Extension is great. It's not 2.8 inches as stated in the specs. I don't know where this dimension comes from. The rail itself is no more than 1 inch wide (I didn't actually measure it). The scratches are fine and they have a very itchy back from the medication. That's why I scratch all the time. The main thing I don't like is that it rotates when you use it, so you have to keep turning it to the right position. Annoying when the whole back itches and often has to be corrected. It's okay if you have it from time to time. Disappointed with its fabulous size. so tiny
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