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This set of pads have been designed for the users who need a little more comfort on the sides of their body. These pads are made of a closed cell foam and soft cloth exterior so as to not irritate the skin. The larger flap goes against the body and you still want to use the crutches with the correct upright position. This is a Set of 2 pads- One for the right and left sides. This pad also fits both the Tall and Short sizes.