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The Best Mattress to Prevent Bedsores (2024) – Expert Tested

Bedsores, also known as pressure ulcers, are painful wounds that result from prolonged pressure on certain areas of the body. They’re most common in people who have medical conditions that cause them to spend a lot of time reclining or sitting in the same position.1

For people who are largely bedridden and often in hospital-grade beds, alternating pressure mattresses (APMs) are a good option for keeping pressure ulcers at bay. However, traditional mattresses can also help with bedsore prevention, and many people find them more comfortable than APMs.

Here, I’ve collected some of our favorite traditional beds that may guard against bedsores. I’ve also listed a few alternating pressure mattresses that you can order online.

As you browse, remember: guidance from a doctor and attention to personal preferences are the keys to finding the best mattress for preventing bedsores, whether it’s for you or a loved one.

What’s the Best Mattress for Preventing Bedsores?

The Helix Midnight Luxe came in first on this list because it combines all the key traits a traditional mattress can have for preventing bedsores: pressure relief, even weight distribution, and sturdy support. As an added bonus, it has substantial cooling power.

Because comfort is so personal, however, I’ve included many other mattresses below that can help to prevent pressure ulcers—including some alternating pressure mattress options.

Best Mattresses for Preventing Bedsores

Comparing the Best Beds for Pressure Ulcers 2024

Helix Midnight Luxe Mattress WinkBeds GravityLux Mattress DreamCloud Original Mattress Brooklyn Bedding Plank Firm Mattress Nolah Evolution Hybrid Mattress Saatva Solaire Mattress Bear Original Mattress Nectar Premier Copper Mattress Purple Mattress Puffy Cloud Mattress
Helix Midnight Luxe Mattress WinkBeds GravityLux Mattress DreamCloud Original Mattress Brooklyn Bedding Plank Firm Mattress Nolah Evolution Hybrid Mattress Saatva Solaire Mattress Bear Original Mattress Nectar Premier Copper Mattress Purple Mattress Puffy Cloud Mattress
Rating
4.7/5
4.8/5
4.6/5
4.8/5
4.8/5
4.9/5
4.7/5
4.8/5
4.6/5
5.0/5
Firmness Medium-firm: 6/10 Medium-firm: 6/10 Medium-firm: 6.5/10 Multiple firmness options Multiple firmness options Multiple firmness options Medium-firm: 6.5/10 Medium: 5/10 Soft: 4/10 Medium-firm: 6.5/10
Material Hybrid Foam Hybrid Foam Hybrid Other Foam Foam Hybrid Foam
Cooling
Warranty 15-year warranty Lifetime warranty Lifetime warranty 10-year warranty Lifetime warranty Lifetime warranty Lifetime warranty Lifetime warranty 10-year warranty Lifetime warranty
Shipping Free shipping Free shipping Free shipping Free shipping Free shipping Free white glove delivery Free shipping Free shipping Free shipping Free shipping
Trial Period 100 nights 120 nights 365 nights 120 nights 120 nights 365 nights 120 nights 365 nights 100 nights 101 nights
Best For Back Sleepers, Stomach Sleepers, Side Sleepers Back Sleepers, Hot Sleepers Back Sleepers, Hot Sleepers, Seniors Stomach Sleepers, Back Pain Side Sleepers, Back Sleepers Couples, Hot Sleepers, Side Sleepers, Back Sleepers, Stomach Sleepers Hot Sleepers, Back Sleepers, Side Sleepers Side Sleepers, Back Sleepers, Hot Sleepers Hot Sleepers, Back Sleepers, Side Sleepers, Stomach Sleepers Side Sleepers, Back Sleepers, Back Pain, Kids

How We Picked the Best Beds for Preventing Bedsores

At Sleep Advisor, we test beds in person at our studio to grade them across various performance categories, including pressure relief, cooling, and more. We have multiple people interact with each mattress so that we know how it feels for different body types and sleeping positions. 

While deciding on the best mattresses for bedsore prevention, we narrowed our focus to a few key categories revolving around pressure relief and support. We also consulted our chief medical advisor, Dr. Raj Dasgupta, for important context around how pressure ulcers develop.

Methodology Image- Sleep Advisor
Testing mattresses in our studio

Advice from a Medical Expert

We reached out to Dr. Raj Dasgupta, a quadruple board-certified physician, to help us identify key factors for bedsore prevention.

“To help with pressure ulcers, look for a mattress that’s great at relieving pressure,” he said. “The mattress [also] needs to distribute weight evenly to prevent having too much pressure in one area. It should be supportive enough to keep your body properly aligned while sleeping, which will help to reduce the likelihood of pressure points that can contribute to ulcers.”

Importantly, he added that anyone at risk for bedsores should consult a medical professional as they shop for mattresses, then reevaluate their condition and comfort regularly.

 

What We Want to See in a Mattress for Bedsore Prevention

A mattress must showcase a few key traits to effectively prevent bedsores. I chose the beds for this roundup based on the following factors, which were also informed by Dr. Dasgupta’s expertise.

Lots of Pressure Relief

Pressure relief refers to the ability of the bed to reduce pressure around areas of the body that tend to experience large amounts of it. These can include your “sharp” joints, such as the hips and shoulders, as well as zones where lots of weight is concentrated when you lie down. Every bed on this roundup received either a 4 out of 5 or a 5 out of 5 in this performance category.

Even Distribution of Body Weight

A bed that distributes your weight evenly will be much better at preventing pressure ulcers than one that concentrates your weight in certain areas. For this list, I chose beds that made me and my fellow testers feel comfortably elevated and level.

Spine-Aligning Support

A strong support system will hold your spine in a neutral alignment, rather than having it dip or arch unnaturally. The tailbone can be a common spot for bedsores, so you definitely want your lower back and hips to get the right amount of lift. All the beds highlighted here got at least a 4 out of 5 for support from our testing team.

The Best Mattresses for Preventing Pressure Ulcers, Reviewed

Helix Midnight Luxe – Editor’s Pick

Editor’s Pick

Helix Midnight Luxe Mattress

helix midnight luxe mattress

With the Ultra-Cool phase-changing cover and gel-infused foam, the Helix Midnight Luxe is an excellent choice for hot sleepers who also need pressure relief and zoned support.

Score 4.0/5
Read Helix Midnight Luxe Mattress Review
CHECK PRICE

Material

Hybrid

Trial Period

100 nights

Shipping Method

Free shipping

Firmness

Medium-firm: 6/10

Warranty

15-year warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Sleeping
Ideal for average weight and heavyweight back sleepers.
Side Sleeping
Ideal for average weight and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review
Editor’s Pick

Helix Midnight Luxe Mattress

helix midnight luxe mattress

With the Ultra-Cool phase-changing cover and gel-infused foam, the Helix Midnight Luxe is an excellent choice for hot sleepers who also need pressure relief and zoned support.

Score 4.0/5
Read Helix Midnight Luxe Mattress Review

Material

Hybrid

Warranty

15-year warranty

Firmness

Medium-firm: 6/10

Shipping Method

Free shipping

Trial Period

100 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Sleeping
Ideal for average weight and heavyweight back sleepers.
Side Sleeping
Ideal for average weight and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review
helix midnight luxe mattress
Editor’s Pick

Helix Midnight Luxe Mattress

With the Ultra-Cool phase-changing cover and gel-infused foam, the Helix Midnight Luxe is an excellent choice for hot sleepers who also need pressure relief and zoned support.

Score 4.0/5
Read Helix Midnight Luxe Mattress Review

Material

Hybrid

Firmness

Medium-firm: 6/10

Trial Period

100 nights

Warranty

15-year warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Sleeping
Ideal for average weight and heavyweight back sleepers.
Side Sleeping
Ideal for average weight and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review

Why the Helix Midnight Luxe Earned Editor’s Pick

Support – 4
Pressure Relief – 4

It doesn’t get much better than the Helix Midnight Luxe when it comes to even weight distribution, pressure relief, comfort, and cooling—all of which are important for preventing bedsores.

The bed is medium-firm for a middle-of-the-road feel. The top layers cradle the body without much risk of overheating, leading to a drier surface (which should also help to stave off pressure ulcers).

Testing Studio Soundbite

“We use a heat map that shows pressure distribution and found that [the Helix Midnight Luxe] evenly distributes your weight, which helps keep pressure and pain off of the hips and shoulders of side sleepers. It also kept us aligned.”

Loren Bullock, Lead Product Tester

Our Favorite Feature for Bedsore Prevention

Helix Midnight Luxe Mattress Construction
The layers inside the Helix Midnight Luxe

While testing this mattress, Loren highlighted its zoned support system. The springs have been split into separate zones that provide either enhanced lift or cushion, depending on the area of the body they’re meant to support.

This zoning encourages proper spinal alignment. It should also help to prevent bedsores from developing in high-pressure areas, as these regions will get extra lift from the bed instead of sinking in too deeply.

Customer Reviews of the Helix Midnight Luxe

The Helix Midnight rates 4.5 stars out of 5 on Helix’s website. The main negative is that reviewers tend to find it too soft for their liking and feel as though they’re sinking. But overall, users say they’re getting a great night’s sleep and some pain relief.

General Pros & Cons

Pros
Supportive but soft – The combination of strong coils and cushiony top layers make the Helix Midnight Luxe great at providing comfortable lift.
Versatile – This same balanced feeling mentioned above makes the mattress great for most sleeping positions and body types.
Cons
Not for heavier stomach sleepers – Plus-size stomach sleepers may still find it too soft for their liking; they need a mattress with even more support around the hip region.
Hard to move – The Helix Midnight Luxe is hefty. We recommend finding help if you have to move it.

Want to know more? Check out our full Helix Midnight Luxe review or browse the best mattresses of 2024.

WinkBeds GravityLux – Best Foam Mattress for Preventing Bedsores

Best Foam Mattress for Preventing Bedsores

WinkBeds GravityLux Mattress

Winkbeds GravityLux Bed image

GravityLux introduces a new age of memory foam by fostering a pressure-relieving experience without the drawbacks of traditional viscoelastic materials.

Score 5.0/5
Read WinkBeds GravityLux Mattress Review
CHECK PRICE

Material

Foam

Trial Period

120 nights

Shipping Method

Free shipping

Firmness

Medium-firm: 6/10

Warranty

Lifetime warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Best Foam Mattress for Preventing Bedsores

WinkBeds GravityLux Mattress

Winkbeds GravityLux Bed image

GravityLux introduces a new age of memory foam by fostering a pressure-relieving experience without the drawbacks of traditional viscoelastic materials.

Score 5.0/5
Read WinkBeds GravityLux Mattress Review

Material

Foam

Warranty

Lifetime warranty

Firmness

Medium-firm: 6/10

Shipping Method

Free shipping

Trial Period

120 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Winkbeds GravityLux Bed image
Best Foam Mattress for Preventing Bedsores

WinkBeds GravityLux Mattress

GravityLux introduces a new age of memory foam by fostering a pressure-relieving experience without the drawbacks of traditional viscoelastic materials.

Score 5.0/5
Read WinkBeds GravityLux Mattress Review

Material

Foam

Firmness

Medium-firm: 6/10

Trial Period

120 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5

Why the WinkBeds GravityLux Earned Best Foam Mattress for Preventing Bedsores

The GravityLux by WinkBeds seeks to provide the soothing feel of an all-foam bed without the temperature-trapping qualities of typical viscoelastic foams. Its three layers each have a role to play in promoting proper spinal alignment and cradling common pressure points, which tend to be hotbeds for pressure ulcer formation.

My Take

With its fluffy feel, the GravityLux should work for most sleepers, especially those who run hot but don’t want to sacrifice the iconic hug of a foam bed.

Our Favorite Feature for Bedsore Prevention

The standout material here is AirCell™ memory foam, aptly named because of its perforations that allow air to flow through the material. According to WinkBeds, the tiny “capsules” of air throughout the foam compress independently of one another, which means they relieve pressure precisely where it’s applied. 

They also make the foam run cooler than traditional memory foams, which is a big plus if you’re bedridden and at risk for pressure ulcers. 

Customer Reviews of the WinkBeds GravityLux

On the WinkBeds website, the GravityLux scores a 4.8 stars out of 5. Customers appreciate the WinkBed GravityLux mattress for its exceptional support and durability, but some have reported that it may not be as responsive to pressure relief as they expected.

General Pros & Cons

Pros
Multiple firmness options – The GravityLux comes in soft, medium, and firm options, so you can customize the bed for your specific needs.
Hypoallergenic – The foams used in the construction of this bed are naturally hypoallergenic. Folks with allergies should appreciate this safeguard against nighttime sniffles.
Cons
Lacking edge support – If you prefer sleeping toward the edge of the mattress, you’re going to feel some sinkage.
Not for heavy people – Plus-size folks, especially those who sleep on their stomachs, may want a firmer mattress to give them better support.

Want to learn more? Read our WinkBeds GravityLux mattress review or explore our picks for the best memory foam mattresses.

DreamCloud – Best Hybrid Mattress for Preventing Pressure Ulcers

Best Hybrid Mattress for Preventing Pressure Ulcers

DreamCloud Original Mattress

DreamCloud Original Mattress

Luxurious hybrid at a great price with a lifetime warranty.

Score 4.0/5
Read DreamCloud Original Mattress Review
CHECK PRICE

Material

Hybrid

Trial Period

365 nights

Shipping Method

Free shipping

Firmness

Medium-firm: 6.5/10

Warranty

Lifetime warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Seniors
This bed is perfect for senior sleepers.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review
Best Hybrid Mattress for Preventing Pressure Ulcers

DreamCloud Original Mattress

DreamCloud Original Mattress

Luxurious hybrid at a great price with a lifetime warranty.

Score 4.0/5
Read DreamCloud Original Mattress Review

Material

Hybrid

Warranty

Lifetime warranty

Firmness

Medium-firm: 6.5/10

Shipping Method

Free shipping

Trial Period

365 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Seniors
This bed is perfect for senior sleepers.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review
DreamCloud Original Mattress
Best Hybrid Mattress for Preventing Pressure Ulcers

DreamCloud Original Mattress

Luxurious hybrid at a great price with a lifetime warranty.

Score 4.0/5
Read DreamCloud Original Mattress Review

Material

Hybrid

Firmness

Medium-firm: 6.5/10

Trial Period

365 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Seniors
This bed is perfect for senior sleepers.
Back Sleeping
Ideal for average weight back sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review

Why the DreamCloud Earned Best Hybrid Mattress for Preventing Pressure Ulcers

Support – 5
Pressure Relief – 4
Take a closer look at the mattress construction of the original DreamCloud mattress
A cutaway view of the DreamCloud’s layers

The DreamCloud consistently ranks as one of my top mattresses overall. Regarding bedsore prevention, I think it has all the right stuff: four layers of foam at the top for comfort and an even distribution of pressure, plus a strong spring base.

As a hybrid, this bed does emphasize support over softness, so my fellow stomach sleepers should take note.

Testing Studio Soundbite

“Aside from the memory foam layers designed for supporting your back and cushioning your pressure points, wrapped coils work to give your body just the right amount of support it needs.”

Julia Forbes, Lead Product Tester

Our Favorite Feature for Bedsore Prevention

The DreamCloud offers stellar motion isolation for a hybrid. I gave it an above-average 4.5 out of 5 in this category, thanks to its steadying upper foam layers and individually pocketed coils.

Motion isolation is an important trait if you’re concerned about bedsores and don’t want too much jostling around key pressure points.

Customer Reviews of the DreamCloud

The DreamCloud Original scores a solid 4.7 out of 5 stars among customers on its site. One potential downside of the DreamCloud Original mattress is its weight, making it challenging to move or rotate, but it offers excellent support and comfort for those who prefer a medium-firm feel.

General Pros & Cons

Pros
Affordable luxury – When you consider its cashmere blend cover and seven total layers, it’s difficult to believe that the DreamCloud doesn’t cost as much as many competitors.
Responsive surface – The DreamCloud’s hybrid construction creates a bounciness that tossers and turners should appreciate.
Cons
Not the most contouring – If you’re looking for a memory foam “hug”, check out the other picks on this list, particularly the all-foam options.
Lackluster edges – I thought there was a lot to be desired from the DreamCloud’s edge support. Be aware if you prefer to sleep on or near the edge of your bed.

Want to know more? Read our full DreamCloud review or discover the best hybrid mattresses.

Plank Firm – Best Firm Mattress for Preventing Bedsores

Best Firm Mattress for Preventing Bedsores

Brooklyn Bedding Plank Firm Mattress

Plank Mattress

Those in the market for a Firm bed now have a dual-sided choice to see what they require to sleep well-supported and comfortable in Plank Firm, a new product from Brooklyn Bedding.

Score 4.0/5
Read Brooklyn Bedding Plank Firm Mattress Review
CHECK PRICE

Material

Foam

Trial Period

120 nights

Shipping Method

Free shipping

Firmness

Multiple firmness options

Warranty

10-year warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Pain
This bed is perfect for anyone suffering from back pain.
Stomach Sleeping
Ideal for average weight and heavyweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review
Best Firm Mattress for Preventing Bedsores

Brooklyn Bedding Plank Firm Mattress

Plank Mattress

Those in the market for a Firm bed now have a dual-sided choice to see what they require to sleep well-supported and comfortable in Plank Firm, a new product from Brooklyn Bedding.

Score 4.0/5
Read Brooklyn Bedding Plank Firm Mattress Review

Material

Foam

Warranty

10-year warranty

Firmness

Multiple firmness options

Shipping Method

Free shipping

Trial Period

120 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Pain
This bed is perfect for anyone suffering from back pain.
Stomach Sleeping
Ideal for average weight and heavyweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review
Plank Mattress
Best Firm Mattress for Preventing Bedsores

Brooklyn Bedding Plank Firm Mattress

Those in the market for a Firm bed now have a dual-sided choice to see what they require to sleep well-supported and comfortable in Plank Firm, a new product from Brooklyn Bedding.

Score 4.0/5
Read Brooklyn Bedding Plank Firm Mattress Review

Material

Foam

Firmness

Multiple firmness options

Trial Period

120 nights

Warranty

10-year warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Pain
This bed is perfect for anyone suffering from back pain.
Stomach Sleeping
Ideal for average weight and heavyweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review

Why the Plank Firm Earned Best Firm Mattress for Preventing Bedsores

Support – 4
Pressure Relief – 4

The Plank Firm is a flippable bed that lives up to its name as one of the firmest mattresses you can find on the online market. When it comes to mitigating pressure ulcers, the mattress definitely has even weight distribution down pat.

My Take

In my opinion, Plank beds are some of the best when it comes to even weight distribution. Folks looking for this quality plus a firm surface should be satisfied with what the Plank Firm has to offer.

Our Favorite Feature for Bedsore Prevention

Plank Mattress Construction
What’s inside the Plank Firm

The dual-sided design of the Plank Firm is awesome for variety, especially if you spend a lot of time in bed. We recommend the medium-firm side for a smidge more pressure relief around areas that might develop bedsores, but both sides should feel firm and supportive. 

For an added fee, you can also get a cooling cover on both sides to regulate temperature and moisture buildup from sweat.

Customer Reviews of the Plank Firm

On Plank’s website, the Plank Firm gets 4.8 out of 5 stars. Customers appreciate the Brooklyn Bedding Plank Firm mattress for its exceptional firmness, but some have found it to be too rigid for their comfort preferences.

General Pros & Cons

Pros
Flippable – This mattress has two sides, a traditionally firm side and a super-firm side.
Endorsed by experts – The Plank Firm’s ability to evenly distribute weight while maintaining spinal alignment earned it an endorsement from the American Chiropractic Association.
Cons
Too firm for some – When I say the Plank Firm is firm, I mean it! Only those who want a truly firm bed should dare to try it.
Cooling costs extra – The standard Plank Firm comes without any added cooling features. But for an added fee, you can outfit it with GlacioTex™ cooling covers.

Find out more: Read our full Plank Firm review or check out the best firm mattresses.

Nolah Evolution – Best Luxury Mattress for Preventing Bedsores

Best Luxury Mattress for Preventing Bedsores

Nolah Evolution Hybrid Mattress

Nolah Evolution Hybrid Mattress

Nolah’s innovative pressure-relieving abilities should be an excellent fit for side-sleepers, and if you struggle with overheating, the AirFoamICE™ technology should keep you cool all night long.

Score 4.7/5
Read Nolah Evolution Hybrid Mattress Review
CHECK PRICE

Material

Hybrid

Trial Period

120 nights

Shipping Method

Free shipping

Firmness

Multiple firmness options

Warranty

Lifetime warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review
Best Luxury Mattress for Preventing Bedsores

Nolah Evolution Hybrid Mattress

Nolah Evolution Hybrid Mattress

Nolah’s innovative pressure-relieving abilities should be an excellent fit for side-sleepers, and if you struggle with overheating, the AirFoamICE™ technology should keep you cool all night long.

Score 4.7/5
Read Nolah Evolution Hybrid Mattress Review

Material

Hybrid

Warranty

Lifetime warranty

Firmness

Multiple firmness options

Shipping Method

Free shipping

Trial Period

120 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review
Nolah Evolution Hybrid Mattress
Best Luxury Mattress for Preventing Bedsores

Nolah Evolution Hybrid Mattress

Nolah’s innovative pressure-relieving abilities should be an excellent fit for side-sleepers, and if you struggle with overheating, the AirFoamICE™ technology should keep you cool all night long.

Score 4.7/5
Read Nolah Evolution Hybrid Mattress Review

Material

Hybrid

Firmness

Multiple firmness options

Trial Period

120 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review

Why the Nolah Evolution Earned Best Luxury Mattress for Preventing Bedsores

Support – 4
Pressure Relief – 5
Taking a look at the Nolah Evolution mattress construction
A peek inside the Nolah Evolution

When it comes to luxury, Nolah has you covered with their spiffy Evolution model. Its thick, pillowy upper portion lends itself well to pressure relief and features advanced proprietary foams. Meanwhile, the coils underneath provide support and airflow. 

Overall, it should create a cushioned and temperature-regulated environment that should benefit those wanting to avoid pressure ulcers.

Testing Studio Soundbite

“The Nolah Evolution has been one of my favorite mattresses to try. Not only is it supportive, but it’s really comfortable.”

Liz, Sleep Advisor Mattress Tester

Our Favorite Feature for Bedsore Prevention

We’re big fans of AirFoamICE™, Nolah’s proprietary cooling foam. The brand maintains that this material easily outcompetes memory foam in terms of pressure relief, durability, and temperature regulation. It should cradle the high-pressure zones where bedsores tend to appear as well as beat the heat. 

Customer Reviews of the Nolah Evolution

Earning a 4.9 out of 5 stars on Nolah’s website, the Nolah Evolution seems to be a hit. Customers appreciate the Nolah Evolution mattress for its superior pressure relief, but some have mentioned that the edge support could be improved for a more consistent sleep surface.

General Pros & Cons

Pros
Loads of pressure relief – “When I crawled into this bed, I could really feel it gently cradle my body,” said our tester Stuart.
Awesome edge support – Getting in and out of bed didn’t feel destabilizing, and lying on the edges was likewise worry-free.
Cons
It’s bulky – If you ever need to move the bed to another room, you’ll likely need another pair of hands.
Too soft for stomach sleepers – Those who sleep on their stomachs need support in the hips, and the Nolah Evolution may be too plush to keep them lifted.

Want more info? Read our full Nolah Evolution review or check out our top picks for the best luxury mattresses.

Saatva Solaire – Best Mattress with Adjustable Firmness for Preventing Bedsores

Best Mattress with Adjustable Firmness for Preventing Bedsores

Saatva Solaire Mattress

Saatva Solaire Mattress

Zoned latex foam in the Saatva Solaire allows sleepers up to 50 customizations, making it easy to adjust the firmness so that it fits most sleeping positions.

Score 4.2/5
Read Saatva Solaire Mattress Review
CHECK PRICE

Material

Other

Trial Period

365 nights

Shipping Method

Free white glove delivery

Firmness

Multiple firmness options

Warranty

Lifetime warranty

Price Range

$$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.
Back Sleeping
Ideal for lightweight, average weight, and heavyweight back sleepers.
Side Sleeping
Ideal for lightweight, average weight, and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight, average weight, and heavyweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.9/5
Watch Our Video Review
Best Mattress with Adjustable Firmness for Preventing Bedsores

Saatva Solaire Mattress

Saatva Solaire Mattress

Zoned latex foam in the Saatva Solaire allows sleepers up to 50 customizations, making it easy to adjust the firmness so that it fits most sleeping positions.

Score 4.2/5
Read Saatva Solaire Mattress Review

Material

Other

Warranty

Lifetime warranty

Firmness

Multiple firmness options

Shipping Method

Free white glove delivery

Trial Period

365 nights

Price Range

$$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.
Back Sleeping
Ideal for lightweight, average weight, and heavyweight back sleepers.
Side Sleeping
Ideal for lightweight, average weight, and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight, average weight, and heavyweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.9/5
Watch Our Video Review
Saatva Solaire Mattress
Best Mattress with Adjustable Firmness for Preventing Bedsores

Saatva Solaire Mattress

Zoned latex foam in the Saatva Solaire allows sleepers up to 50 customizations, making it easy to adjust the firmness so that it fits most sleeping positions.

Score 4.2/5
Read Saatva Solaire Mattress Review

Material

Other

Firmness

Multiple firmness options

Trial Period

365 nights

Warranty

Lifetime warranty

Shipping Method

Free white glove delivery

Price Range

$$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.
Back Sleeping
Ideal for lightweight, average weight, and heavyweight back sleepers.
Side Sleeping
Ideal for lightweight, average weight, and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight, average weight, and heavyweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.9/5
Watch Our Video Review

Why the Saatva Solaire Earned Best Mattress with Adjustable Firmness for Preventing Bedsores

Support – 5
Pressure Relief – 4

The ability to manually adjust firmness can be a godsend when it comes to bedsore prevention, as it’s a simple way to limit pressure buildup. The Saatva Solaire is an air chamber mattress that offers up to 50 unique firmness levels, each controlled by a remote.

It also keeps cool by incorporating naturally breathable materials, including latex foam and organic cotton. By helping sleepers stay sweat-free, this bed should make the environment drier and less conducive to pressure ulcers.

Testing Studio Soundbite

“Here’s the wonderful thing about this bed: Whatever sleeping position or firmness you like, you can adjust the mattress to achieve it … I liked playing around with the remotes to find what works for me.”

Michael, Sleep Advisor Mattress Tester

Our Favorite Feature for Bedsore Prevention

The Solaire’s 50 available firmness settings are the height of convenience if you’re worried about pressure ulcers. You’ll be able to change the feel of your bed beneath worrisome pressure points by using the provided remote. 

If you watch our video review of this bed, you’ll see Michael cycling through different firmness levels while lying in all three major sleeping positions. Each time, he’s able to pinpoint a different number on the remote that works best for him in that posture, illustrating just how sensitive this mattress is to different sleeping habits and preferences.

Customer Reviews of the Saatva Solaire

On Saatva’s website, the reviews for the Saatva Solaire are overwhelmingly positive, coming in at 4.8 out of 5 stars. Customers appreciate the Saatva Solaire mattress for its adjustable firmness settings but may find its price point to be higher than expected.

General Pros & Cons

Pros
White glove delivery – Saatva will send workers to your home to get rid of your old mattress and install your new one, which is especially helpful when your mattress has this many features.
Easy customizability – The Solaire is both impressively precise in its firmness adjustments and simple to operate with its connected remote.
Cons
It’s expensive – As a fancy adjustable mattress, it’s not the easiest purchase if you’re on a limited budget.
It takes time to get settled – During your first week with the bed, small fluctuations in firmness are normal, and can easily be resolved with the bed’s remote.

Still want more? Read our full Saatva Solaire review.

Bear Original – Best Mattress for Back Sleepers and Preventing Pressure Ulcers

Best Mattress for Back Sleepers and Preventing Pressure Ulcers

Bear Original Mattress

This flagship model was thoughtfully crafted and assembled to be an attractive all-foam option for athletes who need better rest.

Score 4.0/5
Read Bear Original Mattress Review
CHECK PRICE

Material

Foam

Trial Period

120 nights

Shipping Method

Free shipping

Firmness

Medium-firm: 6.5/10

Warranty

Lifetime warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review
Best Mattress for Back Sleepers and Preventing Pressure Ulcers

Bear Original Mattress

This flagship model was thoughtfully crafted and assembled to be an attractive all-foam option for athletes who need better rest.

Score 4.0/5
Read Bear Original Mattress Review

Material

Foam

Warranty

Lifetime warranty

Firmness

Medium-firm: 6.5/10

Shipping Method

Free shipping

Trial Period

120 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review
Best Mattress for Back Sleepers and Preventing Pressure Ulcers

Bear Original Mattress

This flagship model was thoughtfully crafted and assembled to be an attractive all-foam option for athletes who need better rest.

Score 4.0/5
Read Bear Original Mattress Review

Material

Foam

Firmness

Medium-firm: 6.5/10

Trial Period

120 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.7/5
Watch Our Video Review

Why the Bear Original Earned Best Mattress for Back Sleepers and Preventing Pressure Ulcers

Support – 4
Pressure Relief – 5
Bear Mattress Construction
The Bear mattress is built on 3 layers

The Bear Original was originally constructed with athletes in mind, but it has plenty of features that make it a great option for back sleepers who are concerned about bedsores.

First, an all-foam construction should provide cushioning for problem areas. Additionally, a Tencel™ cover makes for a dry, sweat-free sleeping environment. And finally, the medium-firm feel encourages weight to be distributed evenly.

Testing Studio Soundbite

“It’s a little firmer than the typical all-foam mattress, which should make it a little bit more versatile for different kinds of sleepers.”

Stuart Petty, Sleep Advisor Mattress Tester

Our Favorite Feature for Bedsore Prevention

We were surprised by the firmness and steady support this bed offered—not many foam beds receive a perfect 5 out of 5 in the support category from our testing team.

But the three foams in the Bear Original create a spine-aligning mattress that’s ready to help with both bed sore prevention and back pain. 

Customer Reviews of the Bear mattress

According to Bear’s website, the Bear Original scores about 4.5 out of 5 stars. Customers appreciate the Bear Original mattress for its excellent pressure relief but have reported that its edge support may be lacking, which could affect those who use the full mattress surface.

General Pros & Cons

Pros
Firm for foam – The Bear Original’s firmness should make it versatile for many types of sleepers, including heavier folks.
A spiffy cover option – For an extra fee, you can have Celliant® fibers woven into the cover of the mattress. This technology purportedly aids in muscle recovery by converting body heat into infrared energy.
Cons
Tough for side sleepers – The firmness that gives this foam bed an edge also makes it difficult for side sleepers to get the right relief they need.
Not very responsive – As an all-foam mattress, the Bear Original doesn’t have much buoyancy. This may be a problem for sleepers who often switch positions.

For more: Read our full Bear Original review or discover the best mattresses for back sleepers.

Nectar Premier Copper – Best Cooling Mattress for Preventing Bedsores

Best Cooling Mattress for Preventing Bedsores

Nectar Premier Copper Mattress

Nectar Premier Copper mattress image

The Nectar Premier Copper mattress delivers a fantastic ratio of softness, support, and pressure relief thanks to its foam layers and cooling technologies.

Score 4.0/5
Read Nectar Premier Copper Mattress Review
CHECK PRICE

Material

Foam

Trial Period

365 nights

Shipping Method

Free shipping

Firmness

Medium: 5/10

Warranty

Lifetime warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review
Best Cooling Mattress for Preventing Bedsores

Nectar Premier Copper Mattress

Nectar Premier Copper mattress image

The Nectar Premier Copper mattress delivers a fantastic ratio of softness, support, and pressure relief thanks to its foam layers and cooling technologies.

Score 4.0/5
Read Nectar Premier Copper Mattress Review

Material

Foam

Warranty

Lifetime warranty

Firmness

Medium: 5/10

Shipping Method

Free shipping

Trial Period

365 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review
Nectar Premier Copper mattress image
Best Cooling Mattress for Preventing Bedsores

Nectar Premier Copper Mattress

The Nectar Premier Copper mattress delivers a fantastic ratio of softness, support, and pressure relief thanks to its foam layers and cooling technologies.

Score 4.0/5
Read Nectar Premier Copper Mattress Review

Material

Foam

Firmness

Medium: 5/10

Trial Period

365 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.8/5
Watch Our Video Review

Why the Nectar Premier Copper Earned Best Cooling Mattress for Preventing Bedsores

Support – 4.5
Pressure Relief – 4.5

All-foam mattresses have a reputation for running hot, which is a problem for sleepers worried about bedsores. It can be difficult to maintain a drier environment while benefiting from the pressure relief that foam offers. Enter the Nectar Premier Copper, which has a variety of cooling features to tackle this very issue.

Testing Studio Soundbite

“With its heat-responding copper woven top, it also has excellent cooling, so sleeping hot on a memory foam bed shouldn’t be an issue.”

Emma Mattei, Sleep Advisor Mattress Tester

Our Favorite Feature for Bedsore Prevention

Take a look inside the Nectar Premier Copper construction
Nectar Premier Copper’s hybrid construction

The copper fibers within the cover make the surface of the bed especially cool (literally and figuratively). Phase change material within the bed’s foams also contributes to temperature regulation. These elements make sweat and moisture buildup less likely, thereby helping with bedsore prevention.

Customer Reviews of the Nectar Premier Copper

According to Nectar’s site, the Nectar Premier Copper has a rating of 4.7 out of 5 stars. Customers find the Nectar Premier Copper mattress comfortable and supportive, but some have noted that it may have an initial off-gassing odor when unpacked.

General Pros & Cons

Pros
Fantastic pressure relief – Emma noted that the bed’s comfortable foam would work very well for back and side sleepers.
Motion-dampening foam – Emma also appreciated the bed’s ability to isolate motion: “You can do a little happy dance without disturbing your partner while they sleep.”
Cons
Lacking edge support – All-foam beds often sag at the edges if they’re not reinforced, and the Nectar Premier Copper falls into that category.
Not super bouncy – The surface isn’t the most responsive, so you may feel “stuck” in the bed while trying to switch positions.

Want to learn more? Read our full Nectar Premier Copper review or check out our top picks for the best cooling mattresses.

Purple Original – Best Hypoallergenic Mattress for Preventing Pressure Ulcers

Best Hypoallergenic Mattress for Preventing Pressure Ulcers

Purple Mattress

Product Image of Purple Mattress

The Purple’s unique structure uses polymer to align your spine and keep temperatures neutral

Score 4.0/5
Read Purple Mattress Review
CHECK PRICE

Material

Hybrid

Trial Period

100 nights

Shipping Method

Free shipping

Firmness

Soft: 4/10

Warranty

10-year warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review
Best Hypoallergenic Mattress for Preventing Pressure Ulcers

Purple Mattress

Product Image of Purple Mattress

The Purple’s unique structure uses polymer to align your spine and keep temperatures neutral

Score 4.0/5
Read Purple Mattress Review

Material

Hybrid

Warranty

10-year warranty

Firmness

Soft: 4/10

Shipping Method

Free shipping

Trial Period

100 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review
Product Image of Purple Mattress
Best Hypoallergenic Mattress for Preventing Pressure Ulcers

Purple Mattress

The Purple’s unique structure uses polymer to align your spine and keep temperatures neutral

Score 4.0/5
Read Purple Mattress Review

Material

Hybrid

Firmness

Soft: 4/10

Trial Period

100 nights

Warranty

10-year warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
4.6/5
Watch Our Video Review

Why the Purple Original Earned Best Hypoallergenic Mattress for Preventing Pressure Ulcers

Support – 5
Pressure Relief – 4

Purple asserts that its mattress’s construction is hypoallergenic—including the food-grade and food contact-grade materials found in their GelFlex® Grid. The GelFlex® Grid and polyurethane foams are both CleanAir GOLD and CertiPUR-US certified, meaning they won’t emit harmful chemicals and shouldn’t exacerbate any allergies.

My Take

The Purple mattress is a unique mattress to behold, but it certainly delivers. It’s adept at distributing weight evenly across its surface, all while cradling and lifting respective problem areas.

Our Favorite Feature for Bedsore Prevention

Purple Original mattress construction
A look at the Purple’s signature GelFlex® Grid

The Purple Original’s GelFlex® Grid excels at pressure relief and weight distribution. Its design has roots in hospital beds designed for critical care patients, so it should lend itself well to the prevention of bedsores.

Customer Reviews of the Purple mattress

According to Purple’s website, the Purple original mattress rates 4.3 our of 5. Customers often praise the Purple mattress for its innovative Hyper-Elastic Polymer grid providing excellent pressure relief, but some have reported that it may have a somewhat different feel compared to traditional mattresses, which may not be suitable for everyone.

General Pros & Cons

Pros
Breathable grid – The unique construction of Purple’s GelFlex® Grid doesn’t trap heat like regular foams, thereby allowing more airflow through the bed.
Adaptive – This same grid structure lends itself well to any and all sleeping positions, since it adapts to your body as you move in bed and easily springs back to its normal shape.
Cons
Non-traditional mattress feel – This bed is difficult to compare to a traditional foam or innerspring mattress. Be aware that you’re in for something different!
No natural materials – Purple constructed this mattress safely and considerately, but it has synthetic components rather than natural ones.

For more: Read our full Purple review or look for the best hypoallergenic mattresses.

Puffy Cloud – Best Mattress for Side Sleepers and Preventing Bedsores

Best Mattress for Side Sleepers and Preventing Bedsores

Puffy Cloud Mattress

Puffy Mattress

Puffy provides a classic memory foam feel with enhanced pressure relief that should appeal to most sleepers.

Score 4.0/5
Read Puffy Cloud Mattress Review
CHECK PRICE

Material

Foam

Trial Period

101 nights

Shipping Method

Free shipping

Firmness

Medium-firm: 6.5/10

Warranty

Lifetime warranty

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Kids
This bed is perfect for young sleepers.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
5.0/5
Best Mattress for Side Sleepers and Preventing Bedsores

Puffy Cloud Mattress

Puffy Mattress

Puffy provides a classic memory foam feel with enhanced pressure relief that should appeal to most sleepers.

Score 4.0/5
Read Puffy Cloud Mattress Review

Material

Foam

Warranty

Lifetime warranty

Firmness

Medium-firm: 6.5/10

Shipping Method

Free shipping

Trial Period

101 nights

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Kids
This bed is perfect for young sleepers.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
5.0/5
Puffy Mattress
Best Mattress for Side Sleepers and Preventing Bedsores

Puffy Cloud Mattress

Puffy provides a classic memory foam feel with enhanced pressure relief that should appeal to most sleepers.

Score 4.0/5
Read Puffy Cloud Mattress Review

Material

Foam

Firmness

Medium-firm: 6.5/10

Trial Period

101 nights

Warranty

Lifetime warranty

Shipping Method

Free shipping

Price Range

$$$$$

We recommend this mattress for the following sleeper types:

Kids
This bed is perfect for young sleepers.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.

Financing Options

Financing options are available for this mattress.

Average Customer Rating
5.0/5

Why the Puffy Cloud Earned Best Mattress for Side Sleepers and Preventing Bedsores

Support – 5
Pressure Relief – 5
Testing the Puffy Cloud on my back

Puffy seeks to provide a plush, comfy sleep experience with the Cloud, which should feel fittingly cloud-like. Its soft surface cushions the body while maintaining support, and side sleepers especially should benefit from the pressure relief on offer.

This same pressure relief makes the Puffy Cloud a great option for those at risk for bedsores. Its plush surface should soothe and cradle common pressure points.

Testing Studio Soundbite

“The topmost foam layers really hug your body, and it doesn’t feel stiff or uncomfortable when you’re trying to settle in.”

Julia, Lead Product Tester

Our Favorite Feature for Bedsore Prevention

The first layer in the bed is is Puffy’s Cooling Cloud™ foam, which seeks to draw heat away as it conforms to your body. As the topmost foam, it has the most apparent pressure-relieving abilities and feels supported from the layers below—the right combination for taking strain off of body parts that may be susceptible to bedsores. 

Customer Reviews of the Puffy Cloud

The Puffy Cloud rates 4.9 out of 5 on Puffy’s website. Customers often praise the Puffy Cloud mattress for its plush comfort and excellent motion isolation, but some have mentioned it might be too soft for those who prefer a firmer feel.

General Pros & Cons

Pros
Certified alignment – American Chiropractic Association endorsed the Puffy Cloud for promoting proper spinal alignment.
Ultra-contouring – This bed is probably one of the best for contouring on this list—the foams in the Puffy Cloud should envelop your body while still keeping you aloft.
Cons
Not great for stomach sleepers – I don’t love this mattress for stomach sleepers, as its softness doesn’t get the job done weight distribution-wise.
Lacking edge support – The all-foam construction is comfortable but doesn’t lend itself well to sturdy edges.

For more: Read our full Puffy mattress review or discover the best mattresses for side sleepers.

What’s the Best Type of Mattress for Bedsores?

Research suggests that the best mattresses for bedsores are alternating pressure models. But traditional mattresses can also aid in bedsore prevention.2

You’ll want to think about how you (or your loved one) will be using the mattress, whether you’re prioritizing bedsore prevention or treatment, and your budget.

Dr. Dasgupta recommends that you consult your doctor before you shop, as well. Keep in mind that just because a mattress has a certain label or qualification doesn’t mean it will always be the best bed for your needs.

Below, we’ll describe the various types of mattresses that can prevent bedsores in more detail.

Alternating Pressure Mattresses

An alternating pressure mattress is an electrically powered mattress (or mattress pad) that inflates and deflates connected air chambers inside its construction. This process changes the distribution of pressure on the user’s body, ensuring that no one area experiences an outsized amount of pressure—which would place it at increased risk for developing a bedsore.

You can buy an alternating pressure mattress (APM) to keep bedsores from appearing or worsening. They’re often used in hospital or hospice settings, but can be set up at home as well.3 They come with a variety of optional features, such as whisper-quiet air pumps and continuous pressure-changing modes.

Some APMs are also low air loss mattresses. These beds are powered by a blower, which works to circulate air throughout the mattress continuously.4 Low air loss products are great for keeping patients dry, and their pressure control is considerably more delicate.

if you already have bedsores, or spend most of your time bedridden, you may want to consider an alternating pressure mattress. Below, you’ll find a selection of these beds available on Amazon.

Vive 8 Protekt Aire 3000 14027 Med-Aire Low Air Loss Mattress Replacement System Oasis 14029 Med-Aire Low Air Loss Mattress Replacement System
Vive 8″ Alternating Pressure Mattress Protekt Aire 3000 14027 Med-Aire Low Air Loss Mattress Replacement System Oasis 14029 Med-Aire Low Air Loss Mattress Replacement System
Rating
4.1/5
4.1/5
4.2/5
3.4/5
4.2/5
Firmness
Material Other Other Other Other Other
Cooling
Warranty
Shipping Flat-rate shipping Flat-rate shipping Flat-rate shipping Flat-rate shipping Flat-rate shipping
Trial Period
Best For

Foam Mattresses

Take a closer look at the Ghostbed Luxe construction
The inside of a foam mattress

Traditional foam mattresses can also be used when trying to eliminate or prevent pressure ulcers.

Per Dr. Dasgpupta, “Materials like memory foam or gel can be really comfortable and supportive, helping to prevent further issues and help you heal.”

The American College of Physicians also recommends traditional mattresses made of foam or gel that cradle you and don’t move much, as this could help reduce friction.5

Hybrid Mattresses

Even though foam beds are generally more effective at preventing pressure ulcers, Dr. Dasgupta said that “hybrid beds can be a good option for those who prefer the feel of springs or need extra support.”

Just be mindful that these beds may not feel as cushiony as all-foam models.

Latex Mattresses

Latex mattresses may also help to prevent bedsores, as latex foam is a highly pressure-relieving material that runs cooler than memory foam.

However, not much research has been done on this material and pressure ulcers specifically. A 2017 study concluded that a latex mattress could outperform a foam bed in terms of overall pressure on the sleeper’s body and evenness of pressure distribution, but only tested one latex bed model against one foam bed model.14

Alternating Pressure Mattresses vs. Other Mattress Types

Don’t know which type of mattress to get? According to Dr. Raj, you’ll want to weigh the mattress’s effectiveness at preventing bedsores against how comfortable it feels.

Alternating pressure mattresses tend to be better at reducing the risk of pressure ulcers overall. Per Dr. Dasgupta, “APMs offer several advantages, including … reducing the risk of friction and shearing forces, and improving circulation, which helps lower the risk of skin breakdown.” However, they can be tough to sleep on, and may not feel as cozy as a traditional bed.

Traditional foam and hybrid mattresses, on the other hand, may be more affordable, comfortable, and versatile. “However,” Dr. Raj cautioned, “they are not as effective at preventing pressure ulcers as APMs, and may contribute to friction and shearing forces, which can increase the risk of developing pressure ulcers over time.”

Your personal preference should be the final judge. As Dr. Dasgupta concluded, “The best way to choose a mattress specifically for pressure ulcer prevention is to try out different mattresses and see what is most comfortable for that person.”

What to Look for in a Mattress for Preventing Bedsores

Bedsores are common in those who are bedridden, in a wheelchair, or otherwise unable to sense pain6, and they can be quite dangerous to your health—especially when left untreated. There are many features to keep in mind when searching for a mattress that prevents them; we’ll dive into the details to help you know what to prioritize.

Sleeping Position

It’s recommended that people at risk for developing bedsores reposition frequently7 when in bed. By moving around, they diminish the chances of any one area experiencing excess pressure.

Our testers test each sleeping position to make sure each mattress fits the right sleeper

Back Sleeping

Back sleepers tend to sleep best on medium-firmness mattresses. These kinds of mattresses typically have good support and some comforting contouring.

While many people who experience bedsores are those who are immobile and spend much of their time on their back in bed, it should be noted that many of the places most susceptible to bedsores—such as the tailbone and hips, heels, back of the head, shoulder blades and back of the knees—are areas that will be in direct contact with the mattress if you sleep in this position6.

Side Sleeping

Julia Forbes testing a mattress for side sleeping
Julia testing a mattress on her side

Softer, plusher mattresses tend to work best for side sleepers. This is because these sleepers put a lot of weight and pressure on relatively small areas of the body, specifically the shoulders and hips, and softer mattresses give them much-needed comfort and pressure relief.

This also means that these mattresses could be good at preventing or relieving pressure ulcers. The National Pressure Injury Advisory Panel (NPIAP)8 also has specific recommendations for how side sleepers can reposition to prevent bedsores from forming.

Combination Sleeping

Frequently repositioning your sleep posture is one of the ways to prevent bed sores. Therefore, combination sleepers, who switch between two or three positions, should be less likely to develop bedsores. These sleepers typically do well on a mattress that falls in the middle of the firmness scale.

Stomach Sleeping

Those who spend a lot of time sleeping on their stomachs will need to be mindful of developing bedsores around their pelvis, knees, and front of the ankles. Additionally, they will need a mattress that is a bit on the firmer side to help keep their hips from sagging too far down as this could lead to lower back pain.

Weight/Body Type of Sleepers

When loved ones become immobile and are bound to a bed or wheelchair, weight gain is typical due to the lack of exercise and movement. Once you realize they need a particular mattress to prevent or treat ulcers, be sure to check the weight capacity and account for possible weight gain. For example, if they weigh 160 pounds, get one that supports 260 pounds to be safe.

Read more about mattresses for heavy sleepers here.

Firmness

“A mattress can make pressure ulcers worse if it’s too firm and puts too much pressure on sensitive areas. But a mattress that’s softer and helps distribute weight more evenly can actually help ease pressure ulcers by reducing the strain on those spots and promoting healing. It’s about finding the right balance to give your skin the support and relief it needs.”

Dr. Raj Dasgupta

When you have pressure sores, the best thing you can do is stick with a mattress firmness level that offers the most pressure relief for your sleep position. However, this does not mean you should run right out and get the softest mattress you can find.

Julia Forbes testing edge support
Julia testing a bed’s edge support and firmness

Getting a too-soft mattress for your sleep position can leave you with poor body alignment, which could lead to back pain.

Generally speaking, you should try to stick to the mattress firmness level that most closely matches your sleep style and body type, and perhaps go down one firmness level to account for your increased need for pressure relief.

Cooling

Although cooling mattresses may not directly affect pressure ulcers and bedsores, they can provide overall comfort. Given that many people who develop these types of wounds spend much, if not all, of their time in bed, mattresses with cooling gels and breathable materials like coils, latex, or cotton may help prevent overheating.

Motion Isolation

The American College of Physicians recommends beds made of foam or gel that don’t move much. As such, foam mattresses that prevent motion transfer would likely be a good choice for these people because these mattresses are likely to absorb the kind of motion that could cause friction, which is one of the ways that bed sores occur.

Memory foam is one of the best materials for motion isolation, and if you want a bed with coils, look for ones that are individually wrapped to curb motion transfer.

Pressure Relief

Considering that ulcers and bedsores often develop from a buildup in pressure9, beds that evenly distribute body weight and keep the spine in a supported, neutral position can offer relief to spots where the pressure may typically build up, such as the hips and lower back. However, the amount of pressure relief that is offered will also depend on body weight and sleep position.

For example, lightweight sleepers won’t get as much pressure relief on a firmer mattress as a heavier person would.

Julia Forbes testing a mattress for pressure relief
Julia Forbes performing pressure map tests to gauge the pressure-relieving features of each mattress

It’s important to get a mattress that encourages proper body alignment, too, so there’s less opportunity for pressure points to contribute to the development of ulcers.

Edge Support

If a bed has good edge support, it means that you will feel supported when sitting or sleeping on the edge of the bed. If you feel as if you are falling off when sleeping or sitting on the edge of the bed, then your mattress likely doesn’t have good edge support.

Often, those with bedsores are immobile or incapacitated to some degree. Therefore, good edge support can help provide them with an extra level of security. Furthermore, if they have a nurse or caregiver who manually moves them, good edge support will give these people a larger surface area to work with.

Budget

Some budget mattresses may work just fine considering the specific need or the individual resting on the product; however, keep in mind how it will be utilized. It’s wise to invest in a high-end bed if the damage to the body is already significant. However, if the product is only used preventatively or won’t be used for a long time, the price may not be an essential factor.

What Causes Bedsores (Pressure Ulcers)?

Bedsores develop from prolonged pressure on a region of the body9. They typically arise in people confined to wheelchairs or beds due to health or mobility reasons. According to Dr. Dasgupta, “Pressure ulcers most often develop on skin that covers bony areas of the body, such as the heels, ankles, hips, and tailbone.”

While these sores are progressive and difficult to treat once developed, the use of a pressure-relieving mattress can assist in preventing them.

Stages of Bedsores

Bedsores get progressively worse but can be identified early if you know how to look for the signs. Below we discuss what to look for6.

  • Stage 1
    Some individuals begin to complain about an itching or burning sensation. The spot is red and warm to the touch.
  • Stage 2
    The skin around the sore becomes discolored, and the area develops into an open sore or blister. The open wound is often painful.
  • Stage 3
    Due to the damage below the skin, the wound becomes crater-like in appearance, and the pain continues to worsen.
  • Stage 4
    The wounds become considerably large and severely damaged. The muscles, bones, and tendons are now at severe risk, and infection could strike at any moment.

Tips for Better Sleeping with Bedsores

  • Maintaining a watchful eye on a loved one’s skin and keeping them comfortable with frequent adjustments is key for helping with sores. If someone needs to rest in bed at all times, shift their position often to reduce the amount of pressure applied to one spot.
  • Additionally, make sure they’re kept dry. Moisture can lead to ulcers11, so using a moisture barrier cream to protect against wetness can help keep skin clean and dry. You may need to change their clothes and bedding regularly.
  • If your loved one uses a wheelchair predominantly, foams can relieve pressure from sitting in the same position all day.

Bedsore Mattress FAQs

How can a mattress help with bedsores?

A mattress can help prevent bedsores by evenly distributing body weight so that no one spot receives an overly concentrated amount of pressure. This is often challenging with individuals who are bedridden or immobile, so frequent adjustments are critical for prevention.

Various types of mattresses work well for preventing these ulcers.

  • Alternating pressure mattresses work by inflating bubble cells for support and deflating ones near the infected region for relief4.
  • Static mattresses work by using modern foams to distribute weight and reduce the chance of bedsores and prolonged tension5.

What is the best sleeping position for bedsores?

Resting on your back should help to distribute weight evenly. However, it’s always a good idea to adjust one’s position regularly because several areas of the back such as the shoulder blades, back of the head, buttocks, and others are highly susceptible to bedsores.

There are still ways to mitigate potential sores if you cannot move someone regularly through the night. Another way to prevent bedsores is to use additional pillows or cushions around the shoulders, hips, knees, and ankles to reduce pressure and friction.

Can using a waterbed and an air mattress together relieve pressure ulcers?

While the data on how a waterbed could be used to treat pressure ulcers is limited, there are a few studies12 which have shown correlations in recovery and care. A waterbed’s delicate nature, as well as revolving air pressure in an air mattress, could provide significant relief to individuals suffering with bed sores.

If you’re thinking about employing a waterbed to treat or help care for a loved one, consult your doctor to discuss the best strategy of care.

View Our Guide: Best-Rated Waterbed Mattress

How dangerous can pressure ulcers be?

Bedsores can be extremely dangerous if not detected or left untreated. According to experts, untreated bed ulcers13 could lead to bacteria in the bloodstream, body tissue inflammation, an infection of the bones and joints, pus accumulation, and cancer. Most bedsores do heal when treated, but there’s a possibility that some might never heal completely.

When should a person see a doctor when it comes to bedsores?

According to experts with Mayo Clinic, you should first try to change positions to ease up on pressure around the affected area. If you don’t notice any improvements after 24-48 hours, then you should consult your doctor. Signs of infection should be addressed immediately, though1.

MattressBest ForPrice (Queen Size)Review
Helix Midnight LuxeEditor’s Pick$2,049Helix Midnight Luxe Mattress Review
WinkBeds GravityLuxFoam$1,799Winkbeds GravityLux Mattress Review
DreamCloudHybrid$1,332DreamCloud Mattress Review
Plank FirmFirm$1,249Plank Firm Mattress Review
Nolah EvolutionLuxury$2,299Nolah Evolution Mattress Review
Saatva SolaireAdjustable Firmness$3,745Saatva Solaire Mattress Review
Bear OriginalBack Sleepers$999Bear Mattress Review
Nectar Premier CopperCooling$1,699Nectar Premier Copper Mattress Review
Purple OriginalHypoallergenic$1,399Purple Original Mattress Review
Puffy CloudSide Sleepers$1,042Puffy Cloud Mattress Review

Julia Forbes

Julia Forbes

Lead Product Tester

About Author

Julia is the Lead Reviewer at Sleep Advisor, specializing in testing out mattresses and sleep accessories – she’s in the right line of work, because she loves to sleep.

Stomach Sleeper

References:
  1. “Bedsores (pressure ulcers).” Mayo Clinic. Webpage accessed June 19, 2024.
  2. McInnes, Elizabeth, Goh, En Lin, Norman, Gill. “Beds, overlays, and mattresses for preventing and treating pressure ulcers: an overview of Cochrane Reviews and network meta-analysis”. National Library of Medicine. 2021.
  3. Meaume, S., Marty, M. “Pressure ulcer prevention and healing using alternating pressure mattress at home: the PARESTRY project”. Journal of Wound Care. 2015.
  4. Black, Joyce., Berke, Christine., Urzendowski, Gail. “Pressure Ulcer Incidence and Progression in Critically Ill Subjects: Influence of Low Air Loss Mattress Versus a Powdered Air Pressure Redistribution Mattress”. Journal of Wound, Ostomy, and Continence Nursing (JWCN). 2012.
  5. “American College of Physicians releases new guidelines for preventing and treating bedsores”. American College of Physicians® (ACP). 2015
  6. “Bedsores”. Johns Hopkins Medicine. Webpage accessed June 20, 2024.
  7. Cortés, Olga L., et al. “Frequency of repositioning for preventing pressure ulcers in patients hospitalized in ICU; protocol of a cluster randomized controlled trial”. BMC Nursing. 2021.
  8. “Proper Side Lying Positioning in Adults to Prevent Pressure Injuries”. National Pressure Injury Advisory Panel (NPIAP). Webpage accessed June 20, 2024. 
  9. “Pressure ulcers (pressure sores)”. National Health Service. Last modified April 15, 2020.
  10. Gillespie, Brigid M., Walker, Rachel M. “Repositioning for pressure injury prevention in adults”. National Library of Medicine. 2020.
  11. Siegel MD, Zachary. “WHAT CAUSES BED SORES AND HOW CAN THEY BE PREVENTED?”. Columbus Regional Health. Webpage accessed July 3, 2024.
  12. Emejuju, Jude-Kennedy C., Nwadi, Uchenna V., Obiegbu, Henry O., “Does Improvise Waterbed Reduce the Incidence of Pressure Ulcers in Patients with Spinal Injury?” National Library of Medicine. 2015.
  13. “Pressure sores”. Better Health Channel. Webpage accessed July 3, 2024.
  14. Low, Fan-Zhe, et al. “Effects of Mattress Material on Body Pressure Profiles in Different Sleeping Postures”. Journal of Chiropractic Medicine. 2017.