DONJOY ISOFORM® SIO Flexible, low-profile belt for SI stabilization Single ergonomic pull tab compression system helps reduce SI joint motion Lightweight design for comfortable extended wear Comfortably fits waist sizes from 24-40” and up to 56” Indications: Sacroiliac pain, dysfunction, lower back pain, sprains/strains, pubic symphysis separation, and pubic symphysis ruptures PDAC Assigned Code: L0621 Comfortable compression for lower back stability and support Adjustable pull tabs help provide targeted compression and help reduce the rotation of brace. The pull tab system independently tightens top and bottom allowing patients to localize compression. Low-profile design is easy to apply and remove. The semi-universal sizing and adjustable belt wings allow clinicians to easily customize the fit for a wide range of patients. Ordering Information PART NUMBER DESCRIPTION SIZE 11-1692-2 IsoFORM SIO S/M — 28 - 48” (71 - 122 cm) 11-1692-4 IsoFORM SIO L/XL — 48 - 60” (122 - 152cm)
