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Cho-Pat Patellar (Kneecap) Stabilizer functions dynamically because the fabric-covered material applies constant pressure to the joint, providing effective symptomatic relief of acute and chronic pain associated with patellar tendonitis, arthritis, and overuse syndromes. In addition, the stabilizer has 4 enclosed tubes acting as buttresses around the kneecap to reduce patellar subluxation and degeneration, and provides protection and promotes healing. Measuring Instructions Choose LEFT or RIGHT knee and measure circumference at mid-kneecap. If you are between sizes, we suggest you order the smaller size. CAUTION: Please be aware that the only authorized sellers for this product on Amazon.com are Preferred Pro-Formance Products, Therapy Connection, Ithaca Sports, and Arx Medical. Please call this number if you have any questions about this product - (817) 865-1207. For returns, please contact the seller directly.