Patented technology provides circumferential compression in conjunction with cooling or heating therapy Each support features 3 components: an anatomical wrap with easy to adjust hook and loop; a patented removable gel pack that can either be frozen or heated depending on the use; and a unique hand-held pump that adjusts the level of compression Fits circumference up to 12 as is or up to 22 with extender straps that are included Indications: Wrist strains and sprains carpal tunnel syndrome arthritis tendonitis hand injuries