Essity Actimove Physiopack Reusable Hot/Cold Bag 12cm x 29cm is a gel bag suitable for use: - hot for muscle pain, inflammation and arthritis, muscle stiffness, - Cold for traumatic injuries, inflammation, muscle spasms, osteoarthritis or during rehabilitation. Whether cooled or heated, it always remains flexible. It has a cover that prevents direct contact with the skin. Read the manual before use. In the cold application: prohibited in circulatory disorders, Raynaud's disease, cryoglobulinemia, paroxysmal hemoglobinuria in cold and cold urticaria. In hot application: prohibited in the case of circulatory disorders, tumors, sensory disorders, acute trauma, bleeding, acute inflammation and acute edema. Can be chilled in the freezer (2 hours at a temperature of -15C) or in the fridge (6 hours at a temperature of 10C). Can be heated in the microwave (4 minutes at 100 watts) or in boiling water at 80C for 2 minutes. Do not apply directly to the skin and leave on for a maximum of 20 to 30 minutes. Always check the condition of the pouch before use. Indication: Relief of pain and discomfort. The American Low Value Shipment Regulatory Modernization Act is active since March 2016 and increases the duty and tax free value of goods American citiziens could import from other countries by mail from $200 to $800 as well as no formal customs procedures are required. The American Low Value Shipment Regulatory Modernization Act is active since March 2016 and increases the duty and tax free value of goods American citiziens could import from other countries by mail from $200 to $800 as well as no formal customs procedures are required