I've had a (non strap) knee pillow for nearly two years and I love it. It really has helped with my hip and lower back.
I have two extra normal pillows. I put one under my upper arm, so my shoulder remains in a good position and another one wedged into my back. I also have a memory foam mattress, which I find the most comfortable (although that's possibly a personal thing).
When I'm away from home, I take my knee pillow with me and ask for two extra pillows. I just cross my fingers that the mattress won't be too hard.
I usually get up once in the night to go to the loo. I just slip out of bed and reposition the pillows when I get back - it takes a few minutes.
I've been doing physio-recommended exercises for my hip and lower back for years, but in my experience the pillows have been a game changer. Before them, I could hardly get out of bed in the morning and the pain was excruciating for at least half an hour.
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