This is the ONLY lumbar support or back cushion of any brand, any price, or any kind/design I have found that is effective for my lumbar spine issues, sacroiliac issues, and other lower back problems. I love the face it can be positioned any way I want it to, and I use it right-side up, but some people may find it best for their particular problems upside-down. I can drive longer with this, along with a wedge-shape coccygeal pillow called a Travel Mate wedge pillow that I sit on. I recommend this highly and the price is right! ..More