I bought this a medium size and it fits me even though the sizing guide said I was on the lower end of plus size. I'm not tall and my arms aren't very long, so the orthosis almost reaches my armpits. When I first put it on it was hard and I could only wear it for a couple of hours. I stuck with it and after a few times it loosened up a bit and now I can wear it most of the day. If I'm uncomfortable, I take them off for an hour and then put them back on. For some it helps and gives some stability, relieving my pain. I will say that the material is a bit itchy in the crook of my arm which is the worst thing in my opinion. It would be great if it had a softer lining.
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