UPDATE - Had to tell you, I have been doing so much and at ngiht, I take this wonderful neck warmer/cooler out of the freezer, put it on backwards, yes, because the front pieces come down to the front and I needed them in the back. And no it does not choke me. LOL. Anyway, OHgosh, for two hours I had very little pain. When I went to bed, back into the freezer. Thanks again Oralee.