I use the blanket for my back pain, sore hands and even on the feet. I lie on the blanket between 20-40 minutes on the bed. It leaves the area red and prickly with a nice sensation. It really helps reduce tension by stimulating and warming the area giving you a sense of relaxation and relief. .However, it doesn't really reach the upper part of the back, the scapula (shoulder blades) and trapezius. For this, I use the pillow. I also use the pillow for the legs because the blanket doesn't apply the pressure evenly. It takes some time getting used to using it on the neck and bit cumbersome to put between side of neck and top of shoulder. Wish the pillow had a handle to take out and put in it's cover. Overall, great product, well made, nice portable bags, and really helps reduce tension. Highly recommendable.