Thuasne Argicalm Heat Pad Wrist Elbow Face is a reusable pad based on natural clay for pain relief. Cold Use: Sprains, strains, tendonitis, migraines, eye pain, toothache, bruises, arthritis. Hot application: muscle and joint tension/stiffness, spasms. This ergonomically designed pillow is easily adjustable and feels comfortable. Dimensions: 190 x 110mm. Read the instructions for use. 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