Another review here said you should have a strap so I selected this product from several other similar pillows here. And I'm glad I did. I am working on a temporary back problem and it has become necessary to sleep on my side (I usually sleep on my back). This pillow really does the alignment trick and the best part is I don't have to strain or adjust to position it correctly as right now it's difficult to do as I get tangled up in the sheets and duvet without wake up my wife. and a little painful. The strap makes everything easier, so I'll also say that you must have a strap!
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