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Viscoelastic silicone insert helps provide relief from pain swelling and inflammation Three dimensional knotted elastic Open heel and toe provides easy slip on 7 Sleeve Unisex SIZING: Measure around the center of the ankle just above the ankle bone. HOW TO APPLY: Pull the support up over the foot with the heel in the opening in back. The J-shaped viscoelastic insert should fit around the ankle bone. The support should fit snug but not so tight to restrict circulation. CARE INSTRUCTIONS: Hand wash in cold water with mild soap. Wrap in a towel to remove excess water (do not twist or wring). Air dry away from heat. Do not tumble dry. Do not bleach.