image showing a couple in bed with an adjustable bed frame and a Nectar classic memory foam mattress

Your Ultimate Guide to Adjustable Beds: Answers to the 18 Most Common Questions

Written by Nectar Editorial Team

Last Updated on Jul 24, 2025

In this Article:

Adjustable bed frames have transformed the way people sleep, offering customizable comfort and potential health benefits. Whether you’re looking to relieve back pain, reduce snoring, or improve circulation, an adjustable bed frame can help create a more personalized sleep experience. And with features like wireless remotes, zero gravity positioning, and built-in massage functions – they are sure to meet a variety of needs and preferences.

This guide answers the most common questions you might have about adjustable bed frames: how they work, what features to look for, mattress compatibility, and maintenance tips. For some, an adjustable base is a medical necessity, and in those cases, it may be eligible for purchase using FSA/HSA funds (pending approval). Keep reading to learn everything you need to know before making your decision.

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Adjustable Bed Frames: What They Are and How They Work

1. What is an adjustable bed?

An adjustable bed is one that allows the user to adjust the angle of their bed, both at its head and at its feet. The frames are commonly powered by electric motors and controlled with remote controls.

2. How do adjustable bed frames work?

Adjustable bed frames use electric motors below the mattress base to raise or lower different sections of the bed, depending on your preferences. Joints in the metal frame allow for smooth mattress movement, so you can easily and seamlessly transition between various inclines.

3. What are the benefits of using an adjustable base?

Adjustable bed frames offer many benefits, especially when it comes to health, comfort, and lifestyle. Here are some of the key advantages:

  • Improved Comfort: Changing your bed’s position has a significant impact on improving your comfort levels while sleeping or lounging. Elevating your head can reduce neck and back pain, while doing the same for your feet can alleviate leg and lower back pain. This is particularly beneficial for those suffering from chronic pain conditions like arthritis or sciatica.
  • Reduced Snoring and Sleep Apnea: Elevating your head can help open up airways, reducing snoring and other symptoms of sleep apnea. This leads to more restful sleep – both for you and for your partner.
  • Improved Circulation: Elevating your legs while you sleep can improve blood circulation, and is deeply beneficial for those with circulatory issues, varicose veins, or swelling in their legs.
  • Digestive Aid: Sleeping in a slightly inclined position can help with digestion and may alleviate symptoms of acid reflux or GERD, as it prevents stomach acids from traveling back into the esophagus.
  • Enhanced Independence: For those with mobility issues, such as the elderly or people with disabilities, an adjustable bed frame can make it easier to get in and out of bed independently.
  • Pressure Relief: Some adjustable beds offer a ‘zero gravity’ position, which evenly distributes weight across the body. This position can reduce pressure on your spine and joints, relieving back pain and enhancing relaxation.
  • Customizable Sleeping Positions: Different people have different comfort preferences when sleeping. An adjustable bed allows for more customization than simply adding or removing another pillow, leading to improved sleep quality.
  • Technology Integration: Modern adjustable beds often come with additional features like massage functions, USB ports, and under-bed lighting, adding to their functionality and convenience.

4. Can any mattress be used on an adjustable bed frame?

Memory foam, hybrid, and latex mattresses all work well on an adjustable frame, but a traditional innerspring mattress without a flexible foam layer is usually not recommended. Their rigid coil structure makes them less able to bend and flex, and doing so could damage the mattress and affect its comfort.

5. Can I use an adjustable base with a bed frame?

Yes, many adjustable bases can be used with a bed frame, allowing you to enjoy a more customized sleep experience. Be sure to check compatibility with your specific bed frame for the best fit and functionality.

6. How noisy are adjustable bed frames when adjusting positions?

Generally, manufacturers aim to design adjustable beds that operate as quietly as possible to minimize disturbances, especially since many users adjust their beds while they’re still half-asleep, or while their partner is asleep next to them.

Who Should Use an Adjustable Base?

7. Are adjustable bed frames suitable for all ages?

Adjustable bed frames are not recommended for small children, as moving parts can be a safety risk. They are, however, extremely beneficial for adults and the elderly. Adjustable beds are also ideal for anyone with existing mobility issues or recovering from surgery (or any other injury).

8. Can adjustable bed frames help with health issues like back pain or snoring?

Adjustable beds can be an effective tool in managing back pain. Elevating your upper body reduces pressure on your spine, and this can promote better spinal alignment and help alleviate existing pain.

Elevating your head can also make a significant difference when it comes to snoring. By preventing your tongue from falling back and obstructing your throat, an elevated position helps keep your airways open. This elevation can also be helpful for those with sleep apnea – improving breathing and reducing the frequency of sleep apnea episodes.

9. Are there any safety concerns with using an adjustable bed frame?

Using an adjustable bed frame is generally safe, especially when following the manufacturer’s guidelines. However, like any product involving mechanical and electrical components, there are certain safety concerns to be aware of to avoid accidents. Always keep clear of the bed’s moving parts while adjusting positions, and ensure that children and pets do so as well. Keep remote controls out of reach of children. Do not place the bed near water or use it with wet hands.

Choosing an Adjustable Frame

10. How do I choose the right size adjustable bed frame for my mattress?

Choosing the correct size adjustable bed frame for your mattress involves several important considerations. Here’s a step-by-step guide to help you make the right choice:

  • Know Your Mattress Size: Start by knowing the exact size of your mattress (e.g., Twin, Twin XL, Full, Queen, King, or California King). Mattresses are typically made to standard dimensions and should match the size options available for adjustable bed frames.
  • Measure Your Mattress: If you already have a mattress and are unsure of its size, measure its width and length. This is especially important if you have a non-standard-size mattress or are using a mattress from outside the US with different sizing standards.
  • Consider the Adjustable Frame’s Dimensions: Manufacturers usually provide exact dimensions for the frames, so compare these to your mattress measurements to ensure a good fit. Pay attention to both the width and length, as well as any height recommendations for the mattress.
  • Check Compatibility: Not all mattresses are compatible with adjustable bed frames. Memory foam, latex, and certain hybrid mattresses usually work well, but traditional innerspring mattresses are often not flexible enough. Verify that your mattress type can be used with an adjustable frame.
  • Decide on a Single or Split Configuration: If you have a King or California King mattress, you might have the option between a single large frame or two smaller frames (split configuration). A split frame allows each side of the bed to adjust independently, which is great for couples with different sleeping preferences.
  • Assess Your Room Size: Ensure that the adjustable bed frame, when fully set up, will fit comfortably in your bedroom. Consider the space needed for the bed to move, and for you to move around it.

Types of Adjustable Bed Frames and Features

11. Are there different types of adjustable bed frames?

Yes, there are definitely different types of adjustable frames. Some are more basic and include limited features, while more premium versions have built-in massage, USB charging, and more.

12. What features should I look for in a high-quality adjustable bed frame?

When shopping for a high-quality adjustable bed frame, several features stand out as key indicators of quality, functionality, and durability. Here’s what you should look for:

  • Construction and Materials: A high-quality frame should be constructed with durable materials, such as steel. Check the quality of the welding and the thickness of the materials used.
  • Motor Quality and Quiet Operation: The motors should be powerful enough to adjust the bed smoothly, but quiet enough to support your relaxation.
  • Adjustability Range: A good adjustable bed frame offers a wide range of positions for both head and foot sections. Some may also allow for specific lumbar support to further customize sleeping positions.
  • Weight Capacity: Ensure the bed frame can support the combined weight of both the mattress and the potential sleepers. Higher weight capacities are generally indicative of a stronger, more durable frame.
  • Wireless Remote Control: A wireless remote allows for easy adjustments without the hassle of cords. Look for intuitive controls that will also be easy to use in the dark.
  • Warranty and Customer Support: A long warranty period is a good indicator of the manufacturer’s confidence in their product. Look for warranties that cover the motor and electrical components of your adjustable bed for several years.
  • Trial Period and Return Policy: Some companies offer a trial period, which will allow you to return your bed frame if it doesn’t meet your expectations.

To learn more, read about the list of features to consider when buying an adjustable bed.

Adjustable Base Maintenance and Care

13. How do I operate the adjustable features of the bed frame?

An adjustable frame is typically operated by an included wireless remote, but always consult your user manual for instructions.

14. How do I maintain and care for my adjustable bed frame?

  • Consult Your Manual: Always refer to the user manual for specific maintenance and care instructions provided by the manufacturer, as recommendations can vary between models.
  • Check Connections: Regularly inspect all electrical connections to ensure they are secure and don’t show signs of wear.
  • Bolts and Joints: Periodically check the bolts and joints on the bed frame to make sure they are tight and haven’t loosened over time.
  • Dusting: Use a dry cloth to dust the frame and mechanical parts to prevent accumulation, which could interfere with their mechanics.
  • Wipe Surfaces: Clean the non-electrical parts of the bed frame with a slightly damp cloth to remove dirt and stains. Avoid using harsh cleaners or water on electrical components.

15. Can I use regular sheets on an adjustable bed frame, or do I need special sheets?

You can definitely use your regular sheets with your adjustable bed frame, but they do make sheets specifically for that purpose. With extra-deep pockets, special elastic bands, or attachable straps, they’re designed to stay in place during adjustments.

Trial, Warranty, and Customer Care

16. What is the lifespan of an adjustable bed frame?

The lifespan of an adjustable bed frame can vary widely based on several factors, including the quality of its construction, the frequency and manner of use, and how well it is maintained. On average, a good quality adjustable bed frame can last anywhere from 10 to 20 years. Some high-end models may even last longer, especially if they are well cared for and not subjected to excessive wear and tear.

17. How much do adjustable bed frames typically cost?

The cost of adjustable bed frames can vary widely based on size, features, brand, and where you purchase them. Larger sizes will cost more than a Twin or Full. Basic models may start around $300 and high-end bases may cost up to $3,000+. Nectar’s Adjustable Beds, for example, start at $649 for a Queen base.

18. Do adjustable bed frames come with a warranty or guarantee?

Typically yes, but the specifics of these warranties can vary significantly based on the manufacturer and model. Nectar offers a 2-year warranty on adjustable frames for your peace of mind.

Buying Your Adjustable Bed

If you’re considering purchasing an adjustable bed frame, check out Nectar’s options. We offer both the Adjustable Comfort Classic and the Adjustable Comfort Premier, ensuring that there is an adjustable bed frame for you regardless of your needs.

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