Bedsores, also known as pressure ulcers1, are painful wounds that result from prolonged pressure on certain areas of the body, and 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. To help with these issues, specialized mattresses have been designed to help prevent bedsores from developing or worsening.
For people who are largely bedridden and often in hospital-grade beds, alternating pressure mattresses or mattress toppers are a good option for keeping pressure ulcers at bay1. These electrically powered mattresses steadily inflate and deflate different chambers inside of them to keep changing the distribution of pressure on the user’s body.
Traditional mattresses can also be useful in providing pressure relief. If you’re hoping to prevent bed sores in the future, investing in a mattress that reliably takes the strain off of key pressure points can help.
We’ve collected our favorite alternating pressure mattresses and traditional mattresses that may guard against bedsores.
Best Mattresses for Pressure Ulcers
Best Traditional Mattresses for Preventing Pressure Ulcers & Bedsores
- Saatva Solaire – Editor's Pick
- Tempur-Adapt w/ Tempur-Ergo Smart Base – Best Memory Foam Mattress for Pressure Relief
- ReST Bed – Best Smart Mattress for Pressure Relief
- Pod 3 – Best Cooling Mattress for Pressure Relief
Best Alternating Pressure Mattresses for Bedsores
- Vive 8″ Alternating Pressure Mattress – Best 16-Cell Alternating Pressure Mattress
- Proactive Medical 80030 Protekt Aire 3000 – Best Budget Alternating Pressure Mattress
- Drive Medical Med-Aire 8″ – Best Alternating Pressure Mattress with a Quiet Pump
- Medacure Alternating Pressure Air Mattress – Best Easy-to-Use Alternating Pressure Mattress
- Drive Medical Med Aire Low Air Loss Mattress – Best Alternating Pressure Mattress with a Cell-on-Cell Design
The Best Traditional Mattresses for Pressure Ulcers, Reviewed
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.
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.
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.
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.

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.
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.
The Saatva Solaire is an innovative mattress that features an air chamber from vulcanized latex that can be adjusted via remote control. The user is able to modify air pressure in the chamber to whichever firmness feels most comfortable. For example, if you need extra relief for pressure ulcers, you can set the chamber to a softer feel to help melt away pressure buildup.
The Solaire’s chamber’s settings go from 1 to 50. This wide range allows the bed to accommodate all kinds of body types, making this a quality investment for many shoppers.
What stands out?
- The Solaire’s unique air chamber design is excellent for creating a customized sleep space.
- This bed should provide exceptional pressure relief through multiple comfort materials, including a 5-zone Talalay latex layer and a gel memory foam layer.
- Saatva offers customers free white glove delivery with their purchase, so a team of professionals can do the heavy lifting for you.
Want more info? Read our full Saatva Solaire mattress review.
TEMPUR-Adapt Mattress

The TEMPUR-Adapt® uses original TEMPUR® material to give sleepers enhanced pressure relief .
Read Full ReviewMaterial
Foam
Trial Period
90 nights
Shipping Method
Free white glove delivery
Firmness
Medium-firm: 7/10
Warranty
10-year warranty
Price Range
$$$$$
TEMPUR-Adapt Mattress

The TEMPUR-Adapt® uses original TEMPUR® material to give sleepers enhanced pressure relief .
Read Full ReviewMaterial
Foam
Warranty
10-year warranty
Firmness
Medium-firm: 7/10
Shipping Method
Free white glove delivery
Trial Period
90 nights
Price Range
$$$$$

TEMPUR-Adapt Mattress
The TEMPUR-Adapt® uses original TEMPUR® material to give sleepers enhanced pressure relief .
Read Full ReviewMaterial
Foam
Firmness
Medium-firm: 7/10
Trial Period
90 nights
Warranty
10-year warranty
Shipping Method
Free white glove delivery
Price Range
$$$$$
The TEMPUR-Adapt from Tempur-Pedic is available as an all-foam or hybrid model, giving shoppers the chance to choose whichever type suits their needs best. The foam version of this bed is available as a soft, medium, or firm model. However, the hybrid version is only available in a medium firmness.
The company also sells a TEMPUR-Ergo® Smart Base that is compatible with this mattress. The TEMPUR-Ergo® Smart Base should help those experiencing pressure ulcers by allowing them to modify their sleep position for improved comfort and reduced pressure. This advanced base also uses Sleeptracker®-AI to monitor the sleeper, including their behavior and environment.
What makes it special?
- In addition to a high-tech adjustable base, shoppers get the benefit of customization right from the start. Customers can decide between a foam or hybrid version, and for those who want the foam, there are three different comfort levels.
Want to learn more? Read our Tempur-Pedic mattress review or explore our picks for the best memory foam mattresses.
ReST Bed

Featuring the latest technology that allows real-time firmness adjustments, the ReST mattress is a treat for tech enthusiasts seeking the best and most comfortable sleep experience.
Material
Hybrid
Trial Period
90 nights
Shipping Method
Free white glove delivery
Firmness
Multiple firmness options
Warranty
10-year warranty
Price Range
$$$$$$
We recommend this mattress for the following sleeper types:
Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.Joint Pain
This bed is perfect for anyone suffering from joint pain.Hip Pain
This bed is perfect for anyone suffering from hip pain.Back Pain
This bed is perfect for anyone suffering from back pain.Financing Options
Financing options are available for this mattress.
ReST Bed

Featuring the latest technology that allows real-time firmness adjustments, the ReST mattress is a treat for tech enthusiasts seeking the best and most comfortable sleep experience.
Material
Hybrid
Warranty
10-year warranty
Firmness
Multiple firmness options
Shipping Method
Free white glove delivery
Trial Period
90 nights
Price Range
$$$$$$
We recommend this mattress for the following sleeper types:
Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.Joint Pain
This bed is perfect for anyone suffering from joint pain.Hip Pain
This bed is perfect for anyone suffering from hip pain.Back Pain
This bed is perfect for anyone suffering from back pain.Financing Options
Financing options are available for this mattress.

ReST Bed
Featuring the latest technology that allows real-time firmness adjustments, the ReST mattress is a treat for tech enthusiasts seeking the best and most comfortable sleep experience.
Material
Hybrid
Firmness
Multiple firmness options
Trial Period
90 nights
Warranty
10-year warranty
Shipping Method
Free white glove delivery
Price Range
$$$$$$
We recommend this mattress for the following sleeper types:
Couples
This bed has great motion isolation so you will not feel your partner tossing and turning at night.Joint Pain
This bed is perfect for anyone suffering from joint pain.Hip Pain
This bed is perfect for anyone suffering from hip pain.Back Pain
This bed is perfect for anyone suffering from back pain.Financing Options
Financing options are available for this mattress.
The ReST® Bed is a smart mattress that features five adjustable zones for optimal comfort. These zones include the head, shoulders, lumbar region, hips, and legs. The opportunity to modify your comfort level in these specific areas is especially advantageous for side sleepers, who can experience extra pressure buildup in this position, most notably in the shoulders and hips.
The mattress uses a smart sensor technology that detects pressure buildup and is made to respond to this pressure in real-time. Furthermore, the gel memory foam incorporated into the top of this bed should relieve pressure.
Why should you consider it?
- This bed should be helpful for those with pressure ulcers because it uses smart technology to help prevent pressure buildup as soon as it’s detected, reducing the risk of exacerbating the issue.
- The company offers a 90-day trial, giving shoppers plenty of time to test out this mattress for themselves.
Read our full ReST Bed mattress review or discover the best smart mattresses.
Eight Sleep Pod Pro Mattress

Sleepers looking for innovative technology should like the Pod’s automated tech that allows it to cool or warm each side to fit your body temperature.
Material
Foam
Trial Period
100 nights
Shipping Method
Free shipping
Firmness
Soft: 6/10
Warranty
10-year warranty for foam + 2-year for tech
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.Stomach Sleeping
Ideal for lightweight and average weight stomach sleepers.Financing Options
Financing options are available for this mattress.
Eight Sleep Pod Pro Mattress

Sleepers looking for innovative technology should like the Pod’s automated tech that allows it to cool or warm each side to fit your body temperature.
Material
Foam
Warranty
10-year warranty for foam + 2-year for tech
Firmness
Soft: 6/10
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 average weight back sleepers.Stomach Sleeping
Ideal for lightweight and average weight stomach sleepers.Financing Options
Financing options are available for this mattress.

Eight Sleep Pod Pro Mattress
Sleepers looking for innovative technology should like the Pod’s automated tech that allows it to cool or warm each side to fit your body temperature.
Material
Foam
Firmness
Soft: 6/10
Trial Period
100 nights
Warranty
10-year warranty for foam + 2-year for tech
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.Stomach Sleeping
Ideal for lightweight and average weight stomach sleepers.Financing Options
Financing options are available for this mattress.
The Pod 3 Mattress from Eight Sleep comes with an 11-inch profile and three high-quality foam layers. The initial foam layer should deliver a nice cushion against your pressure points. However, the second transitional layer should respond to pressure more quickly.
This bed also comes with highly appealing cooling features for folks who tend to sleep hot. The Pod 3 features a dual-sided temperature control system. This feature allows you and your partner to adjust the temperature of your side of the bed. So, even if you sleep hot but your partner doesn’t, both parties can rest comfortably.
What stands out?
- The Pod 3 works with an app that tracks helpful health-related details including the sleeper’s breathing rate, heart rate, and REM Sleep.
- If you’re unsure about the bed, the company offers a lengthy trial period that should give you enough time to decide before committing to your purchase.
Want more info? Read our full Pod 3 mattress review or check out our top picks for the best cooling mattresses.
The Best Alternating Pressure Mattresses to Prevent Bedsores, Reviewed
Vive 8" Alternating Pressure Mattress

With 16 separate air chambers, this alternating pressure mattress enables users to control how often and how much different parts of the bed will inflate and deflate.
Read Full ReviewMaterial
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
Vive 8" Alternating Pressure Mattress

With 16 separate air chambers, this alternating pressure mattress enables users to control how often and how much different parts of the bed will inflate and deflate.
Read Full ReviewMaterial
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$

Vive 8" Alternating Pressure Mattress
With 16 separate air chambers, this alternating pressure mattress enables users to control how often and how much different parts of the bed will inflate and deflate.
Read Full ReviewMaterial
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
The Vive alternating air mattress is designed to use 16 different air chambers that employ a variable air pump to mitigate prolonged stress and offer soothing relief. This preventative product is made to manage and treat ulcers to keep your loved one comfortable in the event of limited mobility or extended bed rest.
Aiming to offer maximum comfort, Vive has implemented customizable settings to alternate inflation and deflation frequency and regularly vary the overall air pressure for comfort and health. The cells at the head of the bed remain statically inflated to keep the user's head stable, minimizing disruption, and the product includes a static setting for non-medical use.
Some individuals enjoy the sound of a dull fan, however, others can find these sounds irritating. If the user is sensitive to noise, this mattress features an ultra-quiet pump to foster peaceful sleep.
Protekt Aire 3000

A budget-friendly alternating pressure mattress with 20 air chambers, a static function, and an intuitive airflow dial.
Read Full ReviewMaterial
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
Protekt Aire 3000

A budget-friendly alternating pressure mattress with 20 air chambers, a static function, and an intuitive airflow dial.
Read Full ReviewMaterial
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$

Protekt Aire 3000
A budget-friendly alternating pressure mattress with 20 air chambers, a static function, and an intuitive airflow dial.
Read Full ReviewMaterial
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
This budget mattress is an excellent value for the money to help prevent your loved one from developing dangerous spots while they're immobile. The Protect Aire 3000 is an ideal pressurized product that allows for deep submersion and superior stress redistribution. The bed boasts 20 individual cells that support soothing relief for high-risk patients.
The powerful yet quiet pump is user friendly, limiting tricky setup, and the mattress it inflates is designed to treat bedsores at any stage. The pump switches in 10-minute intervals to adjust the airflow, and the dial allows for customized air settings for individual needs, making it an excellent budget option.
You can even leave the mattress in static mode if the user needs a break occasionally from the slight adjustments. This product offers a remarkable value to treat serious injuries and prevent and treat painful ulcers with care.
14027 Med-Aire Low Air Loss Mattress Replacement System

20 air bladders control the firmness levels throughout this mattress, and an audible/visual alarm will let you know if the air pressure gets too low.
Read Full ReviewMaterial
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
14027 Med-Aire Low Air Loss Mattress Replacement System

20 air bladders control the firmness levels throughout this mattress, and an audible/visual alarm will let you know if the air pressure gets too low.
Read Full ReviewMaterial
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$

14027 Med-Aire Low Air Loss Mattress Replacement System
20 air bladders control the firmness levels throughout this mattress, and an audible/visual alarm will let you know if the air pressure gets too low.
Read Full ReviewMaterial
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
Sensitivity to noise could be an issue with mattresses that use motorized air pumps. However, the Drive Medical Med-Aire utilizes a “whisper quiet” mechanism to provide a peaceful night of rest. This eight-inch mattress offers an alternating pressure system and low air loss therapy to provide maximum pressure redistribution and manage bedsores.
The product is created using 20 deep air cells that can be easily removed and replaced to treat unhealthy spots, mitigate discomfort, and minimize skin ulcer development. The pillow function at the head of the bed can be switch into static mode for patient comfort, and the rest of the cells can also be put into static mode to provide a rest from the alternating pressure mechanism.
The nylon cover is fluid-resistant, vapor permeable, low shear, zippered and quilted for optimal comfort. This product is made to last, and function with ease using spring lined air tubes to prevent airflow disruption and kinks.
Oasis

With eight pressure levels, the Oasis alternating pressure mattress has a 10-minute cycle time and controls its airflow with "whisper quiet" inflation and deflation.
Read Full ReviewMaterial
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
Oasis

With eight pressure levels, the Oasis alternating pressure mattress has a 10-minute cycle time and controls its airflow with "whisper quiet" inflation and deflation.
Read Full ReviewMaterial
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$

Oasis
With eight pressure levels, the Oasis alternating pressure mattress has a 10-minute cycle time and controls its airflow with "whisper quiet" inflation and deflation.
Read Full ReviewMaterial
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
This simple to operate Medacure Alternating Air mattress is hospital-grade to offer premium support and tension relief. The bed works to prevent bedsores by switching inflation levels regularly and boasts eight customizable pressure levels to accommodate your loved one's unique needs. The options allow you to adjust the feel to various soft, medium, and firm levels.
This easy to use bed is designed to inflate with ease and should deflate without hassle. The cushion even has a CPR emergency function to deflate in seconds by merely tugging a tag, allowing emergency measures to be taken quickly without the cushioning getting in the way.
Eight ventilation cells work to make sure the bed retains air and keeps individuals and skin ulcers dry. Additionally, the 17 air cells are created to hold air securely even during transport and are easily removable and straightforward to snap back in place. The removable cover works to maintain dryness and comfort.
14029 Med-Aire Low Air Loss Mattress Replacement System

This alternating pressure mattress has 20 separate air cells and four cycle times to choose from, allowing for above-average customization and comfort.
Read Full ReviewMaterial
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
14029 Med-Aire Low Air Loss Mattress Replacement System

This alternating pressure mattress has 20 separate air cells and four cycle times to choose from, allowing for above-average customization and comfort.
Read Full ReviewMaterial
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$

14029 Med-Aire Low Air Loss Mattress Replacement System
This alternating pressure mattress has 20 separate air cells and four cycle times to choose from, allowing for above-average customization and comfort.
Read Full ReviewMaterial
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
This low air loss mattress works efficiently to reduce the appearance of bedsores and repair afflicted areas. The combination therapy system offers both alternating low air loss and pressure to maximize air distribution and care for skin maceration. This product should prevent, treat and manage bedsores when your loved one is rendered immobile or bedridden for long term care.
A digital pump equipped with diagnostic alarms provides customizable settings to suit individual needs. Due to the sensitive nature of skin ulcers and the need for constant air redistribution, this product will automatically return to alternating pressure mode when left on static mode for over two hours.
This brand's innovative cell on cell design works to prevent “bottoming out”, keeping users comfortable. In the event of a power outage, it should provide up to 24 hours of power protection, keeping users comfortable and safe even when technology fails.
What to Look for In A Mattress for Pressure Ulcers and Bedsores
Bedsores can be dangerous if not treated with care and consideration1. There are many features to keep in mind when searching for an accommodating mattress; we dive into the details to help you know what you're looking for.
Type of Mattress
Multiple mattress models are available for pressure ulcers; typically the best ones use bubble cells or alternating air pressure. You'll want to carefully research2 how you or your loved one will be using the mattress, what the specific need is — preventative or treatment — as well as your budget.
Alternating Pressure Air Mattress
Air beds that use alternating air work by a connected series of air bubbles that are alternately inflated and deflated3 to prevent any one area from becoming overexposed to pressure. These types are also fantastic for minimizing the amount of moisture buildup that gathers around the body, which could exacerbate sores.
Additionally, this prevents the product from gliding on the skin (friction can cause ulcers) and continuous tension. These types help relieve stress through alternative bubble inflations, flexible design, and by promoting blood flow. The innovative design works to prevent dangerous bedsores and infections.
Low Air Loss Mattress
Another excellent option when choosing a mattress for bedsores is a low air loss4 product. These beds are powered by a blower, which works to circulate air throughout the mattress continuously.
Low air loss products are great for keeping patients dry, and these types are considerably more delicate, making them a great choice for individuals with susceptible conditions. These models can run at a higher cost and are often thought to be more challenging to set up, but they are considered more comfortable and conducive to healing.
Traditional Mattress
Traditional mattresses can also be used when trying to eliminate or prevent pressure relief. In fact, the American College of Physicians5 recommends traditional mattresses made of foam or gel that cradle you and don’t move much as this could help reduce friction.
Sleeping Position
Bedsores are common in those who are bedridden, in a wheelchair, or otherwise unable to sense pain6. For those with or at risk for pressure ulcers, it is recommended that they reposition frequently7 to diminish the chances of obtaining bedsores.
According to the National Pressure Injury Advisory Panel (NPIAP)8, side sleeping may be your best bet when it comes to preventing many pressure ulcers. However, even if you sleep on your side, if you are in an at-risk group for bedsores, you may still want to change positions frequently.
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
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.
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-set person would.
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?
Bedsores develop by prolonged pressure9. They typically arise in people confined to wheelchairs or beds due to health or mobility reasons.
While these sores are progressive and difficult to treat once developed, they are mostly preventable by the use of a stress-relieving mattress. These sores commonly appear on the heels, elbows, spine, and hip regions due to these areas’ bony nature and exposure to pressure1.
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.
How Can A Mattress Help with Bedsores?
A mattress can help prevent bedsores by evenly distributing the 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.
- Air loss cushions work by simulating a weightless sensation, relieving pressure from the afflicted area.
- Dynamic beds 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.
- Hybrid mattresses are a combination of static and dynamic mattresses, using beneficial features from both designs to work well for high-risk individuals.
What is the Best Sleeping Position for Bedsores
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
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.
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.
Best Mattress for Bedsores FAQs
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.
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.
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 keep their clothes and bedding switched out regularly.
- If your loved one uses a wheelchair predominantly, foams can relieve pressure from sitting in the same position all day.
References
- “Bedsores (pressure ulcers).” Mayo Clinic. Webpage accessed June 19, 2023. https://www.mayoclinic.org/diseases-conditions/bed-sores/symptoms-causes/syc-20355893
- 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. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407250/ 2021
- Meaume, S., Marty, M. “Pressure ulcer prevention and healing using alternating pressure mattress at home: the PARESTRY project”. Journal of Wound Care. https://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2015.24.8.359?utm_campaign=Journal_of_Wound_Care_TrendMD_0&utm_medium=cpc&utm_source=TrendMD 2015
- 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). https://journals.lww.com/jwocnonline/Abstract/2012/05000/Pressure_Ulcer_Incidence_and_Progression_in.8.aspx 2012.
- “American College of Physicians releases new guidelines for preventing and treating bedsores”. American College of Physicians® (ACP). https://www.acponline.org/acp-newsroom/american-college-of-physicians-releases-new-guidelines-forpreventing-and-treating-bedsores. 2015
- “Bedsores”. Johns Hopkins Medicine. Webpage accessed June 20, 2023. https://www.hopkinsmedicine.org/health/conditions-and-diseases/bedsores#:~:text=about%20bed%20sores-,Bedsores%20are%20ulcers%20that%20happen%20on%20areas%20of%20the%20skin,to%20sense%20pain%2C%20or%20immobile.
- Cortés, Olga L., Herrera-Galindo, Mauricio., et. al.. “Frequency of repositioning for preventing pressure ulcers in patients hospitalized in ICU; protocol of a cluster randomized controlled trial”. BMC Nursing. https://doi.org/10.1186/s12912-021-00616-0 2021.
- “Proper Side Lying Positioning in Adults to Prevent Pressure Injuries”. National Pressure Injury Advisory Panel (NPIAP). Webpage accessed June 20, 2023. https://www.vumc.org/pip/sites/default/files/NPIAP%20-%20Side%20Lying%20Positioning.pdf
- “Pressure ulcers (pressure sores)”. National Health Service. Last modified April 15, 2020. https://www.nhs.uk/conditions/pressure-sores/.
- Gillespie, Brigid M., Walker, Rachel M. “Repositioning for pressure injury prevention in adults”. National Library of Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265629/ 2020.
- Siegel MD, Zachary. “WHAT CAUSES BED SORES AND HOW CAN THEY BE PREVENTED?”. Columbus Regional Health. Webapge accessed July 3, 2023. https://www.crh.org/healthy-tomorrow/healthy-tomorrow/2016/10/25/what-causes-bed-sores-and-how-can-they-be-prevented#:~:text=1)%20Moisture%3A%20Increased%20Moisture%20over,the%20absence%20of%20any%20pressure.
- 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. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566317/ 2015.
- “Pressure sores”. Better Health Channel. Webpage accessed July 3, 2023. https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/pressure-sores
Rachael is a content writer for Sleep Advisor who loves combining her enthusiasm for writing and wellness. She’s had a passion for writing since she was a kid when she wrote awful poetry. She’s honed her craft quite a bit since then and considers herself a lucky duck to get paid to do what she loves.
Embracing the remote work life, she occasionally takes her work on the road and lives out her travel writer pipe dream.
In her free time, she attempts to meditate regularly, rides her bike to Trader Joe’s, and enjoys trying every type of food that she can get her hands on.