Very effective for my purposes. I have a terrible ankle and there is almost nothing stopping it from tipping over. I have a much more supportive brace (very expensive) that offers better support, but it's too big to fit in a boot and ruins other casual shoes and sneakers. I wish the Donjoy Surround was better with a more supportive heel. The only real problem I had was that the velcro tabs attached pretty poorly and I had to reinforce the end by fastening the tabs. Don't pull them too hard. All in all this is a good product.
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