This device is amazing! I had a very long incision peroneal replacement surgery. Icing is an absolute must after working out and therapy. This device is actually better than some of the multi-thousand dollar machines. It you elevate the insulated container as high above as you can, you can get higher amount of compression. Tip: Freeze some water bottles and insert them. I use Three. Two right in the front and one in the back. I add some crushed ice, add some cool water, let it set and freeze up a bit with the bottles to hold them in place, then over filled the device. Dropping the jug below the aircast allows the warmer water to drain, then I give the water time to get chilled from ice before raising jug above aircast. That can be done as many times as you need.
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