Best mattresses for ankylosing spondylitis – hands-on performance test results

At times we are compensated for the links you click at no cost to you. Learn more about why you should trust our reviews and view our disclosure page.

---

One out of every 1000 people are affected by ankylosing spondylitis. If you’re one of them and you’re looking for a mattress that could help ease your symptoms, you’ve come to the right place. Our Editor’s Choice is the Helix Dusk Luxe.

20% off coupon code: SLEEPLINE20

---

Top 10 best mattresses for ankylosing spondylitis and performance test results

---

#1. Helix Dusk Luxe

Pros

• Supports your back and joints
• Good value for its price point
• Great for back and stomach sleepers
• Pressure-relieving

Cons

• Not good for petite side sleepers
• Average edge support

20% off coupon code: SLEEPLINE20

Why it’s the best

Responsive and pressure relieving, the Helix Dusk Luxe offers more than enough support for sleepers with Ankylosing Spondylitis.

I found that it did a great job at relieving pain from common symptoms associated with the disorder.

The only thing I didn’t like about it is that it can be a little too firm; especially for petite side sleepers.

Specs at a glance

Helix Dusk Luxe Performance

The Helix Dusk Luxe sits on a 6.5 on the mattress firmness scale, giving it a medium-firm feel.

I think it’s best for back and stomach sleepers. Side sleepers will definitely find it to be too firm.

We rate the Helix Dusk Luxe a 9 out of 10 when it comes to comfort and pressure relief.

Sleepers with Ankylosing Spondylitis will get not just pressure point relief but extra support as well especially along the spine.

We rate the Helix Dusk Luxe an 8 out of 10 when it comes to cooling.

The mattress provides an evenly cool sleeping experience throughout the night.

We rate the Helix Dusk Luxe a 7 out of 10 when it comes to motion isolation.

I’d say, proceed with caution if you share a bed. I felt a tiny bit of motion transfer when I tested it out with a partner.

We rate the Helix Dusk Luxe a 7 out of 10 when it comes to edge support.

I find it to be slightly lacking in the edge support department; you will find yourself sinking in when you sit on the edge.

>> View my full Helix Dusk Luxe review for more details

20% off coupon code: SLEEPLINE20

Alternate pick: Helix Midnight Luxe

If you need better edge support and motion isolation, check out the Helix Midnight Luxe.

With more foam layers than the Dusk Luxe, the Midnight Luxe is cooling and pressure-relieving enough for those with AS.

>> View my full Helix Midnight Luxe review for more details

20% off coupon code: SLEEPLINE20

---

#2. Egohome Tenzura

Pros

• Good motion isolation
• Great for back pain
• Best for back and stomach sleepers
• Cooling

Cons

• Poor edge support
• Not good for side sleepers

12% off coupon code: SLEEPLINE12

Why it’s one of the best

Back pain is, unfortunately, a given when you have ankylosing spondylitis; but a mattress like the Egohome Tenzura can help mitigate that.

Made from a combination of proprietary foam and individually-pocketed coils, the Egohome Tenzura has a medium-firm feel that leans slightly firmer, making it perfect for those who suffer from AS who sleep on their backs and stomachs.

I like that the Egohome Tenzura is cooling, making it a good choice for hot sleepers.

The one downside is the edge support. I was not impressed by it at all.

Specs at a glance

Egohome Tenzura performance

The Egohome Tenzura sits on a 6 on the mattress firmness scale giving it a medium-firm feel.

The Tenzura runs a little firmer than most making it more suitable for strict back and stomach sleepers.

The mattress features a hybrid construction, which makes it great for overweight people who need extra support.

We rate the Egohome Tenzura an 8 out of 10 when it comes to comfort and pressure relief.

Had it been a little softer, the rating would be higher; but for back and stomach sleepers it provides just the right amount of support and pressure point relief.

We rate the Egohome Tenzura a 9 out of 10 when it comes to cooling.

The mattress sleeps extremely cool, making it a great option if you tend to sleep hot.

We rate the Egohome Tenzura an 8 out 10 when it comes to motion isolation.

Though not the best, I still found the motion isolation to be really good. I barely felt any cross-mattress movement when I tried it out with a partner.

We rate the Egohome Tenzura a 5 out of 10 when it comes to edge support.

I have to be honest here: the edge support is probably the worst I’ve experienced. You will roll off the bed if you sleep close to the edge.

>> View my full Egohome Tenzura review for more details

12% off coupon code: SLEEPLINE12

Alternate pick: Egohome Black

If you’re a side sleeper who needs something softer, check out the Egohome Black.

Similar in construction to the Tenzura, the Black comes in two different firmness options to choose from.

It’s good for all sleeper types.

>> View my full Egohome Black review for more details

12% off coupon code: SLEEPLINE12

---

#3. Brooklyn Bedding CopperFlex Pro

Pros

• Offers support for back and joints
• Pressure-relieving
• Good for couples
• Good for back sleepers

Cons

• Might be too firm for side sleepers
• Not great for hot sleepers

25% off coupon code: SLEEPLINE25

Why it’s one of the best

Out of Brooklyn Bedding’s CopperFlex line, the Pro model is their high-end version and is one of our top picks for the best mattresses for those who suffer from ankylosing spondylitis.

The main comfort layer is a proprietary memory foam that contains copper particles which not only helps with heat retention but also gives the mattress antimicrobial properties.

Another thing I liked about the CopperFlex Pro is that it does a great job at absorbing any cross-mattress movement, making it an excellent choice if you share a bed.

Specs at a glance

Brooklyn Bedding CopperFlex Pro Performance

The Brooklyn Bedding CopperFlex Pro sits at a 7 on the mattress firmness scale giving it a medium-firm feel.

This firmness level is best for those who sleep on their backs or stomachs as it offers extra support around the lumbar area.

We rate the Brooklyn Bedding CopperFlex Pro an 8.5 out of 10 when it comes to comfort and pressure relief.

There are four comfort layers including a pressure-relieving quilt foam and a copper-infused memory foam which helps with not only pressure point relief but also with proper spinal alignment – crucial when you suffer from Ankylosing Spondylitis.

We rate the Brooklyn Bedding CopperFlex Pro a 6 out of 10 when it comes to cooling.

For some reason, even though the mattress contains copper-infused foam, I still found it to sleep hot. I don’t recommend it for hot sleepers.

We rate the Brooklyn Bedding CopperFlex Pro an 8 out of 10 when it comes to motion isolation.

Multiple foam layers help absorb motion transfer. This mattress is a good choice for those who share a bed. I barely felt any movement when I tried it out with a partner.

We rate the Brooklyn Bedding CopperFlex Pro a 7.5 out of 10 when it comes to edge support.

The edge can support a petite individual without that person rolling off the edge of the bed. If you’re a heavyweight, the support isn’t that great and you run the risk of rolling off the edge.

>> View my full Brooklyn Bedding CopperFlex Pro review for more details

25% off coupon code: SLEEPLINE25

Alternate pick: Brooklyn Bedding Signature Hybrid

If the medium-firm firmness level isn’t right for you, check out the Brooklyn Bedding Signature Hybrid.

Like the CopperFlex Pro, the Signature Hybrid features multiple foam layers but you have different firmness options to choose from.

It’s a more expensive option, but in my opinion you definitely get what you pay for.

>> View my full Brooklyn Bedding Signature Hybrid review for more details

25% off coupon code: SLEEPLINE25

---

#4. Sweet Zzz Honey Hybrid

Pros

• Offers responsive support
• Fully organic
• Fiberglass-free
• Great for couples

Cons

• Medium version may be too firm for side sleepers
• Not as compressing as memory foam

Free mattress protector coupon code: Sleepline

Why it’s one of the best

Affordable latex hybrid mattresses are few and far in between; the Sweet Zzz Honey Hybrid is a welcome outlier. 

Made up of all-organic and natural materials including New Zealand Calmera wool and pure latex, the SweetZzz Honey Hybrid is also cooling and hypoallergenic.

This makes it a good choice for those who suffer from chronic allergies as well as those who tend to sleep hot.

The Sweet Zzz Honey Hybrid also has really amazing edge support – better than some of the higher-end mattresses on the market – which means that you get to have more mattress real estate to sleep on (and who doesn’t want that?)

Specs at a glance

Sweet Zzz Honey Hybrid Performance

You get to choose between three different firmness levels: medium-soft, medium-firm and firm.

The medium-soft version is best for side sleepers. The medium-firm version is good for all sleeper types including combination sleepers. The firm version is best for stomach and back sleepers.

We rate the Sweet Zzz Honey Hybrid a 7.5 out of 10 when it comes to comfort and pressure relief.

You get responsive support from the combo of latex foam and pocketed coils. And yes, you still get enough pressure point relief for your limbs and joints.

We rate the Sweet Zzz Honey Hybrid an 8.5 out of 10 when it comes to cooling.

The mattress does not retain heat (thanks to the naturally cooling materials it’s made out of) making it the perfect choice for hot sleepers.

We rate the Sweet Zzz Honey Hybrid an 8.5 out of 10 when it comes to motion isolation.

It (surprisingly) absorbs motion transfer extremely well. This is a great mattress for couples.

We rate the Sweet Zzz Honey Hybrid a 9.5 out of 10 when it comes to edge support.

The mattress contains thick reinforced-edge coils, giving it very good edge support. This means you get to sleep on the entire mattress surface instead of being sandwiched in the middle.

>> View my full Sweet Zzz Honey Hybrid review for more details

Free mattress protector coupon code: Sleepline

---

#5. Bear Pro Hybrid

Pros

• Great for back and stomach sleepers
• Offers good back support
• Excellent edge support
• Helps with muscle recovery

Cons

• Not the best for hot sleepers
• Cooling cover option requires an additional fee

35% off coupon code: SLEEPLINE35

Why it’s one of the best

The most important thing to look for when you’re shopping for mattresses and you have Ankylosing Spondylitis is back support, and you get that with the Bear Pro Hybrid.

Simple in construction with just three layers; the Bear Pro Hybrid contains a mix of memory foam and a proprietary foam which the company calls “Dynamic foam” which helps provide zoned support for the entire body (but especially for the lumbar area).

You also have the option to upgrade to a Celliant cover which allegedly helps with muscle recovery.

Specs at a glance

Bear Pro Hybrid Performance

The Bear Pro Hybrid is a 6.5 on the mattress firmness scale which gives it a medium-firm feel.

This firmness level is good for all sleeper types, but it’s especially great for back and stomach sleepers.

Since it’s a hybrid mattress, it’s good for heavier-set sleepers.

We rate the Bear Pro Hybrid a 7 out of 10 when it comes to comfort and pressure relief.

The mattress provides enough comfort and pressure relief for those who sleep on their stomachs or backs.

We rate the Bear Pro Hybrid a 7 out of 10 when it comes to cooling.

There’s a little tiny bit of heat retention due to its memory foam top layer, but the coil unit and Dynamic foam offsets it by allowing air to pass through freely. This gives the mattress a bit of a cooling effect.

We rate the Bear Pro Hybrid a 6.5 out of 10 when it comes to motion isolation.

This mattress showed a significant amount of motion transfer especially if you share a bed with a partner who is heavier than you are.

We rate the Bear Pro Hybrid a 9 out of 10 when it comes to edge support.

Reinforced coils surround the perimeter of the entire mattress giving it really good edge support. This allows you to sleep on the entire mattress surface.

>> View my full Bear Pro Hybrid review for more details

35% off coupon code: SLEEPLINE35

Alternate pick: Bear Original

If you prefer something with an all-foam construction, check out the Bear Original.

Made with the same memory foam and Dynamic foam layers as the Pro Hybrid, the Original mattress contains a higher density foam as its base layer which helps provide targeted support.

It contains no coils.

>> View my full Bear Original review for more details

35% off coupon code: SLEEPLINE35

---

#6. Happsy Organic Mattress

Pros

• Supports back and joints
• Certified organic
• Fiberglass-free
• Cooling

Cons

• Poor edge support
• Slight motion transfer

15% off coupon code: SLEEPLINE15

Why it’s one of the best

The Happsy Organic mattress is made from premium, high quality materials and yet it’s surprisingly affordable.

It’s also one of my top picks for ankylosing spondylitis for a few reasons.

For one, the Happsy Organic mattress is fiberglass-free. The peace of mind that brings can’t be overstated.

It is also one of the most cooling latex mattresses I’ve ever tried. Even without any other high-tech actively cooling materials, the Happsy still sleeps pretty cool.

The only downside is that the edge support is below average.

Specs at a glance

Happsy Organic Mattress Performance

You get to choose between two different firmness levels with the Happsy Organic mattress – medium-soft and medium-firm.

Choose the medium-soft if you’re a side sleeper and pick the medium-firm if you’re any other sleeper type (back, stomach, combination).

Since it’s a hybrid mattress, it’s also great for overweight people.

We rate the Happsy Organic an 8 out of 10 when it comes to comfort and pressure relief.

It does a stellar job at keeping pressure off the main pressure points giving you a more comfortable sleeping experience.

We rate the Happsy Organic a 9 out of 10 when it comes to cooling.

The wool and latex make for a very cool sleeping experience. I didn’t sweat at all when trying out this mattress.

We rate the Happsy Organic a 7.5 out of 10 when it comes to motion isolation.

Though not exactly the worst, there still was a bit of motion transfer. This is primarily due to latex’s bouncier nature as well as the mattress’ coil unit.

We rate the Happsy Organic a 6 out of 10 when it comes to edge support.

For some reason (I guess to cut on costs) the mattress doesn’t contain reinforced edges which in turn gives it poor edge support. You will find yourself rolling off the bed if you lay close to the edge.

>> View my full Happsy mattress review for more details

15% off coupon code: SLEEPLINE15

---

#7. Birch Luxe Natural

Pros

• Made from natural latex
• Great for back and stomach sleepers
• Naturally cooling and hypoallergenic
• Offers responsive support

Cons

• May be a bit too firm for strict side sleepers
• Not suitable for heavier-set individuals

20% off coupon code: SLEEPLINE20

Why it’s one of the best

If you want something all-natural that scores well in all categories, take a look at the Birch Luxe Natural.

Scoring pretty high among all our performance tests, it’s not easy to find fault with it.

Double latex foam layers mean double the responsive support – crucial especially for those who suffer from ankylosing spondylitis.

Aside from the latex foam layers, you also get three layers of organic wool batting, which offers cushioning and comfort.

If I really had to point out a flaw with the Birch Luxe Natural, it’s only that it can be a little too firm for petite side sleepers.

Specs at a glance

Birch Luxe Natural Performance

The Birch Luxe Natural sits at a 6.5 on the mattress firmness scale giving it a medium-firm feel.

Most medium-firm mattresses are good for all sleeper types but this one does skew a tiny bit firmer than mos,t so I don’t recommend it for side sleepers who weigh below average.

We rate the Birch Luxe Natural an 8 out of 10 when it comes to comfort and pressure relief.

The mattress contains a double latex foam layer that provides not only pressure relief but also more responsive support. This is one of the most comfortable mattresses I’ve ever slept on.

We rate the Birch Luxe Natural a 9 out of 10 when it comes to cooling.

Naturally cooling latex and temperature-regulating organic wool – need I say more? These layers plus the coil unit help reduce heat retention, making it an excellent choice for hot sleepers.

We rate the Birch Luxe Natural an 8 out of 10 when it comes to motion isolation.

The mattress did an awesome job at absorbing cross-mattress movement, making it a solid choice if you share a bed with a partner.

We rate the Birch Luxe Natural an 8.5 out of 10 when it comes to edge support.

The mattress contains reinforced coils giving it extra edge support. You won’t feel as though you’re going to roll off the bed even if you lay close to or on the edge itself.

>> View my full Birch Luxe Natural review for more details

20% off coupon code: SLEEPLINE20

Alternate pick: Birch Natural

If you prefer something that’s softer and plusher, check out the base model Birch Natural.

Perfect for side sleepers, the Natural pretty much contains the same latex foam layers and organic wool batting as the Luxe Natural, but at a much cheaper price.

>> View my full Birch Natural review for more details

20% off coupon code: SLEEPLINE20

---

#8. Saatva Classic

Pros

• Choose from multiple firmness options
• Suitable for all sleeper types
• Good for couples
• Treated with antibacterial treatment

Cons

• Edge support is too firm
• Expensive

Why it’s one of the best

If you’re looking to splurge on something higher-end (hey, having ankylosing spondylitis does not mean you can’t be boujee), there’s nothing better than the Saatva Classic.

You really do get what you pay for – from its streamlined construction to its Euro pillowtop and chiropractor-recommended memory foam, the Saatva Classic also comes with a mattress cover that’s been treated with a plant-based antimicrobial treatment to keep all the nasties at bay.

As for the cons, there’s only one and it’s a weird one at that – the mattress has raised edges that make it a little uncomfortable when it comes to edge support.

Specs at a glance

Saatva Classic Performance

You have three options to choose from – medium-soft, medium and medium-firm.

The medium-soft version is best for side sleepers. The medium version is good for all sleeper types including combination sleepers. The medium-firm version is best for those who sleep on their backs or stomachs.

Since it’s a hybrid mattress it’s good for heavier-set sleepers.

We rate the Saatva Classic a 9.5 out of 10 when it comes to comfort and pressure relief.

With its innerspring dual-coil base and memory foam comfort layer, you get the best of worlds when it comes to comfort and support.

We rate the Saatva Classic an 9.5 out of 10 when it comes to cooling.

It does not retain any heat whatsoever making it the perfect choice for hot sleepers.

We rate the Saatva Classic an 8.5 out of 10 when it comes to motion isolation.

The memory foam layer does a very good job at absorbing cross-mattress movement. I barely felt any motion transfer when I tried the mattress out with a partner.

We rate the Saatva Classic a 7.5 out of 10 when it comes to edge support.

As I’ve mentioned, the edge support is so good that it became a little, well, bad. It’s a little high and a little too firm for comfort; but on the plus side, you do get to sleep on more of the mattress surface.

>> View my full Saatva Classic review for more details

---

#9. Puffy Royal

Pros

• Good for all sleeper types
• Plush and luxurious
• Contouring and cushioning
• Cooling

Cons

• Expensive
• Not the best edge support

Why it’s one of the best

If you’ve ever wanted a hotel bed experience right in your own home, the Puffy Royal is the mattress for you.

Plush, contouring, and luxurious; the Puffy Royal has ten (yes, ten) layers of proprietary foam and memory foam to give people like who who have ankylosing spondylitis the support you need.

Another thing I like about it is because of those ten layers of proprietary foam, motion transfer is basically non-existent.

Specs at a glance

Puffy Royal Performance

The Puffy Royal sits on a 5 on the mattress firmness scale giving it a true medium feel.

This means it’s good for all sleeper types.

We rate the Puffy Royal a 9 out of 10 when it comes to comfort and pressure relief.

I found that the comfort layers did their job very well. This is a very comfortable mattress.

We rate the Puffy Royal a 9 out of 10 when it comes to cooling.

The mattress contains multiple actively-cooling materials that help with heat retention including a climate fiber layer and an open-celled memory foam alternative that helps wick away heat. I definitely recommend it if you sleep hot.

We rate the Puffy Royal a 9 out of 10 when it comes to motion isolation.

I felt no movement whatsoever when I tried the mattress out with a partner.

We rate the Puffy Royal a 6.5 out of 10 when it comes to edge support.

Sadly, no mattress (no matter how expensive) is perfect and this mattress, as stellar as its performance may be in other ways, fails miserably when it comes to edge support. Don’t say I didn’t warn you.

>> View my full Puffy Royal review for more details

---

#10. Durable Mattress

Pros

• Flippable
• Good for couples
• Offers support for hips, shoulders and back
• Relieves pressure

Cons

• Poor edge support
• Retains heat

Why it’s one of the best

Flippable mattresses are rare so the Durable Mattress holds a special place on this list.

Made up of a combination of proprietary foam and pocketed coils, the Durable Mattress comes in three different firmness levels so there’s something for everyone.

If you share a bed with a partner, it does a really good job at absorbing movement and I definitely recommend it to couples.

Specs at a glance

Durable Mattress Performance

Durable Mattress comes in three different firmness options – soft, medium and firm.

The soft version is best for side sleepers. The medium is good for all sleeper types. The firm version is best if you sleep on your back or stomach.

We rate the Durable Mattress an 8.5 out of 10 when it comes to comfort and pressure relief.

No matter which firmness level you choose (and choose the one that suits your sleeping preference please), you get more than enough pressure point relief.

We rate the Durable Mattress a 6 out of 10 when it comes to cooling.

Sad to say, it retains quite a good amount of heat so I don’t recommend it if you sleep hot.

We rate the Durable Mattress a 9.5 out of 10 when it comes to motion isolation.

I did not feel any motion transfer when I tried the mattress out with a partner.

We rate the Durable Mattress a 6 out of 10 when it comes to edge support.

Even with its reinforced edge coils, the mattress falls short of my expectations when it comes to what gives a mattress good edge support. You will find yourself rolling off the bed if you try and sleep close to the edge.

>> View my full Durable Mattress review for more details

---

How we chose these mattresses

A good mattress for those who suffer from ankylosing spondylitis offers a balanced mix of comfort, support, and durability; and we chose mattresses that excel in all three. 

To determine a mattress’s performance; we also considered factors such as firmness, pressure relief, responsiveness, temperature regulation, motion isolation, and edge support. 

And on top of all that, we made sure to look for mattresses that are backed by safety and sustainability certifications.

Here’s a brief description of each factor we considered while making this list:

• Comfort – Comfort is pretty subjective. That’s why we look for mattresses that are comfortable for all body types and sleeping positions.
• Support – In terms of support, we look for mattresses that can hold at least 800 lbs. without sagging prematurely. Ample support is also essential for keeping a sleeper’s spine in proper alignment.
• Durability – A durable mattress is one that can provide a consistent level of comfort and support for a minimum of 10 years (industry standard). We tested the mattresses to make sure they can support sleepers all the way to 500 lbs. without comprising their structural integrity. The type of mattress plays a major role in its durability.
• Firmness – Each person has unique firmness preferences depending on their body type, weight, and preferred sleeping position. For that reason, we look for mattresses that are medium to medium-firm which is the firmness that fits the widest variety of sleepers. We also search for mattresses that come in multiple firmness levels to give consumers multiple options to choose from.
• Pressure relief – Pressure relief refers to the ability of a mattress to redistribute your body weight to prevent pressure from building up on one spot. To test for pressure relief, we check if a mattress can contour to our bodies and evenly distribute body weight.
• Responsiveness – This refers to how quickly a mattress snaps back to its original shape after pressure is released from it. We look for mattresses that allow for ease of movement and don’t give us a stuck-in-the-mud feeling.
• Temperature regulation – A mattress with good temperature regulation should not trap body heat. We look for mattresses with designs that promote air circulation and beds that contain cooling materials such as gel, copper, or graphite infusions. Breathable covers are also a big plus in this area.
• Motion isolation – A mattress with good motion isolation is one that prevents motion on one side from transferring to the other side of the bed. This is especially important for those who sleep with fidgety partners.
• Edge support – This refers to how well the perimeter of a mattress can support weight. We test this by sleeping and sitting near the edge of the bed and measuring the degree of compression on the mattress.
• Certifications – We looked for mattresses that are backed by environmental certifications. Some of the certifications that we look out for are CertiPUR-US and Oeko-Tex Standard 100 for all-foam beds, and GOTS and GOLS for organic mattresses.

---

Conclusion

Ankylosing spondylitis is a nightmare, but there are ways to help mitigate the symptoms, starting with choosing a good mattress.

The mattresses on this list have been chosen specifically for their lumbar support as well as their pressure relieving properties.

We’re confident that any of the mattresses on this list will help relieve some of the pain associated with ankylosing spondylitis symptoms.

---

How we rate mattresses

We rate mattresses using the following criteria:

1. Comfort
2. Structural integrity and durability
3. Firmness and support

Learn more about our mattress rating process and methodology here.

---

Psst… the sleep review industry is full of liars, sharks, and thieves. It’s a modern-day version of getting ripped off at your local mattress store. So, why should you trust us?