A cushion or pillow device may comprise first and second tubular members joined at respective lateral portions to define valleys between the tubular members. The tubular members may comprise an outer covering and an inner portion comprising a pliable filler. The outer covering may be fabric that is joined to define the tubular members. The outer covering may be closed to contain the pliable filler. The outer cover may also have open ends for receiving inserts containing pliable filler that are placed within the outer covering. The cushion or pillow device may be manufactured in a number of manners, such as by joining of a fabric or another material to define sleeves, or by molding. The cushion or pillow device may be inserted in a case having an elongate portion for tucking between the frame and mattress of a gurney, hospital bed or the like. The elongate portion may be provided with a cutaway or slit defining separate arms, or a perforation that allows tearing to form the arms.