Although, I got an elbow sleeve now and I tape the ActiPatch on to that. I ordered a large and was way too tight. The XL is still tight but usable. I'm not a huge guy, the compression is just way too much. I also got a hand/wrist compression glove type thing I found at the supermarket. Finally good placement and hold for carpal tunnel. I also put a little piece of electrical tape over the light, at night it's like a searchlight. :)