I was concerned I wouldn't be able to feel the warmth of the heated car seat through this pad. But that's not a problem, because the heat goes through well. I have a pinched nerve and it hurts most of the time when driving. It seems that changing the angle of this pad (tilting back and forward) has really helped me with the pain. The pillow doesn't add too much height which is great because I don't need too much. I like feeling safe when I'm not sliding in my leather seat, I didn't realize how much pain it was causing me. I highly recommend this item.
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