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 – Standard Density Low Back Support | Lumbar support for office chair & car seat back support cushion, the preferred lumbar pillow by physical therapists, USA made

Product ID: 6105646

Details

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

🎒Lightweight & portable at 156g

📏11" x 4.75" compact size

🛡️Standard density foam for moderate support

S$75

Duties & taxes included

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Description

🛋️ Elevate your posture game—because your back deserves VIP treatment!

CUSTOMIZABLE FIT - Adjustable 1.5" elastic strap ensures secure, personalized support wherever you sit.
BREATHABLE HYGIENIC - Moisture-wicking, removable polyester cover keeps you cool and fresh during long workdays.
ERGONOMIC SPINE SAVIOR - Clinically recommended by PTs & chiropractors for optimal lumbar alignment and pain relief.
BUILT TO LAST IN THE USA - Durable polyurethane foam crafted with quality and longevity in mind, proudly made stateside.
ANYWHERE COMFORT COMPANION - Perfectly sized and lightweight for seamless use at your office chair, car seat, or on-the-go travel.

The Original McKenzie Lumbar Roll offers medium-density, ergonomic lumbar support in a compact 11" x 4.75" cylindrical design. Trusted by health professionals worldwide, it features a breathable, moisture-wicking removable cover and an adjustable elastic strap for versatile use in office chairs, cars, or travel. Lightweight at just 156g and made in the USA, it’s engineered for lasting comfort and proper spine alignment.

Specifications

ASIN	B000H48WYA
Age Range Description	All Ages
Best Sellers Rank	#2,803 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 (12,121)
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 g
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 Corrector
Target Use Body Part	Back
UPC	793573867353
Unit Count	1 Count

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The product exactly matches the description. Very satisfied with my purchase.

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