I would normally start the day suffering with neck pain and lower back pain. This has changed when I improved my sleep position and started sleeping on the pillow. My neck feels nice and neutral, and I think putting the other pillow between my knees is what's really helped my lower back pain. I struggled with the foam smell on the first day but I just ended up washing the cover the pillow came in and airing the foam itself out for a night and it was fine. I'm glad I read the reviews saying it takes a while to get used to the pillow because it took me about 7 days. I'm so pleased I didn't give up though, I can't be without it now.