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Deveoloped by the IAOM, the SI-LOC is tapered and wider at the innominates, so pressure is distributed more evenly. Unlike other belts, the internationally patented SI-LOC is not bulky under garments and breathable fabric adds comfort. Wide, medical grade, non-slip pads ensure that the SI-LOC stays in place. Size Guide: To fit, measure the pelvic circumference at a level one inch above most superior aspect of the greater trochanters. Small/medium size fits up to 30" - 46". Large/extra-large size fits up to 47" - 60".