Radiation therapy is underutilized for non-cancerous conditions in the US due to lack of awareness, focus on cancer, and availability of older ortho-voltage machines.

“and that's a big reason why it hasn't caught on i think there's a component of just you know when you've got 8 hours or 12 hours a day that the linear accelerator can run we're we're busy with that but one of the things is that uh because unless it's a deep hip or something for most of the superficial for all the other joints you can use one of those old style ortho voltage machines that I mentioned earlier like what they use in Europe they still sell those here there's a company called Extrawl that still makes them and they're perfectly acceptable for all the joint stuff except for the very deep ones like maybe a an SI or hip joint”