Can't give a very accurate rating at the moment as I've ordered a small one based on measurements and it's really good is big and loose on me. (Because of my long fingers, I usually use the middle one with gloves on.) While I benefit somewhat from a soft palm, it's loose and therefore doesn't give me support. I have now ordered X-Small and will have to wait and see how it works. Do not order a size based on what you "usually" take. Check the manufacturer's website and measure. If you are close to the lower size limit, order one less. This is not a "hard" carpal tunnel bandage. The included stand rides on the top of your arm instead of the bottom and is very flexible. It's more of a "problem prevention" device than a pain reliever if you already have one. McDavid) maybe. The beaded palm rests (I also have two wrist rests and love them) are very comfortable. Cons: Not much fixation if you're already in severe pain and need solid stability.
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