Sissel Deluxe Orthopedic Pillow, inc. Pillow Cover Relieves neck, shoulder and back pain by allowing neck and shoulder muscles to fully relax Made from visco-elastic foam Adjustable in height by adding or removing the Vario Pad Pillow promotes proper spinal alignment Please note that for health and hygiene reasons we regret this item is non-refundable if the item has been opened or used