EXHIBIT 32

    CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF ACCOUNTING OFFICER OF
      SPAN-AMERICA MEDICAL SYSTEMS, INC. PURSUANT TO 18 U.S.C. SECTION 1350

The undersigned, as the chief executive officer and chief accounting officer of
Span-America Medical Systems, Inc., certify that the amendment to the quarterly
report on Form 10-Q for the period ended January 3, 2004, which accompanies this
certification, fully complies with the requirements of Section 13(a) or 15(d),
as applicable, of the Securities Exchange Act of 1934, and that the information
contained in the amendment fairly presents, in all material respects, the
financial condition and results of operations of Span-America Medical Systems,
Inc. at the dates and for the periods indicated. The foregoing certification is
made pursuant to ss. 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. ss. 1350)
and no purchaser or seller of securities or any other person shall be entitled
to rely upon the foregoing certification for any purpose. The undersigned
expressly disclaims any obligation to update the foregoing certification except
as required by law.

By:

/s/      James D. Ferguson
- -------------------------------------------
James D. Ferguson
President and Chief Executive Officer, Span-America Medical Systems, Inc.


/s/      Richard C. Coggins
- --------------------------------------------
Richard C. Coggins
Chief Financial Officer, Span-America Medical Systems, Inc.
(Chief Accounting Officer)

Date:  May 11, 2004