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Orthotics
Spinal
Upper Limb
Lower Limb
Feet

Common Spinal Orthoses

Miami J Collar (CO)

Miami J Collar

Description: Miami J collars are neck braces to hold the neck in proper alignment after an injury or surgery. They are made from semi-flexible plastic with soft pads. The brace comes with a front and a back section, which are attached around your neck with velcro straps supporting your neck.

Indications: neck sprains, cervical fusions, amyotrophic lateral sclerosis (ALS)

Proper wearing: The brace has labels on the two sections that specify the location of each piece and their orientation. Apply the brace while the you are lying on your back and secure the two pieces snugly with the velcro enclosures so that your chin is resting on the brace.


Custom Thoracolumbar Sacral Orthosis (TLSO)

Description: This custom brace is a plastic bivalve full body back brace with a padded inner liner. It is custom made to your body from over 20 different measurements and can be fabricated and fitted to you in less than 24 hours. The clamshell style brace has three velcro enclosures on each side to secure it firmly to your body. It is lightweight in design and can have ventilation holes added for your comfort. It extends from your sternum to your symphysis pubis in the front and from your shoulder blades to your tailbone in the back. It provides stabilization of your spine in all three planes of motion. The clamshell enclosure provides intra-abdominal compression, which offloads your vertebral column. This compression can therapeutically reduce people’s back pain.

Indications: Unstable and stable fractures ranging from spinal segments T-6 to L-4, burst fractures, anterior compression fractures, spondylolisis, herniated disk; laminectomy, spinal stenosis, spinal cord injuries, kyphosis

Proper wearing: It is crucial to make sure your custom TLSO is applied correctly in order for it to effectively support and immobilize your spine. Always wear a t-shirt or other soft interface between you and your brace. Apply the back portion first making sure the waist indentations are resting on your waist. Then apply the front portion of the brace and pull together evenly and snuggly with the velcro enclosures. Your orthotist will explain to you how to apply this brace correctly when you are fitted. In addition you will receive detailed written instructions on how to apply this brace.


C.A.S.H and Jewett Brace

C.A.S.H. Jewett

Description: These back braces are two variations of the same type of brace. They utilize a 3-point pressure system to provide you with proper spinal alignment. The two front pads place pressure on your sternum and symphysis pubis while the pad in the back places pressure along the lumbar region. This style of back brace will limit your ability to flex forward. They are lightweight and simple to put on. These off the shelf braces are custom fitted to you by your orthotist to ensure a proper fit.

Indications: Stable fractures ranging from spinal segments T-6 to L-1, anterior compression fractures, kyphosis, osteoporosis, degenerative joint disease, arthritis

Proper wearing: It is crucial to make sure your C.A.S.H or Jewett brace is applied correctly in order for it to effectively support and immobilize your spine. Always wear a t-shirt or other soft interface between you and your brace. The metal structural portion of the brace is applied midline on the front of your body with the pads resting on your sternum and symphysis pubis. The strap with the pad is wrapped around your lumbar region across your back and attached to the other side of the brace and latched snuggly. Your Orthotist will explain to you how to apply this brace correctly when you are fitted.


Chair Back Brace

Chair Back Brace

Description: A chair back brace is a lumbar brace made of molded plastic on the back with a fabric corset in the front. The rigid back portion extends from your lower mid back to your tailbone and extends to the side of your body. The corset attaches together in the front with velcro enclosures and provide intra-abdominal compression to help relieve pressure placed on your lower spine, which can therapeutically reduce your pain. It provides restriction in forward flexion, extension, and side bending in the lumbar region.

Indications: Stable fractures ranging from spinal segments L1-L4, anterior compression fractures, laminectomy, spinal fusion, moderate to severe degenerative disc disease, herniated disk

Proper wearing: It is crucial to make sure your chair back brace is applied correctly in order for it to effectively support and immobilize your lower spine. Always wear a t-shirt or other soft interface between you and your brace. The back portion of the brace should be applied with the molded section following the contour of your back. The lower portion of the brace should not extend past your tailbone. The front corset piece is then attached together snuggly with the velcro enclosures attached. Your Orthotist will explain to you how to apply this brace correctly when you are fitted.


Soft Lumbar Support

Soft Lumbar

Description: Soft lumbar supports are available in many styles depending on the amount of support you need. They range from simple binders with adjustable elastic compression straps to corsets with metal stays or rigid panels in the back, front, or both. They provide therapeutic benefits such as limited or restricted motion of the lower spine, abdominal compression, muscle relaxation and postural realignment. Most soft lumbar supports are easy and simple to put on. They are lightweight and very adjustable.

Indications: mild to moderate lumbar degenerative disc disease, low back pain, lumbar region muscle and ligamentous insufficiencies, pain caused by lordosis, spondylolisthesis, overuse syndrome, post-operatively.

Proper wearing: Soft back braces are meant to be worn over a thin t-shirt to protect your skin. These braces are most effective when placed midline on your back and tightened evenly in the front. Be sure that it is not too tight that it does not affect your respiratory or digestive functions. Your Orthotist will explain to you how to apply this brace correctly when you are fitted.