I strongly recommend this item to anyone who has the problems I have with lower back pain.Like many other back-pain sufferers, I've dropped a lot of coin on all sorts of medicines, gadgets, etc. and I decided to take a chance on this due to the back pain I get each morning upon awakening. The product itself is ok and does what it says, but just know that this is one of those things that will take some getting used to. Sleeping with something wrapped around your waist all night is not easy to stick with, but I can say that I notice some relief when I first lay down because it keeps my back from sagging down into the mattress. Like a lot of other things it is hit or miss. I will keep it, but I'm not sure I'll always use it.
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Edit Nov 16, 2012: Changing my review because I got a new McKenzie Night Roll to replace the one I got a few years ago. I do NOT recommend this product at all.This new model stinks. It has about half the heft of the original product and flattens to almost nothing, so there's no support.
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Rec'd this yesterday, used it last night. It stayed in place while I slept. The back support kept me comfortable. This morning, I got out of bed for the first time in years without struggling or pain.I think this item does what intended to a degree; however, it does seem to flatten out more in the back than I would like.
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I have depended on this for 10 years. I had back surgery and I used it post surgery. I credit this with a large contribution to my recovery. I know everyone is different, but now, this product is the only thing that enables me to travel and sleep in many different types of beds. I carry it with me everywhere I go for overnights. I have discovered that, for me, a firm bed is suicide. It is best for me if my hips and shoulders can sink into a softer bed, but that might cause my waist to sink also and create a lot of back pain. As long as the soft bed is supportive, I do not need the back roll, but I couldn't make it 10 minutes on a firm bed without it. I take no chances traveling and simply take it along. (unsolicited recommendation for select comfort....LOVE this bed for my bad back. 35.)

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