Pump only * The Aqua Relief System delivers therapy and comfort to achy feet and hands due to diabetic neuropathy or poor circulation * * The Aqua Relief System delivers pain relief to achy feet and other body parts due to arthritic pain carpal tunnel syndrome back pain and all other pain conditions * The ARS universal therapy pad (sold separately) can be used on any part of the body including; knee chest face jaw back hip head shoulder neck elbow wrist hand * You can select hot or cold water therapy * HCPCS Suggested Codes: E0217 & E0249* Item has a 1 year warranty against any manufacturing defect