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RPI Trigger Wheel Massager performs trigger point therapy and myofascial release. It is especially effective at myotendon and bony junctions. It can be used to replace the thumb around small, difficult areas like the TMJ, occipital ridge, trapezius, parascapular, pectorals, elbow, wrist, knee and ankle. It gives relief from pain, stiffness and soreness, caused by carpal tunnel syndrome.