I take my head rest out. I use a very small pillow and put it in between my shoulder blades. I bought velcro strips and attached it at just the right spot on my car seat (though I don't seem to be using it much these days). I helped keep my chest out and shoulders back while driving. It also keeps me close to the steering wheel so my arms don't have to be outstretched.

I move the seat close (not too close), and lower the steering wheel so that it basically sits on my lap. I keep my elbows at my side and rest my forearms on my legs and grasp the wheel at the bottom with my palms turned up. I avoid having my arms extended out or having palms down as this rotates my shoudlers in (bad for me).

Seatbelt: I put the top strap of the seat belt behind me, so essesntially all i am left with is a lap belt (this may be too unsafe for some --- another thing I tried was putting the shoulder strap under my left armpit. This was better than over the shoulder, but still caused some probs). I got a ticket once and the motorcycle cop told me my seatbelt wasn't on properly and I told him I have a medical condition that prevents me from putting it over my shoulder. I also pointed out that the seatbelt law is absurd and reminded him that he does not wear a seatbelt on his motorcycle. He retorted that he wears a helmet. I responded back that I have a crumple zone and air bags. Also, I asked if I wore a helmet while driving a car, would I be excused from the seatbelt law? He had no response and dropped the issue. Also, I later found out that he dropped my ticket for not coming to a full stop at the stop sign.

Sleeping: I can sleep on my back or my sides (mostly the right side). I used to sleep on my stomach but can't do that anymore. While sleeping on my right side, it is impt for me to have something to support my left arm so it stays at least shoulder width. I bought a body length pillow at BB&B. I snuggle up to it every night and it keeps my left arm up.

I tried sleeping on my back for months, but wasn't able to.

(Just wanted people to know that I got pulled over for not coming to complete stop at stop sign --- not for seatbelt. As he was at my driver side window, he commented on my seatbelt. When I told him I have a medical condition, he was going to let it go. I chose to debate him about the seatbelt law itself considering he wasn't wearing one as a motorcycle cop.)