Written by Julia Forbes, Lead Product Tester
Bedsores, also known as pressure ulcers1, 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.
According to our Chief Medical Advisor, Dr. Raj Dasgupta, a mattress must showcase a few key traits to effectively prevent bedsores. Namely, it should distribute the sleeper’s weight evenly and provide enough support.
“The mattress needs to distribute weight evenly to prevent having too much pressure in one area of the mattress,” he said. “It should also be supportive enough to keep your body properly aligned while sleeping, which will also help to reduce the likelihood of pressure points that can contribute to ulcers.”
Many kinds of 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 bay.1 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.
However, traditional mattresses can also help with bedsore prevention, and many people find them more comfortable than alternating pressure mattresses. 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.” He also advised that anyone at risk for bedsores consult a medical professional as they shop for mattresses, then reevaluate their condition and comfort regularly.
Here, we’ve collected our favorite traditional beds that may guard against bedsores. We’ve also listed a few alternating pressure mattresses that you can order online. As with so many mattress decisions, 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 cooling features.
However, because comfort is so personal, 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
- Helix Midnight Luxe – Editor’s Pick
- WinkBeds GravityLux – Best Foam Mattress for Preventing Bedsores
- DreamCloud – Best Hybrid Mattress for Preventing Pressure Ulcers
- Plank Firm – Best Firm Mattress for Preventing Bedsores
- Nolah Evolution – Best Luxury Mattress for Preventing Bedsores
- Saatva Solaire – Best Mattress with Adjustable Firmness for Preventing Bedsores
- Bear Original – Best Mattress for Back Sleepers and Preventing Pressure Ulcers
- Nectar Premier Copper – Best Cooling Mattress for Preventing Bedsores
- Purple Original – Best Hypoallergenic Mattress for Preventing Pressure Ulcers
- Puffy Cloud – Best Mattress for Side Sleepers and Preventing Bedsores
Comparing the Best Beds for Pressure Ulcers 2024
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| 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 | ||||||||||
| 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 | — |
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| 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 |
Sleep Advisor’s Testing Methodology
At Sleep Advisor, our mattress reviews are based on findings from in-person tests that allow us to have a genuine understanding of how the mattress feels and performs.
We look at features that are valuable to consumers managing bedsores or pressure ulcers, such as support, ability to evenly distribute weight, motion isolation, and more.
Advice from a Medical Expert
We reached out to Dr. Raj Dasgupta, who has over 20 years of experience in the medical field, to see his thoughts on what key qualities people should look for in a mattress to help with pressure ulcers.
“To help with pressure ulcers, look for a mattress that’s great at relieving pressure and lets your body sink in a bit to distribute weight evenly. Materials like memory foam or gel can be really comfortable and supportive, helping to prevent further issues and help you heal.
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 Preventing Pressure Ulcers, Reviewed
Helix Midnight Luxe – 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.
Use code SPRING20 and save 20% off sitewide + 2 free pillows with mattress purchase
Material
Hybrid
Trial Period
100 nights
Shipping Method
Free shipping
Firmness
Medium-firm: 6/10
Warranty
15-year warranty
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Back Sleeping
Ideal for average weight and heavyweight back sleepers.
Side Sleeping
Ideal for average weight and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Helix Midnight Luxe Mattress
With the Ultra-Cool phase-changing cover and gel-infused foam, the Helix Midnight Luxe is an excellent choice for hot sleepers who also need pressure relief and zoned support.
Material
Hybrid
Warranty
15-year warranty
Firmness
Medium-firm: 6/10
Shipping Method
Free shipping
Trial Period
100 nights
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Back Sleeping
Ideal for average weight and heavyweight back sleepers.
Side Sleeping
Ideal for average weight and heavyweight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Helix Midnight Luxe Mattress
With the Ultra-Cool phase-changing cover and gel-infused foam, the Helix Midnight Luxe is an excellent choice for hot sleepers who also need pressure relief and zoned support.
Material
Hybrid
Firmness
Medium-firm: 6/10
Trial Period
100 nights
Warranty
15-year warranty
Shipping Method
Free shipping
Price Range
$$$$$
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.
Why the Helix Midnight Luxe Earned Editor’s Pick
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).
What’s the Helix Midnight Luxe Made Of?
The Helix Midnight Luxe stands 13.5 inches tall and is composed of 6 layers. All of the foams used in the Helix Midnight are CertiPUR-US® certified. You can pick between two covers: a breathable Tencel™ cover or a GlacioTex™ cooling cover. Both are soft and permit cooling airflow.
Underneath, there are three layers of foam. The first is a layer of Helix Responsive Foam, then a layer of copper gel memory foam to balance cooling, and then a final layer of Memory Plus Foam for stability.
The innerspring unit is made up of individually wrapped coils and is zoned with stronger coils in the middle to support the hips and lower back.
The coils around the edges of the bed are also reinforced for a sturdier perimeter. Beneath the springs, you’ll find a base layer of dense foam.
Our Take: “If you’ve got the extra cash to spend, and you want enhanced support, cushioning up top, and cooling, then the Luxe is worth it.” – Emma Mattei, Sleep Advisor Mattress Tester
What We Liked
- Supportive but soft – The combination of coils and cushiony top layers make the Helix Midnight Luxe great at providing comfortable lift. The medium-firm feel of the mattress should balance support and softness.
- Versatile – This same balanced feeling mentioned above makes the mattress great for most sleeping positions and body types. It’s also responsive enough that you should be able to switch positions with ease.
Potential Drawbacks
- Not for heavier stomach sleepers – Though this bed should provide support for a number of sleepers, some 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. Our testers noticed that when trying to move it, and recommended you phone a friend to help out.
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 nights’ sleep and some pain relief.
Want to know more? Check out our full Helix Midnight Luxe review.
WinkBeds GravityLux – 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.
Material
Foam
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Medium-firm: 6/10
Warranty
Lifetime warranty
Price Range
$$$$$
WinkBeds GravityLux Mattress
GravityLux introduces a new age of memory foam by fostering a pressure-relieving experience without the drawbacks of traditional viscoelastic materials.
Material
Foam
Warranty
Lifetime warranty
Firmness
Medium-firm: 6/10
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$$$$$
WinkBeds GravityLux Mattress
GravityLux introduces a new age of memory foam by fostering a pressure-relieving experience without the drawbacks of traditional viscoelastic materials.
Material
Foam
Firmness
Medium-firm: 6/10
Trial Period
120 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$$$$$
Why the WinkBeds GravityLux Earned Best Foam Mattress for Preventing Bedsores
The GravityLux by WinkBeds seeks to provide a foam mattress experience without the temperature-trapping qualities of typical viscoelastic foams. It uses AirCell™ proprietary foam along with a Tencel™ cooling cover for preventing moisture buildup.
The zoned Progression Foam™ underneath provides balanced support and pressure relief while promoting proper spinal alignment. It should also help to cradle common pressure points, which tend to be hotbeds for ulcer formation.
What’s the GravityLux Made Of?
The GravityLux is 11 inches tall and composed of three layers of foam plus a cover. Said cover is tufted, moisture-wicking, and lined with a 2-inch layer of cooling gel foam.
The next layer is made up of AirCell™ memory foam, aptly named because of its perforations that allow air to flow through the material. Progression Foam™ makes up the second layer, and it smoothly conforms to the shape of your body. The third and final layer of ATLAS Core™ foam gives the GravityLux its durability and acts as a stable base for the rest of the mattress.
Our 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.
What We Liked
- 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.
Potential Drawbacks
- Lacking edge support – All-foam beds don’t often have reinforced edges, and unfortunately that’s the case for the GravityLux. If you prefer sleeping toward the edge of the mattress, you’re going to feel some sinkage.
- Not the best for heavier folks – Plus-size folks, especially those who sleep on their stomachs, may want a firmer mattress to give them better support.
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.
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
DreamCloud Original Mattress
Luxurious hybrid at a great price with a lifetime warranty.
Material
Hybrid
Trial Period
365 nights
Shipping Method
Free shipping
Firmness
Medium-firm: 6.5/10
Warranty
Lifetime warranty
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Seniors
This bed is perfect for senior sleepers.
Back Sleeping
Ideal for average weight back sleepers.Financing Options
Financing options are available for this mattress.
DreamCloud Original Mattress
Luxurious hybrid at a great price with a lifetime warranty.
Material
Hybrid
Warranty
Lifetime warranty
Firmness
Medium-firm: 6.5/10
Shipping Method
Free shipping
Trial Period
365 nights
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Seniors
This bed is perfect for senior sleepers.
Back Sleeping
Ideal for average weight back sleepers.Financing Options
Financing options are available for this mattress.
DreamCloud Original Mattress
Luxurious hybrid at a great price with a lifetime warranty.
Material
Hybrid
Firmness
Medium-firm: 6.5/10
Trial Period
365 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$$$$$
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.
Why the DreamCloud Earned Best Hybrid Mattress for Preventing Pressure Ulcers
DreamCloud consistently ranks as one of my top favorites, but I also believe in its capabilities when it comes to bedsore prevention. It has a firm pillow top that should promote even weight distribution, while at the same time balancing support and that all-too-necessary pressure relief.
It also offers stellar motion isolation, especially for a hybrid, thanks to its thick memory foam layers and pocketed coils. That’s an important trait if you share a bed, but also if you’re concerned about bedsores and don’t want too much jostling around key pressure points.
What’s the DreamCloud Made Of?
The DreamCloud is a whopping 14 inches thick. It’s made up of 7 layers including both a top and bottom cover. The top cover is made of a luxurious cashmere blend that is woven to feel plush and last long.
Next comes three layers of CertiPUR-US® Certified foams: a 1.5-inch plush foam for cushioning, a 1-inch gel-infused memory foam for pressure relief, and 2 inches of supportive dynamic foam.
Beneath these is the coil unit of the bed, 8.5 inches of individually wrapped coils. Thicker coils line the perimeter to bolster the edges of the bed.
All of this sits atop a foam base. Finally, the bottom cover is designed to resist shifting and has four handles for ease of movement.
My Take: I like calling the DreamCloud a “jack of all trades” because it packs a lot of features into one mattress and feels good in any sleeping position, all at a reasonable price.
What I Liked
- Affordable luxury – The cashmere blend on top of this bed feels like a dream, and when it’s combined with the many layers and thick profile, it’s difficult to believe that the DreamCloud doesn’t cost as much as its competitors.
- Responsive surface – The DreamCloud’s hybrid construction creates a bounciness that tossers and turners should appreciate. Its coils should aid in bounce-back when moving around.
Potential Drawbacks
- Not the most contouring – If you’re looking for the typical “hugging” memory foam feeling, check out our other picks on this list, particularly the all-foam options.
- Lackluster edges – Despite the DreamCloud having thicker coils around its perimeter, I thought there was still something to be desired from its edge support. Be aware if you’re someone who prefers to sleep or sit at the very edge of your bed.
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.
Curious? Read our full DreamCloud review or discover the best hybrid mattresses.
Plank Firm – 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.
Material
Foam
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Multiple firmness options
Warranty
10-year warranty
Price Range
$$$$$
Brooklyn Bedding Plank Firm Mattress
Those in the market for a Firm bed now have a dual-sided choice to see what they require to sleep well-supported and comfortable in Plank Firm, a new product from Brooklyn Bedding.
Material
Foam
Warranty
10-year warranty
Firmness
Multiple firmness options
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$$$$$
Brooklyn Bedding Plank Firm Mattress
Those in the market for a Firm bed now have a dual-sided choice to see what they require to sleep well-supported and comfortable in Plank Firm, a new product from Brooklyn Bedding.
Material
Foam
Firmness
Multiple firmness options
Trial Period
120 nights
Warranty
10-year warranty
Shipping Method
Free shipping
Price Range
$$$$$
Why the Plank Firm Earned Best Firm Mattress for Preventing Bedsores
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.
We recommend the medium-firm side for a smidge more pressure relief, but both sides should feel firm and supportive. For an added fee, you can also get a cooling cover to regulate temperature and moisture buildup from sweat.
What’s the Plank Firm Made Of?
The Plank Firm packs four distinct layers into 9.5 inches of mattress. It’s flippable and split into two sides: an extra-firm side and a firm side. The center core consists of 6 inches of high-density foam that gives the bed its support.
The extra-firm side only has a quilted top above the foam core, and it’s stitched to provide absolutely no lift for a seriously firm experience. On the other hand, the firm side has a quilted top layer with a small amount of loft that makes it feel more traditionally firm. Underneath is a layer of TitanFlex™ foam for bounce and pressure relief.
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.
What I Liked
- Flippable – This mattress has two sides, a traditionally firm side and a super-firm side. Depending on how much give you want from your mattress—some or none at all—you can easily flip between the two.
- 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.
Potential Drawbacks
- Too firm for some – Because pressure relief is also important for preventing bedsores, I want to be very clear on this point: 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 you can rectify this for an added fee, which nets you top and bottom covers augmented with GlacioTex™ cooling fibers.
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.
Find out more: Read our full Plank Firm review or check out the best firm mattresses.
Nolah Evolution – 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.
Material
Hybrid
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Multiple firmness options
Warranty
Lifetime warranty
Price Range
$$$$$
Nolah Evolution Hybrid Mattress
Nolah’s innovative pressure-relieving abilities should be an excellent fit for side-sleepers, and if you struggle with overheating, the AirFoamICE™ technology should keep you cool all night long.
Material
Hybrid
Warranty
Lifetime warranty
Firmness
Multiple firmness options
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$$$$$
Nolah Evolution Hybrid Mattress
Nolah’s innovative pressure-relieving abilities should be an excellent fit for side-sleepers, and if you struggle with overheating, the AirFoamICE™ technology should keep you cool all night long.
Material
Hybrid
Firmness
Multiple firmness options
Trial Period
120 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$$$$$
Why the Nolah Evolution Earned Best Luxury Mattress for Preventing Bedsores
When it comes to luxury, Nolah has you covered with their spiffy Evolution model. It’s got plenty of layers and added features that promote serene sleep.
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.
What’s the Nolah Evolution Made Of?
The Nolah Evolution has nine layers (including its upper and lower covers) and stands 15 inches high. You can order it in one of three firmnesses: Plush, Luxury Firm, or Firm. We recommend the Luxury Firm, as a medium-firm profile should be most effective for preventing sores.
The cover on the Evolution is made of organic cotton and ArcticTex™ fibers, the latter of which help to absorb and disperse heat. Underneath is a Euro topper quilted with 2 inches of foam. The quilting is labeled HTC for high thermal conductivity, implying that it also assists with redirecting unwanted warmth.
The topper is encased in a gusset with vents along the sides that encourage heat to exit the bed.
Next is a 2-inch layer 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’s followed by 2 inches of support foam, and another inch of transitional foam that buffers the comfort layers above from the spring unit below.
The coils in the Evolution are split into three zones that give customized amounts of support to different areas of the body, including an especially supportive set of springs for the lumbar region of the back. Along the bed’s edges, the coils are reinforced for extra resistance to dipping and sagging.
Beneath the spring unit is a final and foundational layer of recycled plant fiber.
Our Take: “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
What We Liked
- Loads of pressure relief – “When I crawled into this bed, I could really feel it gently cradle my body,” said our tester Stuart. Liz echoed this point: “I really love the relief I get from the pressure in my hips.”
- Awesome edge support – “I really love the care Nolah has taken to reinforce the edges,” said Liz. Getting in and out of bed didn’t feel destabilizing, and lying on the edges was likewise worry-free.
Potential Drawbacks
- It’s bulky – “The Nolah [Evolution] is a pretty large mattress, so make sure you ask for assistance when unboxing,” said Stuart. By the same token, 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. They may want to check out the Nolah Evolution Comfort+, which was designed to give more support to heavier folks.
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.
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
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.
Why the Saatva Solaire Earned Best Mattress with Adjustable Firmness for Preventing Bedsores
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.
More than that, it also keeps cool by incorporating naturally breathable materials, including latex foam and organic cotton, alongside memory foam that’s been infused with cooling gel. By keeping sleepers sweat-free, this bed should make the environment drier and less conducive to pressure ulcers.
What’s the Saatva Solaire Made Of?
The Saatva Solaire starts with a plush, 3-inch Euro pillow top encased in organic cotton. The pillow top features Lumbar Zone® Quilting—reinforced foam in its center third that should give boosted support to your lumbar spine.
Underneath is a 1-inch layer of springy latex that’s arranged in five distinct support zones, each of which corresponds to an area of the back. It’s followed by a 2-inch layer of pressure-relieving, gel-infused memory foam.
Between the above comfort layers and the vulcanized air chambers is a moisture barrier that guards the mattress’s electronic components. The air chambers themselves take up 6 inches of the mattress. They and their inflation components are hidden from view inside the mattress, which looks like a traditional bed from the outside.
If you order an Upper-Flex model (available in king or queen sizes), the mattress will have upper portions that can elevate independently of one another with the help of an adjustable base, as well as dual air chambers and two remotes. Split King and Split Cal King models will have two completely separate sides.
Our Take: “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
What We Liked
- White glove delivery – Saatva offers free white glove delivery with all their beds. This means they’ll send workers to your home to get rid of your old mattress and install your new one. This service is especially helpful with all the extra setup and features the Solaire has, so you should get your questions answered.
- Easy customizability – 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.
Potential Drawbacks
- It’s expensive – The Solaire’s most obvious drawback is its price. As a fancy adjustable mattress, it’s not the easiest purchase if you’re on a limited budget.
- It takes time to get settled – It’s a temporary disadvantage, but the Solaire needs a bit of time before it can be used to its full potential. After the first time you fill its air chambers, they’ll need up to 48 hours to expand completely, and about a week before they can maintain a single comfort level consistently from day to day. During that first week, small fluctuations in firmness are normal, and can easily be resolved with the bed’s remote.
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.
Still want more? Read our full Saatva Solaire review.
Bear Original – 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.
Material
Foam
Trial Period
120 nights
Shipping Method
Free shipping
Firmness
Medium-firm: 6.5/10
Warranty
Lifetime warranty
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Bear Original Mattress
This flagship model was thoughtfully crafted and assembled to be an attractive all-foam option for athletes who need better rest.
Material
Foam
Warranty
Lifetime warranty
Firmness
Medium-firm: 6.5/10
Shipping Method
Free shipping
Trial Period
120 nights
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Bear Original Mattress
This flagship model was thoughtfully crafted and assembled to be an attractive all-foam option for athletes who need better rest.
Material
Foam
Firmness
Medium-firm: 6.5/10
Trial Period
120 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$$$$$
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.
Why the Bear Original Earned Best Mattress for Back Sleepers and Preventing Pressure Ulcers
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.
What’s the Bear Original Made Of?
With only three layers, the Bear Original mattress is 10 inches thick. You have two options for the cover: the standard breathable Tencel™ cover that feels soft to the touch, or the swanky Celliant® cover at an additional price. Celliant® is a unique fiber that is said to boost the rejuvenation of strained muscles by transforming body heat into infrared energy.
Beneath this cover is a layer of gel memory foam meant to feel cooler than typical foams. It also encourages proper alignment of the spine.
A layer of dynamic foam underneath delivers deep pressure relief. Ultimately, this all sits on top of a dense support foam base.
Our Take: “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
What We Liked
- Firm for foam – We were surprised by the firmness of this bed, especially considering it’s made entirely of foam! This should make it versatile for many types of sleepers, including heavier folks who still want the signature foam feeling.
- A spiffy extra feature – For an extra fee, you can have Celliant® fibers woven into the cover of the mattress. This technology purportedly aids in recovery by converting body heat into infrared energy, which in turn promotes muscle healing.
Potential Drawbacks
- 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. Shoulders and hips might not get cushioned as much for lighter and average-weight sleepers.
- 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.
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.
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
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.
Material
Foam
Trial Period
365 nights
Shipping Method
Free shipping
Firmness
Medium: 5/10
Warranty
Lifetime warranty
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Nectar Premier Copper Mattress
The Nectar Premier Copper mattress delivers a fantastic ratio of softness, support, and pressure relief thanks to its foam layers and cooling technologies.
Material
Foam
Warranty
Lifetime warranty
Firmness
Medium: 5/10
Shipping Method
Free shipping
Trial Period
365 nights
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Nectar Premier Copper Mattress
The Nectar Premier Copper mattress delivers a fantastic ratio of softness, support, and pressure relief thanks to its foam layers and cooling technologies.
Material
Foam
Firmness
Medium: 5/10
Trial Period
365 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$$$$$
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.
Why the Nectar Premier Copper Earned Best Cooling Mattress for Preventing Bedsores
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.
The copper fibers within the cover make the surface of the bed especially cool (literally and figuratively). Cooling gel and phase change material within the bed’s foams also contribute to temperature regulation. These materials, combined with a medium-firm feel, make the Nectar Premier Copper a good candidate for preventing pressure ulcers.
What’s the Nectar Premier Copper Made Of?
The Nectar Premier Copper is 14 inches thick with five layers, including a bottom and top cover. This top cover is what gives the mattress its name, as it’s infused with real copper fibers that make the surface cool to the touch.
Underneath are three layers of CertiPUR-US® certified foam: a gel-infused memory foam layer with added phase change material for even more cooling, a bouncy dynamic response foam, and a final foam layer for support and durability.
The bottom cover is made of stitched polyester to mitigate slipping.
Our Take: “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, Sleep Advisor Mattress Tester
What We Liked
- Fantastic pressure relief – Emma noted the bed’s comfortable foam would work well for back and side sleepers, who should “really benefit from the foam’s pressure point relief and contouring.”
- Motion-dampening foam – Emma also appreciated the bed’s ability to isolate motion. She said that “you can do a little happy dance without disturbing your partner while they sleep.”
Potential Drawbacks
- 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. Be aware of this if you often sit or sleep on the edges of your bed.
- Not super bouncy – The foam that allows the Nectar Premier Copper to isolate motion so well unfortunately makes it harder to move around in bed. The surface isn’t the most responsive when compared to others on our list, so you may feel “stuck” in the bed while trying to switch positions.
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.
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
Purple Mattress
The Purple’s unique structure uses polymer to align your spine and keep temperatures neutral
Material
Hybrid
Trial Period
100 nights
Shipping Method
Free shipping
Firmness
Soft: 4/10
Warranty
10-year warranty
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Purple Mattress
The Purple’s unique structure uses polymer to align your spine and keep temperatures neutral
Material
Hybrid
Warranty
10-year warranty
Firmness
Soft: 4/10
Shipping Method
Free shipping
Trial Period
100 nights
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Hot Sleepers
If you often overheat while you sleep, this mattress should help you stay cool.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.
Stomach Sleeping
Ideal for lightweight stomach sleepers.Financing Options
Financing options are available for this mattress.
Purple Mattress
The Purple’s unique structure uses polymer to align your spine and keep temperatures neutral
Material
Hybrid
Firmness
Soft: 4/10
Trial Period
100 nights
Warranty
10-year warranty
Shipping Method
Free shipping
Price Range
$$$$$
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.
Why the Purple Original Earned Best Hypoallergenic Mattress for Preventing Pressure Ulcers
If there’s one thing that the Purple Original excels at, it’s 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.
More than that, Purple asserts that the 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.
What’s the Purple Original Made Of?
Purple’s Original mattress is 9.25 inches tall and composed of five layers including a cover. This SoftFlex cover is stretchy and breathable.
The first comfort layer is Purple’s signature GelFlex® Grid; it’s an elastic polymer construction that adapts and reacts to your body weight for even support. The grid cells allow air to flow freely and create a much more open structure than traditional foams.
The grid is framed by thick foam to reinforce the edges. It’s followed by a full layer of comfortable and conforming polyurethane foam, and finally a more supportive base layer of foam.
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.
What I Liked
- 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 versatility – 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.
Potential Drawbacks
- Non-traditional mattress feel – This bed is something truly unique, and it’s difficult to compare to a traditional foam or innerspring mattress. Be aware that you’re in for something new when you test out Purple!
- No natural materials – Hypoallergenic qualities usually go hand-in-hand with organic materials, but even though Purple constructed this mattress safely and considerately, it isn’t the most eco-friendly bed.
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.
For more: Read our full Purple review or look for the best hypoallergenic mattresses.
Puffy Cloud – 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.
Material
Foam
Trial Period
101 nights
Shipping Method
Free shipping
Firmness
Medium-firm: 6.5/10
Warranty
Lifetime warranty
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Kids
This bed is perfect for young sleepers.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Puffy Cloud Mattress
Puffy provides a classic memory foam feel with enhanced pressure relief that should appeal to most sleepers.
Material
Foam
Warranty
Lifetime warranty
Firmness
Medium-firm: 6.5/10
Shipping Method
Free shipping
Trial Period
101 nights
Price Range
$$$$$
We recommend this mattress for the following sleeper types:
Kids
This bed is perfect for young sleepers.
Back Pain
This bed is perfect for anyone suffering from back pain.
Back Sleeping
Ideal for lightweight and average weight back sleepers.
Side Sleeping
Ideal for lightweight and average weight side sleepers.Financing Options
Financing options are available for this mattress.
Puffy Cloud Mattress
Puffy provides a classic memory foam feel with enhanced pressure relief that should appeal to most sleepers.
Material
Foam
Firmness
Medium-firm: 6.5/10
Trial Period
101 nights
Warranty
Lifetime warranty
Shipping Method
Free shipping
Price Range
$$$$$
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.
Why the Puffy Cloud Earned Best Mattress for Side Sleepers and Preventing Bedsores
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.
What’s the Puffy Cloud Made Of?
The Puffy Cloud is 10 inches thick, made up of five layers (including its top and bottom covers). The first is its Cloud Cover, which is removable, washable, and stain-resistant, all while remaining soft to the touch.
Then come three different layers of foam. The first is Puffy’s Cooling Cloud™ foam, which seeks to draw heat away as it conforms to your body. Next is Puffy’s Climate Comfort™ foam—as the name implies, it’s humidity-resistant and breathable.
Then, the core of the mattress: 6 inches of dense foam that give the bed its support and alignment capabilities.
Finally, the Grip Base Cover keeps the mattress from slipping and sliding around.
My Take: The Puffy Cloud’s foam layers all work well together to keep your spine supported and take the tension off pressure points, which is particularly helpful for side sleepers.
What I Liked
- Certified alignment – If you don’t believe me when I say this bed brings the support, the American Chiropractic Association also 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.
Potential Drawbacks
- 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. If you switch between your side and stomach when sleeping, look elsewhere on our list.
- Lacking edge support – The all-foam construction is comfortable but doesn’t lend itself well to sturdy edges. Sleeping or sitting on the edges of the bed might be a problem.
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.
For more: Read our full Puffy mattress review or discover the best mattresses for side sleepers.
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 Vive 8″ Alternating Pressure Mattress Review
Material
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
Vive 8″ Alternating Pressure Mattress
With 16 separate air chambers, this alternating pressure mattress enables users to control how often and how much different parts of the bed will inflate and deflate.
Read Vive 8″ Alternating Pressure Mattress Review
Material
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$
Vive 8″ Alternating Pressure Mattress
With 16 separate air chambers, this alternating pressure mattress enables users to control how often and how much different parts of the bed will inflate and deflate.
Read Vive 8″ Alternating Pressure Mattress Review
Material
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
The Vive alternating air mattress is designed to use 16 different air chambers that employ a variable air pump to mitigate prolonged stress and offer soothing relief. This preventative product is made to manage and treat ulcers to keep your loved one comfortable in the event of limited mobility or extended bed rest.
Aiming to offer maximum comfort, Vive has implemented customizable settings to alternate inflation and deflation frequency and regularly vary the overall air pressure for comfort and health. The cells at the head of the bed remain statically inflated to keep the user’s head stable, minimizing disruption, and the product includes a static setting for non-medical use.
Some individuals enjoy the sound of a dull fan, however, others can find these sounds irritating. If the user is sensitive to noise, this mattress features an ultra-quiet pump to foster peaceful sleep.
Protekt Aire 3000
A budget-friendly alternating pressure mattress with 20 air chambers, a static function, and an intuitive airflow dial.
Read Protekt Aire 3000 Review
Material
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
Protekt Aire 3000
A budget-friendly alternating pressure mattress with 20 air chambers, a static function, and an intuitive airflow dial.
Read Protekt Aire 3000 Review
Material
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$
Protekt Aire 3000
A budget-friendly alternating pressure mattress with 20 air chambers, a static function, and an intuitive airflow dial.
Read Protekt Aire 3000 Review
Material
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
This budget mattress is an excellent value for the money to help prevent your loved one from developing dangerous spots while they’re immobile. The Protect Aire 3000 is an ideal pressurized product that allows for deep submersion and superior stress redistribution. The bed boasts 20 individual cells that support soothing relief for high-risk patients.
The powerful yet quiet pump is user friendly, limiting tricky setup, and the mattress it inflates is designed to treat bedsores at any stage. The pump switches in 10-minute intervals to adjust the airflow, and the dial allows for customized air settings for individual needs, making it an excellent budget option.
You can even leave the mattress in static mode if the user needs a break occasionally from the slight adjustments. This product offers a remarkable value to treat serious injuries and prevent and treat painful ulcers with care.
14027 Med-Aire Low Air Loss Mattress Replacement System
20 air bladders control the firmness levels throughout this mattress, and an audible/visual alarm will let you know if the air pressure gets too low.
Read 14027 Med-Aire Low Air Loss Mattress Replacement System Review
Material
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
14027 Med-Aire Low Air Loss Mattress Replacement System
20 air bladders control the firmness levels throughout this mattress, and an audible/visual alarm will let you know if the air pressure gets too low.
Read 14027 Med-Aire Low Air Loss Mattress Replacement System Review
Material
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$
14027 Med-Aire Low Air Loss Mattress Replacement System
20 air bladders control the firmness levels throughout this mattress, and an audible/visual alarm will let you know if the air pressure gets too low.
Read 14027 Med-Aire Low Air Loss Mattress Replacement System Review
Material
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
Sensitivity to noise could be an issue with mattresses that use motorized air pumps. However, the Drive Medical Med-Aire utilizes a “whisper quiet” mechanism to provide a peaceful night of rest. This eight-inch mattress offers an alternating pressure system and low air loss therapy to provide maximum pressure redistribution and manage bedsores.
The product is created using 20 deep air cells that can be easily removed and replaced to treat unhealthy spots, mitigate discomfort, and minimize skin ulcer development. The pillow function at the head of the bed can be switch into static mode for patient comfort, and the rest of the cells can also be put into static mode to provide a rest from the alternating pressure mechanism.
The nylon cover is fluid-resistant, vapor permeable, low shear, zippered and quilted for optimal comfort. This product is made to last, and function with ease using spring lined air tubes to prevent airflow disruption and kinks.
Oasis
With eight pressure levels, the Oasis alternating pressure mattress has a 10-minute cycle time and controls its airflow with “whisper quiet” inflation and deflation.
Read Oasis Review
Material
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
Oasis
With eight pressure levels, the Oasis alternating pressure mattress has a 10-minute cycle time and controls its airflow with “whisper quiet” inflation and deflation.
Read Oasis Review
Material
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$
Oasis
With eight pressure levels, the Oasis alternating pressure mattress has a 10-minute cycle time and controls its airflow with “whisper quiet” inflation and deflation.
Read Oasis Review
Material
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
This simple to operate Medacure Alternating Air mattress is hospital-grade to offer premium support and tension relief. The bed works to prevent bedsores by switching inflation levels regularly and boasts eight customizable pressure levels to accommodate your loved one’s unique needs. The options allow you to adjust the feel to various soft, medium, and firm levels.
This easy to use bed is designed to inflate with ease and should deflate without hassle. The cushion even has a CPR emergency function to deflate in seconds by merely tugging a tag, allowing emergency measures to be taken quickly without the cushioning getting in the way.
Eight ventilation cells work to make sure the bed retains air and keeps individuals and skin ulcers dry. Additionally, the 17 air cells are created to hold air securely even during transport and are easily removable and straightforward to snap back in place. The removable cover works to maintain dryness and comfort.
14029 Med-Aire Low Air Loss Mattress Replacement System
This alternating pressure mattress has 20 separate air cells and four cycle times to choose from, allowing for above-average customization and comfort.
Read 14029 Med-Aire Low Air Loss Mattress Replacement System Review
Material
Other
Trial Period
Shipping Method
Flat-rate shipping
Firmness
Multiple firmness options
Warranty
Price Range
$$$$$
14029 Med-Aire Low Air Loss Mattress Replacement System
This alternating pressure mattress has 20 separate air cells and four cycle times to choose from, allowing for above-average customization and comfort.
Read 14029 Med-Aire Low Air Loss Mattress Replacement System Review
Material
Other
Warranty
Firmness
Multiple firmness options
Shipping Method
Flat-rate shipping
Trial Period
Price Range
$$$$$
14029 Med-Aire Low Air Loss Mattress Replacement System
This alternating pressure mattress has 20 separate air cells and four cycle times to choose from, allowing for above-average customization and comfort.
Read 14029 Med-Aire Low Air Loss Mattress Replacement System Review
Material
Other
Firmness
Multiple firmness options
Trial Period
Warranty
Shipping Method
Flat-rate shipping
Price Range
$$$$$
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.
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.
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.
Dr. Dasgupta explained that “Alternating Pressure Mattresses (APMs) offer several advantages, including their effectiveness in preventing pressure ulcers, reducing the risk of friction and shearing forces, and improving circulation, which helps lower the risk of skin breakdown.” Despite all these helpful qualities, they tend to be pricier than traditional foam mattresses and may feel less comfortable to some people.
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.
High-Specification Foam Mattresses and Advanced Static Mattresses
High-specification foam mattresses and advanced static mattresses are two other types of mattresses often mentioned in bedsore research.
The former term signifies that the mattress has been made with high-quality foam and possesses features designed to help with pressure ulcers. Some of these features may include:
- Thick foam that conforms to the body and distributes pressure evenly.
- A moisture-wicking cover that prevents the skin from getting wet.
- Minimal motion transfer, so sleepers don’t slide or shift around while sleeping.
Similarly, advanced static mattresses provide pressure relief without the use of air cells—usually by implementing high-density foam, multiple layers of foam, or foam in conjunction with other materials. A high-specification foam mattress can also be an advanced static mattress, and vice versa.
Dr. Dasgupta cautioned that “not all mattresses that are labeled as “high-specification” or “advanced” will be effective in preventing pressure ulcers.” As always, it’s important to seek guidance from a medical professional when deciding on a new bed for someone at risk of developing bedsores.
Traditional Mattress
Traditional mattresses can also be used when trying to eliminate or prevent pressure ulcers.
What kind of traditional mattress is best for preventing bedsores, you might ask? The answer is largely personal, but foam beds tend to be better than hybrid ones. Per Dr. Dasgpupta, “In general, all-foam beds are more effective at helping prevent pressure ulcers than hybrid beds due to their pressure redistribution capabilities.
However, hybrid beds can be a good option for those who prefer the feel of springs or need extra support.”
The American College of Physicians5 also 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.
The National Pressure Injury Advisory Panel (NPIAP)8 has specific recommendations for how side sleepers can reposition to prevent pressure ulcers, for example.
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.
“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
Shop: Best Mattress for Back Pain
Learn More: Can a Mattress Cause Back Pain?
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.
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.
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.
- 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.
As Dr. Dasgupta put it, “Each type of mattress has its own set of advantages and disadvantages, and the choice depends on individual needs and priorities.”
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.
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.
Bedsore Mattress 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. 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.
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.
| Mattress | Best For | Price (Queen Size) | Review |
| Helix Midnight Luxe | Editor’s Pick | $2,049 | Helix Midnight Luxe Mattress Review |
| WinkBeds GravityLux | Foam | $1,799 | Winkbeds GravityLux Mattress Review |
| DreamCloud | Hybrid | $1,332 | DreamCloud Mattress Review |
| Plank Firm | Firm | $1,249 | Plank Firm Mattress Review |
| Nolah Evolution | Luxury | $2,299 | Nolah Evolution Mattress Review |
| Saatva Solaire | Adjustable Firmness | $3,745 | Saatva Solaire Mattress Review |
| Bear Original | Back Sleepers | $999 | Bear Mattress Review |
| Nectar Premier Copper | Cooling | $1,699 | Nectar Premier Copper Mattress Review |
| Purple Original | Hypoallergenic | $1,399 | Purple Original Mattress Review |
| Puffy Cloud | Side Sleepers | $1,042 | Puffy Cloud Mattress Review |
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:
- “Bedsores (pressure ulcers).” Mayo Clinic. Webpage accessed June 19, 2024.
- 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.
- Meaume, S., Marty, M. “Pressure ulcer prevention and healing using alternating pressure mattress at home: the PARESTRY project”. Journal of Wound Care. 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). 2012.
- “American College of Physicians releases new guidelines for preventing and treating bedsores”. American College of Physicians® (ACP). 2015
- “Bedsores”. Johns Hopkins Medicine. Webpage accessed June 20, 2024.
- 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.
- “Proper Side Lying Positioning in Adults to Prevent Pressure Injuries”. National Pressure Injury Advisory Panel (NPIAP). Webpage accessed June 20, 2024.
- “Pressure ulcers (pressure sores)”. National Health Service. Last modified April 15, 2020.
- Gillespie, Brigid M., Walker, Rachel M. “Repositioning for pressure injury prevention in adults”. National Library of Medicine. 2020.
- Siegel MD, Zachary. “WHAT CAUSES BED SORES AND HOW CAN THEY BE PREVENTED?”. Columbus Regional Health. Webpage accessed July 3, 2024.
- 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.
- “Pressure sores”. Better Health Channel. Webpage accessed July 3, 2024.