The Sonu solves it by adding what it calls “The Comfort Channel," which is a cavity for your arm underneath where your pillow will lie. There are four square support pillows that fill the cavity (two stacked on either side of the bed), so your arm has places to rest and your head is still fully supported, but I was the most comfortable with a third regular pillow on top. My arm and shoulders felt great, but it was a little too soft with the full-foam design for my lower back problems. But if you're specifically struggling with upper back or shoulder pain, this could be a good solution.
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