It works. It relieves pain. The ratchet lever is too high up and too close to the side of the machine that your wrist will be at a terribly unnatural angle to reach it. They bent the lever up at a 90 degree angle so you can't just slip a tube over it. I put a large box end wrench on the lever (I really need to bend the lever straight so I can get my wrench back) so the place I have to grasp is much lower and I don't have to bend my wrist like you were tryng to scratch your armpit on the same side. I can't recommend it as it comes out of the box, but if you are clever, you could make it work. It does provide relief.
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