Use the sidebar controls. The heat is actually comfortable, not too hot and not too low, but somewhere between medium to medium to high heat. There is a buckle in the front and if I just let it sit around my neck I can't help but get a lot of the shiatsu effect. However, if I unzip it and hold the ends of each side at different angles, it will be quite nice. The 2 Shiatsu balls rotate in one direction for a while, then automatically in the opposite direction, and this process is repeated at appropriate intervals. Skulls in a way I don't like at all. However, I think a lot depends on the length and size of the person's neck. There's also an adjustable vibration mode, which works well with shiatsu when you really need to loosen up and relax your neck muscles. Turning on the heating at the same time is very nice. The fabric of the pillow feels luxurious and so soft while the padding is just right. Aside from having to manually adjust and hold the pad where I need it for the shiatsu to feel good, everything else is excellent. I'm very happy with it even though I have to hold the ends of the strap to get it where I need it. Thank you for reading.
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