2,Open the black air valve and move the blue air roller valve to the biggest part, that means let maxium air in. Pump in air by press the black air bulb ball, until you feel a light stretch of the neck. It needs some strength. Or you can ask help from others.
3, Move the blue roller to the smallest part, that means close the valve to hold air around neck. Screw & close the black air valve as well to prevent any leakage of air.
4, Let the back of your head rest comfortably back inside the neck tractor. Relax your muscles. Stay 3-5 minutes.
5, Pump it again if you want stretch longer time. Normally do not excess 20 minutes.
6. Move the blue roller to bigger part, that means open it and unscrew the bulb valves, to gradual release out air.
7. Remove the Air Neck Traction from neck. You can leave air in without press on airs, so it will be easier for next time usage.