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Twin Cheeks Folding Cushion

from $115.00

Pelvic pain relief, reinvented. Two adjustable panels support the cushy part of your seat, creating an open channel down the center that takes the pressure off your sit bones, tailbone, perineum, and pudendal nerve.

Not just padding — pressure redirection. US-Patented. Handmade to order in the USA. Trusted by thousands, recommended by doctors and PTs worldwide.

Take the Find Your Fit Quiz if you need help deciding which fit is best for you.

Choose your seat size:

  • Regular: 16” (most popular)

  • Wide: 18” (best if you often find you need a wider seat)

Choose your thickness:

  • Low Profile: 1.5” (becomes more compact for traveling, also good for cars)

  • Regular: 2” (most popular)

  • Extra Cush: 3” (best for people 170lb and up who need a softer seat, adds height, only comes in Extra Firm)

Choose your firmness:

  • Soft: under 120lbs

  • Medium: 120 to 150lbs

  • Medium Plus: 130 to 180lbs (supportive base, softer top) MOST POPULAR

  • Firm: 170 to 200lbs

  • Extra Firm: 200lbs and up

IMPORTANT: Your cushion may feel firm at first and will soften within a couple weeks of use.

Not sure which to pick? Take the Find Your Fit Quiz!

Returns and exchanges are accepted within 14 days from delivery.

Need more time? Send us an email and we will extend it for you. Return shipping labels are $10.

*** SHOWING OUT OF STOCK? *** Click on the Firmness Level and enter your email. We get them back quickly.

Base Size:
Thickness:
Firmness:

Pelvic pain relief, reinvented. Two adjustable panels support the cushy part of your seat, creating an open channel down the center that takes the pressure off your sit bones, tailbone, perineum, and pudendal nerve.

Not just padding — pressure redirection. US-Patented. Handmade to order in the USA. Trusted by thousands, recommended by doctors and PTs worldwide.

Take the Find Your Fit Quiz if you need help deciding which fit is best for you.

Choose your seat size:

  • Regular: 16” (most popular)

  • Wide: 18” (best if you often find you need a wider seat)

Choose your thickness:

  • Low Profile: 1.5” (becomes more compact for traveling, also good for cars)

  • Regular: 2” (most popular)

  • Extra Cush: 3” (best for people 170lb and up who need a softer seat, adds height, only comes in Extra Firm)

Choose your firmness:

  • Soft: under 120lbs

  • Medium: 120 to 150lbs

  • Medium Plus: 130 to 180lbs (supportive base, softer top) MOST POPULAR

  • Firm: 170 to 200lbs

  • Extra Firm: 200lbs and up

IMPORTANT: Your cushion may feel firm at first and will soften within a couple weeks of use.

Not sure which to pick? Take the Find Your Fit Quiz!

Returns and exchanges are accepted within 14 days from delivery.

Need more time? Send us an email and we will extend it for you. Return shipping labels are $10.

*** SHOWING OUT OF STOCK? *** Click on the Firmness Level and enter your email. We get them back quickly.

TheraFlex Hot/Cold Pack (with cover)
TheraFlex Hot/Cold Pack (with cover)
$20.00

How to set up your Twin Cheeks Cushion

“The last cushion you’ll ever have to buy.”

A diagram of how your pelvic sits on the Twin Cheeks cushion for chronic pelvic pain

The Twin Cheeks Patented Pelvic Pain Cushion features two independent foam panels that support the fleshy part of your buttocks while your sit bones rest just inside the open channel between them. Your tailbone, perineum, and pudendal nerve pathway sit suspended in that channel.

This is more than just a padded cushion—it’s a device that redirects pressure away from the parts that hurt and onto the areas that are meant to handle it better.

The Twin Cheeks cushion is a patented design made for people with pelvic pain, by someone with pelvic pain. It's the reason doctors and physical therapists across the globe are recommending it to their patients.

Raving Customer Reviews

  • "It comes with handles, and is easy to take on the go and for long car rides. It provides 100% pressure relief throughout the midline of your perineum and is good for both females and males. My patients with tailbone pain love it as well."

    — Rebecca Marcus, DPT, Core Dynamics Physical Therapy

  • "After buying many different kinds, the one I like the best is called the Twin Cheeks cushion."

    — HealthUnlocked Pelvic Pain Support Network User

  • "The typical donut cushion does not provide the appropriate pressure relief most patients with pelvic pain need. My personal favorite, and most popular cushion is the Twin Cheeks folding cushion. My patients with tailbone pain love it as well."

    — Hands and Heart Physical Therapist

  • "I've tried a variety of cushions that have failed at helping me sit but I've recently purchased the Twin Cheeks cushion and it's been AMAZING. I got the extra firm model and it's allowed me to sit for long periods of time without increasing my pain at all."

    — HealthUnlocked Pelvic Pain Support Network User

  • "After two years of pelvic pain, this is the first thing that's made sitting tolerable. My PT recommended it and she was right."

    — Michael R., Customer

  • "I have 2 cushions and would not be able to sit at all without using one. I have the Twin Cheeks cushions. They are made to order and a bit expensive but for me they are worth every penny. I have been using these for about 18 months and plan to stock up if they decide to go out of business."

    — Pudendal Hope Forum User

  • "The Twin Cheeks has been my life saver. It's the extra firm low profile version. It folds down neatly and can be carried easily in a backpack. The Twin Cheeks cushion has allowed me to hang out (eat, movie theater) with my wife and family. It has also allowed me to keep flying when my job requires it."

    — Pudendal Hope Forum

  • "I use the Twin Cheeks Firm cushion to drive. It is adjustable and keeps the rectal area from touching the seat or bottom of the cushion."

    — Stephanie, Pudendal Hope Forum

Frequently Asked Questions

Woman sitting comfortably at desk using Twin Cheeks pelvic pain cushion

  • Take the Find Your Fit Quiz!

    We make two. The Twin Cheeks is our flagship — two adjustable panels with an open channel. It works for the vast majority of conditions, and is what we recommend for almost everyone.

    The Simple Soother is a more affordable single-cushion option for central-only discomfort with no tailbone involvement.

  • The panels need to be firm enough to hold your weight — if they compress too much, the channel closes and you lose the benefit. Here's a general guide:

    • Soft — under 120 lbs

    • Medium — 120 lbs to 150 lbs

    • Medium Plus — 130 lbs to 180 lbs (supportive base with a softer top layer)

    • Firm — 170 lbs to 200 lbs

    • Extra Firm — 200 lbs and up

    • Extra Cush 3" — over 170 lbs, extra support with a layer of extra soft foam on top

    • Low Profile — available in Medium Plus, Firm, and Extra Firm in a shorter profile, great for cars

    Need help deciding? Take the Find Your Fit Quiz!

  • Same adjustable dual-panel design, different height.

    The Standard is 2” and works well for desk chairs and everyday use.

    The Low Profile is thinner at 1.5" off the seat, folds smaller, and is typically better suited for cars. Choose a firmness level up when ordering a Low Profile.

    Need help deciding? Take the Find Your Fit Quiz!

  • Returns are accepted within 14 days of receiving your cushion. If you need more time, just send us an email and we will extend it for you.

    The cushion must be clean and in returnable condition. Return shipping labels are available for $10. We don't cover return shipping in order to keep our prices as low as possible for everyone.

  • Most cushions ship within 2–3 business days via UPS or USPS. Delivery times vary depending on your location. International orders ship via Global Post Standard Shipping — please be aware that customs fees may apply depending on your country.

  • We're a small, family-owned company based in Colorado Springs, Colorado. Every cushion is handmade to order at one of our centers.

    As such, we get a lot of phone calls and emails that are sometimes a lot for one person to handle. If you can, please try finding the answer through our FAQ, product description, or use the Find Your Fit Quiz!

    No bots, no call centers. We actually pick up the phone!

  • Yes! Our Pelvic Pain Answers blog is full of articles covering conditions, treatment options, and tips for managing pelvic pain written with input from pelvic health specialists. Visit Pelvic Pain Answers →

    We also created a Free Guide on Navigating Pelvic Pain. We compiled all of the information we’ve gathered over the last 10 years and put it into this guide. Download your copy here!

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