Waking up stiff and sore can turn even the simplest morning into a struggle. If you have ankylosing spondylitis, finding a mattress that supports your spine and eases pain is more than comfort—it’s a daily necessity.
The right mattress can make a huge difference, helping you sleep better and feel stronger each day. It can reduce pressure on your joints and keep your body aligned through the night. Choosing well means less tossing and turning, and more restful sleep.
In this article, we’ll guide you through some of the best mattresses designed to ease the discomfort of ankylosing spondylitis. Whether you want extra firm support or pressure relief, you’ll find options that can transform your nights and improve your days. Let’s explore these top picks and find the perfect mattress for you.
7 Best Mattresses For Ankylosing Spondylitis In 2026
Bedstory Extra Firm Mattress Queen

The BedStory Extra Firm Mattress Queen 14 Inch is ideal for individuals seeking effective back pain relief and superior orthopedic spine alignment. This mattress is perfect for those who prefer a firm sleeping surface that supports healthy posture and minimizes motion disturbance, making it suitable for people with chronic back issues or couples who desire minimal sleep disruption.
Pros:
- Over 800 pocket springs provide excellent motion isolation and support.
- Orthopedic design promotes proper spine alignment for improved comfort.
- Extra firm feel ideal for those with back pain.
- 14-inch thickness offers durable and long-lasting comfort.
- CertiPUR-US Certified foam ensures safety and quality.
- Generous 365 nights trial for risk-free testing.
Cons:
- May be too firm for side sleepers who prefer softer mattresses.
- Heavier than standard mattresses, which could make moving it challenging.
The BedStory Extra Firm Mattress Queen 14 Inch features a hybrid construction combining over 800 individually wrapped pocket springs with high-quality foam layers. This design not only provides targeted support to different areas of the body but also significantly reduces motion transfer, allowing partners to sleep undisturbed. The orthopedic spine alignment technology helps maintain natural curvature, which is essential for alleviating pressure points and preventing back pain.
With its extra firm feel and substantial 14-inch thickness, this mattress offers exceptional durability and support for people who need a stable sleeping surface. The CertiPUR-US Certified foam ensures that the materials used are free from harmful chemicals, contributing to a healthier sleep environment. Additionally, the generous 365 nights trial period gives users peace of mind to fully experience the mattress benefits risk-free.
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Bedstory Extra Firm Queen Size Mattress

The BedStory Extra Firm Queen Size Mattress is perfect for individuals suffering from back pain or those who require extra lumbar support while sleeping. Ideal for back sleepers and anyone looking for a mattress that offers motion isolation and reinforced edges, this mattress provides stability and comfort throughout the night, making it suitable for couples or restless sleepers.
Pros:
- Extra firm support ideal for back pain relief
- 14-inch hybrid construction combining comfort and durability
- Motion isolation minimizes disturbances from partner movements
- Reinforced edges increase usable sleeping surface
- Fiberglass-free and CertiPUR-US certified for safety and health
- 365-night trial allowing risk-free testing
Cons:
- Relatively heavy at 100.5 pounds, making it difficult to move
- May feel too firm for side sleepers or those who prefer a softer mattress
The BedStory Extra Firm Queen Size Mattress features a 14-inch hybrid design that expertly blends supportive innerspring coils with comfort layers, delivering both durability and pressure relief. This combination ensures that the mattress maintains its shape over time while providing targeted support where it is most needed, especially along the lumbar region. The reinforced edges not only prevent sagging but also expand the sleeping area, making it ideal for couples or individuals who tend to move around during sleep.
Additionally, the mattress is fiberglass-free and CertiPUR-US certified, assuring users of a safe, non-toxic sleeping environment. Its outstanding motion isolation capabilities reduce partner disturbances, promoting uninterrupted rest. With a generous 365-night trial period, customers can confidently assess if this mattress meets their comfort and support needs without any risk.
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Signature Design By Ashley Limited Edition Pillow Top Hybrid Mattress

The Signature Design by Ashley Limited Edition Pillow Top 13″ Pillow Top Hybrid Mattress is ideal for those seeking a combination of comfort, support, and cooling features in a queen-sized mattress. This mattress is perfect for individuals who want pressure relief with the benefits of gel memory foam and hybrid technology, making it suitable for side sleepers, back sleepers, and anyone looking for a cooler sleep experience without sacrificing support.
Pros:
- Gel memory foam provides excellent pressure relief and cooling properties.
- Hybrid design combines the support of innersprings with the comfort of foam layers.
- 13-inch pillow top adds an extra layer of plush comfort for a luxurious sleep surface.
- Edge support enhances mattress durability and sleeping surface area.
- Fiberglass free construction ensures a safer sleeping environment.
- Convenient mattress in a box for easy delivery and setup.
Cons:
- Weighs 93 pounds, which may be heavy for some to move or handle alone.
- May require a break-in period to fully adjust to the pillow top feel.
- The white color might show stains more easily and require more frequent cleaning.
The Signature Design by Ashley Limited Edition Pillow Top 13″ Hybrid Mattress integrates advanced materials such as gel-infused memory foam, which helps dissipate heat and maintain a cooler sleeping temperature throughout the night. This ensures that users who tend to overheat during sleep can enjoy a more comfortable rest. Additionally, the hybrid construction combines foam layers with innerspring coils, offering balanced support that adapts to body contours while maintaining spinal alignment.
Another standout feature is the mattress’s edge support, which provides a stable perimeter and prevents sagging, making it easier to sit or sleep near the edges. The fiberglass-free design adds peace of mind for health-conscious buyers who prefer materials that minimize potential irritants. Overall, this mattress delivers a blend of comfort, support, and durability that caters well to a wide range of sleepers seeking quality and convenience in a mattress in a box solution.
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Perlecare Gel Memory Foam Mattress Topper

The PERLECARE 3 Inch Gel Memory Foam Mattress Topper is ideal for individuals seeking enhanced comfort and pressure relief during sleep, especially those who experience discomfort on their existing mattress or want to extend the life of their mattress. This topper is perfect for people who value a premium soft, cooling sleeping surface and desire a hassle-free maintenance solution with a removable and washable cover.
Pros:
- 3-inch gel memory foam provides excellent pressure relief and contouring support.
- Premium soft cooling technology helps regulate temperature for a comfortable night’s sleep.
- Non-slip design keeps the topper securely in place on the mattress.
- Removable and washable cover ensures easy cleaning and maintenance.
- CertiPUR-US Certified foam guarantees safety and eco-friendliness.
- Generous queen size dimensions fit standard mattresses perfectly.
Cons:
- At 20.24 pounds, it may be slightly heavy to move or adjust frequently.
- 3-inch thickness may not be sufficient for those seeking very thick cushioning.
The PERLECARE Gel Memory Foam Mattress Topper features a 3-inch layer of gel-infused memory foam designed to relieve pressure points by evenly distributing body weight. This results in reduced tossing and turning, promoting deeper and more restful sleep. The gel infusion also plays a vital role in dissipating heat, making the topper ideal for hot sleepers who want to stay cool throughout the night. The topper’s non-slip bottom ensures it stays firmly in place on your mattress, preventing annoying shifts during the night.
In addition to comfort, the removable and washable cover adds a layer of convenience and hygiene. Users can easily remove the cover for cleaning, maintaining a fresh sleeping environment. The CertiPUR-US Certification provides peace of mind, ensuring the foam is made without harmful chemicals and meets rigorous safety standards. Overall, this mattress topper enhances your existing mattress with added softness, cooling, and support, making it a smart investment for improved sleep quality.
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Bedstory Extra Firm Queen Mattress

The BedStory Extra Firm Queen Mattress is ideal for individuals seeking enhanced support for their lumbar, back, and hips, especially those who suffer from pressure pain or require a firm sleeping surface. This mattress is perfect for side and back sleepers who value durability and comfort combined with advanced orthopedic support.
Pros:
- Extra firm support designed to alleviate pressure points and promote spinal alignment.
- 12-inch hybrid construction combining memory foam and innerspring coils for balanced comfort and support.
- Enhanced lumbar and back hip support specifically engineered for pain relief.
- 365-night trial period allowing risk-free testing of the mattress at home.
- Forever warranty ensuring long-term protection and customer satisfaction.
Cons:
- Extra firm feel may not suit those who prefer a plush or softer mattress.
- Heavier weight at 85 pounds can make moving or adjusting the mattress more challenging.
The 12-inch height of the BedStory Extra Firm Queen Mattress provides a substantial yet comfortable sleeping surface. Its hybrid design combines the contouring benefits of memory foam with the support and responsiveness of pocketed coils, creating a mattress that adapts to your body shape while maintaining firm support. This combination helps reduce pressure on sensitive areas such as hips and lower back, offering significant relief for individuals with chronic pain or those recovering from injuries.
Additionally, the mattress features targeted extra lumbar and back hip support which enhances spinal alignment throughout the night. This design promotes healthy posture and minimizes tossing and turning, resulting in deeper, more restorative sleep. The inclusion of a 365-night trial and a forever warranty reflects BedStory’s confidence in their product’s quality, giving buyers peace of mind and assurance of long-term durability. Overall, this mattress is a smart investment for anyone prioritizing firm support and pressure pain relief.
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Nectar Luxe 14” Queen Mattress

The Nectar Luxe 14” Queen Mattress is ideal for individuals seeking a medium firm mattress that provides excellent contouring memory foam support with a cooling upgrade. This mattress is perfect for those who experience back pain and want responsive support to enhance sleep quality. If you value long trial periods and warranties, this mattress offers a 365-night trial and a forever warranty, making it a smart choice for long-term comfort and peace of mind.
Pros:
- Medium firm support ideal for back pain relief
- Contouring memory foam adapts to body shape for personalized comfort
- Cooling upgrade helps regulate temperature for a cooler sleep
- Convenient mattress in a box delivery
- Extensive 365-night trial and forever warranty
- Generous 14-inch thickness provides plush yet supportive feel
Cons:
- Heavier than some mattresses at 92 pounds, making setup a bit challenging
- May have an initial off-gassing odor common with memory foam
- Medium firm feel might not suit those who prefer very soft or very firm mattresses
The Nectar Luxe 14” Queen Mattress features multiple layers of premium memory foam designed to offer responsive support and excellent pressure relief, which is crucial for individuals suffering from back pain. The mattress contours closely to the body, helping to align the spine naturally and reduce tossing and turning. Additionally, the cooling upgrade technology enhances airflow and dissipates heat, ensuring a comfortable sleep temperature throughout the night.
With dimensions of 14 inches in height, 60 inches in width, and 80 inches in length, this mattress fits standard queen bed frames perfectly. The mattress in a box design simplifies transportation and setup, while the generous 365-night trial and forever warranty provide buyers with confidence in the mattress’s durability and quality. Overall, the Nectar Luxe mattress delivers a balanced combination of comfort, support, and advanced features aimed at improving sleep health.
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Casper Sleep Element Queen Mattress

The Casper Sleep Element Queen Mattress is ideal for individuals seeking a comfortable, medium-firm mattress that offers excellent motion isolation and a cooling sleep experience. Perfect for couples, light sleepers, and those who prefer a balanced feel without compromising support, this mattress is designed to enhance overall sleep quality with its breathable memory foam construction.
Pros:
- Effective motion isolation reduces disturbances from a partner’s movements
- Breathable, cooling memory foam helps regulate temperature for a comfortable night’s sleep
- Medium feel caters to a wide range of sleepers, providing balanced comfort and support
- Includes a 100-night trial for risk-free testing
- CertiPUR-US® certified foam ensures safety and environmental responsibility
Cons:
- May feel too firm for those who prefer a plush or soft mattress
- Only available in a 10-inch thickness, which might not suit those seeking extra cushioning
- Limited color options, with only grey available
The Casper Sleep Element Queen Mattress is constructed with high-quality memory foam that promotes airflow and dissipates heat, making it a great choice for hot sleepers. Its medium firmness provides the ideal balance between softness and support, accommodating various sleeping positions including back, side, and stomach sleepers. This mattress also excels in motion isolation, minimizing sleep disruptions caused by movement, which is especially beneficial for couples.
With dimensions of 10 inches in height and standard queen size measurements of 60 by 80 inches, the mattress is designed to fit most bed frames easily. Its CertiPUR-US certification guarantees that the foams used are free from harmful chemicals, ensuring a safer and healthier sleeping environment. The inclusion of a 100-night trial allows customers to experience the mattress risk-free, making it a compelling choice for those looking to invest in a reliable, comfortable, and cooling memory foam mattress.
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Frequently Asked Questions
What Mattress Firmness Suits Ankylosing Spondylitis Best?
A medium-firm to extra-firm mattress offers optimal spine support. It helps reduce pressure and maintains proper alignment for ankylosing spondylitis relief.
How Does A Hybrid Mattress Benefit Ankylosing Spondylitis?
Hybrid mattresses combine pocket springs and foam for support and comfort. They provide pressure relief and motion isolation, aiding pain management.
Is A Gel Memory Foam Topper Good For Pressure Relief?
Yes, gel memory foam toppers offer cooling comfort and reduce pressure points. They enhance mattress softness while supporting spinal alignment for pain relief.
What Features Ensure Long-term Durability In These Mattresses?
Look for reinforced edges, CertiPUR-US certification, and quality materials. These features guarantee durability, safety, and consistent support for ankylosing spondylitis sufferers.
How Important Is A Trial Period For Mattress Selection?
A long trial period, like 100+ nights, lets you test comfort and support. It ensures the mattress suits your ankylosing spondylitis needs before purchase.
Conclusion
Choosing the right mattress can greatly improve comfort for those with ankylosing spondylitis. A mattress that offers firm support and good spine alignment helps reduce pain and stiffness. Hybrid mattresses with pocket springs and memory foam provide a balance of support and pressure relief.
Cooling features and motion isolation add to a restful sleep experience. Mattress toppers can also enhance softness and comfort without losing support. Remember to consider trial periods and warranties when making a purchase. This allows you to test the mattress risk-free and ensure it suits your needs.
Prioritizing quality and comfort will help improve sleep and overall well-being. A well-chosen mattress can make daily life easier for people with ankylosing spondylitis. Sleep better, feel better, and support your spine every night.