the item appears as it was described, my only issue is that the item is kind of flimsy, don't get this twisted it by no means is cheaply constructed, the material from which it has been modeled is not as firm or hard as i expected. the arch doesn't maintain the correct position needed to get a good stretch in the cervical vertebrae. it works when I first begin using but as it warms with the heat from my skin it becomes more pliable so I do get use of it just not for as long as i need. the price was low so i shouldn't complain which to be clear this is not all gloomy. I get some benefit, I would buy the item again but I'll be looking for one with a harder material for it's construction