Features a patented, dual-action ATX (Active Temperature Exchange) design that enables the simultaneous circulation of ice water and air, integrating proven compression and cold therapies like never before. Active pneumatic (air) compression helps the body pump away swelling and stimulates the flow of oxygen-rich blood. Efficient and even cooling further reduces swelling, muscle spasms, and pain. Game Ready Elbow wraps are comprised of an inner, two-chamber “heat exchanger” and a removable, machine-washable, and replaceable outer sleeve.