Cooper Actipoche Multizone Micropearls 1 Heat Pad is a pad indicated by its action for rapid pain relief:hot (thermotherapy): muscle contractures, back pain, torticollis, lumbago, menstrual pain,cold (cryotherapy): sprains, strains, blows and bruises, head - and toothache. Ultra flexible, it offers an immediate effect. It comes with an envelope (10 x 30 cm). Read the manual before use. Cold: in the fridge or freezer. Then insert the pillow into its cover and place it on the painful area. After each use, store the pillow in the plastic bag provided in the case and store at room temperature away from light. Do not apply directly to skin, hot or cold, or to broken skin. Do not use in children under 24 months. Keep out of reach of children. Indication: Pain relief. For adults and children from 24 months. 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