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[Music] the cervical dinnerll should be used on a flat firm surface so it wont work in your bed or any other soft material like a yoga mat that is too thick or spongy if the surface is too soft it will not stretch your neck in the way I was designed to and therefore lose its effectiveness there are three sizes of the cervical Dena roll a small a medium and large and you would have been prescribed the most appropriate for your needs the shape of the Dena role is designed that your shoulders contact the front surface which provides stability during use highlighted in print shoulders this side whilst the peak of the dinner roll should be placed at the area most required for your condition when laying on to the cervical dinner roll you place the product behind your neck and you can then move the peak with your hands to the area needed according to your practitioners instruction during use your head will fall over the back of the product and ideally you want your head close to the ground