I've been using this pillow for over 2 months after a sudden flare up of acid reflux caused by a stomach virus and have edited this review a couple of times. as I have gained more experience with wedge sleeping. Initially, using this wedge-shaped pillow was a necessity, but I didn't really like it. However, since sleeping on my side, I've always had trouble lying on my sore shoulders and this wedge has helped fix that. What I do is stack some regular pillows at the headboard and then slide a wedge in front of it, leaving a narrow "trench" for my arm to stick through. I sleep high on a wedge, on my side, shoulder. over the top corner of the wedge and my arm is in the ditch between the pads and the wedge - giving me the support I need to keep my shoulder from hurting. This sleep took some getting used to, but I now find it very comfortable and will continue to use this wedge even though my reflux attack seems to be over. Another benefit is that I don't wake up in the middle of the night with a stuffy nose since lying on the hillside prevents that. It's amazing how many problems sleeping on this wedge has solved for me, including heartburn, shoulder pain and sinus problems. To be honest I don't think I will ever sleep on a mattress again because there are too many benefits to sleeping on this wedge.
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