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Cho-Pat Dual Action Knee Strap is a patented device that applies compression above and below the knee to offer pain relief and protection from knee degeneration and overuse syndromes. The Velcro hook-and-loop closure strap support is far superior to any single patellar strap due to providing stability without inhibiting motion. Activities can now be accomplished with Dual Action Strap that otherwise couldn't be performed because of pain and inflammation. For maximum performance, properly measure to find the correct size. Measure around the leg at the center of the kneecap. Sizing Guide XS - 10"-12" Small - 12"-14" Medium - 14"-16" Large - 16"-18" XL - 18"-20" XXL - 20"-22" If you are between sizes, we suggest you order the smaller size. Sold in black and tan. The purchase of this product includes 1 knee strap. 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 Pro Therapy Supplies.