The Best Mattress for a Better Night's Sleep Buying a new mattress? Here are tips for finding the right mattress for you. You spend about a third of every day in bed. Whether that time is spent blissfully slumbering -- or tossing and turning -- depends a lot on your mattress. "A mattress can impact a person's sleep," says Michael Decker, PhD, RN, associate professor at Georgia State University and spokesman for the American Academy of Sleep Medicine. One way that your mattress affects your sleep has to do with the network of fine blood vessels, called capillaries, that runs underneath your skin. "When you lie on any part of your body for an extended period of time, the weight of it reduces the flow of blood through those blood vessels, which deprives the skin of oxygen and nutrients," Decker says. This causes nerve cells and pain sensors in your skin to send a message to your brain for you to roll over. Rolling over restores blood flow to the area, but it also briefly interrupts your sleep.
Ideally, a mattress that reduces the pressure points on your body should give you a better night's sleep, Decker says. Yet the ideal mattress is different for each person. Which Mattress Is Right for You? Finding the right mattress isn't about searching out the highest-tech brand or spending the most money. "A much more expensive mattress doesn't necessarily mean it's better," Decker says. A high price tag is a product of both the materials that go into the mattress, and the marketing that helps sell it. Instead of focusing on price and brand name, think about what you want in a mattress. "Selecting a mattress is very personal," Decker says. Some people prefer a firmer mattress; others favor a softer style. Although there isn't a lot of scientific evidence to prove that one type of mattress will help you sleep better than another, people with certain medical conditions do seem to rest easier on a particular mattress style. Anyone with back or neck pain should take a Goldilocks approach to mattress buying: not too hard, and not too soft.
"If you're on too soft [of] a mattress, you'll start to sink down to the bottom. But on too hard of a mattress you have too much pressure on the sacrum, and on the shoulders, and on the back of the head," says Howard Levy, MD, an Emory University assistant professor of orthopaedics, physical medicine, and rehabilitation. A medium-firm mattress, or a firm mattress with a softer pillow top, will give your spine that "just-right" balance of support and cushioning. An adjustable bed can be a good buy if you need to sleep with your head raised. Doctors sometimes recommend elevating the head to help people with COPD breathe easier, or to prevent nighttime heartburn from GERD. These beds can also allow you to adjust your knees and hips to a 90-degree angle, relieving some of the pressure on sore joints, Levy says. If you have allergies or asthma, you might have considered buying a bed labeled "hypoallergenic." "There are a lot of claims made by mattress manufacturers that their mattresses are hypoallergenic or don't support the growth of dust mites, but I don't know of scientific evidence to support these claims," says Paul V. Williams, MD, a pediatrics professor at the University of Washington School of Medicine and an allergist at Northwest Allergy and Asthma Center in Washington state.
Williams says dust mites will live anywhere there's food -- and that food is your dead skin cells. Instead of investing in an allergy-free mattress, slip on a washable mattress encasing. It will form a barrier that prevents dust mites from getting to you. A mattress encasing cuts allergen growth by robbing dust mites of their food supply, Williams says. And what about those space-age memory foam mattresses, which can cost thousands of dollars? There is some evidence they can help with back problems and improve sleep, but their advantage over a regular coil mattress is only slight. Where memory foam mattresses can really help you sleep is if you have an active bed partner who is keeping you awake, Decker says. Foam mattresses reduce motion transfer, letting you lie still while your partner tosses and turns. Test Drive a Mattress Before You Buy "You wouldn't buy a car without test driving it," Decker says. So why would you invest hundreds -- or even thousands of dollars in a mattress without trying it out first?
Take any new mattress you're considering for a test nap. "People should not be embarrassed to go into a store and lay on a mattress for 20 minutes," Decker says. For a more realistic test, sleep in the beds at different hotel chains when you travel. If you get an especially good night's sleep on one of them, ask the desk clerk what brand it is. When you test out a mattress, make sure it feels comfortable in every position, especially the side you favor for sleeping. The mattress should be supportive where you need it, without putting too much pressure on your body, Levy says. Time for a New Mattress If you've been having trouble sleeping, the problem might not be your mattress type, but its age. "It's really important for people to realize that mattresses have a certain lifespan," Decker says. Keep your mattress too long, and the foam and other materials inside it will start to break down, compromising its ability to support your body. Decker recommends keeping your mattress for no more than 10 years.
After that, it's time to go mattress shopping again. Ratings > Mattresses and Bad Back Problems Unbiased Comparisons Based on 22,478 Owner Experiences Some mattresses perform significantly better than others in preventing / relieving pain, including back, hip and shoulder pain. Before discussing which are best, three interrelated terms are important to understand: support, conforming ability, and firmness. Support refers to how well a mattress keeps the sleeper's body on a flat and level plane. Owner experience data shows that support is a key factor in preventing and alleviating pain, especially back pain. Support can be undermined by excessive softness and excessive firmness – but it is most often undermined by sagging of the mattress. Sagging is the top complaint of mattress owners overall with at least 30% reporting a significant problem. Sagging occurs when part of a mattress, usually the middle, becomes compressed and lower than the rest. Sagging often puts a person's spine into an unnatural position – especially for side and stomach sleepers.
Consequently, mattress owner experience data shows a clear connection between sagging and pain, especially back pain. The greater the sagging depth the more likely it is that sagging will cause a person to have discomfort or pain in bed and possibly out of bed. * especially for side and / or stomach sleepers. It should be noted that despite the fact that back pain for many people may occur with less than 1.5 inches of sagging depth, many mattress warranties cover sagging only if it has a depth greater than 1.5 inches. Conforming ability refers to how well a mattress conforms or molds to the contours and curves of a person's body. A mattress has good conforming ability if all of one's body is supported equally by the mattress. A lack of conforming ability means there are gaps in support. The result can be that at least one part of the body – such as the lower back – is placed in an unsupported, unnatural and therefore stressed position which can cause pain.
A lack of conforming ability also often results in some parts of the body – namely shoulders and hips of side sleepers – feeling more pressure than other parts because of unequal support. Such pressure can be a source of significant discomfort. Having the right firmness is an important factor in preventing / relieving pain. Learn more: Mattress Firmness Guide & Comparison. The graph below shows the pain-relieving ability of the different mattress types based on actual owner experiences. The types that are better at reducing (back, hip and shoulder) pain are more supportive, less likely to sag and more likely to have effective conforming ability. Keep in mind that the chart represents what is often but not always the case; model or individual mattress may go against these findings somewhat. Sagging and loss of support (barring mechanical breakdown) is usually less of a problem with airbeds compared to most other bed types. And the air chambers inside an airbed provide at least fair conforming ability and allow for adjustable firmness / support to suit personal preference and sleep position.
Airbeds, however, with little or no comfort layer can be too firm on hips and or shoulders of small- to average-sized side sleepers. While memory foam mattresses can develop problems (sagging, excessive softness, and loss of support) these problems tend to not be as common or serious as they can be with innerspring-based mattresses (memory foam's main competition). Memory foam also provides good conforming ability for average- to large-sized people. Firmness levels tend to be mostly medium to medium-firm. Smaller-sized people may experience excessive pressure points as they tend to not exert adequate pressure on the mattress to benefit from the foam's conforming ability. Latex can develop body impressions and soften to some extent, but these problems tend to not cause widespread pain problems. Latex often conforms moderately to the body. Firmness tends to be medium to firm (but soft varieties are available). Hybrid mattresses often provide above-average support, but such support breaks down for at least 18% of owners within three years due to sagging.
Conforming ability tends to be good if at least two inches of memory foam is present. A variety of firmnesses are available. While waterbeds are often highly conforming, their support is questionable. At least 15% of owners claim that their waterbed causes back pain because of poor support. Firmness can be adjusted somewhat by adding or removing water. Innerspring mattresses often provide at least fair support, but such support breaks down for at least 20% of owners within three years due to sagging. Models with a significant comfort layer often provide fair conforming ability, while models with a minimal comfort layer often provide poor conforming ability especially for small- to average-sized people. Futon mattresses offer mostly fair support and conforming ability. Futons tend to be more firm than soft. While mattress support, mattress conforming ability, and mattress firmness are crucial factors for preventing / relieving pain, they are not the only factors. One's choice of pillow is important as well.