Overall I am happy with this cushion having tried many others. I like how it's keyed so it's higher in the back. I wish it was 1 inch thicker in the back as the padding flattens out a bit so you lose some of the thickness. I also wish it was a little shorter to better fit my car seat. I don't use it for pain relief so I can't comment on that aspect. Also, I didn't have any fallout as I've read in many reviews, but I'll probably wear a pillowcase that matches the color of my car seat.
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