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The Powerstep Patella Strap is designed to provide gentle compression under the patella to help alleviate discomfort and pain associated with overuse injuries such as Runner's Knee, Chondromalacia Patella (CMP), Patellofemoral Pain Syndrome (PFPS), Jumper's Knee and Patellar Tendonitis. The Universal design fits a range of sizes, right or left knee. Fits knee circumference 11-18", measured just below kneecap. Wearing/Fitting Directions: Open one side of the strap using the hook and loop closure. Slide support over leg. With leg straight, position the blue tubular gel pad in indentation or groove just below the patella (kneecap). Feed open end of the strap back through the buckle. Open opposite side of strap and pull each side, cinching down until a comfortable amount of compression is applied. Secure both sides of strap using the hook and loop closures. Be sure not to pull so tight as to restrict circulation. The patella strap should feel snug but comfortable and supportive. May be worn during activity or rest. Use as needed for increased comfort and support.