Extended Largest Size Tush Cush - Approximately 14.5 x 20" Wide. Made by the original genuine Tush Cush Company - designed to relieve and prevent back pain, numb buttocks and other discomforts associated with sitting. Velour. Great for the car or an office chair. The Original High Quality Tush Cush is designed to relieve and prevent back pain, numb buttocks and other discomforts associated with sitting. Cutout section suspends your tailbone (coccyx) reducing pressure on your lower lumbar discs. Wedge shape (slant from the back 3" down to 1/2" in the front) tilts your pelvis forward to restore your spine's natural lumbar lordotic curve. High-resilient polyurethane foam won't flatten with use. Zippered velour cover is machine washable. Includes fabric handle for easy carrying. For individuals weighing over 200 lbs, we recommend the Firm Tush-Cush. MADE IN THE USA!!