It can take up to 30 minutes until the heat patch warms up to an effective heat level. Thus, the pouch should only be opened directly before use. The patch should only be applied on clean, dry and unbroken skin. Open the pouch and remove the sealing paper from the back of the patch. Place adhesive side of Spiral Heat to the skin directly over the painful area and press on firmly. After use slowly peel off from the skin. The patch should not be worn for more than 12 hours within any 24 hour period. Only for single use - for each application use a new patch to retain the described heat effect.

End usage and consult your doctor: - If you experience any skin irritation, discomfort, burn, swelling, rash or prolonged redness in the application area . - If, after 7 days, the pain remains or gets worse. Do not use the patch under the following circumstances: - If the covering of the patch or the patch is damaged. - Together with medicated creams and ointments or additional sources of heat. - On unhealthy, broken or damaged skin or wounds. - On bruised or swollen areas. - On body parts where heat cannot be felt. - On people who cannot remove the patch on their own e.g. some elderly or disabled people. - On children under 12 years of age. - In the area of the face, breast, inner side of the arm, armpit, finger, lower abdomen, inguinal area, popliteal fossa, feet or toes. Consult your doctor or Pharmacist before using Spiral Heat. If you have poor blood circulation, diabetes, nerve damage, heart disease, rheumatoid arthritis or if you are pregnant.