Tired of waking up with stiff muscles or lower back pain? An adjustable bed frame might be the solution you’ve been looking for. These frames offer customizable positions for your head and feet, which allow you to find the perfect sleeping posture. An adjustable bed frame can help you alleviate discomfort and improve sleep quality. As Dr. Raj Dasgupta, Chief Medical Advisor at Sleepopolis, explains:
“A mattress can either alleviate or worsen lower back pain based on its features. Alleviation is promoted by proper spinal alignment, medium-firm to firm support, pressure relief from materials like memory foam or latex, zoned support, and motion isolation. Exacerbation occurs with insufficient support, inadequate cushioning, mattress sagging, and wrong firmness.”
Adjustable bed frames are designed to complement this ideal support. They can help reduce pressure points, enhance circulation, and create a more restful sleep experience.
In this guide, I’ll explore the best adjustable bed frames out there today. Each option differs in style, design, and features, but all are crafted to provide superior comfort and flexibility. Whether you struggle with back pain, snoring, or simply need a better way to relax, I’ve got you covered. In 2024, Sleepopolis helped 12,544 people choose a new bed, and now I’m here to help you upgrade your sleep setup with an adjustable base. Keep reading to find the perfect match for your needs.
Our Top Pick For Adjustable Bases
We chose the Nectar Adjustable Bed Frame as our top choice for adjustable bases because it’s easy to operate, includes premium features, and has adjustable height options. This bed is great for anyone wanting a durable and user-friendly base.
Best Adjustable Beds & Bases
- Nectar Adjustable Bed Frame – Best Overall
- DreamCloud Adjustable Bed Frame – Best for Heavy People
- Helix Adjustable Base – Best Massaging
- Nolah Smart Adjustable Base – Best Features
- Saatva Adjustable Base Plus – Most Supportive
- Bear Adjustable Flex Bed – Best for Couples
Best Adjustable Beds Video Review
What I Look for in The Best Adjustable Beds & Bases
Range of Motion
Range of motion refers to how extensively and smoothly the bed can adjust to different positions. When testing adjustable beds, I ensure they can achieve positions like zero gravity (around 15 degrees for feet and 30-45 degrees for head) and anti-snore (10-15 degrees head elevation). I measure these angles and test the smoothness of transitions between positions to ensure every sleeper can find a comfortable position to settle into.
Motor
The motor system is the heart of an adjustable bed, so I carefully assess motor performance, noise levels, and weight capacity. I test each bed’s lifting capacity with various mattress weights and ensure that the noise isn’t too loud for bedroom use during operation. Dual motors (separate head and foot controls) typically offer better performance and longevity than single-motor systems.
Control System
A responsive, user-friendly control system is essential for daily use, so I evaluate both the remote functionality and any smart features included. I test wireless response time, assess the clarity of button layouts, and verify the reliability of preset positions. For smart-enabled beds, I check app connectivity, voice control compatibility, and the stability of wireless connections.
Nectar Adjustable Bed Frame – Best Overall
- Present recline for reading and watching TV
- Split king option is great for couples
- 60-night trial to test risk-free
The Nectar Adjustable Bed Frame brings a mix of comfort, convenience, and health-focused features at an accessible price point. With customizable head and foot adjustments, zero-gravity positioning, and a wireless remote, it’s designed to upgrade your sleep and relaxation routines. The 60-night trial and free shipping make it a low-risk investment, while financing options add extra flexibility. It’s a great choice for couples, people with back pain, or anyone looking to turn their bed into a multifunctional space for both rest and relaxation.
Nectar Adjustable Base
If you like to sit up in bed or are in search of various features, like an anti-snore position or massaging, then the Nectar Adjustable Bed could be for you.
Sleepopolis Score
4.70 / 5
DreamCloud Adjustable Bed Frame – Best for Heavy People
- Zero gravity and massage settings
- Sturdy option for heavier couples
- Quick, tool-free assembly
The DreamCloud Adjustable Bed Frame combines luxury features with everyday practicality. With dual massage zones, customizable head and foot adjustments, and a soothing zero-gravity setting, it’s built for both comfort and function. Couples will appreciate the option for individualized positions, while those with back pain or snoring concerns will benefit from its supportive design. Backed by a 60-night trial, free shipping, and flexible financing, it’s a versatile upgrade for anyone looking to transform their sleep setup into a truly restorative space.
DreamCloud Adjustable Base
If you like to sit up in bed, raise your legs, or need an anti-snore feature, the DreamCloud adjustable bed could be a great choice.
Sleepopolis Score
4.60 / 5
Helix Adjustable Base – Best Massaging
- Built-in USB ports
- Versatile massage functions
- Helpful for sleepers with sleep apnea
The Helix Adjustable Base blends comfort with functionality, offering customizable head and foot adjustments, soothing massage features, and convenient USB charging. It’s especially well-suited for couples, tech users, and those looking for back-pain relief through ergonomic positioning. With free shipping, a 100-night trial, and a 10-year warranty, it’s a strong value for anyone wanting to upgrade their sleep setup with practical, user-friendly features.
Helix Adjustable Base
The Helix Adjustable Base is a budget-friendly option that offers a variety of features, from massages to a zero gravity preset.
Read Full ReviewNolah Smart Adjustable Base – Best Features
- Wall-glide technology
- Voice command functionality for ease-of-use
- Great option for couples
The Nolah Smart Adjustable Base combines advanced comfort with modern tech features, including wall glide technology, customizable massage settings, and app-based control. Its zero-gravity mode and lumbar support make it a great option for those dealing with back pain or looking for better rest positions. Couples will appreciate the split-king flexibility, while tech enthusiasts will enjoy the integrated USB ports and wireless control. With free shipping and a 10-year warranty, it’s a smart upgrade for anyone wanting both comfort and convenience in their bedroom setup.
Nolah Smart Adjustable Base
The Nolah Smart Adjustable Base is one of my all time favorite adjustable bed frames. It features a sturdy construction, massage settings, USB ports, and plenty of position variability.
Sleepopolis Score
4.90 / 5
Saatva Adjustable Base Plus – Most Supportive
- Premium design and white glove delivery
- Compatible with Saatva bed frames and platform beds
- Underbed lighting
The Saatva Adjustable Base Plus is a luxury upgrade designed for those who want premium features and stress-free setup. With wall-hugging technology, full-body massage, under-bed lighting, and zero-gravity positioning, it offers both comfort and convenience. While it doesn’t include a trial period or return option, its long 25-year warranty and complimentary white-glove delivery add value. This base is best suited for shoppers who prioritize long-term durability, advanced features, and a seamless setup experience.
Saatva Adjustable Base Plus
The Saatva Adjustable Base Plus is a luxury adjustable bed featuring custom settings that allow sleepers to program their favorite positions, in addition to the pre-set positions available on the wireless remote.
Sleepopolis Score
5.00 / 5
Bear Adjustable Flex Bed – Best for Couples
- Legs are stackable and adjustable
- Long warranty period
- Quiet motor
The Bear Adjustable Flex Bed blends recovery-focused comfort with modern convenience. With customizable head and foot adjustments, zero-gravity positioning, and soothing massage features, it’s built to support better rest and relaxation. The integrated USB ports and wireless remote add everyday practicality, while the split-king option makes it an excellent fit for couples. Backed by free shipping and a 25-year limited warranty, it’s a smart choice for sleepers who value flexibility, recovery, and tech-friendly features in their bedroom setup.
Bear Mattress Adjustable Flex Bed
This sturdy bed frame has several presets and is made by a renowned brand that caters to athletes.
What is an Adjustable Bed?
Adjustable bed, or adjustable base, is a customizable bed frame that allows sleepers to alter the position of their mattress in a way that neutrally (and properly) aligns the spine. Many simply adjust the head and/or feet, but there are many luxurious options with special features. Some folks use these frames to put themselves in a nice reading or TV-watching position, and others use it to enhance comfort during sleep.
High-quality adjustable beds utilize steel in its construction, allowing a sturdy base to support a variety of body types. Many adjustable beds require assembly, and often they’re extremely heavy, so consider grabbing a friend to help you or stick with a model that’s pre-assembled.
Once you’ve got it all set up, you can adjust the positions of an adjustable bed, often with a remote. Many models come with presets (zero-gravity, anti-snore, etc.). When you’re finished, you can lower the setting to different position that suits your comfort level and sleep soundly.
Adjustable Bed vs Adjustable Mattress
As discussed above, the best adjustable beds are the nifty frames that help folks customize their comfort in bed, whether they’re asleep or simply engaging in relaxing nighttime activities. However, the best adjustable mattresses, or the cozy beds highlighted in this very roundup, are the actual sleeping surfaces that go atop adjustable beds.
Related: Best Adjustable Beds for Split Queens
The most important thing to keep in mind is whether or not the mattress you purchase is compatible with your adjustable bed. And that’s something you won’t have to worry about with any of the above recommendations. We’ve tested them all in our sleep lab, and if you’re wanting to learn more about our rigorous processes, check out our testing methodology.
Who Do you Recommend an Adjustable Base for?“I recommend an adjustable base for a wide variety of people. If you experience any discomfort while laying flat, or if you suffer from back pain, sleep apnea or have bad acid reflux, an adjustable bed allows you customize your sleep positioning to find the ultimate comfort. Adjustable bases also make reading, watching tv or using a laptop from bed much easier as it provides flexibility to sit up comfortably.”
Dr. Raj Dasgupta, MD, FACP, FCCP, FAASM. Quadruple-board certified in pulmonary, sleep, internal, and critical care medicine
Pros and Cons of Adjustable Beds
Purchasing an adjustable bed is a great idea for some, not all. Check out the chart below to see if your desires and priorities match up with what goes into having an adjustable bed.
| Pros | Cons |
| Helps with circulation (especially those with zero-gravity settings) | Can be expensive |
| Versatility results in added comfort | Heavy |
| Great for couples with different preferences | Some are difficult to assemble |
| Some have anti-snoring settings | |
| Easier to watch TV/read |
What to Look for In An Adjustable Bed
When shopping for an adjustable bed, you may be overwhelmed by all the different brands and models on the market. To make your shopping process a bit easier, here are some factors you may want to consider before making your purchase.
Construction
One of the most important things to consider when shopping for an adjustable bed frame is its construction. This might seem like an obvious point, but it’s easy to get distracted from the basics when thinking about all the other more “exciting” features that may come with an adjustable base.
What Kind Of Construction Should You Look For?
High-quality adjustable bed frames are typically made of steel, a sturdy material that’s both flexible and supportive. Remember, you want your frame to support at least 750 pounds, and steel is definitely up to the challenge!
Assembly
Ease of assembly is another major factor to think about when shopping for an adjustable bed frame. A lot of steel frames are incredibly heavy, with some weighing upwards of 200 pounds. This can make it difficult for some to set it up on their own. If you aren’t too good with assembling furniture or physically can’t due to pain or disability, consider snagging a frame that’s pre-assembled. Or, you could buy from a brand that offers white glove delivery service —the base is delivered to your home and set up for you.
Wall-Hugging Design
Another thing we look out for when researching adjustable bed frames is whether or not a frame has a wall-hugging design. Frames that feature this design are able to slide up and down your bedroom wall (without hitting it, of course!) rather than away from the wall. This saves a ton of space and makes for a more seamless bedroom aesthetic. You’ll also have an easier time reaching your nightstand. Apartment dwellers may be especially well-suited to this kind of build.
If a frame is built with this kind of design, the brand will always advertise it either in the name of the product or in the “details” section.
Presets
Though all adjustable bases move, not all of them move in the same ways. Most frames can independently raise your head and feet or do both at the same time, but some come with additional premium features.
Below are some of the most common preset positions you may discover when shopping for an adjustable bed frame of your own. Again, brands usually list these in the “details” section of the product, so if there’s one that sounds particularly interesting to you, make sure to look for it by name in that section.
- Zero-gravity: This position raises both the head and foot of the bed in a way that’s supposed to make the sleeper feel weightless. Basically, the foot of the base is raised slightly higher than the head in an effort to promote better blood flow and circulation.
- Anti-snore: Folks who struggle with snoring may be particularly well-suited to this position, which raises the head slightly upward. This helps to promote better breathing, but isn’t a “fix-all” snoring cure. As always, be sure to chat with your doctor to see if this setting could work for you.
- TV: As the name suggests, this position is all about raising the head of the bed so you can better watch TV. Who says your bed can’t be a recliner?
- Elevate Head: This preset raises the head of the bed to a higher angle, perfect for reading, watching TV, or even alleviating certain health conditions such as acid reflux. It’s similar to the TV position, but with more elevation for extra comfort and support.
- Elevate Foot: In this position, the foot of the bed is raised, helping with conditions like swollen legs or poor circulation.
- Flat: And finally, the flat-back position. Most adjustable bed frames have a “flat” button that allows you to return to a neutral sleeping position.

How do Adjustable Bases Support Chronic Pain?“Adjustable bases have the ability to help find your perfect sleeping position because of its customization in the legs, back and head. This flexibility allows you to find comfort, reducing pressure points in your back, hips or shoulders. Elevating the head or legs keeps your spine aligned, alleviates any muscle strain and reduces pain symptoms of arthritis or sciatica by improving circulation and reducing swelling. “
Dr. Raj Dasgupta, MD, FACP, FCCP, FAASM. Quadruple-board certified in pulmonary, sleep, internal, and critical care medicine
Noise
When looking for an adjustable bed, it can be easy to overlook the noise level of the base’s motor and moving parts. However, it’s more important than you think, especially when you’re trying to get a good night’s sleep. No one wants to be disturbed by loud whirring or clanking when adjusting the bed, especially if you switch between different positions at night.
Read customer reviews and look for models with quiet motors or technology designed to minimize noise during adjustments. A silent, smooth base improves the overall experience of using the bed and ensures you or your partner isn’t disturbed when making small tweaks to get comfortable.
Shipping and Setup
Shipping and setup often vary between brands, so be sure to check the specific policies before buying. Most adjustable bed frames are pretty bulky and require assembly, so double-check that the company offers clear instructions and customer support if needed. Some brands offer white-glove delivery, which includes setup and removal of your old mattress or bed frame, while others may charge extra for this service. Be sure to confirm delivery times and whether any setup fees apply, as well as whether the base is delivered in one or multiple pieces for easier handling.
Extra Features
Aside from adjustability, many of these frames boast features that bring a little extra pizazz to the sleeping experience. While you won’t find these on all frames, two of the most common ones include:
- USB Ports: It’s pretty common for adjustable bed frames to come with USB ports, but some have more than others. If you sleep with a partner, we’d make sure to look for a frame that features ports on both sides of the bed. That way, you can both charge while you snooze!
- Massage: Many adjustable bed frames also come with massage settings! If this function appeals to you, take some time to determine exactly what you’d like it to do. For example, some bases offer multi-speed settings that allow sleepers to experiment with different levels of intensity. And some have massage “modes” so users can localize the vibrations to certain areas of the base.
- Under-bed lighting: Many adjustable bed frames include under-bed lighting for added convenience. Under-bed lighting illuminates the space beneath your bed and provides a soft light that can help during late-night trips to the bathroom or when you’re trying to avoid waking up your partner. Some bed frames even offer adjustable lighting modes, so you can control the brightness to suit your needs.
- Sleep tracking: Some newer, cutting-edge bed frames can help you track your sleep via integrated sensors or smartphone apps. These apps monitor your sleep patterns and provide feedback on your sleep quality. This feedback typically includes how much time you spend in each sleep stage and whether or not you get adequate rest. Using these apps, you can view your sleep data on your smartphone and reference it while adjusting your bed position or environment for a better night’s sleep.
- Custom Leg Heights: If you’re looking to tailor the height of your bed to your specific needs, a model that offers custom leg heights may be worth considering. Many adjustable frames allow you to adjust the leg height to create a more personalized sleeping experience. For example, if you need a higher bed to get in and out easier, customizable leg heights give you more control over your sleep setup, so you can make that happen.

Related: Best Mattresses for Adjustable Bed Frames
Health Benefits of Adjustable Beds
Adjustable beds can help people with various health conditions, particularly those affecting sleep and circulation. These beds allow users to elevate their heads and feet independently, which can help reduce acid reflux and heartburn during sleep. The ability to adjust sleeping positions also promotes better breathing and can alleviate symptoms of sleep apnea, asthma, and snoring by maintaining optimal airway alignment throughout the night.
These beds can also help folks suffering from chronic pain, arthritis, and mobility issues. Elevating the legs can help reduce swelling and improve circulation for individuals with edema or varicose veins. Meanwhile, the zero-gravity position, which simulates weightlessness by slightly elevating both the head and feet, can help relieve pressure on the spine and joints, potentially reducing back pain and promoting more restful sleep.
Sleepopolis Tips
Still not sure how to land on the adjustable bed frame of your dreams? No worries! Allow me to share some expert tips and tricks to improve your search.
- Some companies allow you to try out the adjustable base and then return or exchange it if you’re not satisfied. If you’re not sure if you really want an adjustable bed, finding one with a sleep trial could be a good way to find out.
- In that same vein, make sure to pay extra close attention to the warranty on your product! If one isn’t listed, we’d recommend moving right along.
- If you sleep with a partner who has different sleep preferences from you, we’d suggest looking for a frame with “split adjustability.” This allows each sleeper to modify their side of the bed without disturbing their bedmate.
Why Warranties & Trials Matter
It’s common to have a lengthy sleep trial for mattresses, but it’s less common to have sleep trials for adjustable bases, so don’t worry if you come across one that doesn’t allow returns. If you really want to try one out before committing, there are some on the market that do allow returns.
When it comes to adjustable bases, you’ll want to make sure yours has a lengthy warranty. You’ll likely keep your base for many years, so you’ll want to be covered just in case something goes wrong.
FAQs
Can you use a regular mattress with an adjustable bed?
Yes, you certainly can use a regular mattress with an adjustable bed. We strongly recommend first confirming with the manufacturer whether or not your particular mattress is compatible with your adjustable bed frame.
Generally, more flexible mattress models are best suited to adjustable beds, as they can conform to the shape of the frame as it adjusts. Memory foam mattresses are perhaps the best candidates, but many latex and hybrid mattresses have the potential to be great fits also.
Are adjustable beds worth it?
’Wed like to think that for most, adjustable beds are entirely worth the cost. While they are an extra investment, there are plenty of models out there designed for budget shoppers wanting a quality option. Even if you’re not planning on using your adjustable bed for sleep, they can be a fantastic way to enhance your experience relaxing in bed by reading or watching TV.
What’s the best sleeping position for an adjustable bed?
Back sleeping tends to be the best sleeping position for adjustable beds. Typically we recommend lifting the head of the base if you struggle with obstructive sleep apnea (OSA), as it helps open your airway. Zero gravity settings, if offered on your base, are also known for helping those with OSA and also folks with joint pain, as it helps distribute body weight evenly.
Is it healthy to sleep on an adjustable bed?
Generally yes, it is healthy to sleep on an adjustable bed, but it all depends on your preferred sleeping position. We mostly recommend adjustable beds for back sleepers, as the ability to raise the feet and/or head can help further promote spinal alignment in this position.
How do I find a headboard for an adjustable bed?
Look for headboards specifically designed for adjustable bases, or use a freestanding headboard that attaches to the bed frame rather than the mattress base. Some adjustable bed manufacturers also offer compatible headboard brackets that can adapt standard headboards to work with their bases.
Do doctors recommend adjustable beds?
Doctors often recommend adjustable beds for patients with specific medical conditions like acid reflux, sleep apnea, circulation problems, and chronic back pain. Adjustable beds can help patients recovering from surgery or those who need to elevate certain body parts for medical reasons.
Are adjustable beds good for side sleepers?
Side sleepers can benefit from adjustable beds by using slight elevations at the head and foot to maintain proper spinal alignment and reduce pressure points.
Are adjustable bases good for athletes?
Adjustable bases provide targeted elevation for muscle recovery, reducing inflammation in specific body areas, and improving post-workout circulation–all of which are beneficial for athletes. The zero-gravity position can also help athletes relieve muscle tension after intense training.