I would highly recommend this pillow if you have cervical spine issues. I have cervical radiculapathy, disc deneration in C5 -C7 and parathesia due to all of that. But, when I sleep on this pillow, I wake up without the pain or numbing down the right side of my body, which is a huge benefit. I've tried so many other pillows, which are not cheap either, but, this truly has been the ONLY pillow that has helped. It's quite large, but I suppose that is a good thing since I also move a lot when I sleep. That is also a huge benefit as all position sleepers can benefit.