I confess my first impression of this lumbar pillow was that a piece of styrofoam costs a lot of money. However, I thought it was worth a try. After a few weeks of being tied to my office chair, the improvement in my sciatica was noticeable. The roller is holding up pretty well so far and puts just enough pressure on my lower back to relieve pressure on the nerve. What it doesn't do well is keep the shape of the "D". I don't think it affects performance in any way, but it's worth mentioning.
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