Name of the Procedure

Addition to CTLSO or scoliosis orthosis, lumbar bolster pad (L1030)

Summary

The procedure involves adding a lumbar bolster pad to an existing thoracolumbosacral orthosis (CTLSO) or scoliosis orthosis. This specialized pad is designed to improve the fit and effectiveness of the brace in managing spinal conditions.

Purpose

The lumbar bolster pad addresses spinal alignment issues and provides additional support to the lumbar region. The goal is to enhance the efficacy of the orthosis in correcting or managing scoliosis and other spinal deformities, offering better posture and pain relief.

Indications

• Scoliosis
• Thoracic or lumbar spinal deformities
• Poor spinal alignment requiring correction
• Patients already prescribed a CTLSO or scoliosis orthosis

Preparation

• No specific fasting or medication adjustments required.
• The patient should have a fitting session with a qualified orthotist.
• Previous imaging studies (X-rays, MRIs) of the spine may be reviewed prior to the adjustment.

Procedure Description

1. Assessment: The orthotist evaluates the fit of the existing orthosis.
2. Customization: The lumbar bolster pad is selected based on the patient’s specific requirements.
3. Attachment: The pad is securely attached to the orthosis.
4. Fitting: The orthosis with the new pad is then fitted onto the patient.
5. Adjustment: Any necessary adjustments are made for maximum comfort and support.

No anesthesia or sedation is required for this procedure.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

The procedure is performed in an outpatient clinic specializing in orthotic fittings.

Personnel

• Certified Orthotist

Risks and Complications

• Skin irritation or pressure sores from the additional pad
• Discomfort or pain if the pad is improperly fitted
• Allergic reactions to the materials used in the pad (rare)

Benefits

• Improved spinal alignment and support
• Enhanced comfort and effectiveness of the orthosis
• Potential reduction in pain and improvement in daily activities
• Usually, benefits are noticed within days to weeks after fitting.

Recovery

• Minimal recovery needed as it is a non-invasive adjustment.
• Follow-up appointments may be scheduled to ensure the proper fit and make any necessary adjustments.

Alternatives

• Custom bracing without lumbar bolster pad
• Physical therapy
• Surgical options for severe spinal deformities

Each alternative has its own pros and cons, such as less immediate correction with physical therapy or a more invasive approach with surgery.

Patient Experience

During the fitting, the patient may feel minor discomfort as the orthotist adjusts the orthosis. After the procedure, there might be a period of adjustment as the body gets used to the new fit, potentially involving some initial discomfort. Pain management typically involves over-the-counter pain relief if necessary, but most patients should find the adjustment comfortable within a few days.

This markdown text provides a comprehensive overview for patients or healthcare seekers interested in understanding the procedure involved with adding a lumbar bolster pad to a CTLSO or scoliosis orthosis.