Purchased this pillow for a relative suffering from leg swelling caused by CHF. Wish I had bought it sooner. The covering is soft and comfortable on his bare skin. He uses the pillow in a semi reclined position and the cushion is long enough for his entire leg from knee area to foot (6'2" individual). The higher lip portion gives him a place to rest his feet against and it works well for resting the heels on top as well. The memory foam is thick enough to gently cushion his legs while the regular foam portion gives good support and appears to be of good quality...I think it will hold up nicely. This is the only custion that he has been able to tolerate for a long period of time...regular pillows and blankets were constantly being removed or kicked away.