Ordered XXL as I'm 5ft 2" - 2 women's sizes. This version of the sleeve (there is a version without brackets available) has flexible metal brackets on the sides to keep the sleeve in place. It doesn't slip a bit over time, only needs to be adjusted once or twice every 6-8 hours. Appearance is the same as the photo - appears to be well made, well stitched, with non-slip silicone on the top hem. In the morning after wearing this Vital Salveo Compression Knee Pad for 12-14 hours all the discomfort/pain is gone. My pain (inflammation from falling on my knee) is not severe but the discomfort makes me limp a bit. The pain came back a day later without wearing So-o Oh, the bandage is put back on. It looks like recovery can take place while my knee heals. I have not washed this item yet but I think it will be easy to hand wash and dry flat as I don't want the elasticity to fade. Quality product all round. Now I have to get rid of the ankle!
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