Inclusion Criteria:  Patients diagnosed with SIFK from ages ≥18 years old who seek treatment at the University of Massachusetts for their musculoskeletal care.  Exclusion Criteria:  Patients with a history of associated conditions such as cancer, inflammatory arthritis, or chronic alcohol or tobacco dependence will be excluded.  The following special populations will be excluded:  Adults unable to consent and/or unable to follow two-step commands Individuals who are not yet adults (infants, children, teenagers) Pregnant women Prisoners Non-English-speaking patients