Name of the Procedure:

Addition to TLSO (Low Profile), Lateral Trochanteric Pad (L1290)

Summary

A TLSO (thoracolumbosacral orthosis) is a brace used to support the spine. The lateral trochanteric pad is an attachment that stabilizes and aligns the hips and pelvis. This addition is typically low-profile, making it less bulky and more comfortable under clothing.

Purpose

This procedure aims to provide additional stabilization to the hips and pelvis for individuals with spinal or pelvic instability. It helps in improving posture, reducing pain, and preventing further complications.

Indications

• Spinal instability due to conditions like scoliosis or spinal fractures.
• Post-surgical support following spinal or pelvic surgery.
• Chronic lower back pain or sacroiliac joint dysfunction.

Preparation

• No special dietary restrictions or fasting required.
• Patients may need to undergo imaging tests like X-rays or MRIs to assess the spine and hips.
• Medication adjustments might be necessary depending on individual cases.

Procedure Description

1. Assessment: A healthcare provider evaluates the patient's condition and measurements.
2. Custom Fitting: The TLSO brace with the lateral trochanteric pad is custom-fitted to the patient's body.
3. Adjustments: The brace and pad are adjusted for optimal fit and comfort.
4. Instruction: The patient is instructed on how to wear the brace, including putting it on, taking it off, and daily care.

Tools Used: TLSO brace, lateral trochanteric pad, measuring tools.

Anesthesia: Not required.

Duration

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

Setting

This procedure is usually performed in an outpatient clinic or orthotic office.

Personnel

• Orthotist or prosthetist
• Medical assistants

Risks and Complications

• Minor skin irritation or pressure sores, which can usually be managed with adjustments.
• Discomfort or early fatigue while wearing the device initially.
• Rare risk of poor fit, leading to ineffective support.

Benefits

• Improved spinal and pelvic stability.
• Reduction in pain and discomfort.
• Enhanced posture and mobility.

Recovery

• Patients can typically resume most daily activities immediately.
• It may take a few days to get used to wearing the brace comfortably.
• Follow-up appointments might be needed for adjustments.

Alternatives

• Physical therapy to strengthen the core muscles.
• Medications for pain management.
• Surgical interventions in severe cases.
• Pros: Less invasive options could be preferable for minor conditions.
• Cons: May not provide immediate or adequate stabilization.

Patient Experience

• Patients might feel initial discomfort or tightness, which usually subsides.
• Pain management usually involves over-the-counter pain relievers if needed.
• Comfort measures include gradually increasing wear time and making necessary brace adjustments to reduce pressure points.