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This is a great support for the back while driving. I only gave it a 4 for Quality because I did not realize that there is a knob on the right hand side on bottom of cushion, it digs into my leather seat and will likely cause damage over time, I am not sure I will keep this item.
I have herniated discs in my lower back so I need firm support otherwise the discs bulge and cause pain and tingling in my foot. This is the only support I have found that gives "firm" yet soft support because of it's hard yet adjustable skeleton. I keep it in my car and I'm going to buy another one for in the house because I'm tired of carrying it around with me. It's a little pricey, but if I would spend that much on a good pair of shoes why wouldn't I spend a little extra for something that actually works on my back. It's worth every dime to me and then some. Besides, it's very durable and should last for years, unlike the shoes. It's a good investment.