The short answer: air-cell cushions and alternating-pressure cushions do the best job of protecting skin that is already broken or at high risk, while gel and hybrid foam cushions are the practical everyday choice for most full-time wheelchair users. That is the conclusion our team reached after working through the specs, weight limits and owner feedback on twelve of the highest-reviewed pressure relief cushions on the market, and it lines up with what occupational therapists and long-term wheelchair users say on forums like r/wheelchairs and the Motor Neurone Disease Association board.
Sit on a flat wheelchair sling for hours and your weight concentrates on a very small area. The ischial tuberosities, the two bones you sit on, and the coccyx at the base of the spine take almost the entire load, and tissue held under sustained pressure eventually stops getting enough blood. That is how a stage 1 sore that looks like a pink patch becomes an open ulcer. A pressure relief cushion exists to spread that load across a wider surface so the same weight arrives at your skin more gently.
Three cushion families dominate this category, and they work in completely different ways:
Air flotation (for example the Roho Mosaic and Roho High Profile) uses interconnected air cells that let the body sink in, so surrounding unloaded tissue carries part of the load. Best for existing sores, slow-healing skin, and high-risk users.
Alternating pressure (for example the MobiCushion) adds a pump that inflates and deflates cells in sequence, so no single patch of skin stays loaded for long. Best for active or recurring ulcers and anyone who cannot reposition reliably.
Gel and hybrid foam (for example the Drive Medical 14886, Kölbs Gel Extreme and AUVON memory foam pads) gives moderate immersion and envelopment with no pump and no adjustment. Best for everyday prevention, value, and users who need a stable seat for transfers and propulsion.
One scope note before the picks, because this is a health topic. A cushion redistributes pressure; it does not treat a wound. If you already have an open sore, a sore that is draining or getting worse, or skin that has darkened and hardened, that needs a wound-care clinician, and a seating specialist should fit the cushion rather than you guessing at it. The same goes for the cushions in this roundup: they manage load, they do not heal tissue.
Below I have broken the picks down by the three things that actually decide a purchase: how much pressure the cushion can move, how long you sit each day, and how much adjustment you want to make yourself. We also weighed stability, because the most common complaint about air cushions is not relief, it is the way they change how you push your chair and how your transfers feel.
Table of Contents
Top 3 Best Wheelchair Cushions for Pressure Sores in 2026
Three products stood above the rest. The Everlasting Comfort ventilated gel cushion earned our top slot because it pairs one of the highest ratings in the group with by far the largest review volume, plus a washable cover and a shape that suits both tailbone and hip loading. The Drive Medical 14886 is the one to buy when you want proven clinical geometry and a replaceable waterproof cover at a modest cost. The Roho Mosaic is the pick whenever you want a true air flotation surface that you can tune by hand pump and carry between home, work and travel.
Everlasting Comfort Ventilated Gel Cushion
- Ventilated gel and memory foam build
- Machine washable breathable cover
- Rubberized non-slip base
Drive Medical 14886 Skin Protection Gel
- Viscous gel bladder in foam shell
- Replaceable water-resistant cover
- 18 x 16 x 3 inch with 275 lb capacity
Roho Mosaic Air Cell Cushion
- Interconnected 3 inch air cells
- Hand pump adjustable firmness
- Includes pump cover and patch kit
All 12 Cushions Compared Side by Side in 2026
Every pick below appears in this table with the mechanism and the catch that matters most. Weight capacity is only listed where the manufacturer publishes it, because an unlisted limit is not a limit you should assume.
| Product | Specifications | Action |
|---|---|---|
| Everlasting Comfort Ventilated Gel Cushion |
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Check Latest Price |
| Drive Medical 14886 Skin Protection Gel |
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| Roho Mosaic Air Cell Cushion |
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 Hvllyan Oversized Gel Cushion |
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 Helishy Super Large Gel Cushion |
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 Kolbs Gel Extreme Cushion |
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 AUVON Memory Foam U-Cutout Cushion |
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 CYLEN Gel Infused Memory Foam Cushion |
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 SUNFICON Inflatable Air Cell Pad |
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 Vive Inflatable Air Cushion |
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 Roho High Profile Air Cushion |
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Check Latest Price |
 MobiCushion Alternating Pressure Cushion |
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Check Latest Price |
1. Everlasting Comfort Ventilated Gel Cushion – Best Overall for Most Daily Users
Everlasting Comfort Ventilated Wheelchair Cushions for Pressure Relief – Gel Memory Foam Wheel Chair Seat Cushion Pad for Seniors and Adults & Pain Relief – Soft Non-Slip Cover – Office Accessories
18 x 16.93 inch ventilated gel and memory foam
2.29 lb
Removable machine washable cover
Rubberized non-slip base
Pros
- Rated 4.5 across more than 8000 reviews
- Ventilated design limits heat build-up during long sits
- Non-slip base stays put during repositioning
- Works in wheelchairs office chairs car seats and scooters
- Holds its shape rather than flattening
Cons
- Thin wedge profile gives less immersion than a deep gel or air cushion
- Wedge feels firmer than expected for very long hours
- Cover and foam can still retain heat in unbroken sessions
This is the cushion we kept coming back to while comparing the field. It has been on the market since December 2018, which means years of owner feedback rather than a month of launch reviews, and roughly three quarters of those reviews are five star. Buyers consistently point to the same thing: measurable easing of tailbone, hip and lower-back discomfort during long sits.
The construction is straightforward. A ventilated gel design sits over memory foam that contours to the body and holds its shape, with a rubberized non-slip base underneath and a breathable cover you can remove and machine wash. At 2.29 pounds it is light enough that repositioning it never feels like a chore, which matters more than people expect when a cushion is part of your day rather than a luxury.
The honest limitation is thickness. This is a wedge profile, not a deep immersion pad, so if you have existing skin breakdown rather than early-stage redness, the envelopment is shallower than what an air cell or a three-inch gel build will give you. A handful of owners also describe the wedge as firmer than they expected for full working days, and the cover and foam do warm up during long unbroken sitting.
It is also unusually versatile. The same pad is marketed for wheelchairs, office chairs, car seats, mobility scooters and travel, and the listed dimensions are 18 by 16.93 inches, which fits most standard wheelchair seating. If you want a one-cushion solution across several chairs in the house, that flexibility is genuinely useful.
Why it works well for daily prevention
The gel spreads load across the seat surface while the memory foam underneath stops the pad bottoming out as your weight settles in over hours. That combination is what makes it a solid prevention choice: you get consistent support without any adjustment routine to remember.
Users with reduced sensation, including many who have had a stage 1 sore that never broke the skin, rate it well for keeping discomfort at a level they can sit through. It also carries OEKO-TEX STANDARD 100 certification and is FSA and HSA eligible, which matters if you plan to claim it through a flexible spending account.
When to skip it
Skip it if you are managing an open or weeping ulcer, because you need a deeper immersion surface and a low-shear fluid-resistant cover, not a wedge with a breathable fabric top. Also consider your seat height: this cushion is a low-profile pad, so it will not raise your effective seat height much, which is a real advantage if your armrests are already at the right level.
And if you sit more than eight hours a day, test it over a full week before you commit to it, because the firmer wedge feel that some owners describe only becomes obvious in hour six. A short trial tells you more than any spec sheet.
2. Drive Medical 14886 Skin Protection Gel – Best Value Clinical Design
Drive Medical 14886 Skin Protection Gel Wheelchair Seat Cushion
Viscous gel bladder in polyurethane foam shell
6.3 lb
18 x 16 x 3 inch cushion size
275 lb weight capacity
Pros
- Long-established clinical design used for pressure ulcer prevention and management
- Viscous gel core reduces shear as well as pressure
- Waterproof vinyl base and water-resistant top handle spills
- Cover is removable and replaceable so the cushion can be serviced
- Fits standard 18 x 16 wheelchair seating
Cons
- Cover is wipe-clean only and cannot be machine washed
- Viscous gel feels firm compared with softer foam or air
- 275 lb capacity is lower than heavier duty options
Drive Medical has made this model since 2005, and that longevity is the story. The 14886 has been specified in pressure ulcer prevention and management programmes for two decades, which is why you will find it named in clinical supply catalogues even though the retail listing has only around 3346 reviews. Roughly 70 percent of those are five star.
The design is a viscous liquid gel bladder encased in a fire retardant polyurethane foam shell. The gel does the pressure redistribution, and because it is viscous rather than rigid, it also limits shear, which is the sliding force that damages tissue once skin has already thinned. The low-shear, vapor permeable, water-resistant urethane-coated nylon top keeps moisture down, and a waterproof non-slip vinyl base anchors it to the sling.
Two practical features separate this from the cheaper gel pads. First, the cover is removable and replaceable, so when the surface eventually cracks or tears you replace a component rather than the whole cushion. Second, the waterproof base means a spill or an incontinence episode does not end your day. The cushion size is 18 by 16 by 3 inches, which is standard wheelchair sizing, and the listed product weight is 6.3 pounds.
The trade-offs are honest ones. The top cover is wipe-clean and cannot go in a washing machine, which is a genuine inconvenience if you prefer laundering covers routinely. The viscous gel also feels firmer than softer memory foam or air, and it will not conform the way an air cell does, so a user with very prominent hip bones may find the gel resists rather than envelops.
What the 275 lb capacity means for larger users
The published weight capacity is 275 pounds, and that is the single most important number on this listing. If you weigh more than that, this cushion is not rated for you, and no amount of comfort in a lighter frame will compensate. Larger users should look at a bariatric-rated design with a published capacity of 400 pounds or more, or a custom molded system assessed by a seating specialist.
Users near the limit report that the three-inch depth still avoids bottoming out, which is a fair sign the engineering is solid for its rating class. The 3.25 inch overall product height also adds a modest amount of seat height, so check that your footrests and armrests still sit where you need them.
Why clinicians keep recommending this design
The reason this shape has endured is that it is conservative. A firm gel bladder in a foam shell does not shift under you, which means it stays put during a transfer and does not roll when you change position on an uneven surface. Users who transfer frequently or who push their own chair generally find that stability easier to work with than a very soft air surface.
The one thing this cushion cannot do is treat an existing wound. Pair it with a wound-care plan and a scheduled relief routine, not instead of them. If you are waiting for a professional seating assessment, it is a reasonable interim option, though a seat-height check is essential before you commit to it.
3. Roho Mosaic Air Cell Cushion – Best Adjustable Air Flotation
Roho Mosaic Wheelchair Air Cushion, Standard Cover, 18 x 16 Inches
Interconnected 3 inch air cells
2.4 lb
18 x 16 inch size
315 lb weight capacity
Pros
- Air cells conform closely to the sitter for even pressure distribution
- Hand pump lets you tune firmness to your body and posture
- Light 2.4 lb build moves easily between home office and travel
- Complete kit includes pump removable cover and patch kit
- Several larger sizes available
Cons
- Over-inflating leaves the cushion rock hard
- Loses pressure over time and needs periodic re-inflation
- Standard cover is lighter duty than heavy duty covers
- 11 percent one-star reviews point to puncture and setup issues
The Mosaic is the most approachable entry into genuine air flotation. It uses interconnected three-inch air cells made of polyvinyl chloride with polyurethane fill, and the cells share air so your weight in one spot pushes neighboring cells out of the way. That is the mechanism that produces deep immersion without a hard point anywhere on the seat.
Firmness is yours to set with the included hand pump, and this is the reason owners rate it so highly at 4.2 across 5597 reviews. You can start firmer for propulsion and ease off when you are sitting still, which is something no foam cushion in this roundup can do. The box also includes a removable cover and a patch kit, so you are not hunting for a repair solution when a cell eventually loses air.
At 2.4 pounds and with a listed size of 18 by 16 inches, it is also the easiest air cushion to move around. It currently ranks fourth in wheelchair and mobility scooter cushions, and reviewers frequently mention taking it between a wheelchair, an office chair and a vehicle seat. Width options go up to 20 by 18 and 18 by 18, and the published weight capacity is 315 pounds.
It is not a flawless product. About 11 percent of reviews are one star, and those complaints cluster around two things: over-inflating until the cushion feels like a rock, and slow air loss that needs topping up every few weeks. The included standard polyester cover is also thinner than a heavy-duty cover, so if your skin is fragile, plan to budget for a better cover.
How much air is the right amount
Owners who love this cushion and owners who complain about it often describe the same mistake in opposite ways. Too much air and the surface is rigid and uncomfortable. Too little and you are floating over a gap rather than sinking into support. The working range most users land on is firm enough that you can transfer without the surface shifting under you, and soft enough that you can feel your body sink below the top of the cells.
Expect to re-check it weekly rather than daily once you have found your setting, and keep the patch kit somewhere you will not lose it. Air loss is normal with PVC cells, and a five-minute pump-up is cheaper than replacing a cushion.
When this is not your cushion
Choose something else if you need a very stable base for aggressive manual propulsion, because an air surface moves under a push stroke. Also avoid it if you have pets, sharp hardware or frequent contact with rough surfaces, since a puncture ends the immersion advantage until you find the leak.
For a sitter with an existing sore who cannot adjust the pump themselves, the dynamic options further down the list handle that risk better. And remember the height: at three inches the Mosaic adds more seat height than a gel pad, so check your armrest and footrest alignment before you commit.
4. Hvllyan Oversized Gel Cushion – Best for Large Seats and Hot Weather
Gel Seat Cushion for Long Sitting, (Thick & Large) Cushion for Wheelchair
1.6 inch gel core
18.9 x 17.7 inch footprint
3.1 lb
Extra soft firmness
Pros
- Oversized surface covers more of a wheelchair or bench seat than most gel pads
- Double layer honeycomb vents cut sweating and stuffiness
- Non-slip base with grip bumps resists sliding
- Cool gel stays flexible in hot weather
- Reports of full suspension without bottoming out
Cons
- At 1.6 inches it is thin for long sits or significant weight loss
- Can slip on smooth chair surfaces
- Not shaped specifically around the tailbone
- Some reports of delivered size not matching the listing
The Hvllyan takes a different approach from most of this list. Rather than chasing immersion depth, it maximizes surface area and airflow, which makes it a strong option for anyone sitting in a hot environment, using a bench or a vehicle seat, or simply wanting a pad that covers more of the chair than a standard 18 by 16 rectangle does.
Its core is a 1.6 inch high-elastic gel, and the double-layer honeycomb vent structure underneath is what makes the cooling claim credible rather than marketing. Reviewers mention reduced sweating and stuffiness unprompted, and about two thirds of the 4227 reviews are five star. The gel is PVC free, and the machine washable cover has grip bumps on the underside.
The recurring negative theme is thickness. At 1.6 inches this is a comfortable pad for a few hours, but owners report it flattening or losing support for anyone sitting ten hours or for someone who has lost weight and tailbone mass, because there is simply less material between them and the seat sling. It also does not have a cut-out or contour, so if your pain is specifically coccyx pain this is not the shape that addresses it.
Weight is 3.1 pounds, which keeps transfers manageable. Just note that the listed footprint of 18.9 by 17.7 inches is larger than a standard wheelchair sling, so on a small chair the edges may ride up or interfere with the side guards.
Best used for a specific kind of sitting
This is the pad to reach for if you spend long stretches in a vehicle, at a workbench, on a bench seat, or anywhere without contoured back and arm supports. The large footprint stops the front edge of a hard surface pressing into the backs of your thighs, which is a common source of skin irritation that a smaller pad leaves untouched.
It is also a good interim cushion while you wait for a wheelchair service fitting, because it needs no adjustment and no tools. Just do not treat it as a long-term solution for a user with existing skin breakdown, where depth of immersion matters far more than coverage.
Who should pass on it
Pass if you are a long-hours sitter, if you have significant weight loss or reduced tissue mass over the coccyx, or if you need a specific tailbone cut-out. Pass also if your chair surface is very smooth, since owners report it sliding on some office chair bases despite the grip bumps.
And check the delivered dimensions before you commit, because a small number of reviews report a size mismatch between the listing and the box. It is a minor issue but worth verifying on arrival, particularly if you are ordering for someone who cannot easily return a package.
5. Helishy Super Large Gel Cushion – Most Versatile for Tailbone Pain
Gel Seat Cushion for Long Sitting Pressure Relief(Super Large&Thick) -Wheelchair Cushion for Pressure Sores – Coccyx,Sciatica & Tailbone Pain Relief Cushion- Non-Slip Butt Pillow for Office, Home, Car
Premium gel core in honeycomb design
19 x 18 x 1.65 inch
2.1 lb
Zippered washable cover
Pros
- Large thick pad that genuinely reduces tailbone and back pain
- Honeycomb breathable gel limits heat accumulation
- Zippered cover unzips and goes in the washing machine
- Folds down for backpack or carry-on transport
- Several size options including a thicker jumbo version
Cons
- Fabric cover durability is a recurring weakness
- Compresses after about two hours of use
- Firm at first and needs a break-in period
- Smaller size option is too small for larger users
The Helishy is one of the least expensive options in this roundup, and for tailbone and coccyx discomfort on a hard seat it does a genuinely good job. The cooling gel core uses a honeycomb structure that lets air move through the pad, and the outer cover is a non-slip cotton with a zipper so you can strip it off and wash it.
It ranks in the top ten of the wheelchair and mobility scooter cushion category, with 3121 reviews and about 64 percent five star. Several detailed reviews describe it being recommended by an oncologist and being useful for back pain, post-surgical recovery and early-stage bed sores, which tells you the positioning is aimed at comfort and general pressure redistribution rather than clinical wound management.
Build consistency is the weakness. A number of owners report the fabric cover tearing, or the cushion separating, within weeks of regular use, and the padding compresses after roughly two hours so it stops feeling supportive across a full working day. It is also firm on arrival and needs a day or two before it molds to you. At 2.1 pounds it is light and it folds flat enough to travel with, which is genuinely nice.
Multiple sizes run from standard through super large at 19 by 18 by 1.65 inches, and there is a thicker jumbo option at 20 by 20 by 1.98 inches. The standard size is too small for larger users, so make sure you pick the oversized variant if your frame needs it.
A sensible stopgap rather than a solution
Think of this as the pad you put on today while you wait for a properly fitted cushion, or as a spare you keep in a car boot. At this price point, the durability question is the whole question, and owners who got a good one often got a year or more out of it.
It works well if your sitting time is moderate and your main complaint is coccyx pain on a hard surface. It is not the right tool for a user with reduced sensation who sits for eight hours a day, because compressed padding plus limited thickness is exactly the combination that produces skin breakdown over time.
When to spend more instead
Spend more if you sit full time, if you have any history of pressure injury, or if you need a cover that survives repeated washing. In those cases the Drive Medical 14886 or the Kölbs Gel Extreme give you a thicker, more serviceable build for a modest step up.
Also skip it if incontinence is part of your day, since a fabric cover is the first thing to fail when it is repeatedly soaked. A water-resistant or waterproof top is worth the extra money in that situation.
6. Kölbs Gel Extreme – Best Five-Layer Build for Deep Immersion Without Air
Kölbs Gel Extreme Wheelchair Cushions Seat Cushion, Coccyx, Sciatica & Tailbone Pain Relief Seating Pad Ideal for Office, Kitchen Wheelchairs and Auto, 24 x 18, 3 Inch Thick
Five layer construction
3 inch gel profile
6.8 lb at 24 x 18 inches
Available in three sizes
Pros
- Five layer build gives deeper immersion than a thin gel pad
- Gel bladder over medical grade foam aimed at ulcer management
- Waterproof top cover handles spills and fluids
- Large 24 x 18 inch version covers big chairs and benches
- Sold in three sizes to match different chairs
Cons
- Large size is bulky and heavy at 6.8 pounds
- Fixed foam build cannot be adjusted as posture changes
- Firmer feel than foam or air alternatives
- Premium cost relative to basic gel pads
The Kölbs is among the thickest non-air cushions in this group, and a 3 inch thickness is exactly what you want when you need immersion without giving up a stable seat. Five layers do the work: a water-resistant top cover, high density support foam, a gel bladder, a medical grade foam cushioning base, and a non-slip bottom.
It is positioned by the brand for managing pressure ulcers and sores, and the 3 inch profile is a real differentiator from the 1.6 inch pads earlier in this list. Deep immersion means more of your weight is carried by tissue away from the sit bones, which is the mechanism behind genuine pressure redistribution. Reviewers mention good support across a long day, and the waterproof top handles fluid without wicking it into the foam.
The compromise is bulk. At 6.8 pounds in the 24 by 18 inch configuration this is a heavy object to move, and anyone transferring independently will feel that weight. The feel is also firm rather than soft, which suits stability and does not suit everyone. Unlike an air cushion, nothing here can be adjusted as your posture or weight changes over the months.
Sizes run 24 by 18, 18 by 16 and 18 by 18 inches, all at 3 inches thick. The smaller sizes are the ones to consider if your concern is transfers, the 24 by 18 for a large frame, a bench, or a wider chair.
When three inches of thickness actually matters
Depth is the deciding factor when your sit bones are the problem rather than your tailbone. A thin pad can cradle a coccyx but it does not have enough material to let the body sink far enough to offload two bony points sitting side by side. A three-inch layered build gives the body somewhere to go, and the gel bladder spreads what pressure remains across a wider area.
That is why this cushion appears in clinical discussions more often than its price suggests. It is a reasonable option for a user with a stage 1 or stage 2 sore who wants a stable, washable, non-powered surface and who does not need the tunability of air.
Where it falls down
Skip it if you transfer independently, because the weight at the larger size is the deciding factor. Skip it if you want a soft sink-in feel, since the medical grade foam base is deliberately supportive rather than plush. And skip it if your weight is changing, because a fixed foam build cannot be re-tuned the way a pumped air cell can.
One more practical note: at 3 inches it raises your effective seat height noticeably, so check armrest and footrest alignment before ordering. A taller cushion that pushes your armrests out of usable position will cost you more in function than it gives in pressure relief.
7. AUVON Memory Foam U-Cutout Cushion – Best Rated Consistency
AUVON Wheelchair Seat Cushions (18″x16″x3″) for Sciatica, Back, Coccyx, Pressure Sore and Ulcer Pain Relief, Memory Foam Pressure Relief Cushion with Removable Strap, Breathable & Waterproof Fabric
18 x 16 x 3 inch memory foam
1.5 lb
U shaped tailbone cutout
Waterproof membrane cover
Pros
- Highest five-star share in this group at 75 percent
- U-shaped cutout genuinely floats the tailbone
- Memory foam responds to body heat and spreads weight
- Waterproof removable cover protects foam from sweat and urine
- Strap and non-slip base stop the cushion shifting
- Light 1.5 lb build makes transfers easy
Cons
- Memory foam core cannot be washed only the cover
- Size can vary slightly because foam is heat sensitive
- Not universal across wheelchair sizes
- Foam compresses over long daily use
The AUVON has the most consistent satisfaction profile of anything we reviewed: 75 percent five star and only 4 percent one star across 2521 reviews. The feature that earns that consistency is the ergonomic U-cutout, a channel that removes material directly under the coccyx so the tailbone floats rather than pressing into a flat surface.
Below the cutout sits premium memory foam that responds to body heat and spreads weight evenly, with a contoured sloped surface to support the thighs. The cover is where this product quietly beats cheaper rivals. It has a waterproof membrane layer between the fabric and the foam, plus vent holes for airflow, and the whole thing unzips and goes in the cold gentle cycle.
Two details are worth calling out. A detachable strap secures the cushion inside a wheelchair, which is not a decorative feature when you are pushing hard or transferring, and the non-slip base backs it up. At 1.5 pounds it is one of the lighter full-size cushions here, and that weight difference is felt every time you move it.
The limits are inherent to foam. Only the cover is washable, so anything that gets past it stays in the core. Because memory foam is heat sensitive, the finished size can vary slightly from the 18 by 16 by 3 inch listing, so it fits wheelchairs roughly 17 to 18 inches wide by 16 to 17 deep rather than being universal. Over long daily use the foam compresses gradually and, unlike an air cushion, it cannot be pumped back.
Why the cut-out matters more than the foam
Most pressure injuries on the buttocks develop under the sit bones or the coccyx, and a flat or gently contoured pad can only do so much about either. A cut-out removes the contact entirely at the coccyx, which is why this shape performs so well for tailbone pain specifically and why it sits comfortably through long working days.
Users with reduced sensation and users who have had a stage 1 sore that never opened report good results, largely because the cut-out removes a persistent pressure point rather than redistributing it. The waterproof cover also makes this one of the more practical options for anyone managing moisture or incontinence.
Who should look elsewhere
Look elsewhere if you sit ten hours or more daily and want a surface that can be re-tuned, since foam compresses on a schedule you cannot control. Look elsewhere if your wheelchair seating is wider than 18 inches and you want a full-bleed surface, because the 16 inch depth leaves gaps at the sides.
Also avoid it if you need the whole cushion laundered rather than the cover, or if your weight is high enough that a three-inch foam build risks bottoming out. A bariatric-rated design or an air cushion with a published higher capacity is the safer choice there.
8. CYLEN Gel Infused Memory Foam Cushion – Best for Cooling and Size Choice
Ifoam Gel Infused Memory Foam Layer Wheelchair Cushion – Seat Cushion for Wheelchair-OfficeChair, Kitchen Chair-Pressure Sore and Tailbone Pain Relief-High Dense Polyfoam Base (Black,18x16x3 inch)
18 x 16 x 3 inch
0.6 kg
Gel infused memory foam over high density core
Removable mesh cover
Pros
- Ranks high in the wheelchair cushion category with a 4.5 average
- Two-layer build supports without bottoming out
- Gel infusion stays cooler than plain foam
- Removable breathable mesh cover is washable
- Non-slip bottom holds during repositioning
- Very wide size range including 24 x 24 x 4 inch
Cons
- Only the slipcover is washable not the whole cushion
- Fixed foam cannot be adjusted as posture changes
- Mesh cover can feel warm over very long sessions
- Firm and soft hybrid feel may not suit everyone
The CYLEN is built in two layers: a plush memory foam top over a medical grade high density foam core. The upper layer conforms to your shape, the lower one stops the cushion collapsing, and the combination is why owners report support without bottoming out even through long sits. It currently ranks among the top three in the wheelchair and mobility scooter cushion category.
The gel infusion is the differentiator versus plain foam, and reviewers consistently describe it as feeling cooler and more supportive. The shaping is designed around coccyx and sacrum relief, so it works for tailbone and lower-back discomfort rather than only for general softness. At 18 by 16 by 3 inches and 0.6 kg, it is a light, easy cushion to reposition.
The size range is unusually broad. Thirteen variants run from 16 by 16 by 3 inches up to 24 by 24 by 4 inches, which makes it one of the easier products here to match to an unusual chair, a large frame, or a replacement part on a rigid sling. The non-slip base holds the pad in place when you reposition or shift, which matters more in a wheelchair than on a flat chair.
Care is the trade-off. Only the slipcover is washable, and the foam itself must be spot cleaned. The removable breathable mesh cover can also feel warm over a very long unbroken session despite the gel infusion, and the listed firmness is a firm and soft hybrid that will not suit a sitter who wants a distinctly soft or distinctly firm surface.
Where this two-layer design earns its place
The medical grade core is the reason this pad feels different from a cheap memory foam rectangle. A high density base gives a stable platform that does not compress asymmetrically over months, while the plush top layer spreads the initial contact area. For a user sitting eight or more hours a day, that combination of consistent support and a cooler surface is the practical balance point.
If you also use a scooter, a power wheelchair or a large transport chair, the size range is a real advantage. Being able to order a 22 inch wide version with a 4 inch depth rather than settling for whatever standard sizes exist is not a small thing for larger frames.
Where it will not be enough
It is not the right pick for an open or actively healing ulcer, where a low-shear fluid-resistant cover and adjustable immersion matter more than cooling. It is also not adjustable, so if your weight or posture is changing you will need a new cushion rather than a pumped one.
And if heat is your dominant problem, an air-cell design moves air continuously and will outperform any foam construction, including this one. Use the CYLEN if you want one cushion across several sizes and a cooler, stable everyday surface.
9. SUNFICON Inflatable Air Cell Pad – Best for Travel and Dual Use
SUNFICON Air Seat Cushion Inflatable Seat Cushion Portable Car Seat Office Chair Wheelchair Pad Anti Bedsore Orthopedics Pain Pressure Relief Cushion Camping Seat Mat w Pump 18 ”x 16” x1” Blue
56 air cells in breathable Lycra
18 x 16 inch
10.56 oz
275 lb weight capacity
Pros
- Air cells leave no single pressure point
- Adjustable inflation lets each user set their own support
- Very light and rolls down small for travel
- Breathable Lycra surface runs cooler than foam
- Silica gel grip base prevents sliding
- Hand pump and spare valve included
Cons
- Only about 1 inch thick so some users find it insufficient
- TPU air cells can be punctured by sharp objects
- Some versions arrive without the pump and valve
- Hand wash or dry clean only
- 275 lb support ceiling is modest
At roughly 10.5 ounces, the SUNFICON is among the most portable cushions here. It uses 56 plump three-dimensional air cells in breathable Lycra over eco-friendly TPU air pockets, and because the cells are soft and interconnected, they leave no single pressure point under the sit bones. Users managing existing pressure points rate that property very highly.
Inflation is adjustable from roughly 70 to 80 percent through to fully pumped, so you can flatten it almost completely for transport and reinflate it for support. The manufacturer claims it disperses up to 30 percent of sitting pressure. The silicone gel grip underneath stops it sliding, and it works on wheelchairs, car seats, office chairs, boats and camping benches.
Be clear-eyed about the trade-offs. The profile is only about 1 inch, so it functions as a pressure-distributing pad rather than a deep immersion cushion, and some users find it simply insufficient for long daily sitting. TPU cells can be punctured by a pen, a pet claw or a rough surface, and a minority of buyers report that their version arrived without the quick pump-and-release valve found on earlier production.
Care instructions are hand wash or dry clean only, and the published weight capacity is 275 pounds. It is a portable companion cushion, not a primary clinical surface.
Best used as a second cushion
This is the pad for someone with one primary cushion at home and a real need for pressure distribution in the car, on a plane, at a campsite, or on a boat. Because it deflates and rolls small, it disappears into a bag, and several owners describe it as the only cushion that removed their pressure-point pain entirely during long journeys.
It is also useful as a loaner while a fitted cushion is being repaired or replaced. Keep it at partial inflation for travel so it stays stable under you in a moving vehicle rather than feeling unstable.
When to choose something with more depth
Choose a deeper air cushion or a thick gel build if you sit for hours in the chair itself, because 1 inch cannot deliver the immersion that established skin breakdown needs. Avoid it if you have pets, work with tools, or transfer onto a surface with sharp edges, since a puncture removes the entire benefit.
And check the contents on arrival, because the missing pump and valve complaint is specific enough that it is worth verifying the accessories list before you rely on this pad away from home.
10. Vive Inflatable Air Cushion – Best Built-In Valve and Cover
Vive Inflatable Wheelchair Air Seat Cushion – Adjustable Air Pressure
72 air cells with foam core
17.5 x 17.5 inch
Pump and removable mesh cover included
Stainless steel nozzle
Pros
- Air cell and foam core gives even distribution with real relief
- Sturdy mesh cover compares well to costlier air cushion covers
- Fully adjustable firmness with the included pump
- Deflates and rolls small enough for carry-on travel
- 60 day guarantee and FSA HSA eligible
Cons
- Measured thickness is less than the product photos suggest
- TPU cells feel plasticky and longevity is uncertain
- Some users need to top up air over time
- Mesh cover is uncomfortable against bare legs
The Vive combines 72 air-filled cells with a supportive foam core, which is an interesting middle ground. The air cells handle pressure distribution and the foam base stops the surface feeling like a trampoline, so you get immersion without the total instability some users find with an all-air cushion. It is designed explicitly to prevent and relieve pressure sores, ulcers, pain and numbness.
Two build details set it apart. The built-in stainless steel nozzle allows fast inflation, adjustment and deflation without hunting for a separate fitting, and the removable mesh cover is noticeably sturdier than many covers at this level, with grip dots, a zippered edge and an integrated carry handle. Reviewers who have used more expensive air cushions specifically comment that the cover holds up better.
It is FSA and HSA eligible and comes with a 60 day guarantee, which is a real advantage given how individual cushion fit is. The 17.5 by 17.5 inch square size fits wheelchairs and transport chairs, and it deflates small enough for carry-on luggage.
Reviewers do flag a few things. The measured thickness is thinner than the product photos imply, so set your expectation accordingly. The TPU air cells feel plasticky next to the rubber feel of a premium air cushion, and one well-informed reviewer who compared the two directly questions long-term durability. Some users also top up air periodically, and the mesh cover is not comfortable against bare legs.
Who this suits
This suits a sitter who wants to tune firmness precisely, who already knows that air cells help their skin, and who wants a cover that can survive repeated washing. The foam core is the differentiator: it gives you a stable surface for transfers that a fully flexible air cushion cannot.
It is also a sensible choice for a long flight, where portability and even distribution both matter, and for anyone who wants to test whether air flotation works for them before committing to a premium air cushion.
Where it falls short
Falls short if you need a 3 inch high profile for an established ulcer, because the profile is shallower than that. Falls short if you are very sensitive to surface temperature, since the mesh cover is breathable but cool against skin. And it is worth considering carefully above 250 pounds, since no weight capacity is published in the listing.
Our general advice applies here: if your weight is high, verify capacity with the manufacturer before ordering rather than assuming an air cushion will carry it.
11. Roho High Profile Air Cushion – Best for Deepest Immersion
Roho High Profile Wheelchair Cushion 16-17″ x 18-19″ x 4″ – Inflatable Air Seat Cushion with Adjustable Support, Lightweight Medical Air Cell Design
4 inch high profile air cells
6 lb
18.25 x 16.5 inch
Polyurethane air cells
Pros
- 4 inch profile gives the deepest immersion of the air cushions here
- Interconnected cells distribute weight evenly with continuous airflow
- Fully adjustable air support matched to body shape and position
- Long medical track record in pressure management
- Machine washable cover and portable 6 lb weight
Cons
- Costs well above every other cushion here
- Needs regular inflation checks and occasional patching
- Bulky 4 inch profile reduces clearance under some chairs and tables
- Vinyl-backed cover can feel hot and plastic against skin
The High Profile is the clinical reference point for deep immersion. Its interconnected polyurethane air cells are four inches tall, giving it the tallest profile in this group, and that extra height is what allows the body to sink far enough for surrounding tissue to carry part of the load rather than concentrating it on the sit bones. Therapists consistently describe this class of cushion as the standard for severe or slow-healing pressure injuries.
The air support system is fully adjustable, so you tune it to your body shape and seating position rather than accepting a fixed geometry. Continuous airflow through the connected cells also helps with heat and moisture management, which matters over a long day. About 67 percent of the 506 reviews are five star, and the praise centres on even distribution, airflow and tunability.
Cost is the honest headline drawback, and it sits well above every other cushion here. The other accepted trade-offs are routine maintenance, since you need to check inflation regularly and patch cells occasionally, and bulk, since a 4 inch profile eats clearance under some wheelchair frames and tables. The vinyl-backed cover is easy to wipe but can feel hot and plastic against skin, which is worth factoring in if you are heat sensitive.
At 6 pounds it remains portable enough to move between a wheelchair, a scooter and a vehicle, and the machine washable cover is designed for long-term daily use.
Why the extra height is worth something
Immersion depth is not a marketing number. It is the distance your body can sink into the surface, and every additional inch spreads the contact area further, which lowers peak interface pressure at the ischial tuberosities. For someone with an established sore, that difference is the difference between the cushion sharing the load and the cushion just softening it slightly.
The high profile also resists bottoming out under higher user weights in a way a 3 inch foam build cannot, and the four-way interconnected design keeps the surface consistent rather than letting one region collapse. If a seating specialist has recommended a high profile air cushion, this is the specific product they usually mean.
Before you buy: check your chair
The 4 inch profile is the biggest seat height change in this roundup, and this is where the recurring real-world problem appears. Users on the ALS Forums report that a ROHO-style cushion lifts them so high that the armrests no longer support their arms, requiring padded armrests to raise the effective height to match. Plan the same adjustment before you order, not after.
Also confirm your chair has the frame clearance for a 4 inch cushion and that your transfers still work at that height. And budget for a better cover if your skin is fragile, because the standard vinyl-backed top is not a skin-protection surface.
12. MobiCushion Alternating Pressure Cushion – Best for Active or Recurring Sores
Alternating Pressure Wheelchair Cushion by MobiCushion – Pneumatic Air Pillow – Relief for Pressure Sores – Low air Loss-Reduces Pressure While Sitting-Rechargeable Battery-Made in Taiwan 17″ x 17″
Powered alternating low air pressure cycle
17 x 17 inch
16 oz
Rechargeable battery up to 12 hours
Pros
- Actively cycles pressure off specific areas rather than just spreading it
- Static mode available for users who want constant cushioning
- Five comfort settings with pressure sensor control
- Medial thigh support improves postural stability
- Rechargeable battery gives up to 12 hours cordless
Cons
- Lowest average rating in this group at 4.0 with 13 percent one star
- Battery needs regular recharging and cannot run indefinitely
- Heavier and bulkier than a gel or foam pad
- Firm foam base feels rigid compared with an all-air cushion
- Premium cost for a powered device
This is the only powered cushion in the roundup, and it works on a different principle from everything above. Instead of redistributing pressure statically, a pump cycles low air pressure through the air cells in sequence, so any one patch of skin gets unloaded on a rotation. For an active or recurring ulcer, that is a different mechanism entirely, and it is the closest a wheelchair cushion gets to a therapeutic alternating pressure mattress.
You get five comfort level settings, pressure sensor technology and a touchpad control panel with audible and visual status indication, a fault indicator and a mute button. There is a static mode for when you would rather have constant cushioning than cycling, and a solid foam base with medial thigh support to improve postural stability and prevent thigh adduction.
The cover is a four-way stretch, fluid resistant, low shear, vapor proof material, which is exactly the specification you want over compromised skin. A rechargeable lithium battery gives up to 12 hours of cordless use, so it works on most wheelchairs and even on non-wheelchair seats.
It is also the least well-reviewed product here: a 4.0 average across 220 reviews with 13 percent one star, the highest negative share in the group. Complaints concentrate on battery management, the rigid feel of the foam base, the bulk during transfers, and the cost of a powered device that some insurers do not cover.
Where powered cycling genuinely earns its cost
Cycling pressure is the right strategy for someone who cannot reposition reliably, whether because of paralysis, a fluctuating medical condition, or a sore that returns every time pressure is held in one place too long. If you can lean, shift or lift yourself on a schedule, a good air flotation cushion plus a consistent relief routine achieves most of the same protection for a fraction of the cost and complexity.
Reviewers do report meaningful improvements in sitting tolerance, which matters when reduced sitting time translates to reduced independence. The thigh support is another understated benefit, since a stable pelvis is easier to keep in a healthy position.
What to weigh before choosing it
Think hard about the charging routine. Twelve hours per charge is a real constraint, and a user who sits longer than that or who does not charge daily is better served by a non-powered cushion. The fault indicator helps, but the system fails more visibly than a foam pad does.
Also plan for the bulk during transfers, and check whether your insurer covers powered durable medical equipment before you commit, since this is the category where coverage is most often restricted. If you can manage it, it is a legitimate therapeutic option rather than a comfort upgrade.
Air Cell and Alternating Cushions Handle Buttock Sores Best
For pressure sores on the buttocks specifically, air flotation and alternating pressure are the strongest answers. Air cells let the body sink deeply into the surface so surrounding tissue carries part of the load, which is the mechanism that reduces peak pressure on the ischial tuberosities, and alternating cushions go further by unloading each area on a cycle.
Gel and hybrid foam cushions sit one step below on redistribution, but they are not ineffective. A viscous gel bladder or a three-inch layered foam build with a cut-out can meaningfully reduce interface pressure, and for a stage 1 sore that has not opened they are often sufficient. What they cannot do is match an air cell for a stage 2 or deeper ulcer that is not healing.
The practical summary: air flotation for a sore that exists, alternating pressure for a sore that keeps coming back or that you cannot offload by repositioning, and gel or hybrid foam for prevention and for stage 1 redness. Foam pads with a cut-out are the right tool when the coccyx specifically is the problem.
Match the Cushion to Your Pressure Sore Stage
Staging matters more than any brand, because a cushion that suits a pink patch is not the cushion that suits an open ulcer. The commonly used staging describes intact skin with blanching redness as stage 1, a partial-thickness skin loss or blister as stage 2, deeper fat or tissue loss as stage 3, and deeper tissue or muscle involvement as stage 4.
Stage 1, intact skin with redness: a gel or hybrid foam cushion with a contoured or cut-out shape is usually enough, paired with a daily skin check and a routine of shifting position. Add an air cushion if you sit eight or more hours a day or you have reduced sensation.
Stage 2, partial skin loss or a blister: move to an air flotation cushion with a low-shear fluid-resistant cover, and have a wound-care clinician involved. Offloading matters more here than comfort, and the cushion should never be the only intervention.
Stage 3 and 4, deeper tissue involvement: a high profile air cushion or an alternating pressure system is the appropriate category, and a professional seating assessment should be driving the choice. Do not self-fit at this stage.
After a sore has healed: prevention continues permanently. Scar tissue does not return to its previous strength, so the area remains more vulnerable than intact skin and the cushion strategy should not quietly revert to whatever you had before.
7 Factors That Decide Which Cushion Suits You
1. Your risk level and sore history. If you have reduced sensation, a bony pelvic structure, a history of ulcers, or a current sore, start with air flotation. If you are preventing problems rather than managing one, gel and hybrid foam are cheaper, quieter, and easier to live with.
2. Hours of daily sitting. Under six hours a day, most of these cushions will work. Beyond eight hours, cushion quality starts to matter more than cushion price, because compression and heat build over time. Beyond ten hours, an adjustable air design or a powered system is the honest answer.
3. Published weight capacity. Three picks publish a weight capacity: the Drive Medical 14886 at 275 pounds, the SUNFICON at 275 pounds, and the Roho Mosaic at 315 pounds. If you are heavier than those figures, you need a bariatric-rated cushion, which means a product built and rated for 400 pounds or more, or a custom molded system.
4. Whether you reposition yourself. People who transfer independently or shift position frequently do better on firm gel and foam, because those surfaces do not move under you. People who cannot reposition need the cushion to do the work, which points to air cells and cycling systems.
5. Cover material and hygiene. A machine washable cover matters enormously for anyone managing incontinence or frequent spills, and it is a genuine differentiator between the picks here. Look for a waterproof membrane layer, as the AUVON and Kölbs have, or a wipe-clean urethane-coated top, as the Drive Medical does. A fabric-only cover such as the one on the Helishy is the least durable option in this group.
6. How much adjustment you want to make. Air cushions let you set firmness with a pump and re-check it periodically. Foam and gel do not adjust, which is simpler but means you replace the cushion rather than tune it when your weight or posture changes.
7. Whether you will actually maintain it. Air cushions need periodic inflation checks and occasional patching. Powered cushions need charging. A washable cover needs washing. The best cushion for you is the one whose maintenance you will actually do, because an unmaintained air cushion eventually becomes a flat surface with none of its advantages.
On cushion longevity specifically: a foam or gel cushion that has lost its shape, or an air cell that will not hold pressure overnight, has effectively bottomed out and no longer provides the redistribution it was sold for. That is the practical signal to replace rather than adjust, and it typically arrives well before a visible failure.
Getting a Cushion Covered Through Medicare or DME
This is one of the most common questions on this topic and one of the least clearly answered anywhere. The short version: a wheelchair seat cushion is durable medical equipment, and Medicare Part B may cover one when it is documented as medically necessary by a physician and supplied by an approved supplier. Coverage is not automatic, and replacement intervals exist.
How often it pays is the part people find least clear. Medicare generally treats the cushion as replacement equipment with a defined interval rather than an unlimited benefit, and the exact schedule depends on the item code and the documentation. The practical route is a physician’s written statement of medical necessity, an evaluation from a seating specialist or occupational therapist, and a supplier who bills Medicare directly, so you are not paying out of pocket and hoping for reimbursement.
For anyone on Medicaid, a state waiver, or a managed care plan, the rules differ by state and plan, and powered equipment is covered far more strictly than non-powered. Ask your plan specifically about the cushion, not about the wheelchair, because the answer is often different. And if you are between wheelchairs or waiting on a service appointment, suppliers will sometimes tell you what a typical funding route looks like in your area.
Cushion Height, Armrests, and the Relief Versus Stability Trade-Off
Two practical issues cause more real-world frustration than cushion specs ever will, and neither is covered by any competing guide we found.
Seat height and armrest compatibility. A high profile air cushion adds three to four inches of height, which changes your relationship to the armrests and footrests. Users report on the ALS Forums that a ROHO-style cushion lifted them so high their armrests no longer supported their arms, requiring padded armrests to raise the effective height to match. If your armrests stop working, propulsion efficiency drops and your shoulders take the load, which creates a new problem while solving the old one. Measure your seat height before and after, and check the transfer technique you use with a therapist rather than discovering it mid-push.
Relief versus stability. Air flotation relieves pressure best and feels least stable, which is the single most common complaint about this whole category. The foam cores in the Vive and the MobiCushion exist specifically to answer that trade-off, and they do it at some cost to immersion. If you push your own chair aggressively, an all-air cushion will make every stroke less efficient. If you transfer independently, a surface that moves under you is a safety question, not a comfort question. The right answer is usually a firm-tuned air cell, a foam-cored air cushion, or a thick gel build, depending on which of those two problems is more pressing for you.
For readers who want a broader look at how cushion choice interacts with everyday comfort, our guides to the best meditation cushions and best travel meditation cushions cover the portability and cover-material questions from a different angle. For the narrower question of how a contoured shape changes what a long sit feels like, our roundup of the best crescent meditation cushions is worth a look, since the same shape logic applies to a coccyx cut-out.
Frequently Asked Questions
What type of cushion is best for pressure sores on the buttocks?
Air flotation cushions are best for sores on the buttocks because interconnected air cells let the body sink in so surrounding tissue carries part of the load, rather than concentrating on the ischial tuberosities. Alternating pressure cushions go further by unloading each area on a cycle. Gel and hybrid foam cushions reduce interface pressure but are generally better for stage 1 redness and prevention than for an open ulcer.
What is the best wheelchair seat cushion to prevent pressure sores?
For prevention, a gel or hybrid foam cushion with a contoured or cut-out shape is usually enough, paired with a daily skin check and regular position changes. If you sit more than eight hours a day or have reduced sensation, an adjustable air flotation cushion gives deeper immersion and better long-term protection than any fixed foam design.
How do people in wheelchairs avoid pressure sores?
Most people who avoid pressure sores combine five things: a cushion that redistributes load, a scheduled position change every 15 to 30 minutes, a daily skin check of the sit bones and tailbone, a posture that keeps the pelvis positioned properly, and enough protein, fluids and movement to support tissue health. Any one of those alone is not enough, and no cushion replaces the routine.
What is the best pressure relief cushion for elderly people?
For frail older adults, a well-fitted gel or hybrid foam cushion is usually the most practical choice because it is stable, quiet, needs no charging and is easy to transfer on. If skin is already fragile or a sore exists, move to an air flotation cushion. Frailty also means falls risk, so a stable seat matters as much as pressure distribution.
How often will Medicare pay for a wheelchair cushion?
Medicare Part B may cover a wheelchair seat cushion as durable medical equipment when a physician documents medical necessity and an approved supplier supplies it. Cushions are treated as replacement equipment with a defined interval rather than an unlimited benefit, so the schedule depends on the item code and documentation. Getting an occupational therapist or seating specialist evaluation before purchase usually makes the process smoother.
What kind of cushions can help relieve pressure sores?
Air flotation cushions, alternating pressure cushions, gel-infused and hybrid foam cushions, and molded or contoured foam pads with a coccyx cut-out can all help relieve pressure. The ones that help most are those that spread load across a wider contact area and keep shear low, which is why deep air cells and viscous gel layers outperform flat foam. Cushions relieve pressure but do not treat an existing wound.
Do pressure sore cushions actually work?
Yes, but they work by redistributing pressure, not by healing tissue. The evidence and long-term user experience both support them as the main tool for reducing interface pressure, which is what drives skin damage. They need to be combined with scheduled repositioning, skin checks and clinical wound care for an existing sore, and a cushion that is badly fitted or bottomed out does very little.
How long does it take a pressure sore to heal with a cushion?
A stage 1 sore that never breaks the skin often improves within days once pressure is properly redistributed. A stage 2 sore typically takes several weeks, and deeper stage 3 or stage 4 sores take months or may not heal without medical intervention. Healing speed depends more on nutrition, overall health and how consistently pressure is relieved than on the cushion model itself.
The Verdict: Which Cushion to Buy in 2026
The best wheelchair cushions for pressure sores fall into three clear answers. Buy the Everlasting Comfort ventilated gel cushion if you want one well-reviewed, washable, cool pad that handles everyday prevention and tailbone and hip pressure without any adjustment. Buy the Drive Medical 14886 if you want proven clinical gel geometry, a waterproof replaceable cover, and a stable seat for transfers, provided you are within its 275 pound rating. Buy the Roho Mosaic if you want true air flotation you can tune by hand pump and carry between chairs.
If you already have a sore, do not start with a product list. Get a wound-care clinician to treat the wound and an occupational therapist or seating specialist to fit the cushion, because an incorrectly fitted cushion is the most common reason a sore does not improve. If you are healthy and prevention is the goal, start with a gel or hybrid foam pad in your exact chair size and upgrade to air flotation only if you sit long hours or your skin is fragile.
Whatever you choose, buy the size that fits your seating, check the seat height change against your armrests, and set up a daily skin check in the same week. That habit, more than any cushion, is what keeps pressure sores from coming back.