I love this massager! It is fully adjustable so the headrest can work my scalp, neck, shoulders and in between my shoulder blades. The hip back will then adjust to meet the headrest setting. By moving the headrest up or down I can hit all areas of my back. The heat is a nice addition to help your muscles relax. I have mine strapped to my office chair and use it almost daily while I work out of my home office. I would highly recommend.