Score: 9.8 out of 10
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Pros and cons
Pros
- Soft pillow top offers cushioning under shoulders and hips
- Coils provides extra support for the spine
Cons
- 14-inch height may be a challenge for shorter people or those with limited mobility
Features
- Materials: Hybrid
- Firmness: Luxury firm (but feels softer)
- Side-sleeping pressure relief: 4 out of 5
Key takeaways from our testing
Soft and comfortable for side sleepers. Dana had a hard time finding drawbacks to the Nolah Evolution’s comfort features. She loved how soft the quilted foam layer felt around her joints when sleeping on her side. “It’s like the [bed] I have at home. It cradles me,” she said. Our lab team agreed that the bed felt light and cushioned, but noted that it felt more like a medium-soft mattress than the brand’s firm label.
Coils help support the spine. The Nolah Evolution Luxury Firm has five layers of foam above a base layer of individually wrapped coils. The combination of the soft foam and supportive coils helped Dana’s spine stay neutral. “I feel very good on my side. My hips are supported and my spine is aligned,” she said. “The cover is cradling me, and there is great support underneath.” She rated the bed a 4 out of 5 for both side sleeping pressure relief and spinal alignment, which is above-average for a softer mattress.
Taller than many other mattresses. The 14-inch Nolah Evolution is one of the highest beds on this list. The top of the mattress sits 23 to 39 inches off the ground when stacked on a platform or bed frame. If you’re shorter or have limited mobility, consider purchasing a bed frame with adjustable legs so that you can set the mattress at a safer height for getting in and out of bed.
Best Edge Support for Side Sleepers: Brooklyn Bedding Aurora Luxe Cooling
Courtesy of Brooklyn Bedding
Score: 9.5 out of 10
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Pros and cons
Pros
- Perfect score for edge support
- Great all-around pressure relief
- Impressive cooling
Cons
- Doesn’t work well with an adjustable base
Features
- Materials: Hybrid
- Firmness: Medium
- Side-sleeping pressure relief: 5 out of 5
Key takeaways from our testing
Thick, firm perimeter. Our testers raved about the Brooklyn Bedding Aurora Luxe Cooling’s edge support. “I’m hardly sinking in at all when I’m seated. When I’m lying close to the edge, it keeps its integrity. I don’t feel like I’m sliding or tilting off at all,” said Donna, who rated its edge support a perfect 5 out of 5 score.
Relieves pressure and feels cool. Donna also gave the Aurora Luxe Cooling perfect marks for both pressure relief and spinal alignment. “My hips feel aligned with my shoulders, and my body feels supported but in a gentle way,” she said. “My spine is perfectly aligned all the way down.” The mattress also boasts excellent temperature regulation, earning a first-rate score in our cooling test.
Not compatible with an adjustable base. The drawback of a bed with strong edges is it likely won’t bend enough to work on an adjustable base. When our lab team tested how well the Aurora Luxe Cooling conforms to an adjustable base, we found it was too rigid and inflexible. “There wasn’t enough bend with the mattress, so I felt unstable in the upright and zero gravity positions,” one lab tester said.
How we tested the best mattresses for side sleepers
We started our process by researching the market. What mattresses are popular and why? Who has the best customer reviews — and are the reviews legitimate? After talking with medical experts, we narrowed our list from 50 mattresses to the more than 30 we tested in our lab.
To identify their strengths and weaknesses, we used controlled tests to assess performance metrics like edge support, bounce and temperature regulation. Then we recruited more than 15 testers ages 50 and older to give us their unbiased feedback.
These testers answered questions like: Did the mattresses provide good pressure relief on your shoulders and hips? (Those are common areas of pressure buildup for side sleepers) Do you feel stable lying on your side near the bed’s edge? Do your shoulders and spine feel aligned when lying on your side? Beds that excelled in our tests made our list of the best mattresses for side sleepers. For more details, see our mattress testing methodology.
How to choose the best mattress for side sleeping
The best mattress for side sleeping depends on your personal comfort preferences. However, our testing results, research and consultations with medical experts identified several mattress traits that can lead to a better night’s sleep for side sleepers.
Firmness
A bed’s firmness level plays a large role in its overall comfort, according to medical experts and our focus group participants. Most mattress brands measure firmness on a scale from 1 to 10, with 10 being the firmest. Between 5 to 6.5 out of 10 (medium to medium firm) is the common firmness for most models.
The focus group participants who slept on their side told us that, before switching to their new mattresses, they slept on firmer beds. When they switched to softer beds — between medium soft and medium firm — they noticed an immediate improvement in sleep quality.
How firm a bed feels, though, can vary based on your body weight. Lower-weight people may perceive softer mattresses as firmer than they are, and higher-weight people may perceive firmer mattresses as softer than they are. Also, consider your body shape — if you have a curvy figure, you may prefer a softer bed that allows your curves to sink more into the surface, which can help prevent your spine from curving too much.
Pressure relief
This is one of the most important factors to consider when shopping for a mattress for side sleepers. Our focus group participants reported pressure points at their hips and shoulders in their previous beds. “I finally said that I need to get something new. My new bed is more pressure-relieving, and it’s way more comfortable,” said one participant, who went with a hybrid mattress with a medium firmness.
The mattresses on our list score a 3.5 out of 5 or higher in pressure relief for side sleepers, who need materials that conform to the body and direct pressure away from their joints.
FAQs
What is the best mattress for side sleepers?
According to our testing, the best mattress for side sleepers is the Saatva Classic Luxury Firm. It features a supportive innerspring core, targeted lower back support and a Euro pillow top that cushions the shoulders and hips.
Is memory foam better for side sleepers?
Memory foam could work well for side sleepers who like the feeling of sinking into their bed. Many memory foam mattresses also do a great job of dampening motion between couples, especially if someone moves around at night. However, memory foam beds often lack bounce, meaning they won’t provide a boost when you’re switching sides or getting out of bed.
How thick should a mattress be for side sleepers?
Based on our testing results, mattress thickness often doesn’t matter for side sleepers. As long as the mattress provides enough cushion under your joints and support under your midsection, it should work well. A mattress’s thickness is most important for those with mobility considerations. If you anticipate difficulty climbing onto a thick mattress, such as the 14-inch Nolah Evolution Luxury Firm, consider a shorter option for safety.
How can I sleep more comfortably as a side sleeper?
If you’re a side sleeper experiencing pain or discomfort, try slight position adjustments using pillows. Placing a pillow between your knees can help relieve pressure on your hips, while hugging a pillow can help relieve pressure on your shoulders.
Spinal alignment
A mattress with strong layers of support — like hybrids with a base layer of metal coils — creates a durable sleeping surface that helps keep your spine neutral throughout the night. Many people find a supportive mattress that prevents excessive sinkage more comfortable.
A mattress that supports your spine also helps ease pressure on your neck and shoulders if you’re a side sleeper, says Dr. Emeka Nwodim, a board-certified orthopedic spine surgeon at The Centers for Advanced Orthopaedics in Baltimore.
The beds on our list score a minimum of 3 out of 5 in spinal alignment for side sleepers, supporting the body in a more neutral sleeping position without uncomfortable sinkage that can twist your back.
Materials
While there is no one ideal mattress type for side sleepers, a mattress’s construction can have certain characteristics that support comfortable sleep. Here are the four most common materials.
- Innerspring. Innerspring mattresses are bouncy and supportive. Combination sleepers who switch between sleeping on their side and back may prefer an innerspring because they’re easier to move on. However, couples may wake each other due to movement, since many innersprings lack motion isolation. Also, unless an innerspring mattress has a thick foam cover, it could feel too firm and may not relieve pressure for side sleepers as well as other materials.
- Memory foam. All-foam beds are often forgiving and pressure-relieving. Side sleepers may appreciate how the material conforms to their bodies, but combination sleepers or those with limited mobility may not like the “sinking” feeling of memory foam. These mattresses are best when they include layers of responsive memory foam that provide support and promote movement.
- Hybrid. Most hybrids combine layers of foam and coils. Since these beds can include any combination of these materials, their feel can vary — some may feel firmer or softer than advertised. Still, they often offer a great balance between pressure relief and support for side sleepers, and they’re one of the most popular types of mattresses on the market. Most beds on our list are hybrids.
- Latex. Natural rubber (latex) beds are a sustainable alternative to memory foam. Latex mattresses mold similarly to foam, but they’re more resilient, responsive and breathable. Like hybrids, they typically offer a decent balance of cushioning and support for side sleepers, but they’re often more expensive than mattresses made from other materials.
What are the pros and cons of side sleeping?
Choosing to sleep on your side is a comfort preference. Most adults prefer it, especially as they age. Here are a few advantages and disadvantages of side sleeping.
Pros
- Easier breathing. Side sleeping may help you breathe easier than sleeping on your back or stomach. It can also reduce snoring and alleviate sleep apnea symptoms.
- Improved acid reflux. If you have gastroesophageal reflux disease (GERD), which is chronic acid reflux, lying on your left side can help reduce nighttime symptoms by allowing acid to drain away from your esophagus, preventing the burning sensation in your chest.
Cons
- Prone to pressure in hips and shoulders. When side sleeping, your shoulders and hips are in direct contact with the mattress. That makes those body parts more prone to pressure buildup because they’re supporting your weight. For people with pressure-sensitive joints, like those with arthritis, side sleeping may feel uncomfortable or painful.
- May tilt the neck at awkward angles. Resting on your side can strain your neck if your pillow is too firm (tilting it upward) or too flat (titling it down). That’s why side sleepers purchasing a new bed may want to buy a new pillow to provide more neck support. “Most side sleepers do best with thicker, firmer pillows,” Nwodim says. He tells patients that their pillow needs to fill the space between their ear and the mattress to promote spinal alignment. Without the right pillow, your neck may tilt uncomfortably as you sleep. He also recommends replacing pillows every three to six months for consistent neck support, ensuring the pillows don’t lose their firmness or support over time.
What is the best type of mattress for side sleepers?
Our test results found mattresses in the soft to medium-firm range (4 to 6.5 out of 10) are often the most comfortable for side sleepers, but there is no single best type of mattress for side sleepers.
The Saatva Classic Luxury Firm, a medium-firm innerspring with a soft Euro pillow top and zoned support, is our best mattress overall for side sleepers. However, most mattresses that made the cut are hybrids, and a few offer zoned support to prevent sagging around the midsection.
How to sleep comfortably on your side
If you’re having trouble sleeping on your side, try these tips:
- Place a pillow between your knees. Many side sleepers find it comfortable to sleep with a pillow between their knees or under their arm. This can help ease pressure on your hips and prevent your spine from curving too much.
- Change sides. If you experience pressure-sensitive pain more on one side of your body than the other, try swapping sides to see if symptoms subside.
Note: Mattress and sleep-position recommendations are based on comfort, ergonomics and tester feedback — not clinical guidelines. If you’re having trouble sleeping due to aches, pains or other issues, see a health care professional who can provide a treatment plan that’s tailored to your symptoms.
Which side should you sleep on?
There is no ideal side to sleep on — comfort can vary by individual. People with specific conditions, like GERD, may want to discuss their sleep positioning with a health care provider.
How much do the best mattresses for side sleepers cost?
Questions or feedback? Email us at AARPSmartPicks@aarp.org
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