William, I have a tilt and recline on my wheelchair. Tilting can help by moving the pressure from your behind to your back but what I have found out is the most important issue when resolving a pressure problem is how I am sitting on a cushion. The cushion may not be appropriate for your seating needs. If the cushion that I am using is problematic tilting a great deal will probably not help in itself. I think it would be a good idea if you consulted a seating specialist. Is there a good rehab hospital in your area? Or possibly find your self a physical therapist that can evaluate you and make a recommendation. You mentioned you had a 4 inch/high profile Roho. There are other roho products that might help you. You might possibly contact roho and ask them to refer you to a vendor that can evaluate you. It would be best to get evaluated to see if your cushion is appropriate for you and if you could benefit from a tilting mechanism. You need to contact a professional. Also, the more you stay off your sore, the more likely it will heal. No one likes to hear that including myself. I have recently healed a pressure sore on my behind but am unable as of now to find a cushion that can meet my seating needs so I am also in bed longer than I would like. Hope this is insightful, best wishes... Dan T. William Willis <[EMAIL PROTECTED]> wrote: Guys, I need some serious advice. I have been battling a substantil pressure sore on my rear end for nearly four years. It absolutely refues to heal. I just bought a highprofile roho and hope that helps. my question - would it be worth the money (about $1500 out-of-pocket) for me to invest in a tilt chair? I have a standard invacare arrow now. Would this be a worthwhile investment or could I spend the money on something more worthwhile? Please help me guys, especially if you have experience with a tilt chair.
_________________________________________________________________ PC Magazines 2007 editors choice for best Web mailaward-winning Windows Live Hotmail. http://imagine-windowslive.com/hotmail/?locale=en-us&ocid=TXT_TAGHM_migration_HM_mini_pcmag_0507