I've been using this product for exactly an hour and I can already say that it doesn't work. My admittedly Neanderthal biceps measure 16.5 inches, which is right on the high end of the XL sleeve and strap range. This is the largest size available at the time of writing and the sleeve is too tight and puts too much pressure on my tennis elbow causing pain. As for the strap, I tried wearing it over my sleeve and it just slipped down and down because the thickness of my forearm narrowed to a fairly thin wrist. The strap is difficult, but not impossible, to adjust with one hand, but the sleeve material is too slippery to prevent slipping. If I struggle to tighten the band with one hand, it's already coming down and off my forearm. I'll try sleeveless later. I would like to point out that I was silently suffering from elbow and forearm pain until I saw a guy in a compression bandage at the grocery store and asked him about it. He said he was a veteran and got his own from the VA. His bandage wasn't necessarily stronger than this one, but it was slightly concave on the inside so it could stay on the forearm. It must have worked well for him because it was worn well. On the other hand, while this band appears to be fairly solid, it just doesn't have any outline - I don't think all that much attention has been paid to the actual human construction of this device. I'm sure if the inner foam padding of this strap was slightly concave it would stay in place much better and it would also be easier to adjust with one hand without slipping. Also, if the lining itself were a little less narrow. and maybe a more rounded shape like the one i'm describing would also help it stay in place.
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