DISCLAIMER: Any suggestions or statements are from my own personal experience, or my memory of what my doctor has said. Do not use it to make medical decisions without agreement by your own physician. I assume no responsibility for your use of this device or any part of my experience with or without approval of your own physician.After I was able to fasten the sleeve in a way that worked for me, it has become tremendously helpful. I have been going through a phase I guess where I must be gripping my fist at night, with the result in the morning, my fingers or even arm may tingle sharply when I stretch it out. The tingling or discomfort is partially like a carpel-tunnel effect. My physician believed I was also suffering from a pinched nerve in my the back of my neck. Gradually the problems have been going away, and as I write this review today, I have none of it.Notes about the product packaging: directions are scant, and tiny. Four small pictures illustrate the recommended sequence for fastening the three straps. A little larger on the box, but not necessarily obvious. I read the box as illustrating, where if numbered 1-2-3 (from top to bottom with my arm towards the ceiling), a sequence of 2-3-1. Personally, the best sequence I found over time was to fasten them in a 3-2-1 sequence. Note the first of 4 pictures illustrates inserting a heat-or-cool pack (included). I haven't used one, but I noted that the printed directions warned against using the heat or cold for any extended period of time. For me, it has worked best to fasten the sleeve just before going to bed, on in the middle of the night if I wake up with that unwanted tingling.Personal discovery: The best fastening for me has been to avoid a tight-snug fastening - that restricts the spread of my fingers. I want the device snug around my arm (without restricting blood flow), but not to trap my fingers on the sides. My doctor said for carpel tunnel (see Disclaimer!) the important thing is to keep the fingers from curling - the ridge of the device will help with that. It's taken some experimentation to get it right -- too far up is as unhelpful as too low. (A) The device comes in several sizes - get the measurements and sizing matched for you. (B) The best position for me has my thumb not restricted by any edge of the thumbhole.Personal caveats: I made other changes to my environment, of which I believe this sleeve played an important role. But to be fair I should say I replaced the 4"foundation and frame with 4" legs that came box-spring that came with my mattress of long ago for a new spring-like-foundation with its own legs raised about a foot from the floor. That replacement has been instrumental to improving my overall-body-support at night. Old as it is, surprised as I am, I plan to keep the mattress (now in its 13th year) because I am sleeping well for the first time since we got the bed (after having tried, earlier, two other mattresses).In an earlier model of this sleeve, I noticed some reviews complaining about the Velcro fasteners over time losing their adhesion. I've had this 2-3 months, and notice a lesser "instant-glue" effect, but have had no trouble getting a secure fastening. After removal, I try to loosely rewrap each strap so that none tangle with each other or something nearby.Any decisions you make from this review: See Disclaimer, i.e., YMMV. :)
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