PLEASE MEASURE CAREFULLY! Use a soft, flexible tape measure and refer to the second image for instructions. For best results – have someone take your measurements for you. Measure the circumference around your leg at Point A (6 above the middle of your kneecap), and Point B (6?? below the middle of your kneecap). Size 2XL fits 22-24 at Point A, and 18-20 at Point B. This plus size knee sleeve applies compression & warmth to your knee joint to reduce pain and swelling. Use for general knee pain, knee arthritis, patella and ligament issues, knee sprains and strains, knee injury recovery and prevention. This extra large knee sleeve helps obese or overweight men and women who have a lot of stress on their knee joints. Reduces knee joint pain to make walking and standing easier. Made of premium grade latex-free neoprene that is lightweight, soft and comfortable. Fits smoothly against your skin so you can wear it under pants – and no one will know you are wearing a knee brace!