As my name suggests, if you are on the borderline between sizes, try a size up. The little one fits me for most bike things. First I ordered small ones and they were too tight. Sent them back and received them on Wednesday and they fit perfectly. I went to the Fox website for sizing recommendations and found myself on the border between small and medium, so chose my size. Not even close. Medium-sized cushions are comfortable for long hours off-road. Unfortunately the ski lifts are closed during the season so I can't comment on all the day trips but I think they should be fine. Haven't crashed with them yet so I have no idea how well they will protect my elbow area, but right after a wall impact test they should be great.
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