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I am so glad I purchased this lumbar support pillow. It has greatly improved my posture and my back pain. The only drawbacks that I can see are that it does trap body heat (which is great in the winter, but keeps me a little too warm in the summer) and it doesn't have straps. I think the lack of straps is intentional, but it does mean that I have to maneuver it every time I sit down. I have debated attaching some velcro to it, but am not sure if that would even work. All in all, I am very pleased that I purchased this and now want to get the seat cushion as well!
I work in finance and thus spend long hours sitting in the office. This back cushion provides good support - much more so than what even a good ergonomic chair with lumbar support provides. There is less strain on the back, and it also helps in that it makes my posture when sitting much better.
I believe the cheaper back support pillows tend to be made of materials of inferior quality, whereas the more expensive ones are more of a fad. This has been around for a long time, and you know what you get.
I would recommend this product to anyone who sits for prolonged periods of time. I do not have any particular back problems, so I cannot speak to whether this is appropriate for specific ailments/conditions, but I would recommend giving it a try.