# DonJoy IsoFORM® SIO Back Brace

## 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)

![](https://cdn.shopify.com/s/files/1/0533/4587/8181/files/spine-support-range_480x480.png?v=1696952235)

## Details

- **Price:** 128.99 USD
- **Vendor:** DonJoy IsoForm®
- **Type:** Back Brace
- **Tags:** Accessories, Back, Back Brace, Donjoy Accessories, Donjoy Performance, FSA-HSA-Eligible, IsoForm

## Variants

| Variant | Price | Available |
|---------|-------|-----------|
| Small/Medium 28-48" | 128.99 USD | In stock |
| Large/XL 48-60" | 128.99 USD | In stock |

## Images

- DonJoy IsoFORM® SIO Back Brace - 11-1692-2 DonJoy IsoFORM® SIO Back Brace - Small/Medium 28-48" by Supply Physical Therapy Accessories, Back, Back Brace, Donjoy Accessories, Donjoy Performance, IsoForm
- DonJoy IsoFORM® SIO Back Brace - 11-1692-2 DonJoy IsoFORM® SIO Back Brace - Small/Medium 28-48" by Supply Physical Therapy Accessories, Back, Back Brace, Donjoy Accessories, Donjoy Performance, IsoForm
- DonJoy IsoFORM® SIO Back Brace - 11-1692-2 DonJoy IsoFORM® SIO Back Brace - Small/Medium 28-48" by Supply Physical Therapy Accessories, Back, Back Brace, Donjoy Accessories, Donjoy Performance, IsoForm
- DonJoy IsoFORM® SIO Back Brace - 11-1692-2 DonJoy IsoFORM® SIO Back Brace - Small/Medium 28-48" by Supply Physical Therapy Accessories, Back, Back Brace, Donjoy Accessories, Donjoy Performance, IsoForm
- DonJoy IsoFORM® SIO Back Brace - 11-1692-4 DonJoy IsoFORM® SIO Back Brace - Large/XL 48-60" by Supply Physical Therapy Accessories, Back, Back Brace, Donjoy Accessories, Donjoy Performance, IsoForm
- DonJoy IsoFORM® SIO Back Brace - 11-1692-2 DonJoy IsoFORM® SIO Back Brace - Small/Medium 28-48" by Supply Physical Therapy Accessories, Back, Back Brace, Donjoy Accessories, Donjoy Performance, IsoForm

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> Source: [Supply Physical Therapy](https://supplypt.com/products/donjoy-isoform-sio)
> Updated: 2026-09-15