Sacroiliac Orthosis (L0623)

Name of the Procedure:

• Common Name: Sacroiliac Belt, Pelvic Brace
• Technical Term: Sacroiliac orthosis, prefab, provides pelvic-sacral support with rigid or semi-rigid panels

Summary

A sacroiliac orthosis is a supportive brace worn around the pelvis to stabilize the sacroiliac (SI) joint. It includes rigid or semi-rigid panels over the sacrum (lower back) and abdomen and has straps and closures for secure fitting. It may also have a design to accommodate a pendulous abdomen. This orthosis is prefabricated and can be purchased off-the-shelf, designed to reduce motion and provide support to the SI joint.

Purpose

The sacroiliac orthosis is used to stabilize the SI joint, reduce pain and inflammation, and prevent further injury. It's commonly prescribed for conditions causing SI joint dysfunction, including arthritis, pregnancy, or trauma. The goal is to alleviate pain, improve mobility, and enhance the quality of life.

Indications

• Symptoms of SI joint dysfunction, such as lower back pain and discomfort around the pelvis.
• Conditions like sacroilitis, sacroiliac joint arthritis, or lower back trauma.
• Patients with pendulous abdomen post-surgery or during pregnancy.
• Individuals who require additional pelvic support due to weak abdominal or pelvic muscles.

Preparation

• No specific fasting or medication adjustments are needed.
• A thorough evaluation by a healthcare provider to determine the appropriate size and type of orthosis.
• Diagnostic imaging or physical examination to assess the severity of SI joint dysfunction.

Procedure Description

1. Assessment: A healthcare professional assesses the patient's need for the orthosis.
2. Measurement: Measurements of the patient's pelvis and abdomen are taken to ensure the correct fit.
3. Fitting: The prefabricated orthosis is fitted around the pelvis, with the rigid/semi-rigid panels positioned properly over the sacrum and abdomen.
4. Adjustment: Straps and closures are adjusted for a secure and comfortable fit.
5. Instruction: The patient is educated on how to wear, adjust, and care for the orthosis.

Duration

• The fitting and instruction process typically takes about 30-60 minutes.

Setting

• The procedure is usually performed in an outpatient orthopedic clinic or a physical therapy center.

Personnel

• Orthopedic specialists or physical therapists handle the assessment and fitting.
• Medical assistants may help with measurements and adjustments.

Risks and Complications

• Skin irritation or pressure sores from prolonged use.
• Potential discomfort or improper fit leading to insufficient support.
• Rare allergic reactions to materials used in the orthosis.

Benefits

• Reduction in SI joint pain and improved stability.
• Enhanced mobility and ability to perform daily activities.
• Increased support during physical activities or postural improvements.

Recovery

• Immediate relief can often be felt, but full benefits may take several weeks of regular use.
• Patients are advised to gradually increase wear time, starting from a few hours a day to wearing it throughout the day.
• Follow-up appointments to assess fit and effectiveness, and to make any necessary adjustments.

Alternatives

• Physical therapy exercises to strengthen the surrounding muscles.
• Medications for pain and inflammation.
• Injection therapies or more invasive surgical options for severe cases.

Patient Experience

• Patients may initially feel a firm pressure around the pelvis, which should become more comfortable over time.
• Pain management through over-the-counter pain relievers if needed.
• Improved comfort and stability during movement and activities.

By following this comprehensive outline, patients and healthcare providers can better understand the purpose, procedure, and benefits of the prefabricated sacroiliac orthosis.