Wow, did this shoulder wrap and ice machine deliver! I've been wearing it intermittently during the day and every night since my rotator cuff surgery a week ago and I am SO happy with my recovery. The machine is far quieter than I would have guessed (think white noise machine on low) and the shoulder cuff covers the entire affected area. The 3 Velcro straps provide all the custom fitting you'd need. In between sleep position changes, I've been able to get quality sleep, which has greatly helped with healing.