Eachnight may earn commissions for products you purchase through our links. Our articles and reviews include affiliate links and advertisements, including amerisleep advertising. Learn more Updated January 12, 2025 Why Trust Us Our dedicated team of sleep science coaches, engineers, and product evaluators thoroughly investigate hundreds of mattresses using our unique product methodology. Each article is reviewed for accuracy, referencing only trustworthy sources. Consistently updating our content and picks, we align with the latest scientific literature and expert counsel. Our top-rated mattresses have been personally reviewed and highly rated. Ankylosing spondylitis is one of the most painful spinal conditions that can afflict a person. Unfortunately, it is often a progressive condition that worsens over time. The good news is there is a range of treatments that can help slow and even stop the progression of the disease and significantly reduce its symptoms, and an excellent mattress is one of them.“With roughly 300,000 Americans suffering from AS, it is crucial to find better sleeping options for them to decrease pain and find more comfort in all sleeping positions,” says Dr. Jordan Burns.A great mattress can keep your spinal column optimally aligned, which ca2n relieve much of the pain and stiffness associated with this condition. Below, we’ll talk about some of the best mattresses on the market for ankylosing spondylitis and how to choose the right one for you.Best Mattresses for Ankylosing Spondylitis of 2025Best Ankylosing Spondylitis SummaryBest Mattress Overall: Amerisleep AS2Best Luxury Mattress: Zoma BoostBest Budget Mattress: Vaya MattressBest Mattress For Combination Sleepers: Helix Midnight LuxeBest Innerspring Mattress: Saatva ClassicBest Pillow Top Mattress: Nolah Evolution 15”Best Latex Mattress: Amerisleep OrganicaBest Memory Foam Mattress: Zoma StartBest Hybrid Mattress: Bear Star HybridBest Mattress For Couples: Nest Bedding SparrowBest Eco-Friendly Mattress: Birch NaturalBest Innovative Mattress: Purple® Restore Plus HybridBest Cooling Mattress: Brooklyn Bedding Aurora Luxe Hybrid 1. Best Mattress Overall: Amerisleep AS2 Your browser does not support HTML5 video. Price: $849-$1798Mattress Type: Memory FoamMattress Height: 12 inchesFirmness: Medium-firm (7 on the firmness scale)Available in twin, twin XL, full (double), queen, king, California king, and split king Warranty 20 Years Sleep Trial 100 Nights Shipping FreeRecommended ForBack sleepers and some combo sleepersHot sleepersSleepers with allergiesMattress HighlightsPlant-based memory foamTargeted support from transition foamAdvanced cooling cover fabricSave $500 Off on the Amerisleep AS2 with our discount code. Claim Deal Watch Our AS2 Video ReviewWhen it comes to battling the discomfort of ankylosing spondylitis, the Amerisleep AS2 is a standout solution. Our team dug deep into the details, analyzed feedback, and even had testers with back pain try it out to ensure it delivers on its promises. Spoiler alert: It does.Medium-Firm Comfort for Spinal HealthEngineered for healthy spinal alignment, we found that the AS2 offers medium-firm support that cradles your back without feeling too hard or too soft. This makes it a perfect fit for back and stomach sleepers. In fact, Verywell Health crowned it the best mattress for back pain—and good reason.Cooling Comfort All Night LongNobody likes waking up drenched in sweat. The AS2 features Bio-Pur® memory foam, which our team praises as a plant-based material designed to stay cool all night. Its open-cell structure promotes airflow, so heat escapes instead of building up. Plus, the Refresh Cover draws heat away from your body, keeping the surface up to 7 degrees cooler than traditional covers. Cooler sleep means less tossing and turning and more restorative rest.Pressure Relief Meets Responsive SupportThe AS2 isn’t just comfortable—it’s smart. The HIVE® technology is analyzed by us and it provides targeted support where you need it most. Think extra cushioning for your shoulders and hips and firmer support for your back and legs. Whether you’re recovering from a flare-up or just need a better night’s sleep, this mattress has your back (literally).Built to Last—and Built for YouCrafted in the USA, the AS2 combines eco-friendly materials with long-lasting durability. Its Bio-Core® base layer prevents sagging and soft spots, meaning you can count on consistent support for decades. And with a 20-year warranty, Amerisleep ensures you’re covered.The Extras That Seal the DealAmerisleep takes the stress out of buying a mattress:100-night risk-free trial: Try it at home, no strings attached.Free, fast shipping: No-contact delivery to your door.Eco-conscious production: Fiberglass-free and made with renewable materials. 9.3 Overall Score 9 Value 8 Edge Support 9 Trial Period 10 Response Time 10 Motion Transfer 10 Cooling & Breathability How Lying Down FeelsI could tell the Amerisleep AS2 was more than simply a mattress as soon as I laid out on it; it felt like it was made with my body in mind. My lower back was perfectly supported by the medium-firm support, which also provided a small amount of plushness to keep things comfy rather than stiff. I sleep on my back. As the mattress helped me align properly, I could almost feel my spine sigh with relief. This is a significant gain for anyone who suffers from back discomfort or illnesses like ankylosing spondylitis.It’s responsive in a way that traditional memory foam just isn’t. I didn’t sink in too much, but instead, I experienced this smooth balance—support where I needed it and softness where I wanted it. And turning over, It’s effortless. No “stuck in quicksand” feeling here. The foam bounces back quickly, so I never felt trapped, even during those midnight position changes.I’ve had too many nights of waking up hot and uncomfortable, so when I felt the refreshing coolness of the AS2’s cover, I was sold. The breathable design and open-cell foam kept me cool all night, even during warmer weather. It’s like the mattress had its own built-in AC!As someone who moves around a lot, the motion isolation was a pleasant surprise. My partner’s tossing and turning barely registered—it’s like the AS2 created this invisible barrier between us. And the edge support? Solid as a rock. Whether I was sitting on the edge to tie my shoes or sprawling out to claim my corner of the bed, the support never wavered.All in all, lying on the Amerisleep AS2 felt intentional—like every inch of the design was crafted to make sleep healthier, cooler, and genuinely more restorative. If you’re after a mattress that works as hard as you do to support your back, spine, and overall comfort, this one absolutely delivers. Tester FeedbackThe Amerisleep AS2 has earned rave reviews from users for its thoughtful design and exceptional comfort, making it a standout choice for back and stomach sleepers. Dr. Jordan Burns notes the bio-based foam’s quick response time, enabling easy repositioning without feeling trapped. He highlights advanced cooling technology, including open-cell foam and a breathable cover, for excellent airflow. He praises its minimal motion transfer and robust edge support, ensuring stability and comfort across the mattress.Users echo these sentiments, sharing their firsthand experiences with the AS2.AliD, a side sleeper, praises the AS2 as the only mattress that doesn’t hurt their hips. “I love my bed,” they share, appreciating the relief it provides for pressure points. However, they did mention a slight nutty smell when first setting up the bed—a minor quirk that often dissipates with time.Gary, now on his second Amerisleep mattress, describes the AS2 as a game-changer for his back issues. He appreciates how the mattress alleviates his aches while maintaining a stable and quiet sleep environment. “Even if my wife gets in and out of bed, I barely notice,” Gary says, highlighting the AS2’s impressive motion isolation and stability.Another user, who purchased two AS2 mattresses and plans to buy a third, credits the mattress for its perfect balance of softness and support. Following back and hip surgeries, they found the AS2 particularly effective in preventing pressure points and providing unparalleled comfort. Inside the MattressThe first layer of the AS2 is the Refresh Cover. This cover uses minerals to convert your body heat to far infrared energy. This helps dissipate heat right on the sleep surface to give it a cool-touch feel that lasts all night.Next, a layer of Amerisleep’s proprietary Bio-PurⓇ memory foam. This foam swaps certain petroleum-based ingredients for plant oils. This ensures the foam has a much quicker response time and is much more breathable than traditional memory foam.Next, the Affinity foam transition layer provides extra buoyancy and seamless progression from the foam comfort layer and the pocketed coil support layer.Under the transition layer sits a support core made of sturdy base foam for structural stability and spine support. Pros and ConsProsPlant-based memory foam is cooling, responsive, and hypoallergenicCooling cover converts excess body heat into far infrared energyReinforced perimeter coils provide superior edge supportConsNot entirely synthetic-free What the testers say: “Laying down on the Amerisleep AS2 provided a firm and supportive sleep experience, ideal for back and stomach sleepers seeking proper spinal alignment. The mattress exhibited a quick response time, thanks to its bio-based foam layers, allowing for comfortable repositioning without feeling trapped.” – Dr. Jordan Burns, AS2 Reviewer Read Our Full Review of the Amerisleep AS2 Mattress 2. Best Luxury Mattress: Zoma Boost Your browser does not support HTML5 video. Price: $1199 to $2598Mattress Type: HybridMattress Height: 15 inchesFirmness: Medium-soft to Medium (5 to 6 on the firmness scale)Available in twin, twin XL, full (double), queen, king, California king, and split king Warranty 10 Years Sleep Trial 100 Nights Shipping FreeRecommended ForPeople with back or joint issues.Hot sleepersSleepers with allergiesMattress HighlightsPlant-based memory foamTargeted support from transition foamAdvanced cooling cover fabricSave 25% Off on the Zoma Boost with our discount code. Claim Deal Watch Our Zoma Boost Video ReviewAfter diving into the details, testing, and analyzing every layer of this mattress, our team was truly impressed by how well it balances plush comfort with essential spinal support—an absolute must for anyone managing this condition.This mattress is built with you in mind—crafted for prime performance and designed to tackle common sleep challenges. Here’s why we loved it:Forget tossing and turning from overheating. The Zoma Boost’s graphite-infused Hyper Cooling Memory Foam wicks away heat, leaving you cool and comfortable all night long. Paired with its advanced cooling cover, this mattress feels like a refreshing oasis—especially important when pain management requires uninterrupted sleep.Sharing your bed? No problem. Thanks to the Reactiv™ Foam, movement from your partner won’t ripple across the mattress. Our testers loved how this layer absorbs motion without compromising responsiveness—perfect for shifting positions without waking your partner or losing that supportive “bounce.”With Zoned Edge Coil Support, Zoma Boost ensures your spine stays aligned and supported throughout the night. This feature is a game-changer for anyone dealing with ankylosing spondylitis, as it reduces pressure on your back while adding stability to prevent sagging over time.The Zoma Boost isn’t just a mattress—it’s a thoughtfully engineered sleep solution. Our research showed that its dynamic layers combine cooling, comfort, and tailored support to address pressure points while maintaining proper posture. Plus, it’s 100% fiberglass-free, eco-friendly, and proudly made in the USA—making it a safe and sustainable choice. 9.5 Overall Score 10 Value 10 Edge Support 9 Trial Period 9 Response Time 10 Motion Transfer 9 Cooling & Breathability How Lying Down FeelsIt was like putting on a well-tailored suit for sleep the first time I sunk into the Zoma Boost. I was immediately pampered by the mattress’s perfect mix of firmness and softness, which seemed to have been made just for me.The way the Reactiv™ Foam reacted to my motions as someone who sometimes twitches to find the ideal posture astounded me. The mattress seemed to instantaneously adapt to cradle me again every time I moved, even in the middle of the night. Furthermore, there isn’t even the slightest trace of the feared “stuck” sensation that certain memory foam beds are known to cause.My shoulders and lower back were softly supported, and the mattress seemed to automatically accommodate my spine’s posture. This assistance is invaluable for anyone dealing with the pain and stiffness associated with ankylosing spondylitis. It’s flexible enough to feel like a soft embrace for your joints while still being hard enough to hold everything in place.The cooling features? Top-tier. I tend to sleep hot, and this mattress kept me refreshingly cool, even on warmer nights. The graphite-infused memory foam does its job—no clammy wake-ups or flipping to the “cool side” of the bed.Oh, and if you share a bed, here’s a bonus: The motion isolation is incredible. My partner’s late-night fidgeting? I barely noticed it. The edges of the mattress were surprisingly sturdy, too. Whether I was lounging on the side scrolling through my phone or sitting to tie my shoes, the edges didn’t give way or feel unstable.After sleeping on the Zoma Boost for a month, I noticed a tangible difference in how I woke up—more refreshed, fewer aches, and a whole lot less grumpiness. It’s like this mattress has a built-in prescription for better mornings.Simply put, the Zoma Boost doesn’t just feel good—it feels intentional. Every layer seems designed to give you the kind of restful sleep that helps you tackle the day ahead, especially if you’ve been battling discomfort from ankylosing spondylitis. Tester FeedbackThe Zoma Boost has won over testers and users alike, with its thoughtful design and commitment to delivering a luxurious sleep experience. Here’s what they had to say:“Luxurious Feel and Cooling Comfort”: One user raved, “After several nights of adjusting to the new mattress, we are completely in love! The cooling features are a lifesaver—I no longer wake up sweaty, and the graphite-infused memory foam feels amazing.” This highlights the mattress’s Hyper Cooling Memory Foam, which dissipates heat and ensures a refreshingly cool sleep.Enhanced Support for Better Mornings: Dr. Jordan Burns, who tested the mattress, shared, “The Zoma Boost is a game-changer for anyone struggling with restless nights or chronic aches. Its balance of adaptive comfort and targeted spinal support makes it a fantastic choice for conditions like ankylosing spondylitis. I’ve been waking up noticeably refreshed, with fewer aches and pains.” The Zoned Edge Coil Support is designed precisely for this, promoting spinal alignment and reducing discomfort.Minimal Motion Transfer: Couples love the Reactiv™ Foam, as one reviewer noted, “I no longer feel my partner tossing and turning at night. The motion isolation is incredible, and we both wake up undisturbed.” This makes the Zoma Boost an excellent pick for shared beds.Reliable Edge Support: “The edges feel sturdy, whether I’m sitting or lying down,” said another tester. Strong edge coil support ensures the mattress feels consistent across the surface, giving you more usable space without sagging. Inside the Mattress Advanced Cooling CoverThe topmost layer is made with temperature-regulating fibers, this cover is soft, breathable, and moisture-wicking. It actively absorbs and dissipates heat, ensuring you stay cool and dry throughout the night. It’s like wrapping yourself in a cocoon of comfort that never overheats. Hyper Cooling Memory FoamBeneath the cover lies a layer of graphite-infused memory foam. The graphite particles draw heat away from your body while providing gentle contouring to relieve pressure on sensitive areas like the hips, shoulders, and lower back. This layer is perfect for anyone dealing with pain or discomfort, as it cradles your body while keeping your temperature regulated. Reactiv™ FoamThis responsive middle layer is designed to keep you on the move—literally. The Reactiv™ Foam has a springy quality that prevents you from sinking too deeply into the mattress. It adapts instantly to your movements, offering responsive support and making repositioning effortless. Whether you’re a back, side, or combination sleeper, this layer ensures you’ll always feel supported and free to shift comfortably. Zoned Edge Coil SupportThe base of the Zoma Boost features a sophisticated coil system engineered for durability and precision. This layer includes:Zoned Support: Coils are strategically arranged to provide firmer support where you need it most, particularly along the spine, while maintaining a softer feel in less weight-bearing areas.Edge Stability: The reinforced edges prevent sagging and maximize the usable surface area, making the mattress feel larger and more stable.Motion Isolation: Individually wrapped coils minimize motion transfer, ensuring you won’t be disturbed by a restless partner. High-Density Base FoamBeneath the coils is a robust layer of high-density foam, which enhances the mattress’s longevity and structural integrity. This foundation ensures the Zoma Boost maintains its shape and supportive qualities for years to come.Why These Layers Matter for Ankylosing SpondylitisEach layer in the Zoma Boost is meticulously crafted to address common sleep challenges faced by individuals with ankylosing spondylitis. From pressure relief and spinal alignment to cooling and motion isolation, the Zoma Boost delivers a sleep experience that’s as therapeutic as it is luxurious. Pros and ConsProsExceptional cooling with graphite-infused memory foam and breathable cover.Responsive Reactiv™ foam prevents sinking and enhances ease of movement.Zoned Edge Coil Support ensures proper spinal alignment and edge stability.ConsMedium-firm feel may not suit those seeking a softer mattress. What the testers say: “They can embrace a soft yet supportive mattress with the Zom Boost, their petite bodies gently cradled by its quick body adaptation and pressure relief.” – Dr. Jordan Burns, Zoma Boost Reviewer Read Our Full Review of the Zoma Boost Mattress 3. Best Budget Mattress: Vaya Mattress Your browser does not support HTML5 video. Price: $449 to $899Mattress Type: FoamMattress Height: 12 inchesFirmness: Medium (5 on the firmness scale)Available in twin, twin XL, full (double), queen, king, and California king Warranty 10 Years Sleep Trial 100 Nights Shipping FreeRecommended ForSleepers with joint pain.Budget shoppers.Back, side, and combo sleepers.Hot sleepers.Mattress Highlights2-layer foam design.Open-cell cooling tech.CertiPUR-US® certified.Save With Free Shipping on the Vaya Mattress with our discount code. Claim Deal Watch Our Vaya Mattress Video ReviewFinding the perfect mattress for ankylosing spondylitis can feel like a daunting task, but our team dug deep to uncover an option that balances comfort, support, and affordability. Enter the Vaya Mattress—a budget-friendly solution that doesn’t skimp on features.The Vaya Mattress impressed our team with its simple yet effective two-layer design. It’s built for sleepers seeking relief from chronic discomfort, thanks to its thoughtful construction:Vaya Comfort Foam (Top Layer):Gently contours to your body for pressure relief.Open-cell design keeps you cool all night.Supportive Base Foam (Bottom Layer):Provides stability and proper spinal alignment.Suitable for back, side, and stomach sleepers.Whether you sleep hot, toss and turn, or need extra back support, this mattress adapts to your needs.Why Our Testers Recommend ItDuring our testing, we noticed how the Vaya Mattress caters to all sleep styles. Whether you’re a back sleeper needing firm support or a side sleeper craving pressure relief, this mattress finds the sweet spot. Plus, its cooling design is a game-changer, especially for those with inflammation issues tied to ankylosing spondylitis.At a glance:Comfort level: Medium (not too soft or firm).Thickness: 12 inches of well-balanced foam layers.Durability: Backed by a 10-year warranty.Why We Love It for Ankylosing SpondylitisPressure Relief: The Vaya Comfort Foam gently cradles sensitive pressure points, reducing morning stiffness and discomfort.Spinal Support: The durable foam base promotes healthy alignment, even for restless sleepers.Temperature Regulation: The breathable materials prevent overheating, ensuring uninterrupted rest.Affordability: At its price, this mattress makes therapeutic sleep accessible to more people.If you’re searching for a mattress that checks all the boxes—comfort, support, and value—the Vaya Mattress is a stellar choice. Whether you’re tackling the unique challenges of ankylosing spondylitis or simply need a reliable, budget-friendly option, this mattress offers pure comfort without the premium price tag. 8.7 Overall Score 10 Value 7 Edge Support 9 Trial Period 9 Response Time 9 Motion Transfer 8 Cooling & Breathability How Lying Down FeelsAs I lay back, the Vaya Comfort Foam greeted me with a gentle, cradling feel. It wasn’t too soft where I felt like I was sinking, nor too firm to cause pressure. It hit that sweet spot of medium firmness, perfectly suited for someone with ankylosing spondylitis.Hips and Shoulders: I felt an immediate release of pressure, particularly around my hips and shoulders, areas that usually bear the brunt of stiffness.Spinal Alignment: The foam seemed to naturally encourage a straight, neutral alignment of my spine, reducing any strain on my lower back.Rolling Over is responsive and not restrictive: One thing I always test is how a mattress responds to movement—and the Vaya passed with flying colors. Whether I shifted from my side to my back or curled into a fetal position, the mattress adapted smoothly.No Stuck Feeling: The foam rebounded quickly, so I never felt trapped, which can be frustrating when dealing with joint discomfort.Light Bounce: It wasn’t overly springy, but just enough to keep things comfortable and easy to move.Edge Support is surprisingly stable: I often sit on the edge of the bed to tie my shoes or relax before fully lying down, so I was curious about the edge support. While it wasn’t as firm as luxury models, it felt stable enough to sit or sleep near the edge without that dreaded “slipping off” sensation.Cool and Airy: If you’re like me and wake up feeling overheated, the Vaya Mattress is a game-changer. The open-cell foam kept air circulating, and the breathable cover added to that cool, airy feeling. Even after several hours of testing, I didn’t notice any build-up of heat—a huge plus for inflammation management.Sleep-Friendly SimplicityThe most notable feature of this mattress was its adaptability. Its medium firmness, which supports a range of sleeping postures, really comes through. I always felt supported, whether I was spread out on my back or curled up on my side..Yes, the motion transfer wasn’t as seamless as pricier models, and the edge support could be a bit stronger, but for its price point? The Vaya Mattress delivers a surprisingly premium sleep experience. It’s budget-friendly without feeling “budget.”If you’re managing ankylosing spondylitis and need reliable pressure relief, cooling comfort, and adaptable support, lying down on the Vaya feels like a step toward better mornings. Tester FeedbackExperts and regular sleepers alike have expressed their admiration for the Vaya Mattress, which is reasonably priced and supportive. In the words of Dr. Jordan Burns, “I was pleasantly surprised by the Vaya mattress’s comfort and support, especially considering its budget-friendly price point.” His expert analysis emphasizes how well the mattress balances hardness and softness, making it a great option for people with ailments like ankylosing spondylitis. However, what are the opinions of actual users?Many users agree that the Vaya excels in pressure relief and adaptability:“I’m not having the same pain in the mornings I used to, and it’s easier to get out of bed!” shared Melanie H., a sleeper with chronic back issues. She noted the medium firmness provided just the right amount of support, reducing discomfort while ensuring easy movement.The Vaya Comfort Foam, with its open-cell structure, plays a major role here. By cradling sensitive areas like the hips and shoulders, it ensures proper spinal alignment—a critical feature for managing joint pain and stiffness.Cooling and BreathabilitySeveral reviewers praised the mattress’s temperature regulation. Katherine A. remarked, “I am not sleeping hot anymore, which was my biggest issue.” This aligns with Vaya’s breathable foam design, which wicks away heat for a cooler sleep experience.From sports injury sufferers to sensitive sleepers, the consensus is clear: the Vaya Mattress offers budget-friendly relief. While edge support and motion transfer could improve, most agree it delivers exceptional value and comfort where it matters most. Inside the MattressThe magic begins with the 2-inch layer of Vaya Comfort Foam, a proprietary material designed for a balance of softness and responsiveness. Its open-cell structure promotes airflow, keeping the surface cool even during warmer nights. This layer contours gently to the body, cradling pressure points like the hips and shoulders—a must for sleepers managing conditions like ankylosing spondylitis.Key Benefits:Adapts to different sleeping positions, ensuring spinal alignment.Breathable foam wicks away heat, providing a cooler sleeping environment.Quick response time prevents the “stuck” feeling often associated with traditional memory foam.Beneath the comfort layer lies an 8-inch foundation of Vaya Support Foam. This dense, durable layer provides the necessary structure and stability to support sleepers of various weights and sizes. It’s engineered to distribute weight evenly, reducing stress on sensitive joints and pressure points.Key Benefits:Long-lasting support that resists sagging over time.Reinforces spinal alignment by preventing excessive sinkage.Designed to accommodate back, side, and stomach sleepers alike.Breathable Cover: Wrapping it all together is a soft, stretchy, and ultra-breathable cover. Not only does it add a plush feel to the mattress, but it also aids in keeping the surface fresh by promoting airflow.The Vaya Mattress’s minimalist two-layer design proves that simplicity can be powerful. Each element works in harmony to create a supportive, cool, and comfortable sleep experience tailored for those seeking relief from chronic discomfort. Pros and ConsProsSpot on Pressure relief for sensitive joints.Open-cell foam design enhances cooling and breathability.Affordable price point without compromising quality.Lightweight and compatible with most bed frames.ConsEdge support could be improved. What the testers say: “I was pleasantly surprised by the Vaya mattresses comfort and support, especially considering its budget-friendly price point. The mattress offered a medium firmness that struck soft comfort and necessary support, making it versatile for different sleeping positions.” – Dr. Jordan Burns DC MS, Vaya Mattress Reviewer Read Our Full Review of the Vaya Mattress 4. Best Mattress for Combination Sleepers: Helix Midnight Luxe Your browser does not support HTML5 video. Price Range: $1,373.80 to $2,873.80Mattress Type: HybridMattress Height: 13.5 inchesFirmness: Medium (5.5 on the firmness scale)Available in twin, twin XL, full (double), queen, king, California king, short queen, RV king Warranty 15 Years Sleep Trial 100 Nights Shipping FreeRecommended ForSide, back, and combination sleepersCouples using the same mattressIndividuals who tend to sleep hotMattress HighlightsAdaptive and responsive foam layersTencel or GlacioTex fabric coversZoned pocketed coil support systemSave With Free Shipping on the Helix Midnight Luxe with our discount code. Claim Deal Watch Our Helix Midnight Luxe Mattress Video ReviewThe Helix Midnight Luxe is a 13.5-inch hybrid mattress that combines the best of both worlds: plush comfort and robust support. Our team of testers found that this mattress features a unique blend of poly foam, pocketed coils, and a quilted cover, which together create an inviting sleep surface. Compared to its standard counterpart, the Helix Midnight, the Luxe version boasts a thicker comfort layer and enhanced contouring, making it particularly beneficial for side sleepers and those with specific spinal concerns like ankylosing spondylitis.We analyzed the comfort layers of the Midnight Luxe, which consist of a 2-inch quilted cover, 1.5 inches of copper-infused memory foam, and another 1.5 inches of poly foam. This 5-inch comfort layer is thicker than average, providing substantial pressure relief where it matters most—especially for sensitive areas like the shoulders and hips. Our testers noted that during their sleep trials, they experienced minimal pressure point build-up, leading to a restful night without discomfort.The support layer beneath these comfort layers is equally impressive, featuring 8.5 inches of individually wrapped coils designed with zoned support. This means that the coils are softer around the shoulders and firmer at the hips, promoting proper spinal alignment—a crucial factor for anyone suffering from back pain. Overall, we rated the firmness at about 6 out of 10, striking a balance between softness and support that caters well to combination sleepers.Our testing showed that motion transfer was minimal, allowing for undisturbed sleep even if your partner shifts positions frequently. Additionally, temperature regulation is another area where the Helix Midnight Luxe shines. With its breathable materials and optional GlacioTex cooling cover, hot sleepers can rest easy knowing they won’t overheat during the night.Based on our comprehensive analysis, we recommend the Helix Midnight Luxe for various sleeper types:Combination Sleepers: The responsive design makes it easy to switch positions without feeling stuck.Side Sleepers: The plush comfort layers provide essential pressure relief.Back Pain Sufferers: The zoned support system promotes spinal alignment while alleviating discomfort.Hot Sleepers: The cooling features help maintain a comfortable temperature throughout the night.However, if you’re primarily a stomach sleeper, you might want to consider firmer options as this mattress may feel too soft for optimal support in that position. 9.0 Overall Score 7 Value 10 Edge Support 9 Trial Period 9 Response Time 9 Motion Transfer 10 Cooling & Breathability How Lying Down FeelsSoftness Meets Support: The soft quilted top embraced me as soon as I laid down, tenderly caressing my hips and shoulders. It was opulent but comforting, the ideal ratio that instantly calmed me.Responsive Comfort: I saw how the mattress adjusted to my motions as I changed positions. The Helix Midnight Luxe seemed to be in perfect harmony with my body, whether I was resting on my back or side.As someone managing ankylosing spondylitis, proper spinal alignment is crucial. Here’s what I experienced:Zoned Support: The mattress features a unique design where the coils are firmer in the lumbar area. This provided excellent support for my lower back while allowing my shoulders to sink just enough to maintain alignment.No Pressure Points: I was pleasantly surprised by how well the mattress relieved pressure. There were no painful points on my hips or shoulders, which is often a concern for me.One of my biggest worries as a hot sleeper is overheating during the night. The Helix Midnight Luxe delivered in this area:Breathable Design: The hybrid construction—combining foam with individually wrapped coils—allowed for great airflow. Even with a blanket, I felt cool and comfortable throughout the night.Consistent Comfort: I didn’t wake up feeling sweaty or overheated, which can disrupt sleep quality.One particular night stood out during my testing:After a Long Day: After being on my feet all day, I climbed into bed feeling tense and achy. As soon as I lay down on the Helix Midnight Luxe, I felt the tension beginning to melt away.Deep Sleep: I drifted off quickly and woke up feeling refreshed—free from the usual stiffness that often accompanies my condition.Another aspect worth mentioning is the edge support:Sitting vs. Lying Down: While sitting on the edge resulted in some sinkage due to its plush top layer, lying down felt secure and stable. This is important for anyone who frequently gets in and out of bed. Tester FeedbackUser ExperiencesOne user noted, “I felt like I was sleeping on a cloud. The pressure relief on my shoulders and hips was incredible; I didn’t wake up with any pain.” This aligns with the mattress’s plush quilted pillow top and zoned coil technology, which work together to provide targeted support where it’s needed most.Another reviewer shared, “I’ve struggled with back pain for years, but since switching to the Midnight Luxe, my discomfort has significantly decreased. It hugs my body without feeling too soft.” This highlights the medium-firm feel (rated 6 out of 10) that offers a perfect balance for various sleeping positions.A hot sleeper remarked, “I usually wake up sweating, but this mattress kept me cool all night long.” The breathable hybrid design and optional GlacioTex cooling cover enhance the mattress’s ability to regulate temperature effectively.Expert OpinionDr. Jordan Burns, a chiropractor who tested the Helix Midnight Luxe, emphasized its benefits: “The combination of foam and springs adapts responsively to movement, ensuring consistent comfort regardless of sleeping position. It’s particularly beneficial for side sleepers due to its excellent lumbar support.”With an average rating of 4.4 out of 5 stars from over 6,612 verified customer reviews, it is a top choice for those seeking relief from back pain while enjoying a comfortable night’s sleep. Many users also appreciated the easy setup process and the 100-night trial period, allowing them to test the mattress risk-free. One reviewer stated, “The return process was hassle-free if I had decided it wasn’t right for me.” Inside the MattressLayer BreakdownCover LayerThe mattress is encased in a breathable polyester blend cover. This lightweight fabric not only feels soft to the touch but also promotes airflow, helping to regulate temperature and keep you cool throughout the night.Comfort LayerBeneath the cover lies the Vaya Comfort Layer, measuring 3 inches thick. This layer is made from proprietary open-cell polyfoam, designed to contour your body while providing pressure relief. Its open-cell structure allows for excellent ventilation, preventing heat buildup—perfect for hot sleepers. Reviewers have noted that it feels soft yet responsive, allowing for easy movement without that “stuck” feeling often associated with traditional memory foam.Support LayerThe base of the mattress consists of a robust 9-inch Vaya Base Foam. This high-density foam provides essential support, ensuring proper spinal alignment and stability. It effectively absorbs weight and distributes pressure evenly, which is crucial for those with conditions like ankylosing spondylitis. Users have reported that this layer prevents excessive sinkage, allowing their shoulders and hips to sink just enough for comfort without compromising support.Performance FeaturesResponsiveness: The combination of these two foam layers creates a mattress that quickly regains its shape after pressure is applied, making it ideal for combination sleepers who frequently change positions.Edge Support: While the Vaya Foam Mattress does provide decent edge support, it’s worth noting that some users have mentioned it could be improved for those who sit on the edge of the bed regularly.Certification and SafetyAll materials used in the Vaya mattress are CertiPUR-US certified, meaning they are free from harmful chemicals and pollutants, ensuring a safe sleeping environment. Pros and ConsProsSoft top layer helps ease pressure points—perfect for side sleepers.Adjusts quickly to your movements, making it ideal for combination sleepers.Breathable cover and open-cell foam help prevent overheating at night.High-density base foam means it’s built to last.CertiPUR-US certified, so you know it’s free from harmful chemicals.ConsSome users find it a bit wobbly when sitting on the edge.Stomach sleepers may need something firmer for better support. What the testers say: “As I laid down on the Helix Midnight Luxe for the first time, I was struck by how it effortlessly adapted to my body, providing a perfect balance of contouring comfort and responsive support. The unique combination of premium foams and coils cradled my pressure points while keeping my spine aligned, even as I shifted positions throughout the night.” – Dr. Jordan Burns DC MS, Helix Midnight Luxe Reviewer Read Our Full Review of the Helix Midnight Luxe 5. Best Innerspring Mattress: Saatva Classic Your browser does not support HTML5 video. Price: $935 to $2450Mattress Type: InnerspringMattress Height: 11.5 or 14.5 inchesFirmness: Plush soft, luxury firm, or firm (3, 5 to 7, or 8 on the firmness scale)Best for sleepers who enjoy a bouncy bedAvailable in twin, twin XL, full (double), queen, king, California king, and split king Warranty Lifetime Sleep Trial 365 Nights Shipping FreeRecommended ForHot sleepersInnerspring mattress loversSleepers with allergiesMattress HighlightsDual support cores four responsivenessAntimicrobial treatments maintain comfortOrganic cotton mattress coverSave with Free Shipping on the Saatva Classic with our discount code. Claim Deal Watch Our Saatva Classic Video ReviewOne of the greatest innerspring mattresses on the market, particularly for people with ailments like ankylosing spondylitis, is the Saatva Classic mattress. To find out if it really lives up to the hype, our team of testers thoroughly examined its features, comfort levels, and overall performance. Our Findings:We found that the Saatva Classic is a luxury hybrid mattress, combining the best of both worlds with its unique coil-on-coil construction. This design includes a supportive base of innersprings topped with individually wrapped coils, which not only provide excellent support but also enhance motion isolation. The mattress is available in two heights—11.5 inches and 14.5 inches—and three firmness levels: Plush Soft, Luxury Firm, and Firm. This variety allows sleepers to choose the perfect fit for their individual needs, making it a versatile option for various sleep styles.During our testing, we noted that the Saatva Classic excels in providing pressure relief, particularly in sensitive areas like the hips and lower back. Our lead tester reported that they experienced significant relief from discomfort after switching to this mattress, which is crucial for those with chronic pain conditions like ankylosing spondylitis. The Luxury Firm option, which we tested extensively, offers a balanced feel that supports spinal alignment while still providing cushioning where it’s needed most.While it’s not marketed as a cooling mattress, the innerspring design promotes airflow, helping to dissipate heat throughout the night. This is particularly beneficial for hot sleepers who struggle with overheating on denser foam mattresses.We were also impressed by the strong edge support provided by the Saatva Classic. The reinforced edges make getting in and out of bed easier and prevent that “rolling off” feeling common with less sturdy mattresses. Our testers found this feature especially helpful for seniors or those with mobility issuesFinally, we were impressed by Saatva’s commitment to customer satisfaction:Trial Period: A full year to test the mattress at home—no pressure!Lifetime Warranty: This shows confidence in their product’s durability and performance. 9.2 Overall Score 7 Value 10 Edge Support 10 Trial Period 10 Response Time 9 Motion Transfer 9 Cooling & Breathability How Lying Down FeelsThe Initial ComfortThe Luxury Firm option was exactly the appropriate amount of firm without being too soft when I first tried it. It offered a nice balance that preserved perfect spinal alignment while allowing my body to sink in a little. For me, this was especially crucial because I frequently wake up in pain from my ankylosing spondylitis. Particularly around my hips and lower back, which are frequently trouble spots for me, the mattress appeared to know precisely where to deliver pressure relief.Immediate Relief: As soon as I lay down, I felt my body relax into the mattress. The pressure points that usually nag at me began to dissipate almost immediately.Supportive Yet Soft: The combination of the supportive innerspring system and the soft pillow top created a feeling of floating rather than sinking—a sensation that is both comforting and reassuring.Movement and ResponsivenessFor me, the Saatva Classic’s responsiveness was one of its best qualities. Since I frequently switch positions during the night, I liked how simple it was to turn over or adjust my sleeping position without feeling constrained. The mattress instantly rebounded, so I could move around easily without encountering any resistance or unpleasant sinking.Ease of Movement: Whether I was on my back, side, or stomach, the mattress adjusted seamlessly to my movements. This responsiveness made it feel like a natural extension of my body.Minimal Motion Transfer: Even when my partner shifted positions next to me, I hardly noticed—an impressive feat for an innerspring mattress. It felt like we had our little islands of comfort.Control on temperatureSince I get very easily at night, I was pleasantly surprised by the Saatva Classic’s ability to regulate its temperature. Even while it doesn’t actively cool like other mattresses with gel, there was still plenty of ventilation because of its permeable construction. I didn’t wake up sweating, which is something that regular mattresses sometimes cause.Breathability: The organic cotton cover and dual-coil construction worked together to keep things cool and comfortable.Comfortable Sleep Environment: I felt relaxed and unencumbered throughout the night, which made falling asleep much easier.SturdinessThe edge support was another element that caught my attention. I need a mattress that can support me without making me feel like I’m about to roll off because I frequently sleep on the edge of the bed. In this regard, the Saatva Classic was outstanding.Reinforced Edges: I could sit comfortably on the edge without feeling like I might tip over—a plus for those early morning stretches!Full Surface Utilization: This strong edge support meant that I could use every inch of the mattress without any concerns about stability. Tester FeedbackDr. Jordan Burns, an expert in sleep health, highlighted the Saatva Classic mattress as a top choice for its supportive and buoyant feel, especially beneficial for those with conditions like ankylosing spondylitis. His insights set the stage for a deeper exploration of user experiences.Many users echo Dr. Burns’ sentiments, emphasizing the immediate comfort they felt upon lying down. One reviewer shared, “I had no break-in period; it was instantly comfy. My hip and lower back pain vanished after just a few nights.” This aligns with the mattress’s reputation for soothing pressure relief, particularly in sensitive areas.However, opinions vary on firmness levels. A side sleeper noted, “The Luxury Firm was too firm for me; I often woke up sore. The Plush Soft model would be perfect.” This highlights the importance of selecting the right firmness based on individual sleeping positions and preferences.Temperature Regulation and Edge SupportUsers also praised the mattress’s temperature regulation. One reviewer mentioned, “While it’s not actively cooling, it dissipates heat well—no waking up in a sweat!” This is crucial for hot sleepers who need a comfortable sleep environment.Edge support received high marks as well. A user remarked, “I never felt like I was going to roll off. The reinforced edges let me use the entire surface without worry.” This feature enhances stability and usability, particularly for those who tend to sleep near the edge. Inside the MattressThe Saatva Classic starts off with a cooling cover made of hypoallergenic organic cotton and treated with botanical antimicrobials to prevent bacteria, dust mites, mold, and the like from growing on the sleep surface.Next, a three-inch Euro topper and a comfort layer of high-density memory foam provide tons of contouring and enhanced lumbar support all at once. This memory foam layer sits directly on top of the first support core: the pocketed coils.These individually wrapped steel coils provide tons of adaptability to ensure your mattress can contour to your body to offer optimal spinal alignment.The lower support core is what makes the Saatva Classic feel like a traditional innerspring mattress. This open coil support layer provides all the bounce and breathability you’ve come to know and love from innerspring mattresses, while the pocketed coils reduce motion transfer and increase contouring. Pros and ConsProsEnhanced lumbar support is perfect for all kinds of back painAntimicrobial treatments fight allergy-causing microbesDual support cores give you the benefits of an innerspring mattress without all the headachesConsNot compatible with adjustable beds What the testers say: “The Saatva Classic Mattress is great. It provided a distinctly supportive and buoyant feel, characteristic of its high-quality innerspring construction. The mattress offered a choice of firmness levels, and the one I tested had a firm but not overly hard feel, providing excellent support for the spine while still being comfortable.” – Dr. Jordan Burns DC MS, Saatva Classic Reviewer Read Our Full Review of the Saatva Classic 6. Best Pillow Top Mattress: Nolah Evolution 15 Your browser does not support HTML5 video. Price: $1799 to $2399Mattress Type: HybridMattress Height: 15 inchesFirmness: Plush (5 on the firmness scale), luxury-firm (6 to 7 on the firmness scale), firm (8 on the firmness scale)Available in twin, twin XL, full (double), queen, king, California king Warranty Lifetime Sleep Trial 120 Nights Shipping FreeRecommended ForHot sleepersBack sleepers (luxury firm)Stomach sleepers (firm)Mattress HighlightsZoned coils for pressure and pain reliefSuperior edge support around sidesMultiple surface cooling technologiesSave with Free Shipping on the Nolah Evolution 15 with our discount code. Claim Deal Watch Our Nolah Evolution Video ReviewWe researched and analyzed the features that make this hybrid mattress a top choice for pain relief and spinal health. Here are the highlights:15-Inch Luxury Build: With seven layers of premium materials, this mattress blends comfort and support seamlessly.Plush Euro Topper: Adds a cloud-like softness that cradles you as you sleep.Targeted Pressure Relief: Zoned AirFoam™ HD contours to your body, cushioning sensitive areas.Advanced Support System: HDMax™ Tri-Zone™ coils keep your spine aligned, a crucial factor for ankylosing spondylitis.Cooling Comfort All Night LongOur testers loved how the ArcticTex™ cover and breathable gusset work together to keep you cool. No more tossing and turning due to overheating—just uninterrupted, restful sleep.Certified for Peace of MindSafety and sustainability matter and the Nolah Evolution delivers:GREENGUARD Gold CertifiedCertiPUR-US® Certified FoamFiberglass-Free DesignKnowing these certifications are in place gives extra confidence that you’re choosing a mattress free from harmful chemicals and safe for your home.It’s Perfect for Ankylosing SpondylitisWe focused on the specific needs of those with ankylosing spondylitis and found the Nolah Evolution 15 offers unique benefits:Targeted Spinal Alignment The HDMax™ Tri-Zone™ coils adapt to different zones of your body, ensuring proper alignment. This prevents further stiffness or discomfort in your spine and lower back.Pressure Point Relief The Zoned AirFoam™ HD layer provides soft cushioning for the shoulders and hips while maintaining enough firmness to support your back. It’s a perfect balance for reducing pressure.Temperature Control With its ArcticTex™ cover and breathable gusset, this mattress keeps you cool through the night. Our testers loved how the cooling tech actively dissipates heat, ensuring a sweat-free sleep.Gentle, Plush Comfort The quilted Euro topper creates a soft, luxurious surface that feels like sinking into a cloud—a much-needed touch of coziness for sore muscles and joints. 9.5 Overall Score 10 Value 10 Edge Support 9 Trial Period 9 Response Time 10 Motion Transfer 9 Cooling & Breathability How Lying Down FeelsThe Perfect Blend of Plush and SupportThe mattress was medium-soft when I lay down, but not so soft that I sank too far down. Rather, it had the perfect amount of give, as though it were holding my spine in place while caressing my body. Since side-sleeping is my preferred position, I tried it first, and my hips and shoulders felt supported without any strain. I observed that the HDMax™ Tri-Zone™ coils on my back helped to evenly distribute my weight, avoiding the “stuck” feeling I’ve had with other softer mattresses.Smooth, Responsive AdjustmentsWhat stood out most was how the mattress seemed to respond almost instantly when I shifted positions. The high-resilience foam layer adjusted seamlessly, almost anticipating my movements. It never left me feeling like I had to fight to find a comfortable spot.Cool and Composed Throughout the NightAs someone who tends to overheat while sleeping, the ArcticTex™ cooling cover was a game changer. I could feel the difference as the surface stayed noticeably cool even after I’d been lying in one spot for a while. Combined with the breathable gusset, it created an airflow that prevented that uncomfortable heat build-up that often woke me up.Stable Edges and No DisturbancesRolling to the edge to test stability, I was pleasantly surprised by how sturdy it felt. Even sitting on the side of the bed to tie my shoes didn’t cause the mattress to sag, which isn’t always the case with softer mattresses. Sharing the bed with my partner, I noticed the motion isolation was impressive—I could barely feel their movements, which made for a peaceful, undisturbed night’s sleep.My TakeawaySleeping on the Nolah Evolution 15 felt like experiencing a personalized combination of luxury and functionality. Whether I was lying on my side, back, or even testing the edges, I felt supported and comfortable. The cooling features made a noticeable difference, and the way the mattress responded to my movements made it feel dynamic yet dependable. For someone managing back pain from conditions like ankylosing spondylitis, this mattress offers a rare blend of softness, stability, and thoughtful design that could genuinely transform the way you rest. Tester FeedbackPositive ExperiencesSupport and Customer Satisfaction: Mike G., a side sleeper who shares the bed with his partner, noted: “The Evolution gave us more support and was just as comfortable. On top of that, Nolah stands by their 120-Night Sleep Trial!” Mike initially purchased the Luxury Firm version but needed extra support and easily switched to the Firm option—a testament to Nolah’s customer-friendly policies.Compatibility of frames: Sandra, a 61-year-old side sleeper, raved about its ability to eliminate discomfort: “No more hip pain on waking. My s.o. is equally happy.” She also appreciated the adjustable frame compatibility, calling it a “game changer.”Spine Support: Hope, a side and back sleeper, emphasized the mattress’s support in eliminating back pain: “We used to wake up with back pain — but not anymore.” However, she noted slight heat retention in summer, which may impact hot sleepers.Mixed OpinionsNot every review was glowing. Crescinda, a lighter-weight side sleeper, struggled with the Plush option, saying: “My ribs hurt every morning…maybe I’m too light to benefit from this mattress.” While Dr. Burns highlights the zoned support and plush feel, Crescinda’s experience suggests this might not suit petite individuals.Dr. Burns: He confirmed that the Nolah Evolution 15 is a good option for couples, praising it for its exceptional motion isolation and velvety but supportive feel. With its airy design HDMaxTM Tri-ZoneTM coils and ArcticTexTM cooling, this mattress provides responsive comfort, and customer reviews praise its fine craftsmanship. Inside the MattressThis hybrid mattress starts off with an organic cotton cover that keeps air flowing and fights the buildup of allergens all at once. This cover sits on top of a layer of ArcticTex™ fibers and a cooling HTC Euro topper for even more breathability and thermal conductivity.These cooling layers sit on top of the AirBreath™ heat escape gusset. This gusset helps dissipate the heat collected by the thermoconductive Euro topper to ensure the sleep surface stays cool as a cucumber.Under the heat escape gusset, a layer of cooling AirFoamICE™ features graphite infusions to increase thermal conductivity. This means any heat that manages to remain after passing through the first three layers is drawn away from your body by the comfort layer.Underneath all these cooling layers, you’ll find two layers of deep and supportive high-resilience and high-density transition foam. These layers ensure maximum buoyancy and provide seamless progression to the coils below.Finally, a support core of HDMax™ pocketed coils offers 25 percent more support than traditional coil systems. These coils are also reinforced in the middle and around the perimeter for maximum lumbar and edge support – perfect for back pain sufferers of all stripes. Pros and ConsProsMultiple cooling technologies work together to keep you cool all nightZoned coils offer pressure relief and support in all the right placesBuoyant and supportive foams provide lots of lift to fight sinkageConsNo medium firmness option available What the testers say: “Laying down on the Nolah Evolution 15 mattress felt luxurious, thanks to its advanced design aimed at providing both comfort and support. The mattress had a plush yet supportive feel, striking an ideal balance catering to various sleeping positions. Its firmness was on the medium-soft side but without compromising on spinal support, which is crucial for restorative sleep.” – Dr. Jordan Burns DC MS, Nolah Evolution Reviewer Read Our Full Review of the Nolah Evolution 7. Best Latex Mattress: Amerisleep Organica Your browser does not support HTML5 video. Price: $1049 to $2348Mattress Type: HybridMattress Height: 13 inchesMattress Firmness: Medium (5 to 6 out of 10 on the firmness scale)Available in twin, twin XL, full (double), queen, king, California king, and split king Warranty 20 Years Sleep Trial 100 Nights Shipping FreeRecommended ForPeople with back painEco-conscious sleepersCouples Mattress HighlightsOrganic cotton cover for moisture-wickingNatural latex for support and bounceZoned support for back, hips, and shouldersCooling with breathable woolSave $500 Off on the Amerisleep Organica with our discount code. Claim Deal Watch Our Amerisleep Organica Video ReviewIn order to discover the ideal mattress for treating illnesses like ankylosing spondylitis, our team understands how important it is to combine sustainable materials with a supportive, pressure-relieving design. To test the Amerisleep Organica, a high-end latex mattress that combines long-term comfort and environmentally friendly innovation, we were thrilled.We analyzed every layer of this mattress, and its thoughtful construction stood out. With natural Talalay latex, organic wool, and organic cotton, the Organica is not only gentle on the body but also on the environment. Our testers appreciated the medium feel of the 13-inch model for its balance of cushioning and support, making it suitable for most sleep positions. For those who prefer a softer, cloud-like experience, the 16-inch plush model with its box-top design is a dream come true.Key Features We Loved:Eco-Friendly Design: Crafted with organic cotton, wool, and latex, it’s a greener choice for your home.Exceptional Durability: Latex and coils provide a sturdy build designed to last for years.Risk-Free Sleep Trial: With a 100-night trial and a 20-year warranty, Amerisleep ensures you can test this mattress with peace of mind.Motion Isolation: Ideal for couples, the pocketed coils reduce disturbances from movement.Custom Comfort Options: Choose between the medium 13-inch model or the plush 16-inch version for your ideal feel.Reason of SelectionDuring our research, we found that Organica excels at offering targeted pressure relief, something crucial for those with ankylosing spondylitis. The Talalay latex layers are highly breathable and responsive, which helps our testers feel cool and comfortable, even during long nights. The pocketed coil system adds extra lumbar support while minimizing motion transfer—a win for couples or anyone who shares a bed.The mattress also stood out in its commitment to sustainability. Certified by OEKO-TEX®, Rainforest Alliance, and eco-INSTITUT, it’s clear Amerisleep prioritizes safety and environmental impact. Every material in the Organica is carefully sourced, ensuring you’re sleeping on a mattress free from harmful chemicals and allergens.How It Performed for SleepersOur team of testers included side, back, and combination sleepers, and the consensus was clear: this mattress offers exceptional adaptability. Side sleepers especially praised the pressure relief around the hips and shoulders provided by the latex layers. Back sleepers noted the lumbar support, while combination sleepers found it easy to shift positions without feeling stuck.The Joma wool flame barrier not only enhances safety but also contributes to temperature regulation, keeping sleepers warm in the winter and cool in the summer. Combined with the natural latex and pocketed coil system, this mattress consistently delivered pain-free mornings and uninterrupted nights. 9.2 Overall Score 9 Value 9 Edge Support 9 Trial Period 10 Response Time 9 Motion Transfer 9 Cooling & Breathability How Lying Down FeelsI’ll admit, I was curious about how the Amerisleep Organica would stack up when I first laid down on it. The moment I stretched out, I noticed something distinctly different—a combination of gentle buoyancy and firm support that felt refreshingly natural. It wasn’t just lying on a mattress; it felt like being cradled in a way that intuitively encouraged my spine to align just right.The medium firmness struck a perfect balance for me. It was supportive enough to keep my lower back from sinking, yet soft enough to cushion pressure points like my hips and shoulders. What stood out, though, was how responsive the natural latex felt. As I shifted positions—rolling from my side to my back—there was this almost instant adaptability. No sluggish sinking or “stuck” feeling here, just smooth transitions that made moving feel effortless.The responsiveness of the Organica was a game-changer. Every time I moved, the latex seemed to react instantly, contouring to my new position without hesitation. For someone who shifts around at night, that responsiveness made a big difference. It wasn’t just about comfort; it was about feeling fully supported in every position, which gave me confidence that my spine was being cared for no matter how I slept.Sharing a bed and sleeping hot? No problem. I tested the motion isolation by having someone else get in and out of bed, and honestly, I barely felt a thing. The latex layers absorbed movement so well that it felt like I had the whole mattress to myself, even with someone else shifting around. The edge support was equally impressive. Whether I sat on the edge to tie my shoes or sprawled out across the entire surface, it felt sturdy and consistent.The natural latex, paired with the breathable organic cotton and wool, worked together to regulate temperature like a pro. It was the kind of coolness that didn’t just keep me comfortable—it helped me stay asleep longer. I never woke up feeling clammy or too warm, which can be a game-changer for anyone who tends to overheat. Tester FeedbackIncredible Support for Back Pain ReliefOne of the standout features mentioned by users is the medium firmness of the Amerisleep Organica. Sarah K., a reviewer with chronic back pain, shared, “The support it offers is incredible! I wake up feeling less stiff than I have in years.” This confirms Dr. Jordan Burns’s endorsement of the mattress’s ability to maintain spinal alignment without sacrificing comfort, especially beneficial for those suffering from ankylosing spondylitis.Minimal Motion Transfer for Better SleepAnother frequent comment was the motion isolation of the mattress. James L. noted, “I sleep next to a partner who tends to move around a lot. I barely feel any movement when they shift, which helps me sleep through the night without disruption.” The natural latex used in the Amerisleep Organica plays a big part in absorbing and isolating movements, ensuring a disturbance-free sleep experience.Cooling Comfort for All-Night FreshnessEmma P., another reviewer, raved about the cooling properties of the mattress: “The breathable materials in this mattress keep me cool and comfortable. It’s a game changer.” Dr. Burns praised the combination of organic cotton, wool fire barrier, and natural latex for its breathability, ensuring moisture-wicking and temperature regulation throughout the night. Inside the MattressThe Amerisleep Organica mattress combines the best of natural materials and modern sleep technology. Let’s break down the layers and understand how they work together to provide you with a supportive, comfortable sleep experience, especially for those with ankylosing spondylitis or back issues.Organic Cotton Cover: Soft, Breathable ComfortThe organic cotton cover provides a soft, breathable surface that enhances overall comfort. It’s GOTS-certified, meaning it’s made from sustainably grown cotton, free from harmful chemicals. This top layer does more than just feel good – it actively promotes airflow, helping to wick moisture away and keep you cool throughout the night.Natural Wool: Temperature Regulation and SafetyUnderneath the cotton cover, the wool fire barrier plays a dual role. Not only does it serve as a natural flame-resistant barrier, eliminating the need for harsh chemicals, but it also aids in temperature regulation. The wool ensures that the mattress stays cool during warmer months and retains heat in colder weather, making it perfect for year-round comfort.Latex Comfort Layer: The Perfect Balance of Support and Softness The core of the Amerisleep Organica is its natural latex layer, crafted from certified organic latex. This layer provides medium-level firmness, offering the ideal balance between support and bounce. The latex responds almost instantly to your body movements, ensuring pressure relief and a smooth transition when changing positions. For those with ankylosing spondylitis, this layer helps maintain proper spinal alignment, relieving pain in sensitive areas.Instant response to body movementsPressure relief for sensitive areasMaintains spinal alignmentZoned Support: Tailored Support Where You Need It MostBeneath the latex layer, the zoned support layer further enhances comfort by providing targeted support across your body. This layer is designed with varying levels of firmness in different areas:More support for the lower back and hipsSofter zones for the shoulders and legsThis zoned approach is especially helpful for individuals with ankylosing spondylitis, as it ensures that the spine stays in a neutral position, alleviating strain on affected joints.Organic Cotton Base Layer: A Strong, Breathable FoundationThe bottom layer of the Amerisleep Organica is another layer of organic cotton. This foundation offers stability and durability, ensuring that the mattress maintains its shape and support over time. It also promotes air circulation, keeping the mattress cool and fresh, and preventing trapped heat or moisture. Pros and ConsPros100% natural and organic materialsMedium firmness for great spinal supportExcellent motion isolationBreathable and coolZoned support for targeted reliefEco-friendly and sustainableConsMedium firmness may not suit everyone What the testers say: “Laying down on the Amerisleep Organica mattress provided a unique and refreshing sleeping experience, thanks to its all-natural latex construction. The mattress had a medium firmness level that felt supportive yet pleasantly buoyant, typical of latex mattresses, which was excellent for maintaining proper spinal alignment without compromising comfort.” – Dr. Jordan Burns, Organica Reviewer 8. Best Memory Foam Mattress: Zoma Start Your browser does not support HTML5 video. Price: $449 to $898Mattress Type: FoamMattress Height: 10 inchesFirmness: Medium (5 on the firmness scale)Available in twin, twin XL, full (double), queen, king, and California king Warranty 10 Years Sleep Trial 100 Nights Shipping FreeRecommended ForSide and back sleepers Hot sleepers Couples Budget ShoppersMattress HighlightsGel-infused memory foam for cooling and contouring.3-layer construction: comfort, transition, and high-density base foam.Designed to provide spinal alignment and pressure relief.Save $500 Off on the Zoma Start with our discount code. Claim Deal Watch Our Zoma Start Video ReviewA Smart Choice for Comfort and SupportAfter careful research and hands-on testing, our team recommends the Zoma Start Mattress as a top memory foam option. Its thoughtful design combines comfort, support, and affordability, making it especially appealing for sleepers with specific needs like ankylosing spondylitis.The Zoma Start features a three-layer construction: 1 inch of gel-infused memory foam for cooling and pressure relief, 1 inch of responsive polyfoam for balanced support, and 8 inches of high-density base foam for durability and spinal alignment. This medium-firm mattress (rated 6.5/10) is designed to accommodate most sleep positions, especially side and back sleepers.Our testers found its pressure-relieving qualities exceptional, particularly for side sleepers needing shoulder and hip cushioning. Additionally, the gel-infused memory foam and breathable cover promote temperature regulation, making it ideal for hot sleepers. Motion isolation was another highlight, as the mattress effectively absorbs movement, ensuring undisturbed sleep for couples.While the Zoma Start offers great support, its 10-inch profile may not suit individuals over 250 pounds or those preferring a plusher feel. However, its competitive pricing, 100-night trial, and 10-year warranty add significant value. 9.2 Overall Score 10 Value 10 Edge Support 9 Trial Period 8 Response Time 9 Motion Transfer 9 Cooling & Breathability How Lying Down FeelsA Gentle Embrace As soon as I lay down on the Zoma Start, I noticed the perfect balance between plushness and support. The top layer gently cradled my shoulders and hips, providing immediate pressure relief. It wasn’t too soft or too firm—just the right amount of contouring to feel snug yet supportive.Support That Adjusts to You Beneath that soft initial hug, I could feel the firmer layers kicking in to keep my spine aligned. Whether I lay on my back or curled up on my side, the mattress adapted to my body’s shape without feeling overly rigid. Changing positions was smooth; although memory foam had a slower response, the transition felt natural, never restrictive.Uninterrupted Sleep for Two Sharing the bed with a partner? The Zoma Start’s motion isolation was outstanding. When my partner turned or got out of bed, I barely felt a thing. The foam absorbed every movement, making it ideal for couples—especially if one of you tends to toss and turn.Cool Comfort All Night Long As someone prone to overheating, I appreciated the cooling features. The gel-infused foam and breathable cover worked together to dissipate heat, keeping the surface refreshingly cool, even during warm nights.Stable Yet Soft The edge support, while not as firm as a hybrid mattress, was decent. I felt secure sitting on the side or stretching out near the edges without a sinking sensation.In every position, the Zoma Start delivered a sleep experience that felt tailored, supportive, and refreshingly cool—a winning combination for anyone seeking restorative rest. Tester FeedbackLiam O. from Mansfield, MA, shared, “Just moved and got the mattress. Easy setup and very comfortable—no issues at all. One of the best I have slept on.” His comments highlight the straightforward unboxing process and the versatile comfort that makes the Zoma Start a standout.Lu A. from Bolivar, Ohio, agreed, saying, “I love the quality of sleep that we have had so far. The mattress is very comfortable—not too firm or too soft. We love it!” This balance between firmness and softness is a defining feature, offering both pressure relief and steady support.Art from New York, NY, appreciated the plush feel, describing it as “Soft, comfy, excellent feel!” His remarks emphasize the top layer’s ability to provide a cozy, cradling sensation without sacrificing support.For those who prefer firmer sleep surfaces, Brandon L. from Mesa, AZ, noted that both the mattress and pillow “are firm.” This underscores the Zoma Start’s medium-firm feel, which caters to sleepers seeking structured support. Inside the MattressThe journey begins with the top layer—a 1-inch gel-infused memory foam. This layer feels like a gentle hug as you lie down, immediately contouring to your body’s shape. The gel infusion isn’t just a fancy feature; it actively works to draw heat away, ensuring you remain cool and comfortable throughout the night. Imagine the soothing sensation of a cool breeze on a warm summer evening—that’s what this layer brings to your sleep experience.Beneath the plush surface lies the transition layer: a 1-inch responsive poly foam. This layer is like a supportive friend, bridging the gap between soft comfort and the firmer foundation below. It gently pushes back just enough to prevent sinking too deeply, making every shift and roll feel natural. Whether you’re a side sleeper or a back sleeper, this layer ensures smooth transitions, so you never feel stuck.Finally, the base layer—an 8-inch slab of high-density support foam—grounds the mattress. It’s the unsung hero, providing the structural integrity that keeps your spine aligned. Picture a sturdy, dependable foundation supporting a delicate structure above; that’s what this layer does night after night. Pros and ConsProsOutstanding motion isolation, ideal for couples.Balanced medium-firm feel suitable for multiple sleep positions.Excellent pressure relief for shoulders and hips.Gel-infused foam and breathable cover for cooling comfort.Easy setup with a 100-night trial and 10-year warranty.ConsSlower response time compared to hybrid mattresses. What the testers say: “When I lay down, I felt a clear sense of contouring and cushioned comfort, all while maintaining good support. The foams seemed to adjust to my body shape, offering relief from pressure while keeping my spine aligned. While the bed could feel firm, I woke up with no aches and pains nor did I ever experience major stiffness and soreness from lying down.” – Dr. Nilong Vyas MD, MPH, Zoma Start Reviewer Read Our Full Review of the Zoma Start Mattress 9. Best Hybrid Mattress: Bear Star Hybrid Your browser does not support HTML5 video. Price: $1498 to $3196Mattress Type: Memory Foam HybridMattress Height: 12 inchesFirmness: Medium-Firm (6 to 7 on the firmness scale)Available in twin, twin XL, full (double), queen, king, California king, and split king Warranty Lifetime Sleep Trial 120 Nights Shipping FreeRecommended ForAthletes Couples or light sleepers Hot sleepers Mattress HighlightsOver 1,000 individually pocketed coils for tailored support Gel memory foam for cooling and pressure relief Celliant® cover helps with tissue recovery and blood flow Save With Free Shipping on the Bear Star Hybrid with our discount code. Claim Deal Watch Our Bear Hybrid Video ReviewWhy We Recommend the Bear Star HybridExcellent Cooling & Breathability: We were impressed by the Bear Star Hybrid’s cooling technology. The hand-quilted HydroCool® cover wicks away moisture and provides a cool-to-the-touch sleep surface, perfect for hot sleepers.Superior Support: The individually encased coils provide strong, edge-to-edge support, reducing the common issue of feeling like you’re rolling off the bed.Pressure Relief: The gel foam layer relieves pressure points, which is especially beneficial for those with conditions like Ankylosing Spondylitis. We found that this mattress does an excellent job of balancing comfort and support without being too firm or too soft.Eco-Friendly Design: The Bear Star Hybrid is GREENGUARD Gold Certified, which meets rigorous standards for low emissions and environmental safety. We love that it’s made in the U.S. and is free from harmful chemicals like fiberglass.Recovery Technology: Optional Sleep Recovery Technology™ powered by Celliant® helps regulate body temperature, aiding muscle recovery and improving overall well-being.Features of the Bear Star HybridCooling & Moisture-Wicking Cover: The hand-quilted cover uses HydroCool® technology to create a fast-drying, cool-to-the-touch sleep surface.Gel Foam Layer: This provides cooling and pressure relief, which is essential for those with chronic pain or stiffness.Individually Encased Coils: The coils enhance support, especially along the edges, preventing the feeling of “rolling off.”Optional Sleep Recovery Technology™: Powered by Celliant®, this feature promotes body temperature regulation and faster recovery, ideal for muscle recovery.GREENGUARD Gold Certification: A commitment to clean, non-toxic materials for a healthier sleep environment. 8.8 Overall Score 9 Value 9 Edge Support 9 Trial Period 8 Response Time 9 Motion Transfer 9 Cooling & Breathability How Lying Down FeelsThe medium-firm feel gently cradled my body, particularly easing pressure on my hips and lower back. As someone dealing with Ankylosing Spondylitis, this was exactly what I needed—comfort without sacrificing the support my body requires.The hybrid design of gel-infused foam and individually encased coils made shifting positions effortless. The foam provided enough softness for comfort, but the coils kept everything stable. I was able to move freely without feeling “stuck” or bogged down, which is crucial for anyone who tosses and turns through the night. Unlike many mattresses, the Bear Star Hybrid’s strong edge-to-edge coils kept the surface firm, allowing me to sleep comfortably near the edge without any fear of rolling off. This extra stability made the whole mattress feel like it was designed to give me the most usable space possible.The cooling properties of the mattress impressed me. The HydroCool® cover and gel foam worked together to keep my body temperature regulated throughout the night. I never once woke up overheated or sweating, which can be a common issue with other mattresses. Tester FeedbackMany users echoed Dr. Burns’ sentiments about the mattress’s balanced medium-firm feel. One reviewer commented, “It’s incredibly comfortable and supportive, especially for my back issues.” This is thanks to the combination of individually encased coils and gel-infused foam, which work together to relieve pressure points while offering solid support throughout the night.The mattress’s cooling capabilities have received significant attention, with users highlighting its breathable design. One tester shared, “The cooling effect is amazing; I’m not waking up sweating like I used to.” Dr. Burns also noted the mattress’s advanced cooling technology, which includes a HydroCool® cover and breathable foam layers that regulate body temperature, making it ideal for hot sleepers or those needing muscle recovery.Couples particularly appreciated the motion isolation, with one reviewer saying, “I barely feel my partner move, which is a huge plus.” This is due to the individually wrapped coils, which minimize motion transfer. Additionally, edge support has been widely praised. A user mentioned, “I can sleep comfortably all the way to the edge without feeling like I’m going to roll off,” thanks to the reinforced coil system.While most users enjoyed the mattress, some felt it was firmer than expected. One reviewer noted, “It feels a little too firm for me, closer to an 8.5 than the 6.8 it’s advertised as.” This variance in firmness might be due to personal preferences, but overall, the Bear Star Hybrid delivers strong performance in all key areas. Inside the MattressBase Support LayerThe foundation of the Bear Star Hybrid is a dense base layer of high-quality polyurethane foam. This layer provides the bed with essential durability, ensuring that it resists wear and tear over time. The dense foam prevents impressions, supporting the mattress’s longevity and ensuring the upper layers don’t bottom out prematurely.Individually Pocketed CoilsAbove the foam base, over 1,000 individually pocketed steel coils make up a 6-inch thick wraparound coil unit. These coils are strategically placed to conform to your body independently, providing tailored support. Each coil adapts to the pressure points where it’s most needed, promoting proper spinal alignment. The pocketed coil design also minimizes motion transfer, which is ideal for couples, as movement on one side of the bed doesn’t disturb the other.Responsive Comfort FoamAbove the coils, a fast-response foam layer acts as a transition between the supportive coil system and the comfort layers above. This foam is designed to contour to your body’s unique shape, filling in any gaps and offering added pressure relief where needed. Its responsiveness ensures that you don’t feel “stuck” in one position, promoting ease of movement throughout the night.Gel Memory Foam for Cooling and ComfortThe standout feature of the Bear Star Hybrid is its ultra-premium gel memory foam. Infused with billions of microscopic gel beads, this foam pulls heat away from the body, keeping you cool as you sleep. This is a crucial feature for those who tend to overheat during the night. The gel foam doesn’t just cool—it contours to your body, offering luxurious pressure relief and ensuring you wake up feeling refreshed, not stiff.Celliant® Fiber Cover: A Touch of Luxury and RecoveryThe final layer is the meticulously quilted Celliant® fiber cover, which is a game-changer in promoting wellness and sleep quality. Celliant fibers are designed to regulate body temperature, wick away moisture, and convert body heat into infrared energy. This energy stimulates local blood flow and aids in tissue recovery. The Celliant cover also enhances the overall plushness of the mattress, giving it a cloud-like feel.Eco-Friendly CertificationsThe Bear Star Hybrid mattress doesn’t just excel in comfort; it also boasts impressive environmental credentials. It’s GREENGUARD Gold Certified, which means it meets the world’s most stringent standards for low emissions of volatile organic compounds (VOCs). Additionally, the foam used is CertiPUR-US® certified, ensuring it’s free from harmful chemicals like ozone depleters, flame retardants, and heavy metals. Pros and ConsProsCooling gel memory foam keeps you cool all nightMinimal motion transfer—great for couplesStrong edge support—maximizes sleep areaCertiPUR-US and GREENGUARD Gold CertifiedPerfect for muscle recovery and pain reliefConsSome may find it firmer than expected What the testers say: “Laying down on the Bear Star Hybrid mattress, designed specifically for athletes, felt rejuvenating and supportive. The mattress struck a perfect balance with its medium-firm feel, providing excellent support for muscle recovery while still cradling the body comfortably. The response time was quick, with the hybrid design allowing easy movement and adjustment without feeling bogged down.” – Dr. Jordan Burns, Bear Hybrid Reviewer Read Our Full Review of the Bear Star Hybrid 10. Best Mattress for Couples: Nest Bedding Sparrow Your browser does not support HTML5 video. Price: $1226 to $2452Mattress Type: HybridMattress Height: 13 inchesFirmness: Plush, medium, or firm (3, 5, or 8 on the firmness scale)Available in twin, twin XL, split California king halves, full (double), queen, king, and California king Warranty Lifetime Sleep Trial 365 Nights Shipping FreeRecommended ForCouples Hot sleepers People with joint or back pain Mattress HighlightsIndividually wrapped coils minimize partner disturbance. Gel memory foam and breathable layers keep you cool. Lifetime Renewal Exchange extends the mattress’s lifespan. Save With Free Shipping on the Nest Bedding Sparrow with our discount code. Claim Deal Watch Our Nest Bedding Sparrow Video ReviewThe Nest Bedding Sparrow Signature Hybrid is a worthy contender for the title of best mattress for couples. Our team of experts has examined every feature of this high-end foam hybrid, and it is evident why it is so exceptional. Comfort is guaranteed with this mattress, which is made to accommodate a variety of sleep preferences.With dual firmness options for King and California King sizes, couples can customize the sides of the bed to suit their individual needs. One prefers soft and plush. The other wants firm and supportive. The Sparrow has you covered. The innovative Energex™ Temperature Responsive Foam adds to the appeal, delivering memory foam’s pressure relief with latex’s responsiveness and durability. No more sinking feeling, just perfectly balanced support.We also love how this mattress handles motion transfer like a pro. Thanks to individually wrapped coils, you won’t be disturbed when your partner shifts or gets up during the night. And speaking of staying undisturbed, the Thermic Phase Change Cooling Cover and gel memory foam layer keep you cool even on the warmest nights.What sets the Sparrow apart is its Lifetime Renewal Exchange (LRE) program. Unlike typical mattresses, you can renew the feel of your Sparrow without needing a whole new bed. Swap out the comfort layer for a fresh one, saving time, and money, and reducing landfill waste. It’s a smart, sustainable choice.Finally, Nest Bedding backs this with a 365-night sleep trial and free returns across all states, so you can take your time deciding. Investing in the Sparrow is investing in years of restful, customized sleep. Why settle for less when you can have it all? 9.3 Overall Score 8 Value 10 Edge Support 10 Trial Period 9 Response Time 10 Motion Transfer 9 Cooling & Breathability How Lying Down FeelsI chose the medium firmness, and as I settled in, it felt like the mattress was designed specifically for my body, cradling my shoulders and hips perfectly. This made a world of difference for someone who often deals with stiffness, especially in the morning.Shifting positions was seamless. Whether I was lying on my back, side, or stomach, the hybrid design adapted instantly. The responsive Energex™ foam felt springy yet stable, offering just the right amount of give without any sinking sensation. It made rolling over feel effortless, and even after a few hours, there was no stiffness or discomfort—a big plus for anyone managing conditions like ankylosing spondylitis.How isolated the experience feel? My partner tends to toss and turn, but I barely noticed their movements. The individually wrapped coils are a game-changer, absorbing motion so efficiently that I could enjoy uninterrupted sleep. On top of that, the edges of the mattress didn’t disappoint. I tested it out by sitting right at the edge, and it held firm, which is rare with most mattresses.Another highlight? The cooling effect. The gel memory foam and airflow-friendly construction kept the surface temperature just right. Even after a warm evening, I woke up feeling refreshed rather than overheated—a small but meaningful detail that elevates the experience. Tester Feedback“I finally found a mattress my partner and I can agree on! The dual firmness option is a game-changer—soft on my side, firm on theirs. We both wake up pain-free and rested.” – Rachel M.Dr. Jordan Burns echoes this sentiment, highlighting the motion isolation and customizable comfort layers as standout features for couples. Many testers noted the hybrid design’s ability to adjust to various sleep styles:“As a side sleeper, I love how the foam cradles my hips and shoulders without making me sink too much. Plus, it stays cool all night.” – Jonathan T.Cooling technology also receives consistent praise, with one user sharing, “I’m a hot sleeper, but this mattress keeps me comfortable, even in summer!” – Sarah L.The Lifetime Renewal Exchange has impressed reviewers seeking durability and sustainability, with one saying, “It feels like a long-term investment in great sleep and the planet.” – Alex P. Inside the MattressA cool and comfortable sleep is made possible by the top layer. Pressure spots like the shoulders and hips are relieved by the smooth, quilted texture of this gel-infused memory foam, which molds to your body. Beyond comfort, however, the Thermic Phase Change Cooling Cover helps control temperature, keeping you cool all night. It’s an opulent initial touch that works just as well as it feels.One notable aspect of this hybrid design is the cutting-edge EnergexTM foam, which is located beneath the cover. This foam is very adaptable, reacting to the movement and heat of your body to provide a supportive but bouncy sensation. The level of firmness varies based on your choice:Plush: 2.5 lb./10 ILD for a soft, cradling sensation.Medium: 2.5 lb./22 ILD for a balanced, versatile feel.Firm: 2 lb./30 ILD for a solid, supportive surface.This layer delivers the best of both worlds—the contouring comfort of memory foam with the durability and responsiveness of latex.Acting as a transition layer, the SmartFlow foam offers breathable support while enhancing airflow through the mattress. At 1.5 lb./30 ILD, it provides a stable foundation for the upper layers, ensuring consistent performance and preventing that “stuck” feeling some foam mattresses can create.The heart of the Sparrow lies in its 14.5-gauge individually wrapped coils. With up to 840 coils, this layer offers incredible motion isolation, making it perfect for couples. One partner’s movements won’t disturb the other, no matter how restless the night gets. Additionally, the reinforced edges provide stability, extending the usable sleep surface and ensuring you can sit or lie near the edge without feeling unsupported.At the bottom is the high-density base foam, designed for long-lasting durability. This 3 lb. foam layer anchors the mattress, providing structural integrity and ensuring the layers above perform consistently over time. Pros and ConsProsCustomizable firmness options, even split firmness for couples.Excellent motion isolation for undisturbed sleep.Strong edge support maximizes usable space.Cooling gel foam and airflow coils for temperature regulation.Lifetime Renewal Exchange reduces waste and extends mattress life.ConsDual firmness option only available for King/Cal King sizes. What the testers say: “The Nest Bedding Sparrow Signature Hybrid mattress is phenomenal and especially favorable for couples. The mattress offered a customizable firmness level, ensuring a just-right feel that supports individual preferences while maintaining a unified surface. The hybrid construction allowed for a quick response to movement, facilitating effortless adjustments throughout the night.” – Dr. Jordan Burns, Nest Bedding Reviewer Read Our Full Review of the Nest Bedding Sparrow 11. Best Eco-Friendly Mattress: Birch Natural Your browser does not support HTML5 video. Price: $1349 to $2099Mattress Type: Latex HybridMattress Height: 11 InchesFirmness: Medium-Firm (6 to 7 on the firmness scale)Available in twin, twin XL, full, queen, king, and California king Warranty 25 Years Sleep Trial 100 Nights Shipping FreeRecommended ForSleepers with non-latex allergies Back sleepers and some combo sleepers Hot sleepersMattress HighlightsNatural latex foam comfort Organic cotton mattress cover Wool comfort layer and flame barrier Save With Free Shipping on the Birch Natural with our discount code. Claim Deal Watch Our Birch Natural Video ReviewSuperior Support for Spinal AlignmentThe medium-firm feel of the Birch Natural is ideal for people with ankylosing spondylitis, according to our testing experts. This hardness relieves pain and lessens back strain by preserving healthy spinal alignment. Pressure points are lessened as you sleep because of the sensitive surface that adjusts to your body thanks to the layers of wool and organic latex.Naturally Cooling & BreathableAnother standout feature we found is the mattress’s breathability. The organic cotton cover and natural wool layers promote airflow, keeping sleepers cool throughout the night. This is especially helpful for those who experience discomfort due to heat buildup, as the mattress doesn’t trap body heat.Eco-Friendly Materials You Can TrustAccording to our team, not only does the Birch Natural Mattress deliver top-notch comfort, but it also promotes sustainability. With GREENGUARD Gold and GOLS certifications, this mattress is made with non-toxic, organic materials. Our team was impressed by its eco-friendly construction, which ensures a healthier sleep environment for both you and the planet.Perfect for Sensitive SleepersFor anyone with ankylosing spondylitis, finding a mattress that offers both support and gentle pressure relief is essential. The Birch Natural Mattress hits the mark with its combination of comfort and eco-conscious design. Whether you’re focused on alleviating back pain or looking for a natural sleep solution, this mattress is a top contender. 9.0 Overall Score 9 Value 9 Edge Support 9 Trial Period 10 Response Time 8 Motion Transfer 9 Cooling & Breathability How Lying Down FeelsMy Personal Experience with the Birch Natural MattressAs someone managing ankylosing spondylitis, finding a mattress that offers both support and comfort is essential. After spending several nights on the Birch Natural Mattress, I can confidently say it has made a significant difference in my sleep quality.A Breath of Fresh Air: Living in a warmer climate, I was pleased to find that the Birch Natural Mattress kept me cool throughout the night. The breathable organic cotton cover and wool layers facilitated excellent air circulation, preventing heat buildup and ensuring a comfortable sleep environment.Peaceful Slumber: Sharing a bed with a partner, I appreciated the mattress’s ability to minimize motion transfer. While it wasn’t completely motionless, the gentle bounce of the latex and coils absorbed most movements, allowing for an undisturbed night’s sleep.A Welcoming Surface: Upon lying down, the medium-firm feel of the Birch Natural immediately stood out. It provided a supportive yet comfortable surface that cradled my body without excessive sinking. The natural latex layer responded promptly to my movements, offering a buoyant feel that made shifting positions effortless.Targeted Comfort: The combination of organic cotton and wool layers offered a gentle cushioning effect, especially around my hips and shoulders. This was crucial for maintaining proper spinal alignment, a key concern for those with ankylosing spondylitis. I woke up feeling refreshed, with noticeably less stiffness and pain compared to my previous mattress. Tester FeedbackSupport and ComfortOne user shared, “The medium-firm feel of the Birch Natural Mattress provided excellent support for my back and side sleeping positions. It offered just the right balance between cushioning and firmness, ensuring proper spinal alignment throughout the night.” This aligns with Dr. Jordan Burns’ analysis that the medium-firm feel supports spinal alignment, which is critical for individuals managing ankylosing spondylitis.Pressure ReliefAnother tester mentioned, “I woke up feeling refreshed, with noticeably less stiffness and pain compared to my previous mattress. The combination of organic cotton and wool layers offered a gentle cushioning effect, especially around my hips and shoulders.” Dr. Burns highlighted this mattress’s natural materials, like organic wool, which offer gentle yet effective pressure relief, making it an ideal choice for those seeking comfort alongside firm support.Temperature RegulationA user in a warmer climate noted, “The Birch Natural Mattress kept me cool throughout the night. The breathable organic cotton cover and wool layers facilitated excellent air circulation, preventing heat buildup and ensuring a comfortable sleep environment.” Dr. Burns also praised the mattress’s breathability, noting how its organic materials promote cooling, enhancing overall sleep comfort.Motion IsolationOne shared, “Sharing a bed with a partner, I appreciated the mattress’s ability to minimize motion transfer. While it wasn’t completely motionless, the gentle bounce of the latex and coils absorbed most movements, allowing for an undisturbed night’s sleep.” Dr. Burns confirmed that the latex layer and coil construction effectively isolate motion, making it a great option for couples. Inside the MattressThe Birch starts off with an organic cotton cover that wicks away moisture and heat. These long natural cotton fibers also fight all kinds of allergens, like dust, dust mites, and pollen.Underneath the cotton cover rest two layers of organic wool. The first is an all-natural fire-retardant layer that protects you from fire without the need for harsh chemical infusions. The next is the comfort layer.Having a wool comfort layer offers two things. First, it provides fantastic temperature neutrality. This means both hot and cold sleepers can enjoy this mattress without temperature issues. Second, it offers excellent pressure relief, as wool is one of the best alternatives to foam for cushioning and contouring.Under the wool layers, you’ll find a layer of natural Talalay latex. This ultra-porous and contouring latex offers tons of breathability and bounce to ensure your sleep surface doesn’t develop body impressions or overheat.Finally, a support layer of individually wrapped coils provides contouring all the way to the bottom of the mattress and counters any sinkage you may experience on the wool layers. Pros and ConsProsTalalay latex is ultra-breathable and highly responsiveOrganic cotton fights moisture buildup and the growth of multiple microbesWool layer provides temperature-neutral comfort for both hot and cold sleepersConsNot suitable for those who want a vegan mattress What the testers say: “Knowing its eco-friendly construction, laying down on the Birch Natural Mattress felt comfortable and reassuring. The mattress had a medium-firm feel, providing excellent support for proper spinal alignment and offering gentle, natural cushioning from organic materials.” – Dr. Jordan Burns, Birch Natural Reviewer Read Our Full Review of the Birch Natural Mattress 11. Best innovative Mattress: Purple® Restore Plus Hybrid Your browser does not support HTML5 video. Price: $2549 to $5098Mattress Type: HybridMattress Height: 13 inchesFirmness: Soft or Firm (4 or 7 on the firmness scale)Available in twin XL, full (double), queen, king, California king, and split king Warranty 10 Years Sleep Trial 100 Nights Shipping FreeRecommended ForSide sleepersHot sleepersCouplesMattress Highlights3-inch GelFlex Grid for adaptive comfort.3-zone pocketed coils for targeted support.Ultra comfort layer for added cushioning.Moisture-wicking cover to keep you cool and dry.Save with Free Shipping on the Purple® Restore Plus Hybrid with our discount code. Claim Deal Watch Our Purple Restore Plus Hybrid Video ReviewOur team of testers took a close look at its unique features and comfort level, and we were impressed! With a 13-inch profile that combines a 3-inch GelFlex Grid and an 8-inch pocketed coil support base, this mattress offers fantastic pressure relief and support. The GelFlex Grid adapts to your body, helping to reduce pain by cradling your shoulders and hips while keeping your spine aligned.What sets the Purple Restore Plus apart is its two firmness options: Soft (5/10) and Firm (7/10). This means you can pick what feels best for you, whether you’re a side sleeper needing some extra cushioning or a back sleeper who prefers more support. Plus, it’s designed to keep you cool all night long with its breathable materials, so you won’t wake up feeling overheated. Overall, we think the Purple Restore Plus Hybrid is a fantastic choice for anyone looking for comfort and relief from chronic pain. While it’s on the pricier side—around $2,595—many users find that the investment pays off with better sleep and less discomfort. How Lying Down FeelsUnique Sensation: The moment I settled in, the GelFlex Grid cradled my body gently. It felt like a warm embrace, offering just the right amount of support without that sinking feeling common with softer mattresses.Balanced Comfort: I loved how it struck a perfect balance between firmness and softness. It felt like I was floating, which is a fantastic sensation for someone dealing with back pain.Quick Response: As I shifted positions throughout the night, the mattress adapted seamlessly to my movements. There was no awkward delay or feeling of being stuck—just smooth transitions that kept me comfortable.Minimal Motion Transfer: Even when I tossed and turned, I hardly felt any disturbance. This is crucial for anyone sharing a bed; you can sleep soundly without worrying about waking your partner.Solid Edge Support: Sitting on the edge felt secure, allowing me to get in and out of bed easily without the fear of rolling off.Cooling Features: The breathable grid design kept me cool all night long. I appreciated how it promoted airflow, making it comfortable even during warmer nights. Tester FeedbackChaz, a side sleeper and co-sleeper, shared his thoughts: “It was hard to open with the tool provided, but once I laid down, I felt a great upgrade from the OG Purple Mattress. It helps with my back and shoulder pain.” His experience reflects the mattress’s pressure-relieving properties, thanks to the GelFlex Grid that adapts to different body types.Hannah C. simply stated, “So comfy!” This succinct feedback underscores the mattress’s ability to provide comfort without compromising support. The breathable design also received praise from users like Dr. Capo, who mentioned, “Our son LOVES this bed and so do we! Amazing sleep due to amazing comfort.” This highlights how the mattress caters to hot sleepers by promoting airflow.Dr. Jordan Burns noted that the Purple® Restore Plus Hybrid mattress offers a unique blend of support and comfort, making it a standout choice for those with back pain. User reviews echo this sentiment, highlighting various features that contribute to an exceptional sleep experience.Prudy Y., who opted for the split king version, noted, “We chose medium firm which works well for our differing sleep styles and provides us ease of movement.” This adaptability is crucial for couples or those with varying preferences. Inside the MattressImagine sinking into the Purple® Restore Plus Hybrid mattress, where every layer is meticulously crafted to enhance your sleep experience. The journey begins with the 3-inch GelFlex® Grid, a remarkable top layer that instantly adapts to your body, regardless of your sleeping position. As you settle in, you’ll feel how it cradles your pressure points—your shoulders and hips—while providing robust support where you need it most. This innovative grid design doesn’t just offer comfort; it promotes airflow, ensuring you stay cool throughout the night—up to three times cooler than many leading competitors.As you delve deeper into the mattress, you encounter the 3-zone pocketed coils. These coils are strategically placed to deliver targeted support for your back, shoulders, and hips, creating a balanced feel across the entire surface. Whether you’re nestled in the center or lounging near the edge, this system ensures that support is consistent and reliable.Next comes the ultra-comfort layer, made from high-quality poly foam. This layer adds an extra touch of cushioning while enhancing breathability, allowing for a comfortable sleep without the worry of overheating. When it’s time to get in or out of bed, the advanced edge support system provides stability and security, making those movements effortless.Finally, the mattress is wrapped in a moisture-wicking cover that keeps you cool and dry all night long. With its antimicrobial finish, you can rest easy knowing your mattress will stay fresh and clean over time. Pros and ConsProsSuper comfy with the GelFlex Grid that hugs your body.Great support for back, shoulders, and hips.Stays cool—perfect for hot sleepers!Easy to get in and out of bed thanks to solid edge support.Antimicrobial cover keeps it fresh and clean.Available in two firmness options to suit different preferences.ConsSome users found it tricky to unpack. What the testers say: “I was looking forward to laying down on the Purple® Restore Plus Hybrid mattress, and it didn’t disappoint. The mattress had a distinct feel due to the Purple Grid technology, which balanced firm support and adaptive comfort and is suitable for various sleeping positions.” – Dr. Jordan Burns, Purple® Restore Plus Hybrid Reviewer Read Our Full Review of the Purple Restore Plus Hybrid Mattress 12. Best Cooling Mattress: Brooklyn Bedding Aurora Luxe Hybrid Your browser does not support HTML5 video. Price: $999 to $2665Mattress Type: HybridMattress Height: 13.5 inchesFirmness: Soft (3 on the firmness scale), medium (5 on the firmness scale), firm (7 on the firmness scale)Available in twin, twin XL, full (double), queen, king, California king, split California king, short queen, RV king, RV bunk Warranty 10 Years Sleep Trial 120 Nights Shipping FreeRecommended ForHot sleepers People with back pain or spinal issuesCouples Mattress HighlightsHigh-quality hybrid design with foam and coils1,032 individually-encased coils for targeted supportCopper foam for temperature regulationGlacioTex™ cooling cover for a cool touch all nightSave with Free Shipping on the Brooklyn Bedding Aurora Luxe Hybrid with our discount code. Claim Deal Advanced Cooling Technology: The Aurora Luxe Hybrid is equipped with a GlacioTex™ cooling cover and CopperFlex™ foam, effectively drawing heat away from the body to maintain a cool sleeping surface throughout the night. This feature is particularly beneficial for those who experience night sweats or discomfort due to temperature fluctuations. Supportive Hybrid Construction: Designed with a combination of cooling-infused foam layers and a zoned coil core, the mattress offers balanced support and pressure relief. This construction adapts to various sleeping positions, ensuring spinal alignment and reducing discomfort associated with Ankylosing Spondylitis. Firmness Options: Available in soft, medium, and firm firmness levels, the Aurora Luxe Hybrid caters to different preferences and body types. This versatility allows sleepers to choose the firmness that best supports their spinal alignment and comfort needs. Durability and Warranty: Crafted from CertiPUR® certified materials, the mattress is built to last. It comes with a 10-year warranty, reflecting the manufacturer’s confidence in its longevity and performance. Performance Ratings:Mattress Responsiveness: 8 out of 10Motion Isolation: 9 out of 10Edge Support: 8 out of 10Breathability and Cooling Features: 10 out of 10Brooklyn Bedding Aurora Luxe Hybrid mattress offers a harmonious blend of cooling technology and supportive design, making it a top contender for those seeking relief from Ankylosing Spondylitis symptoms. Its customizable firmness options and durable construction further enhance its appeal as a reliable and comfortable sleep solution. 8.8 Overall Score 9 Value 8 Edge Support 9 Trial Period 8 Response Time 9 Motion Transfer 10 Cooling & Breathability How Lying Down FeelsInstant Cool ComfortThe moment I sank into the mattress, the GlacioTex™ cooling cover instantly felt cool to the touch.This cooling effect immediately helped regulate my temperature, which is especially important since heat tends to aggravate pain.The mattress felt like a gentle embrace—firm enough for support but with just the right amount of softness to provide comfort.The cooling technology was a game-changer. As someone who experiences hot flashes or night sweats, I appreciated how the mattress kept a cool temperature without any hot spots.The breathable coil system worked in harmony with the cooling foam layers, ensuring proper airflow and heat dissipation throughout the night.Perfect Balance of Support and SoftnessThe hybrid design shone through here. The combination of foam layers and individually wrapped coils gave me the perfect balance of support and comfort.My body felt well-supported in all the right places—especially around my lower back and hips. I didn’t feel like I was sinking too deep, but the mattress still managed to cradle me in a way that relieved pressure.Whether I shifted positions or stayed still, the mattress was responsive enough to keep me comfortable all night.Quiet, Undisturbed SleepOne thing that stood out to me was the mattress’s ability to isolate motion. I didn’t feel any movement from my partner, which meant uninterrupted sleep for both of us.This is a huge plus if you’re sharing a bed and tend to wake up when your partner shifts.Solid and Stable SupportThe reinforced perimeter offered solid edge support, which made it easier to get in and out of bed.Plus, I didn’t feel like I was going to roll off the edge during the night, even when I moved toward the sides. Tester Feedback“The GlacioTex cooling cover and copper-infused foam layers keep the mattress cool all night long. It’s perfect for anyone who runs hot while sleeping.” – TedMany reviewers noted the mattress’s ability to maintain a cool sleeping surface, even during warmer nights, thanks to its advanced cooling technology.“I love the hybrid construction. The mattress cradles my body while still providing the support I need, especially for my lower back.” – SierraThe combination of high-quality foam layers and individually wrapped coils helps ensure both comfort and support. Testers found it adaptable to different sleep positions, offering pressure relief where it’s needed most.“With options from medium-soft to firm, I found the perfect level of support for my body.” – Reviewer from Texas.The mattress offers customizable firmness, making it a great choice for individuals with varying preferences or sleep needs.Dr. Jordan Burns, a sleep expert, weighed in on the Aurora Luxe Hybrid: “The mattress excels in both cooling and support. The hybrid design and cooling technologies work in harmony, making it a solid choice for anyone with specific sleep needs like spinal alignment or temperature regulation.” Inside the MattressAt the base of the mattress is a 0.75” dense base foam layer. This foundational layer reinforces the structure and boosts the mattress’s overall durability. It creates a strong base for the upper layers, ensuring long-lasting support.Above the base foam, the mattress features an 8” pocketed coil system with up to 1,032 individually-encased coils. These coils are strategically zoned to provide extra support where needed, particularly around the hips and lower back. This design promotes proper spinal alignment and motion isolation, making it a great choice for those who sleep with a partner. The open coil structure also allows for enhanced airflow, keeping the mattress cooler throughout the night.Next is a 1” gel-infused memory foam layer, which contours to the body for targeted pressure relief. This layer also helps to keep you cool by dissipating heat, ensuring a comfortable sleep environment throughout the night.Transition Layers for Different Firmness OptionsThe transition layers differ depending on the firmness level chosen. Here’s a breakdown:Soft Model: 2” of plush Supreme Response Comfort Foam with 1.5” of antimicrobial copper foam for added cooling and antibacterial properties.Medium Model: 2” of firmer Supreme Foam and copper foam for enhanced support with cooling benefits.Firm Model: 1.5” of very firm Supreme Foam combined with 1.5” of Variflex transition foam for extra reinforcement and support.Each version includes 1.5” of copper foam, which features phase-change molecules to regulate the mattress’s temperature. This layer absorbs heat when you’re warm and releases it when you’re cool, promoting a more consistent sleeping temperature.The mattress is finished with a GlacioTex cooling cover, a performance fabric designed to stay cool to the touch. It wicks away heat, enhancing the mattress’s overall cooling effect.Optional Cloud Pillow TopFor added comfort, an optional cloud pillow top can be added, giving the mattress a plusher feel for those who prefer extra softness. Pros and ConsProsCooling with GlacioTex™ cover and copper-infused foamCustomizable firmness options (soft, medium, firm)Good support with the responsive pocketed coil systemGreat motion isolation for couplesDurable and long-lasting constructionBreathable design for better airflowConsMay be too firm for those who prefer ultra-soft bedsCan be heavy to move What the testers say: “The Brooklyn Bedding Aurora Hybrid mattress is one of my favorite mattresses. It offered a balanced level of firmness that catered well to a wide range of sleep preferences, providing substantial support without sacrificing comfort. The hybrid construction, combining high-quality foam layers with individually encased coils, resulted in a responsive sleep surface that quickly adapted to body movements, ensuring a comfortable transition between positions without delay.” – Dr. Jordan Burns, Brooklyn Bedding Reviewer Read Our Full Review of the Brooklyn Bedding Aurora LuxeHow to Choose the Best Mattress for Ankylosing SpondylitisFinding the best mattress for ankylosing spondylosis begins with finding the best mattress for back pain that will best align your spine. For most people, this means finding the right combination of mattress construction and firmness level.The good news is that shopping for the best mattress doesn’t have to be complicated. You just need to know a little bit about your body type, your sleeping position, and your condition.SEE ALSO: Best Mattress for Tall PeopleWhat is Ankylosing Spondylitis?Ankylosing spondylitis is “a type of arthritis that causes inflammation in the joints and ligaments of the spine,” according to the National Institutes of HealthVerified Source National Library of Medicine (NIH)World’s largest medical library, making biomedical data and information more accessible.View source. Some people with the disease only suffer mild symptoms, but for others, the symptoms can be extreme.In severe cases, the inflammation can cause the individual vertebrae in the spinal column to fuse together. This can leave the ankylosing spondylitis sufferer with a hunched appearance and an altered gait that affects mobility.Sometimes, you might experience minor back pain that comes and goes. Other times, you could have extreme pain and stiffness that are debilitating. It all depends on how severe your case is and how well your treatment plan is working. While shoppers can look at the best mattresses for arthritis, it can help to shop for ones specifically for ankylosing spondylitis.SEE ALSO: Best Mattress for ScoliosisIdeal Mattress Materials for People with Ankylosing SpondylitisAs with most cases of back pain, there are mattress materials that work for ankylosing spondylitis, and there are mattress materials that don’t. To best relieve symptoms, you need a mattress construction that offers lots of support and lots of contouring.There are three primary types of mattresses that can potentially offer relief to ankylosing spondylitis sufferers: memory foam, latex, and hybrid. Each one of these mattress types has its own strengths and weaknesses, but they all can help alleviate your pain, depending on your needs.Memory FoamMemory foam mattresses are among the best mattresses for all types of back pain. This is because flexible polyurethane foam – commonly known as memory foam – is the most contouring mattress material on the market today.This foam inside a memory foam mattress for back pain can follow the curve of your body, molding itself to your shape to keep your spine aligned. Or in other words, this contouring ability makes memory foam especially good for people suffering from back pain because it can offer optimal spinal alignment regardless of your sleep position without sacrificing pressure relief.The main problems with memory foam really only affect hot sleepers and active sleepers. Memory foam is not as good at regulating its temperature as other foam types. Even a gel memory foam mattress is not as cooling as latex and coils. Memory foam also doesn’t bounce back as quickly as other mattress materials.SEE ALSO: Memory Foam vs. Gel Memory Foam: What’s the Difference?Latex FoamNatural latex foam is made by processing the liquid sap of the rubber tree. There are two basic types of latex: Dunlop and Talalay. Dunlop latex is denser and more buoyant, while Talalay is lighter and more contouring.Natural latex fixes memory foam’s issues without sacrificing much of its contouring. Latex mattresses are more breathable and cooler than memory foam, and it’s also much more responsive. This means hot and active sleepers with ankylosing spondylitis may do better on a latex mattress.Just be aware, natural latex is not as contouring as memory foam. It’s close enough for most back and stomach sleepers, but side sleepers especially may notice a difference in pressure relief and contouring between latex and memory foam mattresses of the same firmness.An organic latex mattress can also be a significant investment. The materials last and last, so many shoppers deem the cost worth it, but that may keep one out of reach of budget shoppers.HybridHybrid mattresses are also a contender for the best mattress type for ankylosing spondylitis. Hybrids combine either latex or memory foam with individually wrapped coils that each come in their own fabric or foam case.Pocketed coils are an excellent solution for sufferers of ankylosing spondylitis because they can all move independently of one another. This means they offer the support and lift of coils along with the contouring and flexibility of base foam. This makes them a perfect mix of support and pressure relief, which can be especially important for side sleepers.The main problem with hybrids has nothing to do with the way they feel. Hybrid mattresses are less durable than most foam mattresses and are almost as expensive upfront as latex. This makes them much more expensive over the course of their lives than any other mattress type. Bear in mind how long a mattress lasts if you’re shopping on a budget.InnerspringOf all the most common mattress types, innerspring mattresses are the worst for virtually all back pain and are best avoided. These mattresses have open coil support cores. This means their coils are networked together with steel wire.Open coils have several major issues, the worst of which is their inability to contour. This means that open coil support cores tend to sag under your body weight where they should contour. Their sagging can pull your spine out of alignment and cause even more pain.Open coils are also the least durable type of support layer. They lose tension and wear out faster than pocketed coils and base foams alike. They also can start making squeaking and creaking noises after a few years because the individual coils have no encasement to keep them from grinding against each other. For all these reasons, we recommend you get a hybrid if you want coils in your mattress.Ideal Firmness Level for People with Ankylosing SpondylitisMattress firmness falls on a scale of one to 10, with one being the softest. Most of the time, you’ll never find mattresses softer than a three or firmer than an eight. This is because mattresses on the extreme ends of the spectrum would either have no spinal support or no pressure relief.Typically, the best firmness level for all types of back pain is medium-firm. Medium-firm mattresses offer a balance of support and pressure relief that has just a touch more support. This keeps the body lifted and ensures minimal sinkage while still offering enough contouring to keep the spinal column aligned.However, though medium-firm mattresses are normally the best ones for back pain, there are other considerations to think about. The two main ones are your sleeping position and your body type.Sleeping PositionYour sleep position is the main factor that decides your firmness needs. Think of the firmness level that corresponds to your sleep position as your baseline firmness. Other factors, such as your back pain or body type, will increase or decrease your firmness needs from this baseline firmness level.The reason your sleep position impacts your firmness needs so much is it decides how your body contacts the bed, where your pressure points are, and how your spine lines up. Thus, your mattress firmness needs to accommodate the way you sleep first and foremost.Back SleepersBack sleepers need a sleep surface that offers lots of support and contouring all at once. When you sleep on your back, you don’t need a lot of pressure relief because your weight is more evenly distributed. However, you still need lots of contouring to ensure the mattress can compress under your buttocks and rise to meet the lumbar region.At the same time, you also need lots of lift to ensure you stay on top of the sleep surface, as sinking can bend your spine out of alignment. All this means medium-firm mattresses (6) are the best mattresses for back sleepers. Incidentally, this works out well for ankylosing spondylitis sufferers who sleep on their backs, as medium-firm is the ideal firmness for back pain too.Combo SleepersCombo sleepers don’t have a strong preference for any one sleep position. They may sleep on their stomachs one night, their backs the next, and their sides the night after that. Some combo sleeper change positions several times throughout the night.All this means combo sleepers need a highly versatile mattress that can accommodate whatever position they choose. Medium mattresses (5) fit this bill the best. These mattresses for combination sleepers offer an even balance of support and cushioning that can provide enough lift and pressure relief to accommodate all sleep positions without targeting a specific one.Side SleepersSide sleepers have the hardest time with pressure-related pain. When you sleep on your side, your body weight presses your hip and shoulder joints into the sleep surface. If your mattress is too firm, it resists the pressure of your body weight rather than compressing under it. This can cause you to wake up with joint pain in your pressure points.To counter this pressure, side sleepers usually need soft mattresses (3). However, side sleepers with ankylosing spondylitis might consider a medium-soft (4) or even a medium mattress to get enough spinal support. It all depends on what you consider adequate pressure relief and support.Some mattresses for side sleeping also offer targeted support for the shoulders and hips, yielding to these areas quickly and enveloping them to relieve pressure points.Stomach SleepersStomach sleepers typically have lower back pain regardless of any spinal conditions they have. This is because sleeping on your stomach allows your pelvis to sink into the sleep surface. This overarches the spine and throws it out of alignment. This will very often leave you waking up with pain in the morning, which is why it’s crucial to have the right mattress for stomach sleeping.To counter this problem, stomach sleepers should choose a firm mattress (7). Stomach sleepers with spinal disorders may need even more support and should think about an extra-firm mattress (8) to alleviate their back pain.Body TypeYour body type does not have the same impact on your sleep needs as your preferred sleep position. However, it does have some effect on your firmness needs.To the mattress industry, the average adult weight range is 130 to 230 pounds. If you fall into this weight range, then you won’t have to worry about how your body type impacts your firmness needs. Just pick the firmness that goes with your sleep position.On the other hand, if you fall above or below this range, mattresses may not fit your needs like they fit those of someone heavier or lighter than you. This means you’ll have to take your weight into consideration when thinking about your mattress’s firmness.Plus-Size SleepersIf you weigh more than 230 pounds, you’re considered a plus-size sleeper. If that’s the case, you’ll need to increase your mattress firmness level from the one that corresponds to your preferred sleep position.This is because mattresses that directly correspond to your sleep position may not have sufficient support to accommodate your body type. Going up a firmness level in a mattress for heavy sleepers should fix the issue. So, for example, a back sleeper would normally need a medium-firm mattress, but a heavier back sleeper might need to go up to a firm mattress for sufficient support.Petite SleepersPetite sleepers (under 130 pounds) have the opposite problem as heavier sleepers. When you weigh less than 230 pounds, mattresses may not compress enough to give you sufficient pressure relief. This means petite sleepers should go down a firmness level from the one that goes with their sleep position when shopping mattresses for lightweight sleepers.For example, stomach sleepers typically need firm mattresses, but firm mattresses may cause pressure-related pain for petite sleepers. Thus, a petite stomach sleeper should consider a medium-firm mattress instead.Mattress SizesMattress SizeDimensionsTwin38″ x 75″Twin XL38″ x 80″Full54″ x 75″Queen60″ x 80″King76″ x 80″California King72″ x 84″Learn more about better sleepSign up for sleep health education, expert tips, and the latest and greatest mattress sales. Email See Privacy PolicySaving on a Mattress for Ankylosing SpondylitisIf you’re anxious to get the best possible deal on a new mattress for a medical condition, one of the best ways to do so is by shopping the year’s big mattress sales:Best MLK Day Mattress SalesBest Presidents Day Mattress SalesBest Sleep Awareness Week Mattress SalesBest Memorial Day Mattress SalesBest 4th of July Mattress SalesBest Labor Day Mattress SalesBest Columbus Day Mattress SalesBest Black Friday Mattress SalesBest Cyber Monday Mattress SalesWhere you shop also influences how much you can expect to save on a mattress. Generally speaking, online mattresses are more affordable than mattresses at showrooms and big box stores. Web retailers strive for competitively low prices and have fewer overhead costs to meet.If a mattress is too much of a big ask at the moment, you can still improve comfort with a mattress topper for back pain.Other Mattresses for Medical ConditionsIf you have a case of back pain and aren’t sure yet if the cause is ankylosing spondylosis, then it’s best to get a doctor’s diagnosis. It’s possible it’s another condition,and you may need another mattress to ease symptoms.Best Mattresses for Spinal StenosisBest Mattresses for Degenerative Disc DiseaseBest Mattresses for Herniated DiscBest Mattresses for SpondylolisthesisBest Mattresses for SciaticaBest Mattresses for Joint PainBest Mattresses for Neck PainBest Mattresses for Hip PainBest Mattresses for Shoulder PainSaving on New MattressesBest MLK Day Mattress SalesBest Presidents Day Mattress SalesBest Sleep Awareness Week Mattress SalesBest Memorial Day Mattress SalesBest 4th of July Mattress SalesBest Labor Day Mattress SalesBest Columbus Day Mattress SalesBest Black Friday Mattress SalesBest Cyber Monday Mattress SalesFAQsWhat is the best firmness for ankylosing spondylitis?Typically speaking, the best firmness level for all back pain sufferers is medium-firm. Medium-firm mattresses keep the body lifted onto the sleep surface and support the spine to encourage optimal alignment.At the same time, these mattresses also offer enough contouring and cradling to provide sufficient pressure relief. This can alleviate back pain caused by just about anything.That being said, you’ll need to take your sleep position and body type into account. If you’re a side sleeper or petite sleeper, you may do better on a medium mattress. Conversely, firm mattresses might be best for heavier sleepers and stomach sleepers with back pain.Can a bad mattress worsen my ankylosing spondylitis symptoms?A bad mattress can absolutely worsen your ankylosing spondylitis symptoms. While it’s unlikely that a saggy or unsupportive mattress will outright cause ankylosing spondylitis, it can increase your pain and stiffness.Mattresses that let your spine fall out of alignment put pressure on the vertebral column and the spinal cord itself. This means you will probably wake up with severe pain and stiffness in the morning, and this pain may last for hours or even all day.Furthermore, a mattress topper may not fix the problem. If an overly firm mattress is causing you pain, a thick, plush topper can help bring down the firmness level. However, if a sagging or overly soft mattress is the issue, you’ll likely have to replace it to relieve your back pain, as the mattress’s support comes from its core, not its surface.Which mattress material is the best for ankylosing spondylitis symptoms?There are several mattress materials that can help relieve your ankylosing spondylitis symptoms. Memory foam is one of the best options. This supportive and contouring foam can follow the curves of your spine to keep it in a neutral position that relieves pressure on the spinal column and eases pain.Those who find memory foam too unresponsive or too warm should consider latex as an alternative. Latex foam is not as contouring as memory foam, but it’s much more buoyant and responsive.This means it may be the best option for active sleepers with ankylosing spondylitis. Those who want the bounce and breathability of latex and the contouring of memory foam can choose a hybrid.Is a hybrid mattress a good option for ankylosing spondylitis?A hybrid mattress is a wonderful option for those with ankylosing spondylitis. Hybrid mattresses combine either latex or memory foam comfort layers with pocketed coils. The foams and coils provide contouring that runs through the whole mattress.This means a hybrid mattress can mold itself to your body shape just as well as pure memory foam mattresses can. These coils are also just as cooling and responsive as natural latex foam. All this means that hybrid mattresses can relieve your ankylosing spondylitis pain and offer you top-notch sleep all at the same time.Will an adjustable base help my ankylosing spondylitis?Adjustable beds can work wonders for all kinds of back disorders. Sleeping with the head and legs elevated takes the pressure off the spinal column. This can help alleviate pain in a way that even an amazing mattress by itself can’t.The zero-gravity position, in particular, has a litany of benefits for back pain sufferers. In this position, both the head and knees are elevated above the heart.This is the most optimal spinal pose, and it can relieve pain from just about every spinal condition, from ankylosing spondylitis to scoliosis to degenerative disc disease and more. That means an adjustable bed for back pain can be a fantastic solution for those looking for drug-free relief.Bottom LineBack pain often starts in bed. Even if the pain is caused by an underlying condition, sleeping on a bad mattress almost always exacerbates your symptoms. The good news is you can solve your problem by replacing your saggy or unsupportive mattress with an excellent new one – and it doesn’t even have to cost you an arm and a leg!Dr. Burns tests each mattress at eachnight’s facility to make sure the recommendations are based on real, expert reviews.About the author Rosie Osmun CERTIFIED SLEEP COACH Rosie Osmun, a Certified Sleep Science Coach, holds a degree in Political Science and Government from the Arizona State University College of Liberal Arts and Sciences. Her academic accomplishments lay a solid foundation for her role in the health and wellness industry. Her certification as a Sleep Science Coach further underscores her proficiency in the field of sleep and wellness.With over 13 years of hands-on experience in the beauty, health, sleep, and wellness industries, Rosie has cultivated a deep understanding of the science of sleep and its impact on overall health and wellbeing. Her dedication to helping others improve their sleep quality is evident in her practical, evidence-based advice and tips.Her contributions to various publications, including Forbes, Bustle, and Healthline, as well as her regular contributions to Amerisleep’s blog, demonstrate her standing in her field. These platforms, recognizing her proficiency, rely on her to provide accurate and relevant information to their readers. Find more articles by RosieAuthor Social Links Follow: Author Linkedin Author Twitter CommentsLeave a comment Pam Simon September 4, 2023 at 8:51 pm ReplyThis was very helpful and useful information, answering all my questions! 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Pam Simon September 4, 2023 at 8:51 pm ReplyThis was very helpful and useful information, answering all my questions!