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I have neck and shoulder trouble and cannot get comfortable when sitting in bed. No amount or configuration with pillows worked for me. I love my bed lounger. It provides great support for my beck and shoulders. My arms can rest on the supports or can rest by my side. It's roomy. I rarely try to lay my head back as I'm usually reading, but could do so without pain. The neck rest does adjust for height. I put a bed pillow between my bed lounger and the headboard and this provides a bit of room for the neck rest to move horizontally. The foam is rigid. The covering is washable. It is light weight and easy to carry to the closet when not in use. It does take up quite a bit of space. It am just so grateful to have it because I like to sit in bed and now I can do that pain free.
I spend lots of time sitting on my bed and this supports my back and makes me feel comfortable hours at a time with many helpful adjustments.
This is one of the most disappointing purchases I have ever made online. The bed lounger is stiff, rigid, and not at all comfortable. It's not worth half of its cost. Even worse, the company would not allow me to return it even though I asked to return one day after receiving it and less than one hour after opening it.