Really gives support where you need it. No it's not very pretty but when you sit it's behind you so what's the difference! My chiropractor sells this particular model - I know this because I photographed the information on the support pillow, got home and ordered it. It took me about a year to give up and finally do it, and I wish I had done it a long time ago. I'm thinking of ordering a second one for the car so I can just leave it there and not carry it around. The brace zips up on one side, giving you access to the air cushion inside. The valve is a rotary valve which is very reliable and does not leak. The cushion inside is a very thick and durable vinyl that will last a long time unless you have animals with sharp claws or something to pierce it. Do not fully inflate the pillow, leave it soft, about a quarter third inflated. It should conform to the contours of your back. And oh, it's wonderful. So you support exactly where you want it. For me, this is the lowest part of the back. For you, who knows? The elastic strap that secures it around the seat or chair has a strong Velcro strap that keeps it in place and holds tight. It's enough to get around a comfy car seat, but probably not a Lazy Boy seat. In this case, just leave the pillow where you want it.
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