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Soothera home medical hot/cold 20 inches x8 inches lumbar pad. designed to fit around the back, curvatures of the body, knees, ankles,shoulders, and elbows.a safe and effective method for all hot and cold therapeutic treatments. these wonder beads have the ability to get hot or cold and retain their effective thermal properties for an extended period of time. each specially designed pouch contains thousands of free-flowing miniature gel beads which enable the wrap to easily confirm to any shape without any pressure. comes with a washable soft fabric cover.