I got the standard one. It is not firm enough. Squashes nearly flat when I use it. A rolled up towel works better.

How firm is the firm? I like a really firm support and usually everything is too soft...

This is my experience using the McKenzie Lumbar Roll on my office chair (backrest having some built-in lumbar curve) and leaning back with 170 lbs. body weight: Standard Density model compresses from 4.75" diameter down to 2.5" to 3". Firm Density model compresses from 4.75" diameter down to 3.5" to 4". The Standard Density is much softer and works well with a chair backrest that already has some lumbar curve. The Firm Density pushed too much from the backrest against my spine.

Has anyone ever used this roll in the lower back to sleep on?

The roll would be too dense to sleep on. If you need some low back support to sleep, you can try what my physical therapist taught me: Take a bath towel, lie it flat, and then place an ordinary belt lengthwise on the long edge of the towel. Roll the belt up inside the towel. You can then belt the towel around your waist, and you will have support whether you lie on your back or your sides. Sounds crazy but it works!

Where do you position it?

My orthopedist instructed me to place the roll at the waistline, not lower, where it would push the waist vertebrae into the wrong position. The back is supposed to have a slight concave curve at the waistline. Wearing the roll lower creates more of a straight spine from top to bottom. Not good. BTW, I have used the McKenzie roll since 1976. For someone with a bad back it makes long car/plane/bus rides totally doable. There is no roll out there that could perform better, I'm sure!

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OPTP The Original McKenzie Lumbar Roll – USA-Made Low Back Lumbar Support for Office Chair & Car Seat Back Support Cushion. The Preferred Lumbar Pillow by Physical Therapists - Standard Density

Product ID: 6105646

Details

Brand
OPTP
Color
Standard
Fill Material
Foam
Size
Standard
Special Feature
Adjustable

📏11" x 4.75" compact size

🧴Moisture-wicking polyester cover

🎗️Recommended by physical therapists

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Description

🪑 Elevate your posture game—because your back deserves the best support!

ADJUSTABLE FIT - 1.5" elastic strap ensures a secure, customizable fit for any chair or waist size.
TRUSTED BY EXPERTS - Preferred by physical therapists and chiropractors worldwide for effective back pain relief.
DURABLE BREATHABLE - Made in the USA with long-lasting foam and a removable, moisture-wicking cover for all-day freshness.
LIGHTWEIGHT PORTABLE - Weighs just 156 grams—take your comfort anywhere, from office chair to car seat.
ERGONOMIC SPINE ALIGNMENT - Supports your lower back to maintain perfect posture during long workdays or drives.

The OPTP Original McKenzie Lumbar Roll is a USA-made, medium-density cylindrical lumbar support pillow measuring 11" by 4.75". Designed for all-day comfort, it features a breathable, moisture-wicking removable cover and an adjustable elastic strap for versatile use on office chairs, car seats, or while traveling. Endorsed by physical therapists and chiropractors, this lightweight, durable foam roll promotes proper spine alignment and effective lower back pain relief.

Specifications

ASIN	B000H48WYA
Age Range Description	All Ages
Best Sellers Rank	#3,550 in Home & Kitchen ( See Top 100 in Home & Kitchen ) #3 in Lumbar Pillows
Brand Name	OPTP
Color	Standard Density
Customer Reviews	4.4 4.4 out of 5 stars (12,038)
Fill Material	Foam
Global Trade Identification Number	00793573867353
Item Dimensions L x W	11"L x 4.75"W
Item Firmness Description	Medium
Item Weight	156 Grams
Manufacturer	OPTP
Manufacturer Contact Information	SEATTLE, WA, 98107 US
Manufacturer Part Number	701
Material Type	Polyurethane Foam
Model Name	Standard Density
Model Number	701
Number of Pieces	1
Pattern	Solid
Product Care Instructions	Hand Wash Only
Recommended Uses For Product	Medical, Recovery, Resting, Sitting, Traveling
Shape	Cylindrical
Size	Standard Density
Special Features	Adjustable Elastic Strap, Breathable, Lightweight, Moisture-Wicking, Removable Cover
Specific Uses For Product	Posture Correction
Target Use Body Part	Back
UPC	793573867353
Unit Count	1.0 Count

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