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Coccyx cushion: what the central cut-out is for
A coccyx cushion is recognised by the U-shaped notch at the back of the seat. It leaves the coccyx suspended instead of making it carry the weight of the torso, and shifts the support to the sit bones and thighs. That is the whole difference from a simple flat cushion.
Foam, gel or mesh
Memory foam moulds to your shape and stays firm over time: it is the most versatile choice. Gel spreads the pressure better and stays cooler, at the cost of a little weight. Models with breathable mesh ventilate the seat, useful in summer or on a leather seat.
Office, car, armchair
A standard square format suits an office chair. A compact format fits better in a bucket car seat. The L-shape rises slightly up the back and suits long days sitting. Check the seat width given on the product page: a cushion that is too wide folds against the armrests.
Setting it up properly
The notch goes at the back, on the backrest side. The cushion must not raise you to the point where your feet no longer touch the floor: if that is the case, raise the seat or choose a thinner model. These items are comfort products, not medical devices; in case of persistent pain when sitting, consult a healthcare professional.