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OmoTrain is a unique shoulder support that promotes mobility and helps limits rotation. For shoulder pain caused by osteoarthritis, or following surgery (postoperative) or injury (posttraumatic) to the shoulder joint, the OmoTrain supports the shoulder joint in a centered position for improved joint guidance. The shoulder muscles are activated and the joint benefits from improved stability. The removable visco-elastic compression pad can be used to produce a local massage effect on the soft tissues of the shoulder. When measuring, please take a very loose circumference. If between 2 sizes please go to the bigger size.