I have been suffering from sciatic nerve pain for a few months and have just completed 2 months of physical therapy. Received this in the hope that I could repeat the deep tissue massage I received in PE and ease the pain. And it works! I just slide it under my hip and ride and lay on it for a few minutes and it's great! The spikes in particular are ideal for deep tissue penetration and are stiff enough to provide good resistance. In fact, I keep it by the bed to ease the pain when it wakes me up. Cannot recommend highly enough for others dealing with sciatica.
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