Effective for decongesting my arm (I have post mastectomy lymphedema and need to treat this arm daily). I particularly like the alternating smooth metal and rubber tips. When I want to stretch the area, the rubber tips "grab" the skin surface well (also comfortably). I have a little problem with the D handle. It's some distance from the roller, so it's difficult to grab and hold down, especially since my hands aren't strong. I was lucky enough to get my hand through the hole between the handle and the reel, although in this case it doesn't roll that well. I'd rather have a handle at right angles to the roller that I could grip like a comb. I just received a rollerstick (same manufacturer) and will experiment with both. First impressions are that I like the cleats on this reel better, but I prefer the grips on the end of the racquet.
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