Best Adjustable bed bases are no longer just for medical needs — many modern sleepers use them to improve comfort, reduce pressure, and support better sleep. When paired with the right mattress, an adjustable base can help with issues like back pain, snoring, acid reflux, and overall sleep quality.
This guide breaks down what adjustable beds are, who actually benefits from them, which features matter, and how to decide if an adjustable base is worth it for your sleep needs.
What Is an Adjustable Bed Base?
An adjustable bed base is a motorized foundation that allows you to raise or lower the head and foot of your mattress using a remote or app. Unlike traditional box springs or platforms, adjustable bases let you customize your sleep position throughout the night.
How We Test Mattresses
Our reviews are based on firsthand, hands-on testing and real-world sleep experience. We evaluate mattresses using consistent criteria, including pressure relief, spinal alignment, motion isolation, temperature regulation, and durability. We do not use any fancy gimmicks, proprietary scoring systems, or manufacturer-provided ratings. Each mattress is tested the same way so comparisons are fair, transparent, and based on actual performance, helping readers make informed, trustworthy buying decisions. Read our full mattress testing methodology!
Most modern foam and hybrid mattresses are designed to work seamlessly with adjustable frames, making them a practical upgrade for many sleepers.
Who Should Use an Adjustable Bed?
Adjustable bases aren’t necessary for everyone, but they can be a game-changer for certain sleepers.
Best for:
- People with back pain or joint discomfort
- Sleepers who snore or experience mild sleep apnea
- Those with acid reflux or GERD
- Side sleepers who want better pressure relief
- People who read or watch TV in bed
- Anyone who prefers customizable comfort
Not ideal for:
- Shoppers on a strict budget
- Those who prefer a completely flat sleep surface
- People who frequently move or rearrange their bed setup
If you’re comfortable sleeping flat and don’t have specific comfort concerns, an adjustable base may not add much value.
Adjustable Bed Features That Matter (And Which Don’t)
Not all adjustable bed features are equally useful. Here’s what actually makes a difference.
Must-Have Features
- Head & foot articulation – the core benefit of adjustable bases
- Wireless remote – simple and reliable control
- Mattress compatibility – works with foam and hybrid mattresses
Nice-to-Have Features
- Zero-gravity position – reduces pressure on the lower back
- Massage settings – helpful for relaxation, not therapy
- USB ports – convenient but not essential
Often Overrated
- Smart apps with excessive presets
- Voice control features
- Overly complex programming
A simpler base often performs just as well as expensive models.
Best Adjustable Bed Bases by Category
Rather than listing dozens of options, we focus on categories to help you narrow your choice.
Best Overall Adjustable Bed
Balanced design with smooth articulation, quiet motors, and wide mattress compatibility.
Best Adjustable Bed for Back Pain
Strong head and foot elevation with stable support to maintain spinal alignment.
Best Luxury Adjustable Base
Premium materials, advanced positioning, and optional smart features.
Best Value Adjustable Bed
Essential features at a lower price without unnecessary extras.
(We’ll expand these sections with full recommendations as testing and comparisons grow.)
Mattress Compatibility With Adjustable Bases
Most mattresses we review work well with adjustable bed bases, including:
- Memory foam mattresses
- Hybrid mattresses
- Latex mattresses
Traditional innerspring mattresses may not flex properly and are less compatible.
If you’re shopping for a mattress alongside an adjustable base, many popular options — including the Helix Midnight, Lull Mattress, and GhostBed Mattress — are designed to bend and move without damage.
Should You Buy the Mattress and Adjustable Base Together?
Buying a mattress and base together can be convenient, but it’s not always necessary. However, if you can afford the minimal financial upfront investment for the base then you will definitely enhance your sleep.
Pros:
- Bundle discounts
- Simplified delivery
- Single warranty source
- Get the healthiest sleep system
Cons:
- Fewer base options
- Limited flexibility
- Higher upfront cost
In many cases, choosing the right mattress first and adding an adjustable base later makes more sense.
Best Adjustable Bed Bases FAQs
Are adjustable beds worth it?
They’re worth it if you have comfort concerns, pain issues, or enjoy customizable sleep positions. They’re not essential for everyone. When I was on the sales floor we sold around 40% of customers an adjustable bases. People are starting to see the health benefits of them even at younger ages.
Do adjustable beds help with back pain?
For many people, yes — especially when combined with the right mattress and sleeping position. The best adjustable bed bases have lumbar features and massage that really help with back pain.
Can you use any mattress on an adjustable base?
Most foam and hybrid mattresses are compatible. Always check manufacturer guidelines.
Are adjustable bases noisy?
Modern adjustable bases are generally quiet, with smooth motors that won’t disturb sleep. The best adjustable bed bases have quite motors on them like the Ghostbed Adjustable Base.
What if my spouse wants to lay flat and I want to elevate my head?
When couples cannot agree on the same sleep position then I recommend a split top mattress with spit top adjustable base or a total split king/cal king mattress with split king/cal king adjustable base combination. This will allow each of you to be able to customize your sleep position without interfering with your spouse.
Final Thoughts on Best Adjustable Bed Bases!
Best Adjustable bed bases can significantly improve comfort for the right sleeper, but they aren’t a requirement for great sleep. Choosing the right mattress should always come first — an adjustable base is an upgrade, not a necessity. However, I highly recommend the adjustable base and mattress combo. It is a complete sleep system when both are purchased together. I have even recommended to go down a mattress in order to be able to purchase the adjustable base also. It enhances any compatible mattress by allowing you to customize the way you sleep.
If you’re unsure, start with our mattress reviews and buying guides, then decide whether an adjustable base fits your lifestyle and sleep needs.
🔗 Helpful Next Steps
- Visit our Best Mattresses Buyer’s Guide
- Read our in-depth mattress reviews
- Take the Find the Right Mattress Quiz