The 7 Best Extra-Firm Mattresses That Promote Better Spinal Alignment

Pillowy, plush and cushy are often the first words that come to mind when you think about a mattress, but a soft profile isn't for everyone. An extra-firm mattress can be beneficial for your spinal alignment during sleep, particularly if you sleep on your back or stomach or you weigh over 250 pounds. Our choice for the best extra firm mattress, the Plank Firm, is an aptly named bed with a flippable design that's firm on one side and ultra-firm on the other, with a supportive construction. The mattress ensures your spine maintains a neutral alignment and doesn't compromise on comfort.
The Plank Firm Mattress is two extra-firm mattresses in one, thanks to its flippable design. It's ... More our choice as one of the best firm mattresses next to Titan Plus, Avocado, WinkBed and more.
If you're angling for an ultra-firm bed that's a notch softer than the ground, consider the Plank Firm or read on to learn more about the six other options that our mattress and sleep editors have selected. Alternatively, check out our recommendations of the best firm mattresses or medium-firm mattresses if you suspect a softer feel is a better match for your body.
Brooklyn Bedding
Type: Memory foam | Firmness: Firm and extra-firm | Trial: 120 nights | Warranty: 10 years
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The Plank Firm Mattress is easily one of the firmest beds that the Forbes Vetted editors and I have tested—the extra-firm side specifically. But that's the beauty of the Plank Firm; its double-sided design lets you choose between the average firm feel and an ultra-firm profile. If one side feels too firm or too soft, flip it over for a noticeably different profile. The mattress is made with dense foam layers that keep you lifted and supported, including a 2-inch layer on the soft side for added contouring, and a quilted topper for the slightest touch of cushion on both sides. Hot sleepers can also upgrade to a cool-to-the-touch GlacioTex cover for around $113 (for a queen size).
Since it's made entirely with foam materials, we primarily recommend it for sleepers under 250 pounds. If you want ultra-firm support with the extra longevity and durability of steel coils, opt for the Plank Firm Luxe. I've tried the Plank Firm myself and thought my spine stayed in a straight alignment without sagging. I felt like the firmness helped open the space in between my shoulders, which provided a bit of pressure relief, kind of like when you lie on the ground and your back cracks because it's all in alignment.
Tempur-Pedic
Type: Memory foam | Firmness: Firm | Trial: 90 nights | Warranty: 10 years
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Tempur-Pedic is a well-known bedding brand that was among the first to incorporate modern memory foam—created by NASA scientists to help cushion rocket seats during test flights—into its mattresses. The ProAdapt is the mid-level mattress in the brand's Adapt collection. This 12-inch foam mattress comes with a removable, washable and cool-to-the-touch cover and three firmness options. The firm option is the best pick for a lifted feel, as the bed's dense foams contour to your curves without letting you sink into the bed. And for couples who share a mattress, the ProAdapt is top-notch at deadening movement across the mattress, which means fewer nighttime disruptions from your tossing-and-turning partner.
One thing to keep in mind is that memory foam has a tendency to trap heat. The cooling cover in the ProAdapt goes some distance in combating that, but hot sleepers may find that memory foam, which responds to heat and pressure to closely contour around the body, just isn't the best option. You should also consider another mattress if you weigh around 250 pounds (or more) since it isn't offered in a firm hybrid, which is a more supportive option. See how this bed stacks up against other models from the brand in our best Tempur-Pedic mattresses list.
Walmart
Type: Hybrid | Firmness: Extra-firm | Trial: 100 nights | Warranty: 10 years
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The most affordable crown goes to the king of value, Walmart's bed-in-a-box the Allswell Luxe Mattress in an extra firm profile. Previously known as the Allswell Brick, its outside cover is woven with a brick-like pattern and is a proper indication of what's to come. This 12-inch hybrid mattress contains pocketed steel coils and multiple CertiPUR-US certified foam layers, including a dense, 1-inch slab of copper-infused foam for temperature regulation.
It has a pretty simple construction, but for the price, it's a good pick for those who want an ultra-supportive and lifted feel. Since you sit more on top of the bed rather than inside its foam layers it's pretty easy to switch positions, a bonus for combination sleepers. I tested the Allswell Luxe in extra firm and felt there was no resistance or deep memory foam feel when I lay down. And as a stomach sleeper I felt most comfortable in this position, as there was no dip in my back and it kept my spine in proper alignment. Most queen-size hybrid mattresses retail for at least $1,000 or more, but you can purchase a queen-size Allswell Luxe extra firm mattress for less than $500.
Avocado
Type: Hybrid | Firmness: Firm | Trial: 365 days | Warranty: 25 years
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The Avocado Green is a quality hybrid mattress with three firmness profiles to choose from and a lengthy list of certifications, from Global Organic Latex Standard (GOLS) and Global Organic Textile Standard (GOTS) to Oeko-Tex, Made Safe and Fair Trade. To achieve an organic certification, a mattress must meet strict environmental and safety standards throughout the entire supply chain, and it serves as a testament to the bed's quality and a brand's commitment to going above and beyond.
Aside from being made with sustainably sourced materials, the mattress is just flat out comfortable. The firm model has three inches of organic Dunlop latex for a light and airy feel that's quite bouncy. Layers of organic wool and organic cotton add ample cushion while a seven-zone pocketed coil layer offers targeted support under the spine and pressure relief under the hips and shoulders. The brand claims its firm model lands around a seven on the firmness scale, but five out of six members of our team who tested the mattress say it feels like a truly firm bed. The thick latex layer gives the mattress a gentle buoyancy that responds quickly to pressure, an ideal feature for combination sleepers who move around often in bed. But its bouncy nature may not be ideal for couples with completely different sleep schedules, as you can feel the movement from your partner when they get in and out of bed. See more in our full Avocado Mattress review.
WinkBeds
Type: Hybrid | Firmness: Soft, luxury firm, firm and plus | Trial: 120 nights | Warranty: Lifetime
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The WinkBed is one of those accommodating beds that appeal to a wide variety of people, partially because of its undeniably comfortable and balanced feel. The firm profile falls around a 7.5 out of 10 on the firmness scale, according to WinkBeds, and we agree with the brand after me and four other team members tested the bed. We think this model is best for individuals under 250 pounds who want a firm feel with the added cushion of a fluffy Euro top.
Sleepers around the 250-pound range and up or those who want an even firmer mattress should consider the WinkBed Plus. It falls around an 8 out of 10 on the firmness scale, and even testers under the 150-pound range found they liked the firm feel because it was neutralized by the pillowy Euro top. Beneath the cozy topper is several layers of foam, including gel-infused foam to help draw body heat away from your body, and a layer of zoned pocketed coils. They are denser under the spine for increased spinal support and softer underneath the shoulders and hips for pressure relief. Its blend of foam materials contribute to a lifted, responsive feel that doesn't make you feel 'stuck' like some memory foam does.
What our testers say: 'This bed is firm yet cushioned. The first thing I noticed was how plush and pillowy the very top layer of the mattress was, which makes it seem more luxurious. I feel very lifted when lying on this bed, which is ideal for those looking for a firm mattress,' says Garrett.
Saatva
Type: Innerspring | Firmness: Plush soft, luxury firm or firm | Trial: 365 nights | Warranty: Lifetime
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The Saatva Classic is a premium mattress that rivals top-rated competitors because of its ergonomic design that's intended for comfort. To ease back pain, most layers of the Saatva Classic are designed to promote spinal alignment. It has two layers of coils: zoned coils near the bottom that are more supportive in the center third of the mattress and microcoils near the top for added support. It also includes both a high-density memory foam lumbar crown and a patented spinal wire. Together, they help relieve pressure and support a neutral spine. Even the cushioned pillow top is zoned to be more firm under the lumbar region and softer underneath the trunk and shoulders.
Those looking for a truly firm mattress should opt for the firm model, which Saatva rates an 8 out of 10. To learn more about this bed's highlights and drawbacks, see our full Saatva mattress review.
What our testers say: 'I feel supported and elongated while laying on my back on this mattress, similar to the Plank Firm. It also provides a nice touch of cushioning around my hips, which I appreciate since I typically prefer a medium to medium-firm bed,' says updates writer Alex Garrett.
Titan
Type: Hybrid | Firmness: Firm | Trial: 120 nights | Warranty: 10 years
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For plus-size people over the 250-pound mark, finding a firm mattress can be difficult. Because they have more weight, they tend to sink in more deeply, which can make a mattress feel softer. But the Titan Plus is specifically designed to support more weight without softening its firm feel. That includes high-density foams and a layer of up to 900 8-inch coils constructed in-house to ensure quality and provide targeted support and motion isolation. The hybrid construction promotes breathability, but especially hot sleepers can also upgrade to the GlacioTex Cooling Cover, which is woven with heat-wicking fibers.
According to Titan, the mattress is a 9 on the firmness scale, so it's one of the firmer beds in our roundup next to the Plank Firm.
What our testers say: A heavyweight team member over 250 pounds tested the mattress and says, 'I'd say this mattress feels cushiony and firm at the same time. That is something I enjoy about this mattress. It feels soft but has a lot of support at the same time.' And although it has a firm profile, he still found it accommodating for his side. 'This mattress is firm but feels very comfortable. My spine feels great as I lie on my side, and it's not out of alignment,' he says.
Here at Forbes Vetted, we've published an extensive library of sleep and mattress guides based on our team's expertise and research. From the best soft mattresses to firm models, we have mattress recommendations for every comfort preference.
Our sleep and mattress editors oversee all best lists and their picks and have extensive experience testing mattresses from top brands. To put together our roundup for the best extra firm mattresses, there are certain factors we accounted for.
As you shop for an extra-firm mattress, keep a few things in mind. Beyond your preferred sleep position, material choice and mattress construction both play important roles in how a particular mattress feels. Warranties, trial windows and special features—like cooling layers if you're a hot sleeper or pressure relief if you're routinely waking up with aches and pains—are also worth considering.
Some mattress constructions are inherently firmer than others, so being mindful of the properties of different materials can help steer you toward an extra-firm bed that meets your needs.
Every mattress has a firmness rating—a 1 to 10 score that indicates how soft or firm a mattress feels. While all the mattresses on this list are 'extra-firm,' they fall on different spots of this scale. Some can have a softer, luxury firm feel with a rating of 5 to 7, and others with a rating of 9 or 10 have an ultra-firm feel. While these ratings are generally unscientific, they still give you an idea of what to expect.
Back and stomach sleepers tend to do best on extra-firm mattresses. Both positions require a firm surface to keep the hips elevated, which helps ensure proper spinal alignment. An extra-firm mattress cab also keep body weight more evenly distributed, reducing the risk of pressure-point pain.
Your weight and body type should be taken into consideration when choosing an extra-firm mattress. In general, the heavier you are, the softer a mattress is going to feel. Conversely, the less you weigh, the firmer a bed feels. With the exception of the Titan Plus, our extra-firm mattress picks may feel ultra-firm to a petite or average sleeper, but more like a medium-firm bed for individuals over 230 pounds. For an extra-supportive mattress made specifically for plus-sized sleepers, check out our guide to the best mattresses for heavy people.
Since so many mattresses are purchased online these days instead of in a showroom, a trial window is particularly important. Most brands offer trials ranging from 100 to 365 days, which is plenty of time to decide if a certain mattress is a fit for your needs. Keep in mind that it can take up to a month or so to adjust to a new mattress, so most brands ask that you test a mattress for at least 30 days before initiating a return. Policies vary depending on the mattress company, so review the fine print before making a purchase.
According to our testing, we think the Plank Firm Mattress is the best extra-firm bed you can buy. It has a flippable design with two firm sides to choose from and the option to upgrade to a cooling cover if you tend to sleep warm at night.
An extra-firm mattress is good for your spinal alignment if you sleep on your back or stomach because it keeps your back from sagging into the bed. However, it can cause aggravation to your joints and lead to back pain if you're a side sleeper on an extra-firm mattress.
The right mattress firmness depends on your sleeping position. Extra-firm mattresses are best for people who weigh over 250 pounds and/or sleep on their back or stomach. Side sleepers should opt for a soft mattress that cradles their joints, while back and stomach sleepers should consider a medium-firm to firm mattress that promotes spinal alignment.

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Tom's Guide

2 days ago

• Tom's Guide

I couldn't sleep in the heat until I made this simple pillow switch

Summer is a mixed blessing for my sleep. While brighter mornings help me wake up fresh, warm nights make drifting off in the first place a struggle. Overheating has been a particular issue this year and it didn't take long to identify the source of the problem: my marshmallow of a memory foam pillow. As a sleep writer I spend a lot of time extolling the virtues of finding the best mattress for your needs but I've realised I may have overlooked the importance of right pillow. However, choosing the best pillow is an significant part of your sleep comfort and that's doubly true on a hot night. Something I realized the hard way when my pillow became a stuffy cocoon. A quick pillow switch made all the difference and if you're a hot sleeper I think it can do the same for you. Here's why (and how to pick the right one...) In my Tempur-Pedic Tempur-Cloud Pillow review I was full of praise for the soft-comfort of this memory foam pillow. And while I noticed some slight heat retention at the time, it wasn't a major problem... Until overnight temperatures began creeping up and that 'slight heat retention' was causing my sleep to suffer. I put up with it for a few nights (I really do like this pillow) but eventually had to admit defeat and go searching for a cooler solution. I ended up returning to the Levitex Sleep Posture pillow. While on the surface these pillows have a lot in common (all-foam with a flat build) both use their own brand foam (which is not memory foam) — and the Levitex is significantly cooler. The difference was immediate. While the Tempur-Cloud started to warm up within seconds, the Levitex remained pleasantly neutral. And it stayed neutral. I was flipping the Tempur-Cloud every few minutes in search of a non-existent cool side but on the Levitex I fell asleep cool and stayed asleep, no flipping needed. Tempur-Pedic Tempur-Cloud Pillow: from $89 at Tempur-Pedic US | £149 at Tempur-Pedic UKDesigned for back and stomach sleepers, the Tempur-Cloud pillow has a soft build and a low loft to cradle the head in alignment with the spine. But for US shoppers, I recommend adding the cooling technology upgrade (from $20) to avoid night sweats (cooling is included in the UK SmartCool design, which is also for all sleep styles.) Levitex Sleep Posture Pillow: from $135 at Levitex US | £80 at Levitex UKUsing Levitex's own-brand foam, this medium-firm pillow is available in four heights to suit your build and sleep position. The foam is designed to breathable, making this a good choice for hot sleepers. A UK company, Levitex offers delivery worldwide but double-check shipping times and charges before making your purchase. Below I'm focusing on cooling properties when finding a new pillow to get you through the summer nights, but make sure to check out our guides to pillow loft and finding the right pillow for your sleep position, as well. A member of my sleep team has recently swapped to wool bedding to stay cool and when it comes to pillows, natural materials can provide some of the best heat wicking. Many natural materials are, well, naturally cooling. Down pillows have built-in temperature regulation, as do pillows made with latex foam. Kapok and cotton are other options with natural heat wicking. But these natural pillow fills also tend to be pricey, so you might want to consider a synthetic alternative. While they lack natural cooling, synthetic materials can still prioritize heat wicking — my Levitex pillow is a good example. One of the best things about my Tempur-Cloud pillow is its softness. It cradles my head and because I can sink into it, my neck and spine are kept aligned. But after a few overly warm nights it became obvious that sinking into the pillow was part of the problem. As soon as my warm breath left my body it hit the pillow and started circling my head. Firm pillows should still yield beneath you but for the most part, you'll be lying on top of the materials, not sinking in. Now it can circulate, the hot air will escape. After switching my soft pillow for something firmer I could immediately feel the difference, no longer trapped in a sauna caused by my own breathing. A firm pillow won't guarantee a cooler feel (some of the best firm mattresses we've tested have had only average temperature control) but it's a good starting point if your pillow is causing you to overheat. A pillow is more than just the fill and for hot sleepers the cover is another important part of the equation. And in my case, the plush quilting of my Tempur-Cloud pillow's cover definitely contributed to the stuffy feeling... as did the quilted pillow protector it was wrapped in. For very hot sleepers, I highly recommend investing in a pillow with a cool to the touch cover. This will mean you're greeted with a chilled feel as soon as your head touches the bed. Consider a breathable pillow protector alongside cooling pillowcases (natural materials are a good choice here.) These extras layers might seem counter to the cooling aim but the easy-cleaning additions are necessary to prevent sweat from ruining your pillow. I've focused on the pillow here because it was the source of my own overheating woes, but your entire bed can contribute to summer sweating. For those who frequently overheat — no matter the time of year — I recommend investing in one of the best cooling mattresses. These designs use cooling mattress materials to wick away sweat and maintain a chilled feel. If a new mattress isn't on the cards, or overheating is only an occasional issue, consider a cooling mattress topper. This adds a breathable layer to your bed for a fraction of the cost of a new mattress. And while you might not be wrapping yourself up in a blanket, your sheets can also trap heat. Our guide to cooling bedding can help you find a solution while our bedding expert recommends a cooling duvet. Yes, it sound weird but yes, it can cool you down. Warming up with a shower before bed causes your core temperature to drop when you step out of the bathroom, helping you achieve the right temperature for sleep. Plus, a quick wash after a warm day cleans away the pollen, sweat and sunscreen that can accumulate in the summer, preventing your pillow and mattress from getting gross, and helping to eliminate any allergens that might disrupt your sleep. It might sound counterintuitive but experts recommend closing your curtains on a hot day. Doing so blocks the sunlight, so your room stays a touch cooler. Also, be strategic with open windows. While many of us open windows hoping for a steady breeze this can actually introduce more hot air to the room. Keep windows (and curtains) closed until the evening and things cool down. Then you can open up and let fresh air in. Once your pillow / mattress / bedding has warmed up, it can feel impossible to escape the heat. I found the best solution was to leave the room and take a few minutes to cool down away from my bed (known as the 15 minute rule, this can help on any disturbed night.) Before stepping back into my (now slightly cooler) bed, I would run cold water onto my wrists. This cooled the pulse points and allowed me to fall asleep feeling slightly fresher. Your first choice might be to have your fan directly in front of your pillow but placing a fan so it's also near the window, if possible, might be the smarter solution. This allows the fan to pull in cold air and push out hot air, creating cross ventilation. And if your fan alone isn't working, add ice. Placing a bowl of ice in front of your fan creates make-shift air conditioning.

Tom's Guide

3 days ago

• Tom's Guide

Tempur-Pedic Tempur-Neck Pillow review 2025: Soothing neck support for side and back sleepers

The Tempur-Neck stands out from most other bed pillows on the market thanks to its unique design, which follows the natural curve of the neck and head. It's designed for back and side sleepers in particular, and comes in three sizes (small, medium and large) so you can pick the one best suited to your sleep position and body shape. Type: Tempur material (foam)Best for: Side and back sleepersSizes: Small (20" x 12.5" x 3.5"), medium (20" x 12.5" x 4") and large (20" x 12.5" x 4.75")Trial: N/AWarranty: 5-year limitedPrice: From $119 MSRP at Tempur-Pedic Tempur-Pedic mattresses are hugely popular, and the brand has used its signature pressure-relieving Tempur-Material (essentially high-end memory foam), which is both firm yet comfortable, in this best-selling pillow. We felt it strikes the right balance between sturdy support and cushioning comfort — which can help minimize the risk of exacerbating any existing conditions. As a combination sleeper, our tester found the Tempur-Neck to be the most comfortable when lying on her back. This way, her neck felt instant pressure relief that she described as being akin what she'd feel after a neck massage at a spa. She slept on the pillow for over two weeks and was comfortable all night long, never waking up with aches or pains. She even felt that it reduced any muscle tension she experienced. In addition to sleeping on it during the testing period, we also put the Tempur-Neck pillow through other performance tests (more on that below) in which it scored well. Overall, we rate the Tempur-Neck a 4 out of 5 stars considering the various parameters like comfort, support, temperature regulation and durability. Keep reading to find out more… In terms of the cost, Tempur-Pedic pillows are not exactly budget purchases in comparison to some of the other best pillows out there. At MSRP, the Tempur-Neck retails at $119 for a small size, $129 for a medium and $159 for a large, and is in the mid-range bracket for the brand (their most expensive pillow, the Tempur-Cloud Dual Cooling Pillow, starts from $199 for queen when at full price). However, you can snag excellent deals on the pillow during Tempur-Pedic sales. These don't come around as regularly as you'll find at other sleep brands, but when they do, particularly around events like Black Friday and Memorial Day, you'll find that you could save up to 50% or more. The brand also occasionally runs 'buy one get one free' sales, which is the perfect time to stock up on two of your favorite Tempur-Pedic pillows, letting you sleep better for less. Two pillows that are similar to the Tempur-Neck in terms of design and functionality are the Nest Bedding Easy Breather (from $119) and the Sleep Number NaturalFit Ultimate (from $169 to $199) — the first at a similar set of price points and the second coming in a little more expensive. Tempur-Neck pillow: from $119 at Tempur-PedicThe Tempur-Neck pillow is available in three sizes: small, medium and large. A small is priced at $119, a medium at $129 and a large pillow is $159. This price includes a 5-year warranty and free shipping. While the Tempur-Neck is currently full price for a single pillow, you will get 30% off when you buy two. The Tempur-Neck is comprised of a single block of the brand's signature Tempur-Material. Described as having an 'extra firm feel' it is designed specifically for back and side sleepers, delivering pressure relief and relaxing your muscles while still keeping them supported. Unlike regular bed pillows, you don't have to spend your time and effort adjusting the Tempur-Neck to contour your neck and shoulders, since its design follows the natural curvature of your neck and head. As such, it's designed to always give solid support to your neck, without ever compromising on neutral spinal alignment, whether you're sleeping on your side or your back. You can choose between the three sizes, and Tempur-Pedic even provide a handy chart and instructions on the pillow's product page so you can find the ideal Tempur-Neck for your body type. The Tempur-Material is encased in a hypoallergenic knit cover made from 100% polyester, and handily it's both removable and machine washable. Hot sleeper? You have the option of upgrading your Tempur-Neck to include cooling technology, in the form of heat-wicking cooling yarns woven into the breathable cover. This costs $20, but if sleeping hot is a big problem for you we'd recommend a dedicated cooling pillow such as the Casper Hybrid with Snow Technology. That's the basics covered, so now let's take a closer look at how the Tempur-Neck fared across a range of specific performance parameters. This will help you make an informed decision on whether the Tempur-Neck will work for your sleeping style and needs. The Tempur-Neck is one of the few pillows we've found that does not require any additional steps to be set up fully. It arrives in a fuss-free cardboard box, wrapped in plastic film. You don't have to wait for it expand or adjust the loft or firmness by adding or removing fill. Simply tear the plastic off and it's all ready to be slept on. Score: 5 out of 5 I found the Tempur-Neck largely delivered on what it claims. I'm a combination sleeper (side and back) and I specifically loved the instant pressure relief of the foam, which mimics the soothing relaxation of a neck massage or spa. It is on the firmer side and hence is suitable for anyone who needs that extra sturdy support to keep their neck aligned or to reduce the risk of worsening their aches or pains. To test its comfort and support, we put it through a sink-in test by placing a kettlebell weighing 10lb (roughly the average weight of an adult head) on the pillow and leaving it for 5 minutes. As soon as we removed the kettlebell, the foam sprung right back up without even a dent to show that a weight had been placed on it. I also found the Tempur-Neck to be most comfortable for back sleeping since this truly gave my neck and shoulders the feeling that tension was melting away. Since I tend to prefer a pillow with a softer feel and do not particularly suffer from neck aches or shoulder pains, I found the curved design to be slightly distracting after a week. Similarly, if you're someone who wants a pillow that conforms to your neck and head, giving you a cradling effect (like you're sleeping on a cloud), the Tempur-Neck might not work as an everyday pillow. Score: 4 out of 5 Apart from the optional cooling upgrade, the Tempur-Neck doesn't include any cooling features. Since it is made from a type of memory foam (which is known to trap heat), we expected it to cause overheating, but this never happened while testing the Tempur-Neck, although it should be noted that the reviewer is not a hot-sleeper. I was sleeping on the Emma Hybrid Airgrid mattress and used an ordinary department store microfiber duvet during the Tempur-Neck testing period. The knit cover which wraps the Tempur-Neck, however, is not a light breathable material of the type you might find on other pillows. If you're a hot sleeper, you'd be advised to opt for the cooling upgrade or to go for the Tempur-Cloud Dual Cooling pillow, which comes in a breathable cotton cover with cooling gel on either side. Score: 4 out of 5 A pillow may be comfy enough to sleep on but is it easy to clean? This is why we consider maintenance and durability to be key factors when judging the performance of a pillow. Tempur-Pedic is a popular mattress and bedding brand in the US and one of the reasons why it's so well-regarded is its consistent quality. Compared with other memory foam pillows, the Tempur-Neck does not sag or require any fluffing to maintain its shape, comfort and support. Score: 5 out of 5 As per Tempur-Pedic's care guidelines, only the outer cover is removable and can be washed and dried on a cold setting. Air-drying is recommended. Tempur-Pedic also suggests that you should avoid over-drying it or using chlorine or harsh products for cleaning. Score: 4 out of 5 The Tempur-Pedic Tempur-Neck definitely lives up to the expectations. Finding a pillow that strikes the perfect balance of comfort and support is a tricky task for those struggling with neck pains or shoulder aches, and the last thing you need is a pillow that's either too soft or too firm and increases the risk of worsening the pain. If this sounds familiar to you, we believe that Tempur-Neck would be a good choice thanks to its ergonomic curved design and it's firm but instantly pressure relieving Tempur-material. While it's not one of Tempur's most affordable pillows, it sits around the middle of the Tempur-Pedic price range. Temperature control clearly isn't the Tempur-Neck's priority, and this is surely where it falls down compared with similarly-designed pillows such as the Nest Bedding Easy Breather and the Sleep Number NaturaFit Ultimate. The curved shape and the extra firmness also makes it an unsuitable option for stomach sleepers who require a low-loft model or one with a customizable fill like the Coop Home Goods Original pillow. ✅You suffer from neck pains or aches: The Tempur-Neck provides the right combination of cushioning and firm support to soothe any aches or pains. ✅You're a back or side sleeper: The ergonomic design follows the natural curve of the neck and is therefore perfect for side and back sleepers. ✅You need instant pressure relief for your neck: The Tempur-Material used in the pillow gives you instant relaxation which melts away the built-up tension in your neck and shoulder muscles. ❌You prefer a softer pillow: Tempur-Neck is the firmest Tempur-Pedic pillow and its cushioning won't appeal to sleepers who need a fluffy or plush model. ❌You need a more affordable pillow: Tempur-Pedic pillows are not exactly cheap compared to more budget-friendly options in the market. ❌No sleep trial included: Unlike most brands, Tempur-Pedic does not provide a sleep trial or returns for its pillows. Extra benefits are limited to a 5-year warranty and free shipping. 1. Nest Bedding Easy Breather Side Sleeper pillow: was $119 from $99 at Nest BeddingThis pillow with a similar curved design as the Tempur-Neck, is perfect for side sleepers who like a more softer feel to their headrest. Crafted from a blend of CertiPUR-US certified foam and polyester fiber, the Easy Breather provides plush comfort and contouring in addition to a breathable knit cotton cover for cool sleep (read the full review on the Nest Bedding Easy Breather Side Sleeper pillow for more details). You can now get this at $20 off which takes the price down from $119 to just $99. Extra benefits include a 2-year warranty and 30 night sleep trial. 2. Sleep Number NaturalFit Ultimate Pillow: was $189.99 from $151.99 at Sleep NumberThe NaturalFit is an adjustable pillow with removable fill inserts to suit your sleeping preference. The natural down and latex blend is a dream combination, ideal for anyone who like plush comfort and responsive support (read the full review on the Sleep Number NaturalFit Ultimate pillow for more details). It also comes in a breathable cotton cover preventing any overheating or night sweats (in addition to naturally temperature regulating down and latex). You can grab this now at 20% off, reducing the price of a standard pillow from $189.99 to $151.99, while a king is priced at $175.99 (was $219.99). 3. Beckham Hotel Collection Pillows: was $79.99 from $59.99 at AmazonNeed a simpler pillow which suits all sleeping styles and those prone to overheat during the night? The Beckham Hotel Collection crafted from down-alternative fiber impressed our reviewer who said it provides 5-star luxury comfort within a budget (read the Beckham Hotel Collection Pillow review to know more). It is also a great budget purchase (and hence the top affordable choice in our pillow guide) since you're paying for not one but two pillows. There's currently 25% off, which means a set of queen pillows is now $59.99 (was $79.99).

Medscape

6 days ago

• Medscape

Is the Truth Out There? Space Offers Hematology Insights

MILAN — An unexpected highlight here at this year's European Hematology Association (EHA) Congress came from beyond planet Earth. In a packed session titled Space Hematology , researchers and clinicians explored how frontier science intersects with practical medicine. Although the International Space Station and spaceflight might seem distant from the clinic, space offers a uniquely revealing experimental environment for hematology and for medicine more broadly. Microgravity, radiation exposure, circadian disruption, isolation, and other extreme conditions challenge human physiology in ways that are both scientifically illuminating and clinically relevant. Insights from experiments under these conditions can offer new perspectives for both treating and understanding the underlying mechanisms of hemoglobinopathies, coagulation disorders, or white blood cell dysfunction. Joseph Borg, PhD Perhaps most compelling, however, is this: Research conducted in space is no longer an expensive, distant aspiration — it is becoming a practical extension of the terrestrial laboratory. 'The technical and economic accessibility of space research has dramatically improved, and it will likely continue to do so, just as we saw with whole genome sequencing (WGS),' said Joseph Borg, PhD, professor and principal investigator at the University of Malta and investigator at NASA GeneLab, in an interview with Medscape Medical News . 'Regarding WGS, what once cost millions is now affordable for a large number of laboratories.' Space as a Lab: New Data From Far Away During the session, Borg presented findings showing that adult astronauts exhibit elevated levels of fetal hemoglobin (HbF), a molecule typically absent after infancy. His team, which has conducted annual experiments in space since 2021, analyzed peripheral blood using advanced omics technologies. Samples were collected pre-flight, during missions, and post-return. One study, published in Nature Communications , reported significant overexpression of gamma-globin genes ( HBG1 , HBG2 ), suggesting reactivation of fetal erythropoiesis during spaceflight. This pattern was consistent across different missions, including a polar orbit flight. Borg highlighted that the clinical relevance of these findings is that — in disorders like sickle cell disease or beta-thalassemia — increased HbF can reduce symptoms and improve quality of life. While gene-editing approaches like CRISPR-Cas9 aim to achieve this, they remain complex and costly. Inducing HbF through environmental triggers akin to those in space might offer a simpler alternative. Roopen Arya, MD Thrombosis risk in space has also transitioned from theoretical concern to real issue. 'Until 2019, there were no reported cases of venous thromboembolism (VTE) in astronauts,' noted Roopen Arya, MD, professor of thrombosis and hemostasis and clinical director for hematological medicine at King's College Hospital, UK. That changed with a case of jugular vein thrombosis described in JAMA Network Open . NASA's VTE working group subsequently developed in-flight diagnostic and treatment protocols. Another study on the secretome of civilians participating in a short-duration mission showed transient changes in coagulation and inflammatory markers. 'Very interesting data, even if we currently don't know what they mean,' Arya commented. Finally, white blood cell function is also altered in space. Judith-Irina Buchheim, MD, anesthesiologist at Ludwig-Maximilians-Universität (LMU) München, Germany, presented evidence that spaceflight can reduce NK cell cytotoxicity, affect T-cell activation, and trigger a state resembling inflammaging. 'If you're interested in aging research, space is probably the right choice for your experiments,' she said. 'You can see the effects prospectively very quickly, as early as 6 months.' Buchheim is also a member of the European Space Agency Medical Board and is leading its expert group for studying the effects of isolation, confinement, and extreme environments on the human body. Down to Earth: Why Space Medicine Matters Are these findings clinically applicable to Earth-based medicine or are they just curiosities from an elite group of astronauts and space agencies? According to the speakers, the implications are far-reaching. Astronauts offer ideal study subjects; they are healthy, highly monitored, and highly motivated individuals. Space acts as a physiological accelerator, revealing stress-response patterns and disease models that could take years to emerge on Earth. Insights into HbF reactivation could inspire pharmacologic mimicry. Coagulation changes may refine risk stratification for hospitalized or immobilized patients. And immune dysregulation observed in space could help clarify mechanisms of aging, vaccine response, and infection susceptibility. Space-based research also drives technological innovation. Devices miniaturized for orbit — blood analyzers, sequencing platforms — can be reengineered for bedside diagnostics in rural or low-resource settings, improving access to care. Why Space Hematology and Why Now? The inclusion of space hematology in the EHA Congress was deliberate. 'Most hematologists are not experts in space medicine, but this is already in the news and may become part of our clinical routine in 10-15 years,' Martin Dreyling, MD, professor of medicine and head of the lymphoma program at the Department of Medicine III, LMU Hospital Munich, told Medscape Medical News . He is the chair of the of the Scientific Program Committee for the EHA 2025 Congress, the group of experts in charge of selecting the topics to be presented at the event. Young investigators are especially drawn to the field, he added, attracted by its novelty, data richness, and interdisciplinary collaborations. Attendance by many early-career hematologists at the Milan session confirmed this growing interest. Martin Dreyling, MD With private companies offering logistical support, space is also now an optional arm in experimental design. 'It's about adding a new layer to your research and going deeper into biological mechanisms,' Borg explained to Medscape Medical News . He also emphasized the need for ethical oversight. Astronauts provide informed consent for biological sampling, and some opt to receive personal results. Nowadays, great attention to these issues is also needed for the 'new astronauts': that is, people who will be able to access commercial spaceflight and who are not as trained and risk-aware as traditional astronauts. It's tempting to ask whether data obtained from such a small and selected group of individuals are really significant for the population on Earth. Yet, despite small sample sizes, insights are accumulating. As more samples and subjects are sent into space and as repositories like the Space Omics and Medical Atlas grow, the potential for clinical translation increases. The long-term vision is a broader pool of space travelers, including commercial passengers, undergoing real-time health monitoring to yield diverse datasets. 'This is not a diversion from medicine's mission; it's an extension,' Borg told Medscape Medical News . 'Every doctor seeks better tools, new therapeutics, and deeper understanding. Space provides an extraordinary testbed that may reveal what Earth conceals.' From hemoglobin switching and thrombotic risk to immunosenescence and real-time drug testing, space hematology is no longer just a scientific curiosity. It's a fast-evolving frontier of translational research, he concluded.