Just received the pillow. The foot pad is great because the softness of the foam is actually gentle enough that it doesn't cut into the backs of your knees. For back support, however, that softness is actually a bad thing. As you can see from my picture, no matter how hard you try to climb the pillow for support, the bottom just collapses under your weight and just shatters. This deforms your back rather than straightening it, but causes the tops of your shoulders to curve inward. Terrible with bursitis of the shoulder blade or problems with the neck. I was afraid to order a firmer pillow but this one doesn't work. BE CAREFUL! Because it comes vacuum packed in a rug roll, it's almost impossible to return for a refund. On a positive note, the footrest and cover are good, which is why I'm talking about keeping them for that reason alone. There is virtually no back support.
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