Rotator Cuff Surgery and
We Have Advanced Treatment Tools to Help You
Speed Up Healing of Your Shoulder and Get Function Back!
Not every case of rotator cuff injury or general shoulder injury requires surgery to heal.
It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into your shoulder soft tissues. This added scar tissue will be problematic, requiring physical therapy and conservative treatment options post-surgery. If not dealt with properly, your shoulder could end up in worse condition than before the surgery! This is why surgery is only performed as a last resort for chronic conditions or severe rotator cuff injury.
Rotator cuff surgery is generally not considered until all conservative treatment options have been exhausted. Or there is a complete tear in one or more of the muscles comprising of the rotator cuff. Unless it is a highly severe or complete tear, doctors, orthopedic specialists and physical therapists will advise that you try at least 6 or more months of conservative therapy with no sign of improvement before surgery will even be considered. Some conservative treatment methods recommended include:
- Rest - This is important for initial healing because without an appropriate amount of rest you are at risk for increased inflammation, pain and re-injury of your shoulder.
- Avoid Activity that caused your shoulder injury. - While resting your shoulder it's also important to avoid all activities that may have caused your symptoms and any repetitive shoulder or arm movement. This may include reduced activities in your job if that has caused your shoulder injury. Continuing on with regular activities can increase the severity of your injury, turning a mild to moderate case of rotator cuff injury into serious damage or leading to a frozen shoulder.
- Apply cold compression Immediate cold compression (using the ColdCure Technology® Shoulder Freezie Wrap®) will allow you to manage pain while getting rid of swelling and inflammation.
- Use Blood Flow Stimulation Therapy™ (BFST®) - After swelling and inflammation has been reduced. Use your own blood flow to maximize your rehabilitation, decrease recovery time, and boost overall long-term healing. BFST® is especially helpful in dealing with rotator cuff tendon injuries or on-going pain and stiffness from a straining your shoulder.
- Physical therapy and rehabilitative exercise under supervision of a physical therapist or doctor. Providing you with increased range of motion, some pain relief and helping to strengthening the surround tissue in the shoulder. Caution: aggressive physical therapy can be harmful, such as aggressive stretching or massage, and when dealing with a shoulder that has very low range of motion, there is high risk to damage weak and damaged muscles and tendons of the rotator cuff. Could lead to a very painful long term case of frozen shoulder.
Other Conservative Treatment Methods can be Risky
Steroid injections can provide temporary relief from the pain of tendon related injuries and are very popular. However, these injections should generally be avoided if possible as they weaken the tendon and may lead to a rupture. If you do opt for an injection, doctors usually recommend that you do not participate in strenuous activities for several weeks to reduce the risk of a rupture.
"In other words, in some way, the cortisone shots impede full recovery, and compared with those adopting a wait-and-see policy, those getting the shots 'are worse off'. Those people receiving multiple injections may be at particularly high risk for continuing damage." (reference: Reynolds, G. (1288). Phys Ed: Do Cortisone Shots Actually Make Things Worse?. Well. Retrieved 17 November 2016, from website)
"Complications of cortisone shots can include:
"Risks - Cortisone Shots - Mayo Clinic". 2016. Mayoclinic.Org. Accessed November 17 2016. website
- Joint Infection
- Nerve Damage
- Thinning of skin & soft tissue around injection site
- Temporary Flare of Pain & Inflammation in the Joint
- Tendon Weakening or Rupture
- Thinning of Nearby Bone
- Death of Nearby Bone
- Temporary Increase in Blood Sugar"
If you are not at the surgery stage and your physician has opted to treat your injury with conservative treatment options, then you will find that many of our customers have had great success treating themselves with the powerful conservative treatment products we offer through AidMyRotatorCuff - the Shoulder Freezie Wrap® and the Shoulder Inferno Wrap®. When used as directed, it is our opinion that the Freezie Wrap® and Inferno Wrap® will give you the best chance of healing your rotator cuff without the need for surgery. If surgical intervention is required, talk with your physician about using these same products for post-surgery recovery as you will find them to be highly effective for reducing post-surgery inflammation, enhancing range of motion and minimizing scar tissue growth (which is a substantial problem in nearly any case of shoulder surgery).
If Surgery is Required
If you have exhausted all forms conservative treatments, resting, cold compression therapy, physical therapy. And, you still find yourself in pain as well as limited use of your shoulder for daily activities. You and your doctor may decided to move forward and have you under go surgery. Beginning the next chapter of your shoulder recovery, as surgery is not the end of your journey. Your rehabilitation efforts will have an important impact on how soon you can return to living and enjoying your normal daily life.
The surgery that your surgeon will recommend for your will depend on the level of your pain and the type of injury to the shoulder and the amount of damage from your physical exams, x-rays and MRI results.
It is always highly recommended that anyone considering surgery always have a clear understanding of the risks as well as the benefits of elective surgery. In addition, one should also be aware of the success rate of the particular surgery in question combined with the post-surgical recommendations that will typically have an impact on your chances of success. As an example, in nearly all cases of rotator cuff repair surgery (in both arthroscopic and open), immediate postoperative physiotherapy (stretching, exercise) is initiated generally lasting from 12 to 16 weeks. Your surgeon should provide a treatment plan to help you regain normal use as soon as possible.
The rotator cuff surgery to repair a torn rotator cuff muscle or tendon usually involves one or more of the following surgical procedures:
- Debridement - this is the removal of any loose fragments of tendon, bursa, bone or other debris from the space within which the rotator cuff moves.
- Smoothing - the surgeon makes room so the rotator cuff tendons and muscles can function properly without being pinched (aka impingement). This sometimes results in shaving down of bony edges or spurs from the shoulder blade so tendons can slide across without fraying.
- Stitching - torn tendon edges are sewn back together and reattached to the upper arm bone (humerus) if needed.
Arthroscopic surgery - The surgeon will making tiny incisions around your shoulder joint and inserting a pencil-thin camera with a small lens and lighting system. These images will then be transmitted to a TV monitor, which allow the surgeon to make a diagnosis and/or perform the repairs needed in the rotator cuff. Impingement syndrome or a partial thickness Rotator Cuff tear are best treated by this type of surgical repair. They may require a debridement and/or shaving or removal of bone spurs and fragments that can catch when your arm is rotated. At the end of surgery, your incisions are closed, and a dressing is applied. As arthroscopic surgery is minimally invasive and patients usually recover at a much faster rate.
Traditional Open Repair surgery is often first choice of most surgeons. If you have a complex or full thickness rotator cuff tear, the surgeon will use sutures (stitches and/or metal or plastic anchors that hold the tissue together after they have been severed) to help attach the tendon back to the tissue or bone.
Open repair surgery is also used when additional reconstruction is required, such as a tendon transfer and/or shoulder replacement.
There are always some risks with any surgery, which may include possible infection, allergic reaction to medications, and damage to surrounding nerves or blood vessels. Surgery always will lead you to have more tenderness, pain, stiffness and weakness after surgery, but with proper rehabilitation these should diminish.
Surgical therapy is often recommended for younger individuals, people who continuously use their shoulder for work, athletes, or when non-surgical treatments are not effective. Although surgery is often successful at repairing any damage and/or relieving pain, it does not necessarily return strength to your shoulder. That's why a strong commitment to rehabilitation is essential.
After the surgery is done, you can expect to undergo recovery and rehabilitation efforts for several months. Range of motion movement is encouraged early, with restricted motion within days after surgery. This is an important step as your body heals scar tissue is forming.
Depending on your job (and whether your occupation has caused your condition), you may be able to return back to work within a few months. Overall healing of your shoulder after surgery may take upwards of 4 to 6 months, which means you may not be able to return to sports or heavy use of your arm for some time.
Getting Started with Your Post-Operative Rehabilitation
If you have undergone surgery on your rotator cuff injury then your physician will quickly get you on the path to rehabilitation. Now, your desire have your shoulder back to normal, will greatly depend on your rehabilitation efforts. Your injury's ability to heal will depend on a variety of factors including (but not limited to):
- your age, overall health and activity level
- the state of your injury before surgery (severe injuries like a tendon rupture, open wound, bone damage or fracture will require more intense surgery)
- the type of surgery you have undergone
- how soon you must return to normal activity
No two rehabilitation plans are alike - The less invasive your surgery is,
the quicker your road to recovery will be.
The goal of a rehabilitation plan is to manage pain and swelling while improving function, strength, and range of motion. Ultimately, you will regain strength in your shoulder and rotator cuff tendons to be able to use your shoulder normally and return to full activity. You will most likely spend a lot of time with a physical therapist after your surgery, but as your healing progresses, emphasis will be placed on your personal at home treatment. The success of your rehabilitation will depend on your dedication to working with your doctor and physical therapist while also managing your recovery on a daily basis at home.
Regardless, of what type of surgery you've had (or even if you don't need surgery) your home therapy routine can be improved by controlling initial and on-going pain/swelling, and increasing blood flow to heal your tendon so that you can achieve long-term, positive results. This can easily be done by incorporating an Shoulder Freezie Wrap® and Inferno Wrap® into your rehabilitation routine. Regular treatment with an Shoulder Freezie Wrap® and Inferno Wrap® will decrease your time spent in recovery.
Speak to your doctor, surgeon or physical therapist about incorporating Freezie Wrap® and Inferno Wrap® treatments into your post-operative rehabilitation program to boost your overall recovery process.
Post-OP Phase 1: Protect your Shoulder
Rehabilitation after surgery on your rotator cuff tendon will first focus on protecting your shoulder. Starting simple movements to gain motion, preventing scar tissue formation which might limit your range of motion and from further damage to the tissue.
You will be advised by your physician NOT to drive or operate a motorized vehicle for at least a week after your surgery. This is because you will have still have limited range of motion in shoulder. If you find yourself in an emergency situation in your car; how will you respond quickly enough with your shoulder? You are probably finding it difficult - if not impossible - to drive anyway... so this shouldn't surprise you.
Right after surgery avoid reaching behind your back with your shoulder/arm just been operated on.
Do not lift any object even if you are just bending your elbow. Try not and move your arm away from your body for four to six weeks following surgery. Including when using a keyboard and mouse or dressing. Showering under your arm pit by bending forward to let the involved arm hang freely and reaching under with the opposite arm.
Do not use your arm to push up/off the bed or chair for six weeks.
Sleeping may provide a challenge for quite a few people. Try putting a towel roll under your elbow to support your arm. Added an incline wedge in your bed may be more comfortable than lying flat.
Your surgeon will instruct you to wear a sling at all times for 4 to 6 weeks. The length of time need for you to use the sling will depend on the type of surgery you have had. You may remove the sling for exercise as prescribed by the surgeon or therapist, icing, dressing and showering. Normal daily activities around the house and your work as long as you keep your arm in the sling.
Soon after surgery your shoulder will become tender, swollen, red and hot to the touch. These are all symptoms of inflammation. An Shoulder Freezie Wrap® can safely and effectively reduce immediate post-surgery pain, inflammation and swelling to speed the recovery process after rotator tendon surgery.
In order to reduce pain, swelling and inflammation your doctor will prescribe an anti-inflammatory drug to be taken during the first 4 weeks after your surgery, or for however long it is needed, depending on your pain level. Your surgeon will also recommend a cold compression therapy 3 to 4 times per day, you can use an Shoulder Freezie Wrap® for 15 to 20 minutes at a time, to control your inflammation and reduce your pain.
Why is cold compress so important this stage of your recovery?
The first step after surgery (or any injury) is to reduce the swelling to "open up" the area for more blood flow. Anyone in the health-care business knows that your blood supplies the oxygen and much needed nutrients required to heal injuries. This is why for years, doctors, trainers, and other medical professionals have recommended RICE (Rest, Ice, Compression, Elevation) to treat the pain and swelling of fresh injuries, chronic pain, and after any re-injury.
Although RICE can help to treat these symptoms, ice and freezer gel packs reach temperatures so low they can cause cryoburn, an ice burn on your skin. The problem is, up until now there hasn't been any other option to treat painful conditions and injuries, so ice and blue gel packs (full of anti-freeze and chemicals) have been the only choice up until now.
Fortunately you no longer have to settle for these ice cold methods that are uncomfortably cold against your skin, provide short term relief, cause ice burns, numb your skin and underlying tissue beyond feeling so you don't even notice the ice burn until it's too late and pool around your injury putting the cold everywhere except for where you need it most.
A Freezie Wrap® allows you to treat your injury in an effective and convenient way. Our Freezie Wraps® will fit your injury keeping the cold right over your injury for the entire length of your treatment. Our food-grade, non-toxic gel packs can be chilled in the fridge or freezer to tailor the amount of cold that you need for your injury. It doesn't matter how you cool it down, because our gel packs are chock full of gel that's designed to cool down into millions of tiny snowflakes. This method of cooling means our gel packs aren't icy-cold and stay flexible even right out of the freezer! The cushioned gel will wrap around your injury and it won't budge for the entire treatment period. You'll no longer have to deal with annoying pooling gel away from the injury site or have to hold a hard block of ice on your injury!
Cold Compression Therapy slows nerve and cell function - reducing the swelling that blocks blood vessels from doing their job.
This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood through the tissue and tissue cells begin to break-down. Without cold compression therapy cellular break-down and tissue damage continues as the cells don't get the oxygen they need to survive. By limiting the amount of damage done to your tendon, you also limit the amount of healing that needs to occur. This is a very important step to heal tendon injuries faster and with less pain! This is why you need to treat your tendon injury pain right after it's hurt, when you notice pain / swelling / inflammation, or directly after a re-injury. Applying a Freezie Wrap® right away will stop the damage immediately and unblock your blood vessels to let your body's natural blood flow in to start healing the tissue.
Rest is also vital to your rehabilitation plan, depending on the surgery you have undergone. When it comes to Achilles tendon surgery recovery, your surgeon or physical therapist will expect you to rest your ankle as needed to prepare for physical therapy and exercise to come. Typically, rehabilitation with a physical therapist will begin 4-6 weeks after surgery.
Post-OP Phase 2: Start Physical Therapy
After your rotator cuff tendon starts to heal your tissue will be in a weakened state and will not be as strong as healthy tissue for some time. This is why you need to be on "re-injury watch" and make the most of your physical therapy appointments and home therapies during your rehabilitation. It would be devastating if overdoing it at any point during the first few months of rehabilitation would send you right back into the operating room.
Your surgeon will recommend regular physical therapy appointments in the first 6 weeks after surgery. The type of surgery and the degree of damage to your rotator cuff will also make a difference in how soon you start physical therapy.
Your physical therapy appointments will be 1-3 times per week, and your progression of movement in your shoulder will be the guide. At your appointments you will be encouraged to gain back some of your range of motion and increase the stability of your injured shoulder. You will start with the gradual movement of your shoulder in a free (non-forced) way with little weight or resistance, normally with very few repetitions of activity. Your shoulder will be stiff and painful at first, and simple, easy movements may seem challenging in the beginning. Don't be discouraged, your hard work will payoff in the end!
At Home Stretching/Exercise - Your therapist will encourage and tell you just how important it is to commit to regular exercise at home as well as in the clinic. You should be doing homes exercises up to 3 times per day. They will give you the exercises and guidance based on your overall shoulder soreness level and your morning discomfort.
At about 6 to 12 weeks (depending on your type of surgery) you still need to allow for healing from the surgery. Although you may be feeling much better and your pain is reducing. Your rotator cuff at 4 weeks is only 20% healed, 8 weeks it will be about 40% strong and after 12 weeks the tendon is 60% as strong as normal tendon. This is a point when you still need to be careful for re-injury.
Rehabilitation and Scar Tissue
As with this type of surgery, the surgeon will weigh the costs versus the benefits of performing surgery on a particular case. Scar tissue is something that cannot be avoided during surgery, and the surgeon will determine if the probable outcome will be better even after the scar tissue from surgery is considered.
During the healing process your body will fill in the area the surgeon stitched with dense, brittle tissue called "scar tissue". The human body will use scar tissue as a temporary solution and will try to build the scar tissue as fast as possible to heal a repair in the soft tissue. Scar tissue can form fast to finish bring together the edges of a tear/stitches, but working fast doesn't mean that the job's done right. When scar tissue forms it doesn't come together as neatly as regular (healthy) tendon/ligament tissue would. Scar tissue fibers will lay down over top of your tear in a cluttered, messy and jumbled up way.
Imagine throwing a bunch of drinking straws in the air... When those straws hit the ground they will land in a random, unorganized way. It even seems silly to think that those straws could land perfectly straight and all in the same direction.
This is how scar tissue works. The scar tissue that forms in your soft tissue will be unorganized and won't line up properly with the healthy tissue surrounding the tear. This scar tissue will also attach to everything in and around your shoulder injury including the surrounding healthy tissue as well. This can result in a long-term fusing together of your tendon that stiffens your shoulder reducing your mobility and making your injury even more painful!
This is why scar tissue is weak and only a temporary solution to heal your injury. Scar tissue is something that needs to be dealt with fast. If you try to get back into your regular daily activities with a mound of scar tissue on your tendons and ligaments you will have a higher risk of re-injury. Scar tissue is just not built to withstand the pressures of regular activity.
You success to recovering from rotator cuff surgery is up to you:
- listen well to your physician and if conservative treatments are recommended. Stick all the treatments daily often to ensure you maximize the opportunity to heal
- Frequent use of the Shoulder Freezie Wrap® after your surgery will get the swelling down very fast. Much of the pain you feel will be from the swelling, and you will be surprised how quick the pain drops off once the swelling is down.
- Using Shoulder Inferno Wrap® is a safe, electromagnetic energy device that will help reduce scar tissue, increase blood flow to the area (and thereby accelerate the body's own healing process).
- when applied before stretching, the Shoulder Inferno Wrap® will help the connective tissue in your shoulder joint elongate, and stay elongated. This means that it helps improve your range of motion which is exactly what you want when trying to recover from a rotator cuff.
How Blood Flow Stimulation Therapy™ can fast track your recovery
Improve Circulation, Soften Scar Tissue & Prevent Re-Injury with Blood Flow Stimulation Therapy
Promoting blood flow to your soft tissue to help your body heal itself is a concept that has been utilized for centuries. Oxygen and nutrients, carried within the blood, are critical for the body to heal itself. Without proper blood flow, your recovery from any soft tissue injury will be delayed... sometimes for a very long period of time.
Even though the concept is simple, improving blood flow to your tendon while it's injured can be difficult. Traditional methods require you to move in order to promote blood flow - but that same motion that promotes blood flow can also make your pain and injury much worse. Relying on movement alone to increase blood flow puts you in danger of re-injuring your tendon, bursa or muscle that has been affected
So what do you do when you need to increase blood flow, but you can't move without re-injuring?
Using Blood Flow Stimulation Therapy™ (BFST®), will help with your recovery and heal your injury more completely. BFST® increases the amount of blood that flows naturally to your soft tissue to nourish your tendons, ligaments, muscles, improving elasticity and speeding the healing process. This increased Blood Flow Stimulation Therapy to your injury is greatly needed.
The only way to get BFST® is through use of an Inferno Wrap®. The Inferno Wrap® is the only treatment method that improves blood flow and circulation on a deep tissue level. Other methods of warming / heating tissue (hot water bottles, hot baths, etc) will only ever increase blood flow on a surface / skin level. These methods need a LOT of time to even reach on a deep tissue level. And even if you were to use them this long your skin would heat up to an uncomfortable level and may even burn you.
The best source of heat treatment is from a product where you don't even feel that much heat. When you don't feel the heat, it means the therapy is working in your deep soft tissue which is really where you need it. It's kind of like how your heart works in your body. You can't "feel" your heart pumping blood all around your body to your arms and legs. You can't even hear your own heartbeat without listening very closely. This is exactly how deep tissue BFST® works too! You're not supposed to "feel" a lot of heat because the heat isn't treating your skin, it's treating your injury increasing the blood flow right in your tendon tissue.
- When treating any soft tissue injury, an effective therapy will increase blood flow to the injury while the joint is immobile.
- This increase in blood flow will accelerate the body's own ability to heal itself.
- The Inferno Wrap® is the most highly effective blood flow stimulation device that you will find on the market that is approved by the FDA for use in the home or hospital.
Our Inferno Wrap® is made from medical-grade material - this should be as important to you as it is to us! Other products that are sold in stores are considered "consumer goods" meaning the material only needs to be as good as a sweater that you wear. Clothing articles like this don't need to meet high standards of production or materials and may include materials that irritate your skin.
Since our wraps are medical-grade products registered with the FDA, they are of a higher quality and need to meet way more standards for manufacturing (ISO 10993 - bio-compatibility testing). This makes our wraps the safest product for heating treatment. Our manufacturer has spent years perfecting the wrap design to make sure you get the treatment you deserve!
Use a BFST Inferno Wrap®:
- After swelling and inflammation have been reduced with cold compression.
- Before exercise or workouts to warm up the tendons to prevent re-injury.
- Before and after surgery during rehabilitation to warm up your tissues before physical therapy exercising or stretching.
- Anytime you feel the tendons have stiffened up, are tight and your mobility is reduced causing you more pain.
- Anytime you have sore or aching tissue.
- Any other situation where you need to increase blood flow to your injury to relax your tendon, relieve pain, prevent re-injury and enhance flexibility of your tissue.
It may seem hard to believe, but our Freezie Wraps® and Inferno Wraps® will assist you in recovering from your injury faster and reduce the chance suffering from degeneration conditions (like arthritis or chronic tendonitis) by maximizing blood flow where it's needed most and reducing swelling / inflammation induced pain.
Post-OP Phase 3: Return to Regular Activities
You are well on your way to recovery. On average 16 weeks out of surgery, your shoulder tendon is 70% as strong as normal. You should have stability in the shoulder, full range of motion and be working on gradually restoring the strength, power and endurance. Your physical therapist should have cleared you for return to full work and modified recreational activities.
While all you hard work is paying off in gaining back your health. You still need to be mindful of no heavy lifting (more than 10lbs), no pushing activities, no sudden jerking motions, no uncontrolled motions. You should still be doing you home exercises 1 time per day and slowly change over time to every other day. You may still be going to physical therapy once a week depending on how your motion an strength are progressing. BFST® before your exercise and therapy are still very beneficial to increasing elasticity and range of motion in the shoulder and cold compression for pain relief afterwards.
If you are looking to recover from you shoulder surgery fast, then it should be apparent to you that the Shoulder Freezie Wrap® and Shoulder Inferno Wrap® treatments combined with your physical therapy is the optimal path for toward fast recovery.
It may seem hard to believe, but regardless of what type of shoulder surgery you have undergone (or are trying to prevent). Our Shoulder Freezie Wrap® and Shoulder Inferno Wrap® home therapy products will assist you in recovering from your injury faster. Reduce the chance of degeneration shoulder conditions by maximizing blood flow where it is needed most, reduce swelling and inflammation induced pain.
How Can You Take Advantage
of Our Advanced Therapies to Treat Your Rotator Cuff? ... It's Easy!
Place your order online through our ultra-secure website by clicking the image below
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I can understand that some people are hesitant to use their credit card online. This is why we give people an option to order over the phone by calling toll free 1-800-237-9608. However, to help ease fears of ordering online, there are a few points that should be noted.
First, AidMyRotatorCuff has extensive security measures in place to protect against the loss, misuse, unauthorized access and alteration of customer information. In fact, we have invested around $200,000 over the past 4 years in hardware, software, and programming to ensure that online transaction are kept safe and secure.
Our online shop is located on a very secure server and we conduct security testing every day of the week to ensure all facets of our security system are fully optimized.
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As you can see, ordering from us is a very easy and safe process, no matter if choosing to order on-line or over the phone.
Prevention and Promotion of Lifelong Health
If you want to avoid re-injury, or manage pain and increase circulation for lifelong health benefits, an Shoulder Freezie Wrap® and Shoulder Inferno Wrap® will provide exceptional results. Why spend time in pain, off from work, and missing out on your active lifestyle when you can be proactive about your injury and the health of your body? Talk to your doctor about incorporating a regular routine of using a Freezie Wrap® and Blood Flow Stimulation Therapy™ into your everyday health regimen.
If you are still uncertain which route to go or if you would like to discuss issues affecting your shoulder, shoulder impingement, rotator cuff, frozen shoulder, upper back muscle strain or other soft tissue injuries, then do not hesitate to contact a AidMyRotatorCuff Advisor immediately by phone North America Toll Free 1-866-237-9608 | Outside North America 1-705-445-1765 or email service@AidMyRotatorCuff.com
AidMyRotatorCuff advisors do not work on commission, so be assured you will only receive fair and objective information about your condition and how our products can help you.
Click here to read more about how the Shoulder Inferno Wrap® helps with the healing process.
Click here to read more about how the Shoulder Freezie Wrap® is designed to be the most effective cold compression wrap on the market today.