Massage and vibration are enjoyable, all of direction in order. One must, however, depending on the type of neck pillow also rotate. I bought because of the "winner-recession" my pillow. My wife has a "buffalo hump" comes with the cushion not clear - because the distance to the massaging rollers is too large. For my purpose perfectly, elegant wrought-iron - but rectangular - one would have to do everything a little bit flatter and softer! Everyone needs to try for themselves.