Is not at all a big lie orthopedic pillow !! foam too hard and more so excessive price !! given the size of the more I was my present to him my kinesitherapeute even announced that This is hogwash and that has nothing to do with orthopedic Disappointed with my purchase I who is buying to relieve sore neck and headache from the use of this cushion is even worse !! I put a star because I have no choice otherwise it would be zero.