To use it safely, you can wrap an ice pack or a bag of frozen vegetables in a towel, then put it on the area that hurts for up to 20 minutes. Wait about 40 minutes before you use it again.
My usual heating pad had quit, so I turned to a homemade solution: a rice bag heating pad. Surprisingly easy to make, it was also comforting and effective, providing just the relief I needed.
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