The Side Sleeper's Dilemma: Choosing a Mattress to End Shoulder & Hip Pain

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If you’re one of the millions of adults who prefer sleeping on your side, you're in the majority, and for good reason, as it’s often considered the healthiest sleeping position for your body. Side sleeping is excellent for spinal alignment, can reduce snoring, and helps alleviate the symptoms of obstructive sleep apnea and acid reflux, when you sleep on your left side, specifically.

However, this position presents a unique challenge: the pressure point problem. When you lie on your side, almost all your body weight rests on a few key spots: your shoulder and your hip. If your mattress doesn’t cradle these areas correctly, you can wake up with aches and stiffness that range from annoying soreness to chronic hip pain relief or a painful rotator cuff injury.

If you’re a lifelong side sleeper struggling with pain, your mattress is likely the biggest part of the problem. It’s time for a deeper dive into the exact science of pressure relief and why soft doesn’t always mean supportive.

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The Physics of Side Sleeping: Why Pressure Points Matter

Imagine trying to balance a bowling ball (your torso) and a basketball (your hips) on a flat, hard surface. The force is concentrated on the two smallest points of contact. That's essentially what happens to your shoulders and hips on a mattress that is too firm.

When a mattress is too hard, it doesn’t allow your shoulder and hip to sink in enough. This causes two major issues:

  1. Concentrated Pressure: Your joints bear the brunt of your body weight all night. This cuts off circulation and leads to the pain and numbness that make you toss and turn. Over time, this pressure can contribute to conditions like shoulder bursitis or rotator cuff injuries.

  2. Spinal Misalignment: Since your hip and shoulder are not sinking into the mattress, your waist and torso are pushed up, leaving a gap between your body and the mattress surface. This gap pulls your spine support out of its natural, straight alignment, leading to chronic neck pain and backaches.

Conversely, a mattress that is too soft allows your hips to sink in too far, which also pulls your spine out of alignment. The goal for a side sleeper is balance: soft enough for cushioning, but firm enough for spine support.


The Best Mattress Types to Conquer Shoulder and Hip Pain

For years, the world of mattresses was dominated by traditional springs, which often lacked the contouring required by side sleeper needs. The solution for truly ending shoulder and hip pain lies in materials designed specifically for pressure relief.


1. Memory Foam Mattresses: The Pressure-Relief Champion

Memory foam is famous for its slow springback foam and its ability to contour to your body's shape, which is precisely why it is an ideal choice for a side sleeper.

  • Pressure Relief: Memory foam softens when exposed to your body heat and weight, molding itself to your unique curves. This even distribution of weight across the entire side of your body eliminates those painful pressure points in the shoulder and hip, offering a custom fit that can dramatically alleviate chronic pain.

  • Motion Isolation: If you share your bed with a partner, or a pet, memory foam is excellent at absorbing movement, which is key to preventing disruptions to your deep, restorative sleep.

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2. Hybrid Mattresses: The Balanced Approach

Hybrid mattresses have become incredibly popular because they blend the pressure-relieving foam (like memory foam or latex) with the responsive support of innerspring coils. About one-third of mattresses sold today are either foam or foam-spring hybrids.

  • Balanced Feel: The top foam layers offer the necessary cushion to cradle your shoulder and hip, while the pocketed coils underneath provide robust, targeted spine support.

  • Zoned Support: Many modern hybrids feature zoned coils, meaning the coils are firmer in the middle (under your hips and lower back, preventing mid-section sinkage) and softer under your shoulders and legs. This targeted firmness helps maintain perfect spinal alignment for a side sleeper.

  • Airflow: Since the base is made of coils, hybrids naturally promote better airflow than all-foam beds, which can help regulate your body temperature, which is essential for uninterrupted rest.


The Role of Your Pillow: Perfecting Your Neck Support

A mattress addresses your lower body, but a sore neck or pillow shoulder pain often points to a pillow issue. For a side sleeper, the right pillow is just as critical for achieving proper neck support.

When you lie on your side, there is a large gap between your ear and the mattress surface. Your pillow must be thick enough to fill this space, keeping your head level with your spine, not tilted up or down.

  • Go for a Higher Loft: Side sleepers usually need a higher or thicker pillow than back or stomach sleeper types.

  • Contour is Key: Look for a supportive pillow made of latex or dense memory foam that maintains its shape all night, rather than one that flattens out.


Pro Tip: For extra hip pain relief, place a body pillow or a small, firm pillow between your knees. This simple trick keeps your hips stacked, prevents the top knee from pulling your spine down, and ensures excellent lower back alignment.


Choosing the Right Firmness Level

For the average adult side sleeper (especially those between 130 and 230 pounds), a medium to medium-firm feel is often the sweet spot. This offers enough softness (or "give") to cushion your joints and just enough underlying firmness to keep your back straight.

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At Bedding Mart, our knowledgeable sleep experts are ready to help you find the exact model that gives you the perfect balance of pressure relief and spine support your body needs.


Frequently Asked Questions (FAQs)

Q: Is sleeping on my side better for my health?

It could be, and for many people, sleeping on your side is the healthiest position. It is especially recommended for those who struggle with snoring, obstructive sleep apnea, and acid reflux. The position helps keep your airways open and can promote better digestion. For the best results, place a pillow between your knees for ideal hip and spine support.


Q: Why do I wake up with shoulder pain if I sleep on my side?

Shoulder pain when side sleeping is usually caused by excessive pressure on the joint. If your mattress is too firm, your shoulder doesn't sink in, concentrating all your weight on that one small area. This can lead to a compressed nerve, reduced circulation, and inflammation, sometimes impacting the rotator cuff. The solution is a softer comfort layer, like memory foam or a plush pillow top, to cradle the joint and distribute your weight evenly.


Q: Do I need a special pillow as a side sleeper?

Absolutely. The space between your head and the mattress is largest when you are a side sleeper. To prevent neck pain and shoulder stress, you need a high-loft, supportive pillow that is thick enough to keep your head perfectly in line with your spine. Look for a contoured or durable foam supportive pillow to ensure consistent neck support all night.


Q: Are memory foam mattresses always hot?

Modern memory foam mattresses are designed to address the overheating issue of earlier generations. While traditional foam can trap heat, newer versions like open-cell foam and cooling gel-infused memory foam allow air to flow more freely and absorb body heat, helping you sleep cooler. A hybrid mattress is also an excellent choice, as the coil base promotes continuous airflow.

 


 

Ready to find the perfect cradle for your hips and shoulders? Visit your local Bedding Mart in Little Rock, Conway, and Fort Smith, Arkansas, or in Springfield, Missouri to try out our extensive collection of pressure-relieving memory foam and hybrid mattresses. Or, just browse our full selection online today!

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