Yes, it hurts for the first 3-5 minutes. Initially feels like a burning/intense pressure sensation. However, the discomfort transforms into warmth and relaxation after 5-10 minutes. First-time users should start with a thin shirt on, then progress to bare skin for maximum benefits. Getting off can be uncomfortable - don't slide, lift straight up.

Most users report optimal results with 20-30 minutes per session. Beginners should start with 10-15 minutes and gradually increase time. Some users fall asleep on it for longer periods without issues. Can be used daily, with many users reporting best results using it before bed.

Overwhelmingly yes - especially compared to alternatives. Users consistently mention saving hundreds or thousands on massages, acupuncture, and other treatments. The mat typically pays for itself within 1-2 sessions compared to professional treatments.

Both methods work, but bare skin provides maximum benefits. Beginners often start with thin clothing and progress to bare skin. The pillow can be especially intense on bare skin, so many users keep a thin barrier for neck use. Never slide or drag across the points - always lift and place.

Many users report immediate relief after first session, particularly for muscle tension and stress. For chronic conditions, consistent users typically report significant improvement within 1-2 weeks of regular use. Best results come from regular daily use, especially before bed.