Although I checked the measurements before ordering, it's hard to tell that the neckline is quite small. I bought this for my geriatric mother who was able to use the head and neck support while watching tv in bed due to severe osteoporosis and arthritis. It's too tight for her, but that's partly because she's becoming very sensitive to certain things as she ages. The item itself is not bad overall, just a little smaller than expected. The filling can be removed if you'd like it to be less thick, but I can't imagine it ever coming back properly and evenly. I left it like that. The good news is mom found another use for it and now she likes it. She uses it like a regular pillow, laying her head sideways in the middle. Also works to support her by sitting behind her shoulders and elevating her legs a bit.
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