The Swede-O ActiveWrap Elbow Thermal Compress is ideal for post-injury or post-game compression and thermal therapy of the elbow and arm. The two independent, flexible gel inserts allow for hot and cold therapy, and the heavy duty neoprene design gives adjustable compression as needed. The reusable gel inserts can be placed inside the ActiveWrap directly over the affected area for maximum therapeutic benefit. Universal fit for the right and left arm. Order by elbow circumference in inches (centimeters). Measure around elbow with arm extended.