• Place cloth wrap and gel pack(s) in freezer.
• Allow unit a minimum of two hours in freezer.
• Remove shoulder wrap and one insert from the freezer.
• Remove the long strap from the product.
• If not already installed, place the gel pack inside the wrap by detaching the velcro fasteners and sliding the gel pack in between the two pieces of material.
• Place the wrap on the shoulder with the gel insert opening next to the patient's neck.
• The attached strap should be guided under the arm and attached back to the "fuzzy" material to apply soft compression to the rotator cuff region.
• Attach one end of the long strap to the fuzzy material on the posterior (back) aspect of the wrap.
• Guide the strap across the patient's back. Run the strap under the arm of the non-operative shoulder.
• Attach the velcro hook fastener on the anterior (front) aspect of the wrap.
• Apply only soft compression.
• If icing against the skin, remove after 20 minutes, or as directed by your medical practitioner.
• If icing over a post-operative dressing, leave wrap on for two hours, or as directed by your medical practitioner.
• If continuous icing is desired, have one gel-pack in the freezer and one gel pack inside the wrap on your shoulder.
• Rotate inserts, one on, and one in the freezer, every two hours, or as directed by your medical practitioner.

If you have any questions, or for more detailed instructions, please call toll free (877) 979-2393.