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Adding third-party side rails to an adjustable bed can be done, but it needs to be approached with care to ensure safety and compatibility. Here are the main considerations: 

✅ Safety and Compatibility Checklist

1. Check Manufacturer Guidelines
   • Most adjustable bed manufacturers provide specific warnings or approved accessories.
   • Adding non-approved rails may void the warranty or interfere with the mechanics of the bed.
2. Adjustable Bed Movement
   • Adjustable beds change shape (head/foot elevation), which can trap limbs or cause the rails to move dangerously if they’re not flexible or securely mounted.
   • The rail must move with the frame, not stay static like on a traditional flat bed.
3. Mounting Method
   • Many third-party bed rails use strap-on or under-mattress designs, which are not always secure with adjustable beds.
   • Look for rails that are designed specifically for adjustable beds, ideally with clamps or brackets that secure to the bed base itself (not just the mattress).
4. Risk of Entrapment
   • Poorly designed or ill-fitted rails may increase the risk of entrapment, especially for elderly or mobility-impaired users.
   • Follow FDA and safety guidelines related to adult bed rails.
5. Alternative Options
   • Consider bed assist handles that attach to and are made for the bed base and pivot or lower with the bed.
   • Some brands sell modular rails specifically made for their adjustable bed models.

✅ Recommended Steps

1. Identify your bed make and model.
2. Contact the manufacturer to ask about:
   • Approved or compatible side rails.
   • Warnings or known compatibility issues.
3. If going third-party, ensure the rails are explicitly marketed for use with adjustable beds.
4. Carefully test movement through all positions before relying on them for support.

🚫 Avoid:

• Under-mattress support rails (often shift or slip).
• Static rails that don’t accommodate bed movement.
• DIY modifications without mechanical knowledge.