This pillow is a decent design. It supports your neck with consistency through the night whether you sleep on your side or your back. The foam is comfortable. I use a satin pillow case and I don't feel any drag or resistance when shifting positions. It is pricey but, if you can afford it comfortably, it's worth seeing if you wake up feeling less neck and shoulder discomfort. Mine was not eliminated but, between this pillow use and a new exercize regiment, I feel there has been improvement.