System for the prevention and treatment of pressure ulcers are described in which a portable support assembly may be worn by a bed-stricken individual around particular regions of the body where pressure ulcers tend to form. The portable support assembly may generally include one or more individual spring assemblies which are enclosed entirely within an inner fluid and/or outer fluid pad which extends over the entire assembly. Each of the spring assemblies may be secured to an outer shell which is relatively stiffer than the fluid layers.