The4 by 20" stretchy band is used in conjuction with the Fabric conductive electrodes (electrode pictured is a 4" by 10" that is sold seperately). The Fabric electrodes velcro in, and are then compressed against the treatment site for therapy to ensue. The 8 by 40 is typically used for the back or stomache or other big body part.The Fabric electrodes velcro in,and are then compressed against the treatment site for therapy to ensue
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