This actually does quite a nice job as a heating pad after just a little time in the microwave. I bought it for my shoulder rather than my back so you really cannot, "tie", it in place. That said, it is heavy enough that I found by just draping it over the shoulder it won't move.unless of course you want do a lot of walking around.Overall, I recommend this pad if you have areas you want to apply heat to, especially the back, neck, and leg areas. Shoulders.a little tricky, but doable.
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