I have other buckwheat hull pillows (because I’ve had neck trouble for decades), but this one is the best made and definitely the most versatile: good for back support if sitting up in bed, wonderful for sleeping in any posture, and nice to lay an arm across while reading in bed. I sometimes have to adjust the hulls for proper support as I change sleep positions, but it only takes a second.
I would recommend this for anyone with cervical issues like mine. The nice even temperature is a big plus too.