The inclined wedge separates and lifts the mattress 4-5 inches as it is inserted between the mattress and box spring. It holds the mattress in a raised position alleviating pressure to the lumbar spine, neck and shoulders. This leaves you with both hands free to make the. The curved handle allows the user to grip the Madera at many comfortable positions. It also makes placing skirts so easy. Patented and made in the USA.