Best Mattress for Ankylosing Spondylitis

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Written by: Alex Savy
Read 26 minLast updated on January 11, 2023

Getting a mattress is simple; however, getting the best mattress for ankylosing spondylitis is different. Dealing with a condition, especially one that deals in body pain and tampers with rest, can be a frightful scenario.  

And this is why to guarantee a better sleep quality; users must purchase the best mattress available. This guide provides the top 6 picks regarding ankylosing spondylitis mattresses and helpful tips on how to choose whichever best suits your need. Enjoy.

A Quick Preview

Puffy mattress
Best Overall - Editor’s Choice

Puffy mattress
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Cocoon Chill Hybrid

Cocoon Chill Hybrid
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Saatva Mattress

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Eight Sleep Pod 3
Best Cooling Mattress

Eight Sleep Pod 3
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AS3 by Amerisleep
Best for Partnered Sleepers with Ankylosing Spondylitis

AS3 by Amerisleep
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Best Hybrid Option

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Best Cheap Option

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Our Review of the Top 7 Mattresses for Ankylosing Spondylitis

Best Overall - Editor’s Choice — Puffy mattress

Puffy Mattress


  • Compatibility with adjustable bed frames to create perfect sleep positions.
  • Incredibly dense core with excellent support features for spinal alignment.
  • Hypoallergenic and easy to wash mattress cover ideal for sensitive sleepers.

The Puffy mattress is first on our list of best mattresses for ankylosing spondylitis. It is an excellent choice for AS patients because of its body cradling and contouring memory foam properties. In addition, its firmness and support level ensure adequate cushioning along with spinal alignment.

Ankylosing spondylitis is mainly attributed to pain in the spine and joints. Luckily, pain relief and tension alleviation are two top features that can be found in the Puffy mattress, ensuring body relaxation and quality sleep time.

Also, to better satisfy consumers, the mattress has a proprietary Cloud layer optimized for temperature regulation; it helps with heat dispersal and allows users to sleep free of night sweat. And for couples with ankylosing spondylitis, the motion isolation feature of the mattress will enable them to spend the night(tossing and turning) without interrupting their partners.

Read our full Puffy mattress review for more information.

puffy mattress firmness
Puffy Mattress On Bed Frame

Best For Side Sleepers with Ankylosing Spondylitis - Cocoon Chill Hybrid

Cocoon Chill Hybrid


  • The mattress offers a medium-firm feel that blends memory foam and spring coils for pain relief and tension alleviation in side sleepers.
  • Using a stretch-knit proprietary mattress cover, heat is dissipated for optimal temperature regulation. 
  • Its innerspring coils ensure that the mattress does not have the restrictive feeling usually associated with memory foam.

The Cocoon Chill Hybrid is a great option as its innerspring layer provides lumbar support, while its memory foam build offers the cradling properties associated with pain relief. Side sleeping is a style that requires intensive cushioning with a healthy amount of support to keep the spine aligned. Hence, the Cocoon Chill Hybrid mattress may work for side sleepers with AS because it cradles the pressure points and supports body weight.

In addition, sleeping on the mattress removes the fear of running hot during the night due to its optimal temperature regulation. This is possible with the innerspring of the Chill Hybrid mattress which allows for good airflow.

And more importantly, it’s budget-friendly, beating similar models like Saatva, Purple, Casper, Puffy, and other luxury brands. However, it’s important to note that the low price doesn’t mean inferiority but a badge of “value for money”.

Best Luxury Option — Saatva

Saatva Classic Mattress

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  • Its incredibly dense foam layer contours the body for effective pressure relief. 
  • The mattress’ steel pocketed coils are efficient at creating push-back to counter sinkage.
  • Its quilted cover ensures body and mattress temperature regulation for healthier rest.

Next up on our list of the best mattresses for ankylosing spondylitis patients is the Saatva Classic mattress. It is a top-rated luxury mattress known for the pain relief, breathability, and durability features AS patients require in a mattress.

The mattress’s enhanced back support means it could work for AS patients, as it ensures that lumbar support is provided for spinal alignment and pain reduction. In addition, despite the mattress construction being naturally breathable, it uses other proprietary cooling features for guaranteed heat dispersal and cool rest.

Another feature I particularly like is the edge support of the mattress. Unlike some memory foam mattresses that sag under the user’s weight when sitting on the mattress edge, the Saatva Classic maintains its overall form. This also allows individuals to sleep on the edges, knowing there is no danger of falling.

Read our full Saatva mattress review for more information.

Best Cooling Mattress — Eight Sleep Pod 3

Eight Sleep Pod 3

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  • Dual-zone heating allows for two separate temperatures, ideal for couples.
  • Advanced cooling technology ensures the sleeper is always at the ideal temperature throughout the night.
  • Conforming memory foam is supportive, ensuring the body is cradled while also keeping the spine aligned.

The Eight Sleep Pod 3 is the best cooling mattress for sleepers with ankylosing spondylitis due to having some of the most cutting-edge cooling technology on the market, adapting to a sleeper’s preferred temperature all through the night. It has the ability to go down to 55 F, and with two temperature zones on the bed, sleepers won’t have to worry about fighting over the blankets or sleeping hot — Pod 3’s Sleep Track technology adjusts the temperature to enhance each person’s sleep quality individually.

On top of this, I like how Eight Sleep Pod 3 is firm, coming with a 4-inch dense base designed to support a sleeper’s weight. This is crucial for sleepers with AS as a firm, no-sag support helps with pain relief as well as pressure relief. I also like Pod 3’s 2 inches of contouring memory foam, designed to cushion the body like a cloud, which helps to feel like the body is being cradled for more pressure relief.

Best for Partnered Sleepers with Ankylosing Spondylitis — AS3 by Amerisleep

Amerisleep AS3

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  • Medium plush firmness level that works well for all sleeping positions.
  • Patented pressure relief system that targets vital body parts for a more significant effect.
  • With minimal motion transference, individuals can go without disturbing their partners' sleep.

Ankylosing spondylitis patients tend to toss and turn a lot during sleep, trying to find the most comfortable position, and this does not bode well for their partners as their sleep is also disturbed in the process. However, with the minimal motion transference feature of this mattress, individual comfort is achievable despite sharing a single bed.

Being medium firm, the mattress is also adaptive to all sleep positions; side, back, stomach or combination. This ensures that AS patients don’t have to worry about the firmness level of the mattress not matching their sleep style. Also another feature beneficial for AS patients is the improved circulation this mattress provides.

Alongside keeping the body cool, the Refresh mattress cover converts body heat into infrared energy, increasing blood circulation and improving sleep quality. And for construction, the mattress uses Bio-Pur, an upgrade on the traditional memory foam but which still possesses all its pain-alleviating properties.

Read our full Amerisleep AS3 mattress review for more information.

Amerisleep AS3 Review-P1133774

Best Hybrid Option — WinkBed


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  • Remarkable edge feature providing more sleep space and uniform support.
  • Temperature regulation through 3-layer heat dispersal mattress technology.
  • It delivers gentle cushioning alongside pinpoint support to increase comfort level.

Winkbed is a household name when it comes to the sleep industry, and they have delivered another masterpiece for ankylosing spondylitis patients. Being hybrid, the mattress already has some set features that users find indispensable, like durability, low to zero motion transfer, and edge support, or in this case, anti-sag support.

The mattress is filled with several proprietary mattress components designed to keep a user relaxed, comfortable, and well rested all through the night. Combining gel foam with pocketed coil springs, body cushioning for effective tension relief is achieved while providing enough lumbar support for spinal alignment.

Furthermore, to ensure a cool night free of sweat, the company has developed a 3-layer temperature dispersal system that draws heat away from the body while also maximizing airflow and mattress breathability, a feature sensitive sleepers might find very appealing.

Read our full Winkbed mattress review for more information.

Winkbed Mattress On a Bed Frame

Best Cheap Option — Zoma

Zoma Mattress

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  • It offers excellent value for money with its quality construction and incredible price range.
  • Provides the right amount of support and cushioning needed to relieve pain-causing pressure points.
  • Mattress breathability and gel infusion improve thermoregulation and reduce night sweat.

For ankylosing spondylitis patients on a budget, this mattress is one of the best that offers remarkable value for little cost. However, it is essential to note that its low price range has in no way diminished the astounding attributes all ankylosing spondylitis mattresses ought to possess.

Featuring a reactive layer, a durable support base, and proprietary Triangulex gel-infused memory foam. The Zoma mattress adapts well to body curves, cradling the appropriate pressure points while providing adequate back support for spinal alignment, ensuring pressure relief and better sleep quality.

In addition, the Zoma mattress is designed to be versatile as it works with all kinds of platforms, bases, and foundations. This effectively removes the problem of setting up your bedroom again, as the mattress is already compatible.

Read our full Zoma mattress review for more information.

Zoma Mattress On a Bed Frame

How does ankylosing spondylitis affect sleep health?

To get better, we first need to know the nature of our illness. This same concept applies to ankylosing spondylitis, as to manage it well, individuals need to understand how it affects their sleep health.

Ankylosing spondylitis is a type of arthritis (see best mattresses for arthritis and fibromyalgia) that attacks the joints and ligaments of a spine through inflammation. Over time, this inflammation can cause stiffness in the spine or, in severe cases, a fusion of the vertebrae resulting in a rigid and inflexible spine.

The most critical part by which ankylosing spondylitis affects sleep health is body pain, especially in the back and joints. It essentially causes discomfort when the spine is not properly aligned, and a further twist to this is that prolonged periods of rest and inactivity can aggravate the condition(1). This makes sleeping almost impossible, as the longer an individual is lying in bed, the more chances of them experiencing pain.

Other ways in which the condition messes with one’s sleep health are insomnia and obstructive sleep apnea. In addition, chronic low back conditions like ankylosing spondylitis, degenerative disc disease, etc. (read about best mattresses for degenerative disc disease here) are usually linked with insomnia, among other sleep issues.

Ideal construction of an ankylosing spondylitis mattress

The number one pick in this category has always been pain relief or tension alleviation. The essence of the mattress is to relax the user and make them as comfortable as possible. The mattress has to be able to hug and cradle pressure points and joints.

Following this is the lumbar support that the mattress provides. Being a spinal condition, ankylosing spondylitis mattresses require a dense core or base layer that can ensure spinal alignment with pinpoint support in the appropriate areas(2). Furthermore, it is important to note that the mattress must neither be overly firm nor soft, as being too firm might put more pressure on joints, while too much cushioning can restrict movement.

An ideal mattress for AS patients must be tension relieving with the right cushion and support. However, there are a few other features for a mattress to be ranked as one of the best mattresses for ankylosing spondylitis. They include high breathability, thermoregulation, hypoallergenic, edge support, low motion transfer, etc.

Types of mattresses suitable for constructing ankylosing spondylitis beds

We’ve seen what an ankylosing spondylitis mattress should look like; now, let us look at the type of mattresses most suitable for its construction.

  • Memory foam

Memory foam is arguably the top product used in making AS mattresses, mainly known for its tension-reducing abilities. It delivers a close-conforming feel that envelops the whole body and adequately cradles pressure points for effective pain relief. On the flip side, memory foam mattresses tend to be restricted due to their excessive hug and trap body heat; unless gel-infused.

  • Polyfoam

The memory foam counterpart, polyfoam, can boast more breathability due to its open-cell structure. And being more reactive than memory foam, it has a springy feel that does not restrict movements. And even though it has the same pressure relieving features as memory foam, it is cheaper but not as durable.

  • Latex

Even though notoriously expensive, latex mattresses are known for their bounce and pain relief properties. They are excellent at adaptive conforming, ensuring that the user does not feel trapped even while delivering close conforming pressure relief.

  • Hybrid

Hybrid mattresses are becoming quite popular as they can even be found among the best mattresses for spondylolisthesis. They combine the best of worlds to create a mattress that can boast pain-relieving properties, providing body contouring without being overly restrictive. However, they can be a little bit pricey and bulky, considering that many materials go into their construction.

Innerspring mattresses are also used in making ankylosing spondylitis mattresses at times, but this is rare, as the mattress usually has thin comfort layers and is not adept at pressure reduction. In addition, an innerspring AS mattress will probably be costly as a lot of compensation would have to have been made.

Factors to consider when shopping for ankylosing spondylitis mattresses

Just like when shopping for a regular mattress, some things ought to be considered before making a purchase. Here are a few of them regarding ankylosing spondylitis mattresses:

  • Firmness

The firmness level of your mattress has a lot to do with your sleeping style; ample cushioning is needed for back and side sleepers, while stomach sleepers prefer a firm surface. However, with AS patients, the best advised is medium firm as it can afford enough sinkage without compromising support.

  • Pain relief

Close conforming and body cushioning are the major features that guarantee pain relief in mattresses, and it is essential to choose a mattress with an excellent comfort layer when dealing with health conditions like ankylosing spondylitis, Ehlers-Danlos syndrome, etc.

Also read: Best mattresses for EDS.

  • Temperature regulation

This feature is dependent on the mattresses’ breathability. Some companies use proprietary cooling components to achieve thermoregulation, but all mattresses ought to be structured, so that body heat is dispersed rather than being retained by the mattress.

  • Edge support

Reinforced edges translate to more sleep space as the mattress can be used up to the very edge without sinking or falling off. It also makes getting out of bed easier as the mattress won’t feel too restricting.

  • Motion isolation

This feature is particularly great for partnered sleepers. Minimal to zero motion transfer allows you to move about on the mattress without disturbing the other person's sleep. It also ensures constant support as all mattress parts are equally dense.

  • Weight

User weight is another crucial factor that must be considered before getting a mattress. Heavy sleepers (over 230 pounds) need a firm surface so that they won’t sink too much into the mattress, while petite sleepers (less than 150 pounds) might feel some pressure on their joints if they attempt to use this same mattress.

  • Sleep trial period

Getting the perfect fit even after careful consideration can be tricky. Hence, choosing a mattress with a substantial sleep trial period. This way, improvements can be made on choices till users are satisfied with their products.

Also read: Best Mattresses To Prevent Bedsores


Are memory foam mattresses good for ankylosing spondylitis patients?

Memory foam is an excellent choice as it possesses superior body conforming properties needed for pain relief and pressure alleviation.

Is spring or foam mattress better for ankylosing spondylitis?

A foam mattress is more acceptable than spring mattresses for ankylosing spondylitis patients. Spring mattresses do not usually have a wide comfort layer that can provide the cushioning needed for body cradling, and they might end up aggravating the AS symptoms by putting undue pressure on body parts.

Which mattress firmness is best for ankylosing spondylitis?

The medium or medium-firm is best. It can provide the user with cushioning and contouring for body relief while also ensuring the lumbar support needed for spinal alignment.


Ankylosing spondylitis is a condition that cannot be cured; the best we can do is to manage it while getting treatments(3). And to get the most out of sleep, the top mattresses for ankylosing spondylitis should be used. 

Our recommended pick is a versatile mattress designed with the consumer’s interest at heart. The Puffy mattress is a medium-firm gel-infused memory foam mattress that provides adequate body contouring and incredible support, a perfect combination for AS patients.

Was the read helpful? Or do you still have some unanswered questions? Why don’t you chat us up by leaving a message in the comments?



  1. William D. (Dec. 8, 2016). How to Sleep Better if You Have Ankylosing Spondylitis. Retrieved from
  2. Brent W. (n.d). Tips For Sleeping Better With Spondyloarthritis. Retrieved from
  3. National Institutes of Health. (n.d). Ankylosing Spondylitis. Retrieved from

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