Best Mattress for Fibromyalgia

Fibromyalgia is a chronic condition traditionally associated with widespread pain and tenderness. A lot of mystery still surrounds the root cause of fibromyalgia, but the symptoms can affect multiple aspects of a person’s life, including sleep. Not only can fibromyalgia pain interfere with sleep, but many sufferers also report experiencing fatigue and altered sleep.

For most of us, being unable to fall asleep even though you’re tired can be frustrating. But for those with fibromyalgia, a lack of sleep may lead to more intense pain the next day. This could lead to a vicious cycle where pain interrupts your sleep, and your lack of sleep increases the pain.

It’s always a good idea to have an honest conversation with your doctor about the symptoms you’re experiencing to find the best course of treatment. However, some factors you can control on your own to enhance your sleep experience. Case in point: your mattress.

No mattress will erase your symptoms, but the best mattresses for fibromyalgia can provide a more comfortable night’s sleep.

This guide will examine our favorite mattresses for fibromyalgia sufferers. We’ll examine each pick in-depth and take a look at their potential advantages. Finally, we’ll answer some common questions that mattress shoppers with fibromyalgia often ask.

Our Top Picks

  • Brentwood Home Oceano

    Best Overall

    Mattress Type: Hybrid
    Firmness: Medium Soft (4)
    Price: $1,499
  • Nolah Signature

    Most Conforming

    Mattress Type: Foam
    Firmness: Medium (5)
    Price: $1,299
  • Brooklyn Bedding Aurora

    Most Cooling

    Mattress Type: Hybrid
    Firmness: Medium Soft (4), Medium Firm (6), Firm (7)
    Price: $1,749
  • Puffy Lux

    Best Memory Foam

    Mattress Type: Foam
    Firmness: Medium (5)
    Price: $1,799
  • Saatva

    Best Innerspring

    Mattress Type: Innerspring
    Firmness: Soft (3), Medium Firm (6), Firm (8)
    Price: $1,595
  • Latex For Less

    Best Flippable

    Mattress Type: Latex
    Firmness: Reversible - Medium (5), Firm (7)
    Price: $1,499
  • Novosbed

    Best Value

    Mattress Type: Foam
    Firmness: Medium Soft (4), Medium Firm (6), Firm (7)
    Price: $1,399

Best Overall

Brentwood Home Oceano

  • Mattress Type
    Hybrid
  • Firmness
    Medium Soft (4)
  • Sleep Trial
    365 nights (30-night requirement)
  • Warranty
    25 Year, Limited
  • Price (Queen)
    $1,499
  • Weight
    135 lbs.
Brentwood Home Oceano Mattress

Highlights

  • Zoned core system supports spinal alignment
  • Combines bounce and conforming
  • Two layers of coils allow ample cooling airflow

Ideal For:

  • Those who sleep with a partner from a different weight group
  • People who tend to change positions during the night
  • Individuals who prefer balanced features
  • Fibromyalgia sufferers prone to temperature sensitivity
  • Pressure Point Relief
    3/5 (Oceano)
  • Temperature Neutrality
    4/5 (Oceano)
  • Motion Isolation
    3/5 (Oceano)
  • Edge Support
    4/5 (Oceano)
  • Durability
    3/5 (Oceano)
  • Ease of Movement
    4/5 (Oceano)
  • Sex
    4/5 (Oceano)
  • Off-Gassing
    3/5 (Oceano)

The Brentwood Home Oceano stands out for its breathable hybrid design and balanced features that can accommodate people with fibromyalgia regardless of their preferred sleeping position.

Some individuals with fibromyalgia report overheating or excessive sweating. The Oceano has two coil layers for ample airflow, a moisture-absorbing Tencel cover, a temperature-regulating wool layer, and a layer of breathable poly-silk fiber, so most sleepers should stay cool and dry. A 2-inch memory foam comfort layer hugs the sleeper’s body for notable pressure relief. Memory foam can often trap heat, but the Oceano’s memory foam is infused with gel to pull heat away from the sleeper’s body and keep the surface cool.

The Oceano’s support core is divided into five zones that provide targeted support and softness to help keep the sleeper’s spine well-aligned. Thanks to its combination of wool, poly-silk fiber, memory foam, microcoils, polyfoam, and pocketed coils, the Oceano performs well across all our categories, combining cushioning, cradling, support, breathability, and bounce. Those with fibromyalgia who awaken easily when their partner moves may also like that the model comes in split king size.

At 14 inches thick, this is a high-profile model, so it may be great for those with fibromyalgia who struggle to get into or out of a low bed. On the standard 10-point firmness scale, the Oceano rates at a 6. Most sleepers find medium firm models comfortable regardless of their weight group or position preferences, so it may be a good option for couples or individuals whose weight or favored sleep position may change over time.

The Oceano comes with a 1-year sleep trial, so mattress shoppers with fibromyalgia can see how their bodies respond to the bed over time. It is also protected by a 25-year limited warranty.

Most Conforming

Nolah Signature

  • Mattress Type
    Foam
  • Firmness
    Medium (5)
  • Sleep Trial
    120 nights (30-night requirement)
  • Warranty
    Lifetime, Limited
  • Price (Queen)
    $1,299
  • Weight
    N/A
Nolah Signature 12 Mattress

Highlights

  • Medium (5) firmness
  • Ample cushioning without a lot of sinkage
  • Foam with cooling features

Ideal For:

  • Side sleepers
  • Hot sleepers who enjoy the feel of foam
  • Those who like a close-conforming hug
  • Pressure Point Relief
    3/5 (Nolah Signature 12)
  • Temperature Neutrality
    3/5 (Nolah Signature 12)
  • Motion Isolation
    4/5 (Nolah Signature 12)
  • Edge Support
    2/5 (Nolah Signature 12)
  • Durability
    3/5 (Nolah Signature 12)
  • Ease of Movement
    3/5 (Nolah Signature 12)
  • Sex
    2/5 (Nolah Signature 12)
  • Off-Gassing
    3/5 (Nolah Signature 12)

The Nolah Signature Mattress is an all-foam mattress with a medium (5) firmness level. The deep contouring offered by this model makes it an excellent option for people with fibromyalgia who require a plush surface and strong pressure relief to get a comfortable night’s sleep.

The mattress features a comfort system with three foam layers, beginning with a 2.5-inch layer of proprietary AirFoam, which is engineered to promote aeration and prevent excessive heat retention. This is followed by a 1.5-inch responsive foam layer and another layer of AirFoam, which is firmer and more durable than the top layer. The foam construction should appeal to side sleepers, especially those experiencing painful pressure buildup in the shoulders or hips. It is also suitable for back and stomach sleepers who weigh less than 130 pounds. The support core is made a high-density foam that gives the mattress stability and durability.

With its plush surface, this bed offers excellent motion isolation and is a good fit for couples. It is also ideal for hot sleepers who enjoy foam beds but tend to overheat in them. In addition to the foam’s cooling features, the mattress is also encased in a cotton cover that wicks away moisture.

Sleepers can experience the bed at home during a 120-night trial. A limited lifetime warranty protects the mattress against manufacturing defects.

Most Cooling

Brooklyn Bedding Aurora

  • Mattress Type
    Hybrid
  • Firmness
    Medium Soft (4), Medium Firm (6), Firm (7)
  • Sleep Trial
    120 nights (30-night requirement)
  • Warranty
    10 Year, Limited
  • Price (Queen)
    $1,749
  • Weight
    105 lbs.
Brooklyn Bedding Aurora Mattress

Highlights

  • Three firmness options
  • Notable pressure relief from multi-layer comfort system
  • Phase change material regulates temperatures

Ideal For:

  • People with sharp pressure points
  • Those who tend to sleep hot
  • Shoppers looking for more firmness options
  • Pressure Point Relief
    4/5 (Brooklyn Aurora Hybrid)
  • Temperature Neutrality
    3/5 (Brooklyn Aurora Hybrid)
  • Motion Isolation
    4/5 (Brooklyn Aurora Hybrid)
  • Edge Support
    3/5 (Brooklyn Aurora Hybrid)
  • Durability
    4/5 (Brooklyn Aurora Hybrid)
  • Ease of Movement
    3/5 (Brooklyn Aurora Hybrid)
  • Sex
    3/5 (Brooklyn Aurora Hybrid)
  • Off-Gassing
    3/5 (Brooklyn Aurora Hybrid)

With a breathable hybrid design, three firmness, and strong pressure-relieving properties, the Brooklyn Bedding Aurora may be an excellent match for fibromyalgia sufferers prone to overheating.

The bed’s cover is woven with a phase change material engineered to help the sleeper maintain an even skin temperature of 88 degrees. Two comfort layers and a transition layer shape to the body to provide pressure relief that may be beneficial for those suffering from the aches and pains associated with fibromyalgia. The top comfort layer and the transition layer also have additional cooling infusions to help regulate the temperature of the sleep surface.

The support core uses 8-inches of pocketed coils for support, breathability, and springiness with limited motion transfer. The coils rest on a 1-inch polyfoam base to help them compress without bottoming out.

Brooklyn Bedding identifies the firmness options as Soft, Medium, and Firm, which correspond to medium soft (4), medium firm (6), and firm (7-8) respectively. All three options have notable pressure relief, which is often a high priority for those with fibromyalgia.

A sleeper’s weight and preferred sleep position will likely impact which option has the best balance of support and pressure relief. The Soft option is most likely to satisfy people who weigh under 130 pounds. Those who weigh under 230 pounds may also like the Medium version. The Firm version may be best suited for individuals who weigh over 130 pounds.

The bed’s strengths vary between firmness options. The Soft and Medium options excel in motion isolation, while the Medium and Firm versions perform well for temperature regulation, edge support, ease of movement, and sex.

A 10-year warranty and 120-night trial period come with the purchase of an Aurora Mattress.

Best Memory Foam

Puffy Lux

  • Mattress Type
    Foam
  • Firmness
    Medium (5)
  • Sleep Trial
    101 nights
  • Warranty
    Lifetime, Limited
  • Price (Queen)
    $1,799
  • Weight
    59 lbs.
Puffy Lux

Highlights

  • Two-layer comfort system absorbs motion well
  • Close-conforming pressure relief
  • Virtually silent

Ideal For:

  • People who weigh less than 130 pounds
  • Side sleepers
  • Those who are easily awoken by motion transfer or mattress noises
  • Pressure Point Relief
    4/5 (Puffy Lux)
  • Temperature Neutrality
    2/5 (Puffy Lux)
  • Motion Isolation
    5/5 (Puffy Lux)
  • Edge Support
    3/5 (Puffy Lux)
  • Durability
    3/5 (Puffy Lux)
  • Ease of Movement
    3/5 (Puffy Lux)
  • Sex
    2/5 (Puffy Lux)
  • Off-Gassing
    3/5 (Puffy Lux)

Those with fibromyalgia can sink into the Puffy Lux’s four foam layers and enjoy close conforming that may reduce the discomfort caused by pressure points. The foam layers also virtually eliminate noise and motion transfer, so sleepers wake up less often during the night. Temperature-regulating technology helps limit heat retention, though the bed’s close hug could trap some heat against the sleeper’s body.

A 1.5-inch layer of gel-infused memory foam acts as the top comfort layer, while a layer of polyfoam adds to the contouring. The transition layer consists of 2 inches of polyfoam engineered to stabilize the temperature while softening the transition between the comfort system and core. A 7-inch polyfoam core supports the sleep surface.

The Puffy Lux has a medium feel, coming in at a 5 on the 10-point firmness scale. This popular firmness rating is on the softer end of the average range. Fibromyalgia sufferers who weigh under 130 pounds are likely to experience the best balance between cradling and support. Side sleepers from other weight groups may also appreciate how their hips and shoulders can sink in comfortably.

While the core is specially designed to support the spine, the bed’s medium feel could allow a bit too much sinkage around the heavier body parts of those who weigh more than 130 pounds.

The Puffy Lux Mattress comes with a 101-night trial to give customers a chance to try the bed at home. A limited lifetime warranty that protects against certain physical flaws and defects.

Best Innerspring

Saatva

  • Mattress Type
    Innerspring
  • Firmness
    Soft (3), Medium Firm (6), Firm (8)
  • Sleep Trial
    180 Nights ($99 Return Fee)
  • Warranty
    15 Year, Limited
  • Price (Queen)
    $1,595
  • Weight
    N/A
Saatva Mattress

Highlights

  • Two height and three firmness options
  • Minimal to no off-gassing
  • Free White Glove delivery

Ideal For:

  • Shoppers looking for a choice between firmness and thickness options
  • Sleepers who want both pressure relief and bounce
  • Individuals who are sensitive to smells
  • Pressure Point Relief
    4/5 (Saatva Classic)
  • Temperature Neutrality
    4/5 (Saatva Classic)
  • Motion Isolation
    3/5 (Saatva Classic)
  • Edge Support
    4/5 (Saatva Classic)
  • Durability
    4/5 (Saatva Classic)
  • Ease of Movement
    4/5 (Saatva Classic)
  • Sex
    3/5 (Saatva Classic)
  • Off-Gassing
    5/5 (Saatva Classic)

The Saatva Mattress is a robust innerspring model and some of its greatest strengths are pressure relief, ease of movement, and temperature regulation. As these are often high priorities for those with fibromyalgia, the Saatva Mattress may be a good match.

Additionally, the Saatva comes in two thickness and three firmness options. The thicknesses are 11.5 and 14.5 inches. Saatva’s firmness selections are Soft, Luxury Firm, and Firm. The Soft is truly soft, rating around 2-3, and the Firm is truly firm, coming in around 7-8. Its Luxury Firm option rates at a 6, which we classify as a medium firm feel.

Those who have mobility issues may appreciate being able to select how thick their mattress is since it could impact how easy it is to get into or out of bed. The three firmness options may also allow sleepers to find a mattress that balances pressure relief and support for their body types.

A Euro pillow top encased in an organic cotton cover cushions the surface of the bed. Inside the pillow top, there is a 1.25-inch layer of soft polyfoam, .75 inches of fiber fill, and 1 ounce of Dacron. Beneath that, a .625-inch layer of polyfoam and a .375 inches memory foam lumbar pad add pressure relief while supporting better spinal alignment. A 4-inch layer of coils adds contouring, breathability, and bounce to the comfort system, and each coil is wrapped to limit motion transfer.

The 11.5-inch version of the bed has a 4-inch coil core, while the 14.5-inch option has a 7-inch coil system. This layer adds durable support and springiness. Fiber pads support the coils so that they can compress, and a foam encasement reinforces the edge of the bed.

Free White Glove delivery and a 120-night sleep trial are included. The Saatva Mattress also comes with a 15-year warranty.

Best Flippable

Latex for Less

  • Mattress Type
    Latex
  • Firmness
    Reversible - Medium (5), Firm (7)
  • Sleep Trial
    120 nights
  • Warranty
    20 Year, Limited
  • Price (Queen)
    $1,499
  • Weight
    N/A
Latex For Less Mattress

Highlights

  • Reversible with two firmness options
  • Two thickness options
  • Natural materials

Ideal For:

  • Eco-conscious shoppers
  • Sleepers who prefer a lower-profile model
  • People whose firmness preferences may change over time
  • Pressure Point Relief
    2/5 (Latex For Less Mattress)
  • Temperature Neutrality
    4/5 (Latex For Less Mattress)
  • Motion Isolation
    2/5 (Latex For Less Mattress)
  • Edge Support
    4/5 (Latex For Less Mattress)
  • Durability
    2/5 (Latex For Less Mattress)
  • Ease of Movement
    4/5 (Latex For Less Mattress)
  • Sex
    4/5 (Latex For Less Mattress)
  • Off-Gassing
    4/5 (Latex For Less Mattress)

The Latex for Less has two firmness options built into one bed, so it is a particularly good option for fibromyalgia sufferers whose firmness preferences may change. Both sides are responsive, so sleepers shouldn’t struggle to move around. There are two thickness options: 7 inches and 9 inches. The 9-inch version of the mattress excels in terms of pressure relief, motion isolation, and edge support, which may be important for some fibromyalgia sufferers.

A soft, breathable organic cotton cover encases the mattress. Each side of the bed has a .5-inch layer of wool to cushion and regulate the temperature of the sleep surface. A 6-inch layer of natural Dunlop latex makes up most of the bed, providing bounce, breathability, and durability. The Medium side of the 9-inch version of the mattress also has a 2-inch layer of natural Talalay latex for an airy feel and added softness.

The Medium side of the Latex for Less can be considered medium firm thanks to its rating of 6 on the 10-point firmness scale. Its Firm side comes in around 7-8. The 9-inch version tends to perform better for sleepers from different weight groups. Most individuals who weigh under 130 pounds or who weigh between 130 and 230 pounds and sleep on their sides are likely to prefer the Medium side. Those who weigh more than 130 pounds may favor the Firm side.

A 120-night trial gives customers a chance to experience the mattress at home. The bed also comes with a 20-year limited warranty.

Best Value

Novosbed

  • Mattress Type
    Foam
  • Firmness
    Medium Soft (4), Medium Firm (6), Firm (7)
  • Sleep Trial
    120 nights (60-night requirement)
  • Warranty
    15 Year, Limited
  • Price (Queen)
    $1,399
  • Weight
    75-84 lbs.
Novosbed Mattress

Highlights

  • Three firmness options
  • Strong pressure relief and motion isolation
  • Removable, washable cover

Ideal For:

  • Sleepers with aches and pains from pressure points
  • Those who like a bed with a lot of hug
  • People looking to select a firmness option to better suit their needs and preferences
  • Pressure Point Relief
    4/5 (Novosbed)
  • Temperature Neutrality
    2/5 (Novosbed)
  • Motion Isolation
    4/5 (Novosbed)
  • Edge Support
    2/5 (Novosbed)
  • Durability
    3/5 (Novosbed)
  • Ease of Movement
    2/5 (Novosbed)
  • Sex
    2/5 (Novosbed)
  • Off-Gassing
    3/5 (Novosbed)

Some fibromyalgia sufferers may like the pressure-relieving hug of the Novosbed’s memory foam comfort layer. Additionally, its all-foam construction helps it absorb a significant amount of motion, so those who awaken easily when their partner moves may experience fewer sleep disruptions.

Finding the ideal balance between pressure relief and spinal support for your body type may be easier since the Novosbed comes in three firmness options.

The Soft mattress has a medium soft (4) feel, so it may be especially comfortable for individuals who weigh under 130 pounds. Thanks to the Medium option’s medium firm (6) feel, it can accommodate couples from different weight groups and with different position preferences, though side sleepers who weigh between 130 and 230 pounds may experience the best blend of contouring and support. The Firm version has a truly firm (7-8) feel, which may make it exceptionally well suited for sleepers who weigh over 130 pounds.

Three foam layers make up the mattress. A memory foam comfort layer provides cushioning and contouring, a polyfoam transition layer adds deeper contouring and motion isolation, and a polyfoam core enhances the support and durability. The bed’s cover is removable and washable for easy cleaning. It is constructed of Tencel, which is soft-to-the-touch and moisture-wicking for heightened comfort.

The Novosbed comes with a 120-night trial policy. A 15-year limited warranty protects against certain defects.

What is the Best Type of Mattress for Fibromyalgia Sufferers?

There isn’t just one best type of mattress for fibromyalgia sufferers. An individual’s weight, personal preferences, sleep position, and fibromyalgia symptoms may all play a role in which type of mattress feels best for them.

As a general rule, sleepers who weigh less than 130 pounds generally prefer a mattress that rates between 4 and 5 on the 10-point firmness scale because this slightly softer feel allows them to sink in. Those who weigh between 130 and 230 pounds usually favor a model between 5 and 6 for balanced support and contouring. Individuals who weigh over 230 pounds often need extra support to maintain their spinal alignment, so they usually gravitate towards models that rate between 6 and 7.

Sleep position also impacts firmness preferences. Side sleepers typically prefer models on the softer end of the spectrum because these allow their hips and shoulders to sink in a bit more, reducing pressure buildup. Back and stomach sleepers usually require a mattress on the firmer end of the range to keep their spines well aligned by limiting sinkage around the midsection.

Each type of mattress also has distinct potential benefits and drawbacks for people with fibromyalgia. Memory foam mattresses typically offer close-conforming pressure relief that can help limit pressure buildup and relieve aches and pains, but models without sufficient cooling features may be prone to heat retention. Additionally, some individuals find memory foam’s slow response to changes in pressure makes it more difficult to change positions.

Polyfoam also shapes to the body to relieve pressure, and it is typically more breathable and quicker to respond than memory foam. However, it doesn’t have the same hugging sensation, and lower-density polyfoam may deteriorate more quickly.

Latex models spread out weight differently, relieving pressure without as much sinkage. Many sleepers compare sleeping on a latex mattress to floating, which fibromyalgia sufferers may like. Latex also has a springier feel than most other foams, so it may also be easier to move on. However, latex models are typically more expensive.

Innerspring beds are popular for their affordability, bounce, and breathability. However, fibromyalgia sufferers with sharp pressure points may not get enough cradling for relief.

Hybrid models combine the bounce and breathability of coils with the contouring of foam. They’re popular for this balance, but they tend to be higher in price than foam or innerspring models.

The adjustable firmness of air beds means you can change your settings every night to accommodate your symptoms. However, they usually have relatively thin comfort systems, so sleepers could still experience pressure points. They also tend to be some of the most expensive models.

How Can a Mattress Help With Fibromyalgia Pain?

While a mattress won’t make your fibromyalgia symptoms disappear, sleeping on a mattress with the right combination of contouring and support could lead to fewer aches and pains.

For chronic pain sufferers, aches and pains can be confusing since it’s hard to tell whether your condition is triggering the pain, whether you’ve done something that’s caused the pain, or whether it’s a combination of multiple factors. But even if you don’t know it, your mattress could be contributing to the cycle.

The two main ways a mattress can help relieve pain is through contouring and support. When you lie on your bed, some parts of your body naturally put more force on the mattress than others. A mattress that shapes to the body redistributes your weight across a wider area to limit pressure buildup in key areas like the hips and shoulders, and this can often reduce pain and discomfort.

Improper spinal alignment could also lead to back pain. A supportive mattress prevents the sleeper’s midsection from sinking in too deeply and pulling their spine out of alignment.

Finding a mattress with the ideal firmness setting is often the key to awakening with fewer aches and pains. Softer models tend to have more conforming, but too soft of a mattress may make it more difficult to maintain proper spinal alignment. Firmer models may have more support, but too firm of a mattress may lead to more pressure buildup.

How Does Fibromyalgia Affect Your Sleep?

Fibromyalgia can affect a person’s sleep in several ways.

Widespread pain is one of the most common symptoms fibromyalgia sufferers report, and this pain may make it more difficult to fall asleep or stay asleep. Individuals with fibromyalgia often have sensitivities to heat and/or cold, which could further complicate getting quality sleep. Some people with the condition may also awaken easily due to noise or motion transfer.

Many individuals with fibromyalgia also suffer from other conditions that can affect sleep. Insomnia, sleep apnea, and restless leg syndrome frequently accompany fibromyalgia. While the nature of the association between fibromyalgia and these conditions is unclear, suffering from multiple conditions can make getting quality sleep even more challenging.

How Much Does an Orthopedic Mattress Cost?

Shoppers can expect to pay anywhere from a few hundred to a few thousand dollars for an orthopedic mattress.

Orthopedic mattresses are usually designed to support the spine and aid recovery. There are no standard criteria for what makes a mattress orthopedic. However, mattresses that are dubbed “orthopedic” are usually medium firm or firm to support proper spinal alignment. Orthopedic mattresses are especially popular for people with back or joint pain. Fibromyalgia typically affects muscles and soft tissues rather than joints, but many individuals with fibromyalgia may enjoy an orthopedic mattress for its spinal support.

How Does Sleeping Position Affect Fibromyalgia?

Sleep position may play a role in where fibromyalgia sufferers experience aches and pains and how severe those pains are. While you might just select a sleep position based on what feels best at the moment, understanding how different positions may affect your pain levels can help you make a more informed decision.

Side sleeping often creates pressure around the widest parts of the body, which are typically the shoulders and hips. Some mattress models redistribute the pressure to limit buildup around these key areas. Side sleepers with fibromyalgia may experience sharp pressure points when sleeping on a mattress that is too firm. Too soft of a mattress could allow their hips and shoulders to sink in too far and put a strain on their lower back.

With the right mattress, sleeping on the back can often relieve lower back pain. Placing a pillow under the knees can also help. This position isn’t ideal for those with sleep apnea and may aggravate symptoms. However, a wedge pillow to prop up the upper body can help.

Sleeping on the stomach usually is not recommended by sleep experts. Since most people carry much of their body weight near their hips and belly, the sleeper’s midsection could dip too far into the bed and push their spine out of alignment. Stomach sleepers typically prefer a firmer mattress to reduce the likelihood of this happening. Most stomach sleepers turn their heads to the side, which also puts a strain on the neck. Using a thin pillow or no pillow can limit additional neck strain that typically occurs when a thicker pillow forces it to extend backward.