Orthopedic Shoulder Pillow (Large) Pillow Case 100% Cotton Flannel Made in USA Our pressure testing results indicate that our pillow performs better and better the more there is a need for pressure reduction upon the shoulder. Made in the USA The benefits of this pillow include the relief of pressure and compression of the painful shoulder, improved restful sleep, and the reduction of the need for surgical procedures due to a painful shoulder Supportive Shoulder Pillow