Knee with adjustable spine gives an inelastic, focused solution for the center of the leg, from right below the knee to the mid-thigh area. A trained lymphedema therapist is required for initial sizing and customization. This item is non-returnable. Indications: Early phase decongestion treatment of lymphedema. Features: Inelastic compression. Breathable fabric that improves comfort and compliance. Juxtaposed band system for a perfect fit. Easily customized on a per-patient basis. Easy handling when donning and doffing. Built-In-Tension System supports a repeatable level of tension. Adjustable to your specific patient’s needs System Includes: 1 reduction knee component 2 hook and loop knee spines 1 paper measuring tape 1 direction for use 1 reduction shelf strap. The Circaid Reduction Knee Kit is meant to be used with the upper and lower leg kits (sold separately) or may be used alone. Patient Donning Tutorial - Reduction Kit: Knee Clinician Instructional Video - Reduction Kit: Knee