The betterlife healthcare foam arm sling is made from soft foam with velcro closures and an adjustable buckle it is a universal design so that it can be adjusted to accomodate all sizes of wrist the betterflife healthcare foam arm sling is suitable for everyday useexclusive to betterlife healthcare and now available for express delivery3333directions58place around the neck and put injured wrist through the loop adjust buckle to a level that is comfortable