I ordered a medium and I have about 17 to 17.5 inches. It feels rather tight. I suppose it is that way in order to work. I can't walk or bend my knee well for that matter. I'm trying to use it. I don't want to waste my money and buy a large. Also, I feel a hole for the patella would be better. It bunches up there and it seems pointless to have material there. It might be a little easier to walk without material there. My issue is I hurt my MCL area about a year ago. I was just looking for something to help. I know the side of my knee hurts when I sleep, because I'm a side sleeper and can't touch my knees together. Sleeping with this thing seems impossible and a pillow of some sort may be the only answer for that.
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