An adjustment mechanism for an articulating bed including a lumbar support comprising: an actuator pivotally attached to an upper body support section with a bracket, said actuator including a ram; a lumbar actuation lever pivotally attached to the ram and extending from a torque tube rotatable in bearing blocks mounted to the upper body support section; angle arms extending from the torque tube and attached to a lumbar support element through apertures in the upper body support section; said lumbar support element retracted against the upper body support section with the ram in a first position creating minimal deflection in a lumbar region of a mattress supported on the upper body support section and said torque tube rotated with the ram in a second position extending the angle arms through the apertures to elevate the lumbar support element; and a neck angle adjustment mechanism further comprising: a second actuator pivotally supported by a second bracket extending from a brace element of an actuation mechanism of an upper body support section, said second actuator incorporating a second ram; a head support bracket pivotally attached to the second ram and mounted to a neck angle adjustment section; said neck angle adjustment section aligned with the upper body support section with the second ram in a first position, said head support bracket urged to rotate the neck angle adjustment section about hinge elements mounted to the upper body support section to provide an angled head and neck position with respect to the upper body support section with the second ram in a second position. an actuator pivotally attached to an upper body support section with a bracket, said actuator including a ram; a lumbar actuation lever pivotally attached to the ram and extending from a torque tube rotatable in bearing blocks mounted to the upper body support section; angle arms extending from the torque tube and attached to a lumbar support element through apertures in the upper body support section; said lumbar support element retracted against the upper body support section with the ram in a first position creating minimal deflection in a lumbar region of a mattress supported on the upper body support section and said torque tube rotated with the ram in a second position extending the angle arms through the apertures to elevate the lumbar support element; and a neck angle adjustment mechanism further comprising: a second actuator pivotally supported by a second bracket extending from a brace element of an actuation mechanism of an upper body support section, said second actuator incorporating a second ram; a head support bracket pivotally attached to the second ram and mounted to a neck angle adjustment section; said neck angle adjustment section aligned with the upper body support section with the second ram in a first position, said head support bracket urged to rotate the neck angle adjustment section about hinge elements mounted to the upper body support section to provide an angled head and neck position with respect to the upper body support section with the second ram in a second position. a second actuator pivotally supported by a second bracket extending from a brace element of an actuation mechanism of an upper body support section, said second actuator incorporating a second ram; a head support bracket pivotally attached to the second ram and mounted to a neck angle adjustment section; said neck angle adjustment section aligned with the upper body support section with the second ram in a first position, said head support bracket urged to rotate the neck angle adjustment section about hinge elements mounted to the upper body support section to provide an angled head and neck position with respect to the upper body support section with the second ram in a second position.