal for arthritis sufferers who are particularly sensitive to the heat and cold. The mattress produces minimal noise and delivers above-average motion isolation compared to other innerspring and hybrid beds—another important consideration for sleepers with arthritis, who may be especially sensitive to both noise and motion.

For what is considered to be a luxury bed, the WinkBed comes with a reasonable price point. The company offers free shipping to destinations across the contiguous U.S.

Good for:
  • Every type of sleeper (side, back, stomach, combination)
  • Sleepers in all weight groups (light, average, heavy)
  • Back pain sufferers
  • Those who tend to sleep hot

Best Value – Nectar

Best Value – Nectar

Highlights

  • Medium Firm (6)
  • 365-night sleep trial
  • Lifetime warranty
  • Excellent motion isolation and pressure relief
  • Sleeps cooler than most foam beds
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Best Value Overview

It’s hard to beat the value of the Nectar bed. This foam mattress features quality memory foam for a significantly lower-than-average price point.

The bed combines 8 inches of polyfoam in its support core, with comfort layers of 1” gel memory foam and 3” memory foam, all encased in a Tencel® Lyocell and cotton cover. Sleepers won’t sink in quite as deeply with the Nectar bed as they will with other memory foam mattresses, but this mattress still provides more than adequate relief for arthritis sufferers. Moreover, the Nectar makes up for its lack of sink-in with a comparably cooler sleep surface, thanks to gel in the comfort layer.

When it comes to comfort, the mid-level firmness makes the Nectar a soft of Goldilocks bed. Sleepers of all sizes and sleep positions rate the mattress favorably (with the exception of lightweight stomach sleepers, who may find the mattress a bit too firm).

The quality of the polyfoams in the Nectar bode well for its longevity. This is a durable mattress that will last 7 to 8 years. Adding to its value are the lifetime warranty and incredibly long sleep trial, at 365 nights. The Nectar ships free within the contiguous U.S.

Good for:
  • Side and back sleepers
  • Sleepers in all weight groups (light, average, heavy)
  • Value seekers
  • Those who tend to sleep hot

Best Luxury – Loom & Leaf

Best Luxury – Loom & Leaf

Highlights

  • Free White Glove delivery & old mattress removal
  • Multiple firmness options (5.5, 8)
  • 120-night sleep trial
  • 15-year warranty
  • Superior pressure relief and contour
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Best Luxury Overview

The Loom & Leaf is a soft mattress that cushions and cradles pressure points, relieving joint and hip pain.

Like most memory foam beds, the design of the Loom & Leaf mattress focuses on contour over coolness. A support core of 7.5” of quality polyfoams is topped by a 2.5” gel memory foam and 2” memory foam layer, all beneath an organic quilted cotton cover. While the gel and breathable cotton cover lend some temperature regulation to the sleep surface, some people still find the bed sleeps hot.

The Loom & Leaf mattress performs exceptionally well among side sleepers, but sleepers of all sleep positions find this mattress comfortable. The mattress is available in Firm (which is really a Medium, at 5.5) and Relaxed Firm (8) options, providing sufficient give and contour no matter your body weight.

The Loom & Leaf stands out for being one of the few memory foam mattresses sold online that doesn’t arrive compressed in a box at your front door. Saatva, the makers of the Loom & Leaf, include White Glove delivery and removal of your old mattress for free with every mattress purchase.

The quality construction and materials, along with excellent customer service, lend this bed a higher-than average price point, but the comfort makes it worth it. The Loom & Leaf also comes with a longer-than-average 120-night sleep trial and 15-year warranty.

Good for:
  • Side and back sleepers
  • Sleepers in all weight groups (light, average, heavy)
  • Back pain sufferers
  • Couples

Best for Lightweight Sleepers – Layla

Best for Lightweight Sleepers – Layla

Highlights

  • Dual-sided with multiple firmness options (4, 7)
  • 120-night sleep trial
  • Lifetime warranty
  • Cooling copper infusion aids circulation
  • Good conforming and pressure relief
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Best for Lightweight Sleepers Overview

The Layla is a flippable mattress with different firmness levels on each side. One side is ‘Medium Soft’ (4) level and the other is ‘Firm’ (7), making it suitable for most sleepers regardless of their weight or preferred position.

Both sides feature memory foam infused with copper, which helps cool down the mattress and promote better bloodflow in sleepers with poor circulation. The ‘Medium Soft’ end features a layer of convoluted support foam that acts as an additional barrier between the body and the bed’s high-density polyfoam support core. The Layla includes a removable, cooling thermogel cover.

The Layla’s memory foam construction provides above-average pressure-relief throughout the body. Though memory foam mattresses are notorious for sleeping hot, the cooling copper infusion combined with the thermogel cover promotes temperature neutrality. Like other memory foam beds, the Layla also produces zero noise and provides great motion isolation.

The Layla has a below-average price point and the mattress will ship for free anywhere in the contiguous U.S. It is backed by a 120-night sleep trial and a lifetime warranty.

Good for:
  • Every type of sleeper (side, back, stomach, combination)
  • Sleepers in all weight groups (light, average, heavy)
  • Those who tend to overheat during the night
  • People with poor circulation

Best for Average Weight Sleepers – Tuft & Needle Mint

Best for Average Weight Sleepers – Tuft & Needle Mint

Highlights

  • Medium Firm (6)
  • 100-night sleep trial
  • 10-year warranty
  • All-foam bed with cooling comfort layers
  • Below-average price point
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Best for Average Weight Overview

People weighing between 130 and 230 pounds typically prefer mattresses with moderate firmness and body conforming. Mattresses that are too soft may sink excessively, leading to poor spinal alignment and added aches and pains, while excessively firm beds do not conform closely enough to target high-pressure areas of the body.

The Tuft & Needle Mint is a true Medium Firm mattress, the ideal firmness rating for sleepers of average weight (between 130 to 230 pounds). The construction and design of the bed also have broad appeal for a variety of sleepers. As an all-foam bed, the Mint mattress cradles and hugs your body, providing pressure point relief whether you sleep on your back, stomach, or side.

To prevent the bed from trapping heat, the bed includes gel and charcoal in the comfort layer, so even hot sleepers can find this foam mattress comfortable. Finally, the Tuft & Needle Mint’s all-foam construction offers superior motion isolation and a virtually-silent sleep surface, so couples can sleep sound even if their partner moves during the night.

The Tuft & Needle Mint comes with a 100-night sleep trial and 10-year warranty. The bed ships free throughout the contiguous U.S.

Good for:
  • Every type of sleeper (side, back, stomach, combination)
  • Couples
  • Those who tend to sleep hot
  • Value seekers

Best for Heavyeight Sleepers – Saatva

Best for Heavyeight Sleepers – Saatva

Highlights

  • Free white glove delivery & old mattress removal
  • Multiple firmness options (4, 6, 7.5)
  • 120-night sleep trial
  • Above-average pain and pressure relief
  • Excellent edge support
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Best for Heavyweight Overview

The Saatva innerspring features a complex coil-on-coil construction designed for pressure-relief and support. The bed is topped by a Euro-top padding layer over comfort layers of polyfoam, memory foam, and pocketed minicoils.

These components allow the bed to isolate more motion transfer and produce less noise than most competing innersprings. The support core features bonnell steel coils encased in foam, which reinforces the entire bed and helps prevent sinkage around the edges.

The Saatva is available in three firmness settings – ‘Medium Soft’ (4), ‘Medium Firm’ (6), and ‘Firm’ (7.5), as well as 11 1/2″ and 14 1/2″ profiles. This firmness and thickness range should accommodate most sleepers with arthritis regardless of their weight or position.

Side sleepers and those weighing less than 130 pounds tend to prefer the softest setting, which offers close conforming and alleviates pain in areas affected by arthritis. Heavier people and back/stomach sleepers may receive better support from the firmer options.

Saatva offers free White Glove Delivery with mattress removal anywhere in the contiguous U.S. The mattress is backed by a 120-night sleep trial and a 15-year warranty.

Good for:
  • Every type of sleeper (side, back, stomach, combination)
  • Sleepers in all weight groups (light, average, heavy)
  • Those who tend to sleep hot
  • People who prefer beds with thick profiles

Buying Guide – Choosing a Mattress that Offers Arthritis Relief

Although a bed can impact the sleep, comfort, and overall health of all sleepers, a quality mattress is particularly essential for those suffering from arthritis. Plagued by chronic joint pain and inflammation, sleepers with arthritis may find the type of mattress they use can directly alleviate or aggravate their symptoms.

This guide offers mattress-buying tips for people with arthritis. Read on to learn about helpful mattress features and important shopping considerations.

What is Arthritis?

‘Arthritis’ is a blanket term for the more than 100 conditions related to join inflammation and chronic pain. Depending on the type of arthritis, the condition may be caused by a physical injury, bacterial infection, or another underlying disease or condition. The cause is unknown for certain types of arthritis, such as rheumatoid arthritis. According to the Mayo Clinic, risk factors for arthritis include:

  • Genetic history: Some — but not all — forms of arthritis run in families. Nevertheless, individuals are considered at greater risk of developing arthritis is a parent or sibling also has the condition. Genetics may also predispose people to physical problems that can trigger arthritis.
  • Age: Elderly people are considered at greatest risk of severe arthritis, since most forms of the condition are degenerative and will worsen over time. Young children are at-risk for developing certain types of arthritis as well, including infectious arthritis.
  • Sex: Women are much more likely to develop rheumatoid arthritis than men, while males are at a higher risk of developing other types of arthritis, such as gout.
  • Injury: People who injure a joint are much likelier to develop arthritis in that joint, as well as neighboring joints.
  • Weight: Obese people are considered at greater risk of developing arthritis due to the added stress of extra weight on the knees, hips, and spine.

Because there are so many different types of arthritis, it’s important to note differences in causes, symptoms, diagnostic procedures, and other factors. The table below provides detailed information about five of the most commonly diagnosed forms of arthritis.

Type of Arthritis Osteoarthritis Rheumatoid Arthritis Infectious Arthritis Psoriatic Arthritis Gout
Overview Inflammation of the joints and deterioration of bone cartilage, but minimal risk of affecting organ systems Inflammation of joints on both sides of the body and deterioration of joint lining (synovium) Inflammation of joints brought on by a bacterial infection Joint inflammation that occurs in people with psoriasis, a skin disease characterized by red, scaly rashes throughout the body Severe joint pain usually concentrated in the knees, ankles, and toes
Risk Factors
  • Old age Obesity
  • Physical trauma
  • Joint abnormalities
  • Females who have never been pregnant
  • Old age
  • Young or old age
  • Open wounds
  • History of intravenous drug use
  • Psoriasis diagnosis (10% to 30% of patients)
  • Age (30 to 50)
  • Physical injury
  • Smoking and/or alcohol use
  • High blood pressure
  • Obesity
  • Diabetes
  • Causes
  • Primary osteoarthritis is usually caused by aging
  • Secondary osteoarthritis may be caused by other diseases or conditions (such as obesity or diabetes)
  • Causes unknown
  • Bacterial infection from medical procedure
  • Staphylococcus Streptococcus Hepatitis, HIV, herpes, mumps, and other preexisting conditions
  • Occurs in people with psoriasis when their immune system misidentifies and attacks healthy joints and tissue Uric acid buildup in the bloodstream
    Symptoms
  • Chronic pain
  • Swollen, warm, or creaking joints Pain and stiffness after periods of inactivity
  • Joint pain and swelling
  • Severe stiffness after periods of inactivity (such as sleep)
  • Fatigue
  • Loss of appetite
  • Symmetrical joint pain (both sides of body affected equally)
  • Chills
  • Fatigue
  • Fever
  • Limited range of motion in affected joint areas
  • Swollen and/or warm joints
  • Warmth and redness at affected joints in both sides of body (polyarticular) or one side of body (oligoarticular)
  • Light sensitivity
  • Shortness of breath
  • Depressions (‘pits’) in fingernails and toenails
  • Severe joint pain in the early morning or late night
  • Redness or tenderness at swelling
  • Most Commonly Affected Joints Knees, spine/lower back, and weight-bearing joints Hands, wrists, knees, and ankles Weight-bearing joints (i.e. knees or hips) Hands, wrists, elbows, shoulders, knees, ankles, feet, and spine/lower back Knees, ankles, toes, elbows, and fingers
    Complications Enlarged or malformed fingers and toes Complete deterioration of bones and cartilage
  • Permanent joint impairment
  • Death
  • Permanent joint damage
  • Chronic fatigue
  • Painful and damaged joints
  • Longer flare-up episodes
  • Pain in other areas
  • Lumps beneath the skin
  • Kidney failure
  • Diagnostic Procedures
  • Arthrocentesis procedure: fluid is drawn from the affected joint using a surgical needle
  • Blood tests
  • X-ray
  • No specific test
  • Physical exam
  • Blood tests
  • Imaging tests
  • No specific test
  • Arthrocentesis procedure: fluid is drawn from the affected joint using a surgical needle
  • X-ray
  • Ultrasound
  • Blood test
  • Physical exam
  • Blood tests
  • Imaging tests
  • No specific test
  • Joint fluid test
  • Blood test
  • X-ray
  • Ultrasound
  • Number of Patients (U.S.) 27 million 3 million 16,000 4 million 8 million
    Treatment Options
  • OTC and prescription medication
  • Exercise
  • Weight loss
  • Dietary improvements
  • OTC and prescription medication
  • Exercise
  • Weight loss
  • Corrective surgery
  • Antibiotics and fluid drainage (arthroscopy)
  • OTC and prescription medication
  • Dietary improvements
  • Corrective surgery
  • OTC and prescription medication
  • Dietary improvements
  • How Does Arthritis Affect Sleep?

    There is a strong link between chronic joint pain and non-restorative sleep. People who have a hard time falling or staying asleep due to aches and pains may experience fatigue, trouble focusing, and mood swings during the day. They generally require a mattress that provides a flat, even surface and close conforming to alleviate pain and pressure in their sensitive areas.

    People with certain types of arthritis, such as infectious arthritis, may also experience symptoms that make it harder to fall asleep. These include sensitivity to temperature, motion transfer, and noise.

    Mattress Considerations for People with Arthritis

    When shopping for a new mattress and comparing different brands and models, people with arthritis should take the following factors into account:

    Support

    Mattress ‘support’ refers to how well the bed maintains a flat, level surface beneath the sleeper’s body. Ideally a mattress should be able to provide sufficient support for people of different weights and body types, but some models sag beneath heavier areas of the body. Excessive firmness or softness can make mattresses feel less supportive,

    Conforming Ability

    ‘Conforming’ refers to the way some mattresses will mold to contours of a sleeper’s body. Closely conforming mattresses can help align the spine and alleviate pain and pressure in sensitive areas. However, some mattresses do not conform as closely to some areas as others, and this can lead to a lack of support and increased pain and pressure throughout the body.

    Firmness

    ‘Firmness’ refers to how soft or firm the mattress feels to different sleepers. Some mattress models are available in multiple firmness options, while others are designed for one firmness only. The three general categories for mattress firmness are:

    • Soft (1-3): Most sleepers sink deeply into the mattress. This is usually the most comfortable firmness option for people who weigh less than 130 pounds. People who weigh more than 130 pounds may experience excessive sinking, which can reduce mattress support and lead to more aches and pains.
    • Medium (4-6): Some sleepers sink deeply into the mattress. This option provides sufficient support for most weight groups, but those who weigh more than 230 pounds may still sink too deeply and experience more pressure and pain.
    • Firm (7-9): Few sleepers sink deeply into the mattress. This is typically the best option for people who weigh more than 230 pounds. Those who weigh less than 130 pounds may not weigh enough to experience any conforming, and this can lead to more pain and pressure.

    Durability

    The average mattress (regardless of construction type) will perform for at least six years, and some perform for up to eight or nine before they should be replaced. However, some mattresses are susceptible to sagging and indentations after a few years; this can increase pain and pressure for sleepers.

    Motion Isolation

    People with arthritis often experience chronic joint pain that makes them more sensitive to motion in bed. Some mattresses are designed to absorb and isolate motion to certain areas of the sleep surface. Other, more responsive mattress types offer little to no motion isolation.

    Noise

    In addition to motion, people with severe arthritis may be sensitive to noise when trying to fall asleep. Some mattresses produce little to no noise when bearing weight, but others feature coils, electrical components, and other parts that can creak, squeak, or rattle.

    Temperature Neutrality

    Some types of arthritis (namely infectious arthritis) can make people sensitive to heat or cold. Mattresses that are temperature-neutral will not sleep excessively warm or cool, and may be beneficial to individuals who tend to sleep hot or cold. Other mattresses are associated with sleeping hot and/or cold, and may not be the best option for people who are temperature-sensitive.

    Ease of Movement

    Chronic pain can cause people to roll over in their sleep and shift positions throughout the night. Mattresses that offer little resistance tend to be the most comfortable option, while those that cause deep sinking can make it harder to move in bed.

    Sleep Trial

    Most mattress brands and retailers offer ‘sleep trials’ for new mattresses that allow customers to test out their mattress for a pre-agreed length of time, anywhere from 30 to 365 consecutive nights (depending on the seller).

    If the customer is not satisfied with the mattress before the sleep trial ends, he or she will be able to return or exchange their mattress for a full or partial refund.

    Sleep trials can be quite advantageous for people with arthritis who are not sure which mattress brand/model is best for them.

    Warranty Coverage

    Excessive sagging or indentations in the sleep surface will qualify as a mattress defect under most manufacturer’s warranties. The vast majority of today’s mattress warranties include a specific measurement that is used to determine whether sagging or indentations represent a defect or standard wear and tear.

    Sagging and indentations that measure more than an inch deep are associated with significantly more pain and pressure than those that measure one inch or less. For this reason, people with arthritis should review the mattress warranty to ensure they will be able to have their mattress repaired or replaced if sagging and indentations become deeper than one inch.

    What Mattress Types Are Best/Worst for People with Arthritis?

    Some mattress types are more suitable than others for sleepers with arthritis. The next table lists construction details, Tuck performance ratings, and more information about the five most common mattress types that may be relevant for individuals with arthritis.

    Mattress Type Innerspring Foam Latex Hybrid Airbed
    Construction
  • Foam comfort layer(s)
  • Steel coils and high-density foam in the support core
  • Polyfoam and/or memory foam comfort layer(s)
  • High-density polyfoam layer(s) in the support core
  • Latex comfort layer(s)
  • Latex or high-density polyfoam layer(s) in the support core
  • At least 2 in. of memory foam or latex in the comfort layer, as well as other components (such as polyfoam or minicoils)
  • Pocketed coils in the support core
  • Foam comfort layers or no comfort layer
  • Adjustable air chambers in the support core
  • Support Fair to Good Fair to Good Good to Very Good Good to Very Good Good to Very Good
    Conforming Poor to Fair Good to Very Good Fair to Good Fair to Good Fair to Good
    Firmness Options Fair to Good Good to Very Good Good to Very Good Good to Very Good Good to Very Good
    Durability Poor to Fair Fair to Good Good to Very Good Fair to Good Good to Very Good
    Light Sleeper Rating (Less than 130 lbs) Fair to Good Fair to Good Good to Very Good Poor to Fair Fair to Good
    Average Sleeper Rating (130 to 230 lbs) Poor to Fair Good to Very Good Good to Very Good Good to Very Good Good to Very Good
    Heavy Sleeper Rating (More than 230 lbs) Poor to Fair Fair to Good Good to Very Good Good to Very Good Good to Very Good
    Motion Isolation Poor to Fair Good to Very Good Good to Very Good Fair to Good Fair to Good
    Noise Poor to Fair Good to Very Good Good to Very Good Good to Very Good Good to Very Good Fair to Good Poor to Fair
    Temperature Neutrality Good to Very Good Poor to Fair Fair to Good Good to Very Good Fair to Good
    Ease of Movement Good to Very Good Poor to Fair Fair to Good Fair to Good Good to Very Good
    Overall Rating for People with Arthritis Poor to Fair Good to Very Good Good to Very Good Fair to Good Fair to Good

    Additional Sleep Strategies for People with Arthritis

    In addition to carefully researching and comparing different mattress models in order to find the best option, people with arthritis can further improve their sleep quality by choosing the right pillows and utilizing a mattress topper.

    Pillows

    Pillows vary in terms of thickness, or ‘loft,’ and selecting a pillow based on loft can make a significant difference for sleepers with arthritis. The right loft will help alleviate aches and pains in sensitive areas of the body, including the neck, shoulders, and head, while pillows that are too thick or too thin can have the opposite effect.

    Pillows that are most popular with people who have arthritis include buckwheat, latex, and memory foam models. Other pillows types, such as down alternative and polyfoam, may not be as suitable because they provide below-average support, do not conform as closely, and may sleep excessively hot.

    For more information about choosing the right pillows, visit our guide to the Best Pillows.

    Using a Mattress Topper

    A mattress topper is an extra layer of cushioning that is placed on top of a mattress. Most toppers are designed to make the mattress feel less firm, though there are models that increase firmness of excessively soft mattresses. Toppers can improve support, as well. For people with arthritis, a topper that measures at least three inches (3″) thick is recommended.

    Toppers made of latex or memory foam conform closely to the sleeper’s body for improved spinal alignment and targeted pain and pressure relief. These models are generally most suitable for people with arthritis. Other topper types, such as convoluted polyfoam, do not provide the same levels of comfort and pressure relief. To learn more, please check out our Best Mattress Toppers guide.

    A