I test mattresses for a living — here's what a firm mattress does for side sleepers

A woman wearing green tshirt sitting in bed with her bed tilted and her hand on her neck.
(Image credit: Getty Images)

Choosing the right feel for your sleep position is essential when finding the perfect mattress. If you're a side sleeper, the instant pressure relief of a medium-firm mattress is often recommended — but what if you turn the firmness up a level? Are firm mattresses too hard for side sleepers?

We've tested beds from across the firmness scale to find this year's best mattress for all sleep styles. For the most part, we recommend side sleepers seek a mattress with good cushioning and stable support, which tends to be exemplified by a medium to medium-firm mattress.

However, there are some side sleepers who prefer a firm feel from their mattress. In this guide, we'll explore how side sleepers can choose a firm mattress that isn't too hard, plus some of our favorite options to shop in the upcoming Presidents' Day mattress sales.

What is a firm mattress?

Mattress firmness is rated on a scale of one to 10 and firm mattresses sit at the higher end of that scale. We classify a firm mattress as around 8-9 on the firmness scale, with a 10 indicating an extra firm feel (these tend to be specialist beds.) But numbers aren't always a great descriptor for comfort, so let's dig into what a firm mattress feels like.

Firm mattresses are often characterized by their lack of sink: when you press into the surface, it offers resistance. This translates to excellent support, as your body is held in a straight position rather than sagging into the mattress. Firm mattresses have a more traditional feel, as you lie on top of the bed.

A hand presses into the surface of the Plank Firm mattress, testing the temperature regulation, pressure relief, and firmness

(Image credit: Future)

The flip-side is that firm mattresses often lack pressure relief. The cushioning provided by medium and soft mattresses relieves pressure build-up where the body pushes into the surface. Firm mattresses, which lack contouring, can feel hard beneath the shoulder and hips.

We've slept on some of the best firm mattresses and for the most part, we recommend them to back and stomach sleepers, as well as those with certain types of back pain. However, based on your body type and sleep needs, there are times a firm mattress can suit a side sleeper.

What type of mattress should a side sleeper use?

Side sleeping has many benefits — it's often seen as one of the healthiest sleep positions — and the right mattress can help you stay comfortable when lying on your side all night long.

When you lie on your side, your shoulders, hips and knees press into the bed. This can result in pressure build-up. The best mattresses for side sleepers contour to these touch points to relieve pressure, while maintaining support across the spine.

Medium-firm and medium mattresses are often best at balancing both pressure relief and support. Firm mattresses, which have ample support but tend to lag behind on relief, are often too hard for side sleepers.

What should side sleepers look for in a firm mattress?

I spent several weeks sleeping on the Plank Firm Mattress, marketed as the flattest and firmest bed you can buy (learn more in my Plank Firm Mattress review.) I found it hugely comfortable for back and stomach sleeping but if I rolled onto my side, it was simply too firm at the shoulder and hips — I tended to wake up with a dead arm. But if you like to lie on your side and hate feeling smothered by your mattress, here are the features to look for in a firm mattress for side sleepers:

1. Plenty of pressure relief

Most firm mattresses provide some pressure relief — it shouldn't feel like you're lying on a wooden floor, for example. However, this cushioning is often best for back and stomach sleepers, who need only light relief at the hips and lower back. Side sleepers, who press deep into the mattress at the shoulder and hip, need ample cushioning to limit pressure build-up.

Our tester lies on her side when reviewing the Saatva Classic Mattress

(Image credit: Future)

For a firm mattress with better pressure relief, look for a design with multiple foam layers (similar to the best memory foam mattresses) or bouncy and responsive springs. A quilted cover can also aid pressure relief, adding some bounce and lift for your shoulders to sink into.

2. Strong support

High quality firm mattresses are often praised for their support, keeping the body lifted from head to toe. Side sleepers might prioritize pressure relief, but support is also necessary to limit back ache.

If a firm mattress is too hard at the shoulders and hips, look for a medium to medium-firm mattress with a sturdy base. The best hybrid mattresses use springs to create responsive support, while memory foam mattresses use dense foam to limit sag. Soft mattresses can suit side sleepers, but make sure that your bed still offers ample support.

3. Suitable for your body type

Mattress firmness is subjective, which means it's hard to put an exact number on a feel. This subjectivity is closely related to weight: a mattress that feels medium-firm to a person weighing over 250lbs will typically feel firm to a person under 130lbs.

Siena Memory Foam Mattress pressure relief test

(Image credit: Future)

Firm mattresses are better for side sleepers with heavier builds, who will experience more sink from the hard surface (the best mattresses for heavy people are primarily firm.) If you have an average build of around 130lbs to 250lbs, a medium-firm mattress is best, while lightweight side sleepers weighing under 250lbs should consider a medium to medium-soft mattress.

3 firm to medium-firm mattresses for side sleepers

1. DreamCloud Hybrid Mattress: from $1,148$449 at DreamCloud

1. DreamCloud Hybrid Mattress: from $1,148 $449 at DreamCloud
We rated the DreamCloud eight on the firmness scale in our DreamCloud Mattress review, but after a few weeks to break it in, we found it comfortable for side sleeping. It's also excellent value for money, with the evergreen DreamCloud mattress sale reducing a queen size to $665. It's also one of the best mattresses in a box, so shipping is practical and easy, plus it comes with a 365-night trial and lifetime warranty.

2. Saatva Classic Mattress: from  $1,399$999 at Saatva

2. Saatva Classic Mattress: from $1,399 $999 at Saatva
Available in three feels, we tested the Luxury Firm for our Saatva Classic Mattress review and found it a true medium-firm for side sleepers — but we expect the quilted pillow-top of the Firm feel to offer good pressure relief. This premium mattress is worth the investment and regular Saatva mattress sales help you save. The current $400 off deal reduces a queen to $1,699 (was $2,099) and you always get a 365-night trial, lifetime warranty and free white glove delivery.

3. Siena Memory Foam Mattress: from $529$179 at Siena

3. Siena Memory Foam Mattress: from $529 $179 at Siena
For the most part, we found the Siena too firm for side sleeping in our Siena Memory Foam Mattress review. However, if you want a memory foam feel without much sink, this is an affordable solution with a decent trial length to test it out: 180 nights. For a more traditional medium-firm foam feel, check out our Nectar Classic Memory Foam Mattress review.

Ruth Jones
Sleep staff Writer

Ruth is a staff writer at Tom’s Guide, covering all things mattress and sleep. She has a deep interest in the link between sleep and health, and has tried enough mattresses to know the right bed really can make a difference to your wellbeing. At Tom’s Guide she writes to help people sleep better, from how-tos to the latest deals to mattress reviews, and has interviewed an array of specialists who share her passion. Before joining the team at Tom’s Guide, Ruth worked as a sleep and mattress writer for our sister website, TechRadar.

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