Best Medical Mattresses for Pressure Ulcers- Reviewed by Experts

Best Mattress for Pressure Ulcers – Your Ultimate Guide to Comfort and Healing

Pressure ulcers, also known as bedsores or pressure sores, are a serious concern for individuals with limited mobility, such as those who are bedridden, recovering from surgery, or living with chronic conditions. These painful wounds develop from prolonged pressure on the skin, often over bony areas like the hips, tailbone, and heels. Choosing the right mattress is critical for preventing and managing pressure ulcers, as it can significantly reduce pressure points, improve circulation, and enhance overall comfort.

With advancements in mattress technology, there are now specialized options designed to address these needs. The best mattresses for pressure ulcers in 2025, their key features, and how to select the perfect one for your needs or those of a loved one. Whether you’re a caregiver, healthcare professional, or patient, this article will help you make an informed decision to promote healing and prevent further complications.

Understanding Pressure Ulcers

Pressure ulcers are localized injuries to the skin and underlying tissue caused by prolonged pressure, shear, or friction. They commonly occur in individuals who spend extended periods in bed or a wheelchair, particularly those with limited ability to reposition themselves. According to the National Pressure Injury Advisory Panel (NPIAP), pressure ulcers are now often referred to as “pressure injuries” to reflect that not all cases involve open wounds. They are classified into four stages:

Stage 1: Non-blanchable redness of intact skin, often warm or firm to the touch.
Stage 2: Partial-thickness skin loss, appearing as a shallow open ulcer or blister.
Stage 3: Full-thickness skin loss, exposing subcutaneous tissue, often with a deep wound.
Stage 4: Full-thickness tissue loss, potentially exposing muscle, bone, or tendons, leading to severe damage.

The primary cause of pressure ulcers is sustained pressure that restricts blood flow to the skin, depriving tissues of oxygen and nutrients. Friction (rubbing against surfaces like bedsheets) and shear (when skin and underlying tissue move in opposite directions) exacerbate the risk. People at higher risk include those with mobility issues, older adults, and individuals with conditions like diabetes, malnutrition, or spinal cord injuries. A well-designed mattress can mitigate these risks by redistributing pressure, reducing friction, and maintaining a healthy skin microclimate.

Why a Specialized Mattress Matters

A standard mattress is often too firm or lacks the features needed to prevent pressure ulcers. Specialized mattresses, such as those with alternating pressure, low air loss, or memory foam, are designed to:

Redistribute Pressure: Evenly distribute body weight to reduce pressure on vulnerable areas like the hips, shoulders, and heels.
Enhance Circulation: Promote blood flow to prevent tissue damage.
Reduce Friction and Shear: Use smooth, breathable materials to minimize skin irritation.
Regulate Moisture and Temperature: Keep skin dry and cool to prevent irritation and infection.
Support Repositioning: Facilitate movement or automatically adjust to relieve pressure.

The right mattress can make a significant difference in preventing pressure ulcers and promoting healing for existing wounds, improving quality of life for patients and easing the burden on caregivers. Let’s explore the key features to look for and the best mattresses available in 2025.

Key Features of Mattresses for Pressure Ulcers

When selecting a mattress for pressure ulcer prevention or treatment, consider these essential features:

Pressure Redistribution: The mattress should evenly distribute body weight to reduce pressure on bony prominences. Materials like memory foam, gel, or air chambers excel at this.
Alternating Pressure Technology: Alternating pressure mattresses (APMs) use air cells that inflate and deflate in cycles to shift pressure points, reducing the risk of ulcers.
Low Air Loss Technology: These mattresses promote airflow to keep skin dry and cool, reducing moisture-related skin breakdown.
Support and Comfort: A balance of firmness and cushioning supports spinal alignment while cradling pressure points.
Breathability and Cooling: Gel-infused foam or micro-ventilation holes prevent heat buildup, which can exacerbate skin irritation.
Ease of Cleaning: Waterproof, antimicrobial covers are essential for hygiene, especially in medical settings.
Adjustability: For immobile patients, adjustable mattresses or those compatible with hospital beds facilitate repositioning.
Durability: High-quality materials ensure long-term performance, especially for prolonged use.
Noise Level: For powered mattresses, quiet pumps are crucial to avoid disturbing sleep.
Weight Capacity: The mattress should support the user’s weight to prevent sagging or uneven pressure distribution.

Top Mattresses for Pressure Ulcers in 2025

Below is a curated list of the best mattresses for pressure ulcers, based on expert reviews, user feedback, and performance in pressure relief, comfort, and durability. Each option is evaluated for its suitability for preventing and managing pressure ulcers.

1. Saatva Solaire Adjustable Airbed

Type: Adjustable airbed with foam layers
Key Features:
- 50 firmness settings for customizable pressure relief.
- Vulcanized air chambers adjust to redistribute weight dynamically.
- Gel-infused memory foam top layer for cooling and contouring.
- Waterproof, breathable organic cotton cover.
- Compatible with adjustable hospital beds.
Pros:
- Exceptional pressure relief with adjustable firmness, ideal for all sleeping positions.
- Cooling technology reduces moisture buildup.
- High weight capacity (up to 500 lbs per side).
- Quiet operation for uninterrupted sleep.
Cons:
- Premium price point.
- Requires an electrical outlet for air pump.
Best For: Patients with varying pressure ulcer stages who need customizable firmness and hospital bed compatibility.

2. Helix Midnight Luxe

Type: Hybrid (memory foam and coils)
Key Features:
- Medium-firm feel with a plush pillow top for pressure relief.
- Zoned support coils provide extra lift under the lower back.
- Gel memory foam layers for cooling and contouring.
- Breathable Tencel cover reduces moisture.
- 4/5 pressure relief rating from expert testing.
Pros:
- Excellent weight distribution for hips and shoulders.
- Responsive coils facilitate repositioning.
- Cooling properties reduce skin irritation risk.
- Affordable compared to medical-grade mattresses.
Cons:
- Not as advanced as alternating pressure mattresses for severe cases.
- May be too firm for very lightweight users.
Best For: Side sleepers and those with early-stage pressure ulcers or moderate risk.

3. Amerisleep AS3

Type: Memory foam
Key Features:
- Plant-based memory foam for superior pressure relief.
- Medium feel with high contouring to reduce pressure points.
- Open-cell foam structure for breathability.
- Antimicrobial cover for hygiene.
- High customer satisfaction for pressure ulcer prevention.
Pros:
- Deep compression molds to the body, reducing pressure on bony areas.
- Cooler than traditional memory foam, reducing heat retention.
- Durable and budget-friendly for a memory foam mattress.
Cons:
- Lacks alternating pressure for advanced wound management.
- May feel too soft for heavier users.
Best For: Patients with Stage 1-2 pressure ulcers who prefer a memory foam feel.

4. Invacare Softform Premier Fluid-Resistant Homecare Mattress

Type: Foam hospital bed mattress
Key Features:
- Three layers of high-density foam for pressure redistribution.
- Full-length horizontal cuts enhance durability and flexibility.
- Waterproof, breathable cover for easy cleaning.
- Designed for hospital beds with adjustable frames.
- FDA-registered for medical use.
Pros:
- Proven to reduce pressure ulcers in hospital settings.
- Durable for long-term care.
- Affordable for a medical-grade mattress.
Cons:
- Not ideal for non-hospital beds.
- Limited cooling compared to gel-infused options.
Best For: Hospital or long-term care patients with moderate to high risk of pressure ulcers.

5. Drive Medical Gravity 7 Long Term Care Pressure Redistribution Mattress

Type: Foam hospital bed mattress
Key Features:
- Multi-layered foam with egg-crate top for pressure relief.
- Elevated perimeter for easier repositioning.
- Waterproof, antimicrobial nylon cover.
- Supports up to 350 lbs.
- FDA-registered for medical use.
Pros:
- Budget-friendly for medical-grade mattresses.
- Reduces pressure on bony areas effectively.
- Easy to clean and maintain.
Cons:
- May not suit heavier users.
- Less advanced than air-based systems.
Best For: Budget-conscious caregivers or facilities managing early-stage pressure ulcers.

6. Vive Alternating Pressure Mattress Pad

Type: Alternating pressure mattress topper
Key Features:
- 130 individually sealed air cells with alternating pressure cycles.
- Quiet pump with adjustable pressure settings.
- Waterproof, heat-resistant vinyl cover.
- Supports up to 300 lbs.
- Fits standard hospital beds.
Pros:
- Affordable alternative to full mattresses.
- Effective for Stage 2-4 pressure ulcers.
- Easy to install and store.
Cons:
- Requires an existing mattress for support.
- Pump noise may disturb light sleepers.
Best For: Home caregivers seeking a cost-effective solution for advanced pressure ulcers.

7. Roho Dry Floatation Mattress Overlay

Type: Air-filled mattress overlay
Key Features:
- Four adjustable air-cell sections conform to body contours.
- Passive compression therapy enhances blood flow.
- Waterproof, antimicrobial cover for hygiene.
- Lightweight and portable for home or facility use.
- Supports up to 300 lbs.
Pros:
- Highly effective for severe pressure ulcers (Stage 3-4).
- Minimizes shear and friction.
- Easy to clean and adjust.
Cons:
- Expensive for an overlay.
- Requires careful setup to avoid over- or under-inflation.
Best For: Patients with advanced pressure ulcers needing targeted pressure relief.

8. Zoma Hybrid

Type: Hybrid (foam and coils)
Key Features:
- Gel memory foam layers for cooling and pressure relief.
- Pocketed coils for responsiveness and support.
- Medium-firm feel with zoned support for hips and shoulders.
- Breathable cover reduces moisture buildup.
- Affordable for a hybrid mattress.
Pros:
- Balances comfort and support for pressure ulcer prevention.
- Cooling technology reduces skin irritation risk.
- Durable for long-term use.
Cons:
- Not as specialized as medical-grade air mattresses.
- May be too firm for very lightweight users.
Best For: Active individuals with early-stage pressure ulcers or moderate risk.

9. Nolah Evolution 15

Type: Hybrid (foam and coils)
Key Features:
- Multi-layered foam with gel-infused top for cooling.
- Zoned coil system for targeted pressure relief.
- Medium-firm feel with plush comfort layer.
- Organic cotton cover for breathability.
- High weight capacity (up to 600 lbs).
Pros:
- Excellent pressure relief for hips and shoulders.
- Cooling properties reduce moisture-related skin issues.
- Durable and versatile for various body types.
Cons:
- Higher price point than some foam mattresses.
- Not ideal for advanced pressure ulcer stages.
Best For: Heavier individuals with early-stage pressure ulcers or prevention needs.

10. Protekt Aire 1500 Alternating Pressure Mattress

Type: Alternating pressure air mattress
Key Features:
- Alternating air cells with adjustable pump settings.
- Low air loss technology for moisture control.
- Waterproof, antimicrobial cover.
- Supports up to 350 lbs.
- Quiet pump for minimal disturbance.
Pros:
- Highly effective for preventing and healing pressure ulcers.
- Affordable for a medical-grade air mattress.
- Easy to set up and adjust.
Cons:
- Requires an electrical outlet.
- May feel less stable than foam mattresses.
Best For: Bedridden patients with high risk or existing pressure ulcers.

Comparing Mattresses for Pressure Ulcers

Mattress	Type	Pressure Relief	Cooling	Weight Capacity	Price Range
Saatva Solaire	Adjustable Airbed	Excellent	Gel Foam	500 lbs/side	High
Helix Midnight Luxe	Hybrid	Very Good	Gel Foam	500 lbs	Medium
Amerisleep AS3	Memory Foam	Very Good	Open-Cell Foam	400 lbs	Medium
Invacare Softform Premier	Foam (Hospital)	Good	Limited	400 lbs	Medium
Drive Medical Gravity 7	Foam (Hospital)	Good	Limited	350 lbs	Low
Vive Alternating Pad	Air Topper	Excellent	Ventilation	300 lbs	Low
Roho Dry Floatation	Air Overlay	Excellent	Ventilation	300 lbs	High
Zoma Hybrid	Hybrid	Very Good	Gel Foam	500 lbs	Medium
Nolah Evolution 15	Hybrid	Very Good	Gel Foam	600 lbs	High
Protekt Aire 1500	Alternating Air	Excellent	Low Air Loss	350 lbs	Medium

Factors to Consider When Choosing a Mattress for Pressure Ulcers

Stage of Pressure Ulcers:
- Stage 1-2: Memory foam or hybrid mattresses (e.g., Helix Midnight Luxe, Amerisleep AS3) are suitable for early-stage ulcers or prevention.
- Stage 3-4: Alternating pressure or low air loss mattresses (e.g., Vive, Protekt Aire) are better for advanced wounds.
Mobility Level:
- For immobile patients, powered mattresses with alternating pressure (e.g., Saatva Solaire, Protekt Aire) are essential to reduce caregiver strain.
- For partially mobile patients, foam or hybrid mattresses may suffice with regular repositioning.
Weight and Body Type:
- Heavier individuals need higher weight capacity and firm support (e.g., Nolah Evolution 15, Saatva Solaire).
- Lightweight individuals may prefer softer, contouring mattresses (e.g., Amerisleep AS3).
Setting:
- Home Use: Hybrid or memory foam mattresses are versatile and aesthetically pleasing.
- Hospital/Facility: Medical-grade foam or air mattresses (e.g., Invacare, Vive) are designed for clinical settings.
Budget:
- Affordable options like Drive Medical Gravity 7 or Vive topper suit tight budgets.
- Premium options like Saatva Solaire or Roho offer advanced features for long-term investment.
Cooling and Hygiene:
- Choose mattresses with gel foam, low air loss, or breathable covers to prevent moisture buildup and infections.
- Waterproof, antimicrobial covers are crucial for easy cleaning.
Ease of Use:
- Powered mattresses require electrical outlets and may have noisy pumps.
- Non-powered options like foam mattresses are quieter and easier to maintain.
Repositioning Needs:
- Alternating pressure mattresses reduce the need for manual repositioning.
- Foam mattresses require regular turning (every 2 hours) to prevent pressure buildup.

Common Myths About Mattresses for Pressure Ulcers

Myth: Any soft mattress prevents pressure ulcers.
- Fact: Softness alone isn’t enough; pressure redistribution and circulation support are critical.
Myth: All memory foam mattresses are too hot.

Fact: Modern memory foam with gel or open-cell designs (e.g., Amerisleep AS3) offers cooling properties.

Myth: Alternating pressure mattresses are always noisy.
- Fact: Many modern models (e.g., Protekt Aire 1500) use quiet pumps to minimize disturbance.
Myth: Hospital mattresses are only for clinical settings.
- Fact: Hospital-grade mattresses like Invacare Softform can be used at home for high-risk patients.
Myth: Mattresses alone can prevent pressure ulcers.
- Fact: Mattresses must be paired with repositioning, skincare, and nutrition for effective prevention.

Tips for Preventing and Managing Pressure Ulcers

Reposition Regularly: Change positions every 2 hours to relieve pressure, even with a specialized mattress.
Use Supportive Accessories: Add pillows, heel cradles, or sheepskin pads to reduce pressure on vulnerable areas.
Maintain Skin Hygiene: Keep skin clean and dry with mild, unscented soaps and moisturizers. Avoid talcum powder, which can dry skin.
Ensure Proper Nutrition: A balanced diet with adequate protein and hydration supports skin health.
Monitor Skin Daily: Check for redness or early signs of pressure ulcers, especially over bony areas.
Consult Professionals: Work with a wound care specialist or physical therapist to tailor mattress settings and repositioning techniques.
Maintain the Mattress: Clean covers regularly, check air pumps for functionality, and rotate foam mattresses as recommended.

Maintenance Tips for Pressure Ulcer Mattresses

Cleaning: Use mild soap and water on waterproof covers. Avoid harsh detergents that damage antimicrobial coatings.
Inspection: Check air cells, pumps, or foam for wear and tear. Replace damaged components promptly.
Storage: Store in a dry, cool place to prevent mold or material degradation.
Rotation: Rotate or flip foam mattresses (if recommended) to prevent sagging.
Power Management: Ensure powered mattresses have a backup battery for outages.

Trends in Mattress Technology for Pressure Ulcers in 2025

Smart Mattresses: Some mattresses integrate pressure sensors to monitor pressure points and adjust automatically (e.g., XSENSOR technology).
Eco-Friendly Materials: Brands like Amerisleep use plant-based foams for sustainability and comfort.
Hybrid Designs: Combining foam, coils, and air chambers (e.g., Nolah Evolution 15) offers versatility for home use.
Low Air Loss Advancements: Enhanced airflow systems (e.g., Protekt Aire 1500) improve moisture control and healing.
Customizable Firmness: Adjustable airbeds like Saatva Solaire allow precise tailoring for individual needs.

How to Choose the Best Mattress for Pressure Ulcers

Assess Risk Level: High-risk or advanced-stage patients need alternating pressure or low air loss mattresses; low-risk patients may use foam or hybrid options.
Consult Healthcare Providers: Work with doctors or wound care specialists to match the mattress to the patient’s condition.
Test Comfort: If possible, test the mattress for comfort and support, especially for home use.
Check Compatibility: Ensure the mattress fits hospital or adjustable beds if needed.
Balance Cost and Features: Invest in quality for long-term care but consider affordable options for temporary needs.
Read Reviews: Look for user feedback on pressure relief, durability, and ease of use.
Consider Caregiver Needs: Powered mattresses reduce repositioning effort, easing caregiver workload.

Frequently Asked Questions (FAQs)

1. What is the best mattress type for preventing pressure ulcers?

Alternating pressure air mattresses (e.g., Protekt Aire 1500) and low air loss mattresses are the most effective for high-risk patients, while memory foam or hybrid mattresses (e.g., Helix Midnight Luxe) work well for early-stage prevention.

2. Can a regular mattress prevent pressure ulcers?

Regular mattresses often lack adequate pressure redistribution. Specialized mattresses with foam, gel, or air technology are better suited for prevention.

3. Are memory foam mattresses good for pressure ulcers?

Yes, memory foam mattresses (e.g., Amerisleep AS3) are excellent for early-stage ulcers due to their contouring and pressure relief, but they may not suffice for advanced stages.

4. How often should I reposition someone on a pressure-relieving mattress?

Reposition every 2 hours, even with a specialized mattress, to ensure proper circulation and prevent pressure buildup.

5. Are alternating pressure mattresses noisy?

Modern models like the Protekt Aire 1500 use quiet pumps, but some noise may still be noticeable. Check reviews for noise levels.

6. Can I use a mattress topper instead of a full mattress?

Yes, toppers like the Vive Alternating Pressure Pad are effective for Stage 2-4 ulcers and are more affordable, but they require a supportive base mattress.

7. Are hospital bed mattresses suitable for home use?

Yes, hospital-grade mattresses like Invacare Softform Premier can be used at home, especially for bedridden patients.

8. How do I clean a pressure-relieving mattress?

Use mild soap and water on waterproof covers. Avoid harsh detergents and ensure the mattress is fully dry before use.

9. Are air mattresses better than foam for pressure ulcers?

Air mattresses with alternating pressure (e.g., Saatva Solaire) are better for advanced ulcers, while foam mattresses are suitable for early stages or prevention.

10. Can a mattress alone heal pressure ulcers?

No, mattresses aid healing but must be paired with repositioning, skincare, and nutrition for effective treatment.

11. What is the best mattress for heavier individuals with pressure ulcers?

The Nolah Evolution 15 or Saatva Solaire, with high weight capacities and adjustable support, are ideal for heavier users.

12. Do pressure-relieving mattresses require a prescription?

Most can be purchased without a prescription, but Medicare may cover rentals for existing pressure ulcers with a doctor’s order.

13. How long do pressure-relieving mattresses last?

With proper care, foam mattresses last 7-10 years, while air mattresses may last 5-7 years, depending on usage and maintenance.

Conclusion

Choosing the best mattress for pressure ulcers is a critical step in preventing and managing these painful wounds. From adjustable airbeds like the Saatva Solaire to affordable foam options like the Drive Medical Gravity 7, there’s a mattress for every need and budget. By prioritizing pressure redistribution, cooling, and hygiene, and combining the mattress with regular repositioning and proper skincare, you can significantly reduce the risk of pressure ulcers and promote healing.

Consult with healthcare professionals, assess the patient’s specific needs, and invest in a quality mattress to improve comfort and quality of life. With the right choice, you can provide relief and peace of mind for patients and caregivers alike.