illinois, I didn't think I needed the handles either but put them on anyway. Now I'm glad I did because it makes it so easy to maneuver the pillow while you are sitting with the pillow under your neck. Also, it's easy to carry around with the handles & allows you to hang it if you want while storing it. Be sure & reinforce the stitching of them by double stitching so they don't pull out.
maviskw, I think it would be great for your knee.
I will be making DH one today (so he doesn't steal mine...
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