The medicine is the great hoop in the circle of life and this one is quartered with the imprint of Helping Hands. Classic 4 direction colors. Hand-held Native American inspired hoop drums are perfect for drum circles, shamanic healing, meditation, and personal or ceremonial rituals. The drums are laced onto a separate piece of rawhide for even pressure, preventing tearing. The drum handles are wrapped in leather and made so you can slide your hand underneath so it fits like a glove! Every drum order includes a buckskin beater! Artist's rendering of Sun & Bear Paw motif represent Light & Strength. Choice of diameter sizes. These Native American hand drums are hand made in the USA.