I've been buying this item for 5 years, I've had about 6 sleeves and they don't seem to last long. On the recommendation of a doctor, I need compression because of my arm lymphedema. At first I thought it worked, I used this sleeve every day, the compression is just right for my arm size, but over the years I found that it didn't give me the result I wanted, the swelling didn't go down and I'm still experiencing it light pain. While this product seems to outperform any other hand compression product, the cuff material only seems to last about 5-6 uses. After that, small holes appear here and there due to the tension. I pull it out carefully enough not to damage it (and I don't have long nails) as it's too expensive for 1 sleeve. But then it broke after a few uses, look at the photo of the 2 sleeves I currently have, I threw away the rest so I stopped buying this product. I'm much happier with the cheap one I got from Walmart for about $4, it's just a self-adhesive bandage that allows me to control the compression I want and need on my arm.
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