Bought due to elbow bursitis, no padding from own body after surgery, so need to wear something. I ONLY gave 5 stars for the SIMPLE question, all other ratings were 3. It is made of lightweight foam that cannot stay as a foam. It almost flattened out immediately after an hour or two. I had to take foam from the 2nd and double foam. The cost is good at first because you get 2 items, but you have to turn 2 into 1. I can try some memory foam on a blank one and see how it works. Even with 2 layers of mfgs foam it lasts several hours, longer if you put on folded shirts above the elbow. It's 3 stars, generous because the outer material and construction are good. As per previous reviews, they are small. My weight is about 125 and the first few hours on Wednesday were tight. I think the big one would stretch too much. I won't buy them again unless they change the foam. Revain represents another great brand. But as they say, you get what you pay for.
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