1 protective cover, 1 gel cold/hot pack (4 x 10 in). Flexible ice or soothing heat. Cold for pain and swelling. Heat for muscle aches and stiffness. Ideal for pain and swelling caused by bumps, bruises and sprains and for soothing muscle aches and stiffness. Helps promote healing. hospital proven. Includes a protective cover with elastic strap to secure pack in place. Reusable Cold/Hot Pack made in USA. Cover made in China.