1. Optimize Your Mattress for Pressure Redistribution
Choose materials that reduce peak pressures
● Latex: Conforms to the body and lower localized pressures.
● Hybrid mattresses: Combine springs + foam for better weight distribution and support.
● Air-cell or adjustable air systems (e.g., medical-grade): Best for severe pressure sensitivity or bedbound individuals.
Mattress firmness guidelines
● Side sleepers: Medium–soft to medium — reduces shoulder/hip pressure.
● Back sleepers: Medium to medium–firm.
● Stomach sleepers: Medium–firm to firm (but stomach sleeping generally strains the spine).
If your mattress is >8–10 years old and sagging, pressure points increase significantly.
2. Use Pillows and Positioning to Reduce Capillary Closure
For side sleepers
● Support the shoulders and hips with a mattress topper or softer zone. Pressure’s Off does this
● Use a knee pillow to align the spine and reduce hip pressure. Pressure’s Off does this
● Use a soft, conforming pillow to reduce neck compression.
For back sleepers
● Place a small pillow under the knees to reduce lumbar pressure.
● Ensure the head pillow does not tilt the neck excessively.
For stomach sleepers
● Try transitioning away from stomach sleeping (highest risk for pressure points and micro-arousals).
● If not possible, use a very thin pillow or none under the head.
3. Improve Sleep Surface Microclimate
Overheating increases capillary pressure and triggers position changes.
● Use breathable mattress covers (cotton, Tencel).
● Avoid heavy blankets if pressure-related discomfort makes you restless.
4. Movement-Friendly Bedding
Sheets that tug or restrict movement can increase shear forces and worsen tissue compression.
● Use smooth, soft sheets (sateen, bamboo, Tencel).
● Avoid deep tuck-ins that keep you from freely adjusting position.
5. Reduce External Factors That Lower Tissue Tolerance
Certain conditions make tissues more vulnerable to capillary closure.
Improve circulation before bed:
● Gentle stretching
● Warm shower
● Light massage
● Avoiding nicotine, heavy meals, or alcohol before bed (all impair circulation)
Medical considerations:
● Diabetes, neuropathy, or vascular disease can lower the pressure threshold for capillary closure → optimize management with your clinician.