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Using your LSO (Lumbar-Sacral Orthosis) at Home Ortholign or Ortholux (7960)

Using your LSO (Lumbar-Sacral Orthosis) at Home Ortholign or Ortholux (7960) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Orthopedics

7960


Using your LSO (Lumbar-Sacral Orthosis) at Home
Ortholign or Ortholux



Purpose
Your LSO Orthosis (brace) helps control
and support your spinal posture, helps
reduce pain, prevents further injury and
promotes healing. It will remind you to keep
your back upright and straight. It is often
prescribed for the treatment of compression
fractures or fractures on the front side of the
spine, or after spinal surgery.
Wearing your LSO
The brace will keep you from bending
forward. It should be uncomfortable when
you begin moving into positions you should
avoid. You should be able to do many
normal activities by yourself or with a little
help from caregivers or special tools. Ask
your doctor or Occupational Therapist for
detailed guidelines.
Preparing for your trip home
Arrange for someone to drive you home.
Bend at your hips and knees, but not your
back when getting into and out of a car,
sitting, or standing. To relieve pressure from
the front pads when sitting, try leaning back
over a firm pillow, towel, or blanket behind
the back pad of your brace or sit in a
reclining chair.
Putting the LSO on
1. Loosen the straps in the front of the brace,
if they are not already loosened. (They
should have been loosened when you last

took the brace off, so you can normally
ignore this step).

2. Position the brace so that the back is
centered on your spine and so that the
lumbar curve of the back insert matches the
curve of your spine. (This sounds
complicated, but it just means to place the
back of the brace in its natural - and most
comfortable - position on your back.) If
there are tags then they should be facing
up toward the head.

3. Fasten the right-side strap panel by
holding the front of the brace in your left
hand and the right strap panel in your right
hand and pressing the Velcro hook of the
strap panel onto the Velcro loop of the front
brace panel.

4. Tighten the straps, bringing opposing
straps together simultaneously. If you have a
brace with only one strap per side (a "low-
profile" front), you just do this once. If you
have two straps per side (a standard front),
pull one set snug but not tight, then tighten
the second set, then return to the first set and
tighten it.

5. Verify brace orientation by making sure
that the back of the brace is centered on your
spine – usually the front black pocket will be
centered as well – and that the brace is the
correct vertical height on your body (by
making sure the curve of the small of your
back is accurately "spooned" by the brace's
back polymer insert. Tags or front and back
pieces should be proximal (top) edge of
brace.

Taking the LSO off
1. Loosen the straps in the front of the brace,
placing the Velcro hook onto the side strap
assemblies but not on the front fabric
component.

2. Unfasten the right strap panel by holding
the front of the brace in your left hand and
the right strap panel's loop in your right
hand and pulling the Velcro hook of the
strap panel from the Velcro loop of the front
brace panel.

3. Lay the brace down in a safe place. Take
care that the Velcro hook of the brace straps
does not come in contact with knit fabrics,
which it could fasten itself to and damage.

Wear a soft under-sleeve
We recommend wearing a cotton t-shirt or
similar garment under the brace. There is
nothing wrong with wearing the brace
directly on the skin except that you will have
to wash the brace much more often. It's
better to throw a t-shirt in the wash daily and
keep the brace clean as long as possible.

Tip
If donning the brace is difficult for you, an
easier method might be to lay the brace flat
on the bed with the inside facing up, then lie
down on top of it in the correct position. It
will be easier to fasten in the front this way
for two reasons:
1) You don't have to hold the brace in place
against gravity, and
2) The position of lying supine (on your
back, facing up) allows gravity to pull your
soft tissue inward, thus easing the pressure
resisting the tensioning of the straps.

Caution
After you take the brace off, always make
sure that the Velcro hook (the part that is
rough to the touch) is covered so that it
cannot come into contact with delicates or
knit fabrics, which it could damage.
Be sure to fasten the black Velcro hook to
the black Velcro loop. Do not repeatedly
fasten the black Velcro hook to the blue
fabric. This Velcro fabric is indeed "hook
compatible," but only for a few repetitions.

It is not designed - as is normal Velcro loop
- to take repeated cycles.

Care
Remove the black polymer (plastic) inserts
from the pockets. Hand wash with mild soap
and cool water. Dry flat between bath
towels. Before you remove the polymer
inserts from their pockets, take care to mark
them so you can return them exactly as they
were! Replacing them in-side out or up-side
down will destroy the careful fit your
orthotist has created. If you do not
remember how the polymer inserts were,
look for the label. Each polymer insert
normally has a small label placed in the
inside (toward the body), centered near the
top end. In the event an insert has lost its
label, here are some tips: 1) The front insert
is flat on top and curved on the bottom. 2)
The back insert is wider at the base and
narrower at the top. 3) As to inside/outside,
simply match the curves with the shape of
the body. 4) Each lateral insert's curve is in
the upper half and toward the body.

Daily Activities
Your LSO will make it hard to bend over
and also make you more top-heavy than
usual. Avoid bending over to reach your feet
or the floor. Bend at the knees and hips, not
the waist. You may need help or special
tools to dress, pick things up from the floor,
or wipe after going to the bathroom. An
Occupational Therapist can provide tools
and teach you new ways to do things while
wearing your brace. Be careful on stairs and
use handrails.

How long do I need to wear the LSO?
Your doctor will decide how long you need
to wear your LSO. You must be sure to
follow your doctor’s advice even if you feel
better and would like to stop wearing it
sooner. Your doctor will be checking your
progress and will decide what is in your best
long-term interest.

Things to remember
Do not expect to be able to move in all
directions or sit in all types of chairs. The
brace is designed to limit certain motions
and positions.

You should inspect your skin under the
brace daily to check for any breakdown. If
you notice areas of breakdown or localized
redness, please call the orthotic clinic to
have the brace adjusted.

What if the LSO needs adjusting once I
am out of the hospital?
UW Health Orthotics Clinic:
(608) 263-0583 to schedule an appointment.

What should I do if my neurological
symptoms get worse?
If you have more numbness, tingling, pain,
loss of bowel or bladder function or are less
able to move or do daily activities, call:

Patients of the Neurosurgery Clinic:
(608) 263-1410
Patients of the Orthopedic Rehabilitation
Spine Clinic: (608) 265-3207
If you live out of the area, please call:
1-800-323-8942 and ask for your clinic.

After hours, nights, weekends, and holidays,
this will give you the paging operator. Ask
for the resident on call for your clinic. Leave
your name and phone number with the area
code. The doctor will call you back.
Your health care team may have given you
this information as part of your care. If so,
please use it and call if you have any
questions. If this information was not given
to you as part of your care, please check
with your doctor. This is not medical advice.
This is not to be used for diagnosis or
treatment of any medical condition. Because

each person’s health needs are different, you
should talk with your doctor or others on
your health care team when using this
information. If you have an emergency,
please call 911.












































































Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 2/2017 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing HF#7960.