Core Products, KNE-6401-4XL, 19" - 21" Standard Neoprene Knee Support, 4X-Large SizeOur comfortable Standard Neoprene Knee is ideal for sports, work or home and offers good cartilage support to weak or tired knees or, after an injuryThis comfortable support can help relieve patellofemoral pain (runner's knee), edema or postsurgical effusion, meniscus injuries, mild ostheoarthritis or patellar dislocation and tendonitis (jumper's knee). The contoured slip-on design features an open patella and superior and inferior straps for compression and support above and below the knee. Flexible spiral stays and a removable buttress pad offer a combination of support, stability and adjustability. Bilateral design.Pain Area:KneeCare InstructionsHand Wash Cold, Mild SoapNo Chlorine Additive, Hang DryAVOID DIRECT HEATConditionsPatellar Subluxation or Dislocation; Patellar Tendonitis; Chondromalacia; OtherKnee Supports Benefit OptionsSleeves: Are good for legs that are symmetrical.Open Closure: Are good for legs that are non-symmetrical.Braces with Adjustable Straps: Help control Patella posture and creates environment for rehab.Fitting LandmarksThighKnee CapCalfBack Crease of Knee (Popliteal Fossa)MeasurementSnug Fit Measurement: Devices are sized at a compressed fit.Measuring loose vs. skin tight can be 2-2 ½ inches.Knee CircumferenceCalf, Knee Cap, Thigh, Thigh LengthCan be dictated by support used.FittingRemovable buttress pad can be set for best position.Best fit is from sitting position with knee in slight bend.Pull sleeve on to the knee higher to the groin area.Fit the opening for knee cap slightly higher on the knee cap. Approximately the upper half of the knee cap. The tendency is to wear the support too low. When fitted, brace will slide down into proper position.Upper part of support should be higher to groin area. (braces have tendency to slip down so fit higher)Spiral Stays should be positioned equally lined up on either side of the knee symmetrically.Straps below the knee closest to the knee cap should be adjusted first. If brace is fitted correctly, the calf will hold the position of the brace as the strap just below the knee will be tightened with a smaller circumference than the calf.Strap above the knee should be adjusted last.Straps can be adjusted for proper tension on the patella.Post FittingMake sure brace has been fitted with appropriate strap tightness and has not slid down leg too far.Upper part of the brace should not dig into groin areaAlign spiral stays equally on either side of knee.Add compression from straps starting with just below knee first and working bottom to topDecrease compression from top to bottomDisengaging Velcro and securing tabs prior and after wearing will help with future fitting.