We make our traction pads with surgical quality stainless pads and nickel-free gold chain which are custom made to our specifications. We assemble each piece by hand on a jewelers bench. We have very high quality control standards. Our Traction pads might look delicate but we promise you they'll never come apart on you. Everything is made in the USA. You'll especially like our chain. Its smooth and comfortable, its strong but not bulky, and it works with all popular elastic and needle sizes. No more complaints from your orthos.