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The Cho-Pat Upper Arm Strap is a compression device designed to support upper arm muscles that are over-exercised or strained during athletic, leisure, or work activities. Due to the Dynamic Pain Diffusion technology, the upper arm strap absorbs & disperses the forces that cause pain, relieves stress on the upper arm muscles & their attachments, & reduces inflammation. The upper arm strap is worn just above the bicep or tricep & uses compression to prevent the pulling & tearing of tendon fibers. Measuring Instructions Measure the circumference of the arm above the bicep. If between sizes, we suggest that you order the smaller sized strap. Sizing XS, 7"-9.5" Small, 9.5"-11.5" Medium, 11.5"-14.5" Large, 14.5"-16.5" CAUTION: Please be aware that the only authorized sellers for this product on Amazon.com are Preferred Pro-Formance Products, Therapy Connection, Ithaca Sports, and Arx Medical.