how can it be used for moist therapy

Get a damp towel and lay it where you want it and then lay the heating pad over top. Relax.

Is the heating element in the neck?

Yes, but just in the center section, not all the way to the sides. Would be nice if it wrapped all the way around, but still you do feel the heat in your neck, and overall I absolutely love this thing. Gets very warm, which is the highlight for me.

Units	1.00 count
Brand	GOQO TOMO
Format	Pad

King Size Heating Pad Fast-Heating Technology for Back/Waist/Shoulder/Neck Pain and Cramps Relief - Moist and Dry Heat Therapy with Auto-Off 26"X38" Hot Heated Pad by GOQOTOMO PJH-King

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