There are many types of braces on the market that address specific needs based on the issue you have and various purchase options. Its important to understand your specific needs before reaching for a drugstore brace. When selecting a brace, I recommend you seek advice from a specialist who can guide you to the type of brace that best suits your needs.
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Once you have an order from your provider, a professional fitter will assist you with the appropriate brace, ensuring size, fitting and adjustments are correct. They are also able to assist with questions during your appointment and long after you take the brace home. The fitters job is to ensure you have exactly what is necessary for your individual need.
Today, we will be discussing a few of the numerous types of braces used in sports medicine and orthopedic offices, including the simple sling, post-op sling, knee immobilizer, post-op knee brace, hinged knee brace, short boot, and tall (standard) boot.
The simple sling is a piece of equipment youve probably seen. Its used for many types of injuries and after surgical procedures on wrists, elbows, shoulders, or collarbones.
When you wear a sling, your elbow should always fit snuggly into the corner of the sling. With your elbow in the right place, at least half of your hand should be inside the sling. There may be a little loop you can place your thumb in to help secure your elbow and hand in position.
To ensure the best fit, there are two places you can adjust the sling. If you adjust both youll get a better fit than if you just adjust one. Most brands use Velcro to make adjustments.
Your hand should be a little higher up than your elbow to make sure that swelling moves away from your hand.
This sling is used with a special pillow underneath it to hold your arm away from your body. Its often used after shoulder surgery to hold your shoulder in the proper position. Its also called an AB sling for abduction sling; abduction is moving something away from your body.
Like the simple sling, you want to make sure your elbow is sitting snugly in the corner of the sling. The pillow will go between the sling and your body and will be fastened around your body with an adjustable strap. Your arm may be placed in front of or on the side of your body.
We regularly see patients come into the office with a simple knee immobilizer that has slid down around their ankle, which is obviously not stabilizing their knee.
The simple knee immobilizer is defined as a non-functional brace. Non-functional braces arent designed for the wearer to be active in. If you are trying to do too much in this brace, it will fall around your ankle.
Its important that the brace is snug, but not too snug. If the brace is too tightly strapped to your leg, it can cut off circulation. Having the right length for your height and your injury is also important. This brace comes in different lengths ranging from 12 to 24 inches.
Non-functional braces are designed to be worn after surgery or serious injury. They are for rest, recovery, and rehabilitation, and not for exercising or sports. If you try to do too much in these braces, they will fall down your leg, wont offer the needed support, and you could possibly prolong the recovery period.
Functional braces are ordered for patients that are past a post op or injury phase and functioning in a brace. With a functional brace, you can exercise or play soccer, etc. if approved by your health care provider.
When you take off your brace, stick the Velcro strap back on itself. By re-strapping, you will keep pet hair and other debris from sticking to your straps.
This brace is a little more complicated and is commonly used for ACL reconstructions, tibial plateau fractures, patella fractures, patellar tendon ruptures, or any condition where you need to have true immobilization or range of motion control.
Like all braces, it is crucial for the post-op knee brace to fit well. When fitting, the pads, called condyle pads, should be centered on the side of the leg with the top of the knee cap. If you draw an imaginary line from the top of the kneecap to the center of the condyle pads you should be in a good place. If you initially set the brace too low on the leg it will not stay in place.
A good starting point is to also check the back strap that sits directly below the back of the knee crease. It should sit at the top of your calf muscle so when you tighten that strap first, it anchors the brace in the correct place. You will know you have properly placed the brace when you feel the strap in the back is right at the calf muscle.
When you first get this brace, the fitter will set a range of motion as ordered by your doctor. The brace will allow your knee to bend only the specified amount. You shouldnt change the range of motion or unlock the brace unless your doctor tells you to.
The post-op knee immobilizer is a non-functional brace. If you do too much in it, it will start to slide down your leg like the simple knee immobilizer. These braces are for resting, rehabilitation and recovery.
The straps on this brace are made long. We recommend that you do not cut them until you are certain you will not need surgery. The extra length of the straps will be needed if you have a bulky dressing placed around your knee after surgery.
If you wear functional knee braces or post op knee braces over your pants and bend your knee, the pants will pull the brace down.
If you have a cotton-lycra knee sleeve or tight leggings that are not slippery, you can wear your functional knee brace over your pants. Non-functional knee braces such as the knee immobilizer can be worn over pants if necessary because they do not allow the knee to bend.
The hinged knee brace is a functional brace. You will wear it to play soccer or basketball for instance. Measurement is required to make sure you have the proper fit.
The hinged knee brace stabilizes the knee joint and keeps the bones from moving around too much. It can keep the four main ligaments of the knee from working as hard and may control your range of motion. Its commonly used for tears in the knee.
Sit in a chair with your leg slightly bent to put on these functional braces so you can see how to align the brace properly. Many people try to put them on while standing, but the brace wont be in the best position. The cutout goes in the back so there isnt extra fabric when you bend your knee.
These braces come in a wrap-around version and a pull-on version. The brace may have two or four straps depending on your needs.
Always start with the strap right below the back of the knee. This strap helps stabilize the brace and keeps it in place while you fasten the other straps.
The short version boot is used for foot fractures or toe fractures. The tall standard boot can be used for foot issues, but it is also used for high ankle sprains and fractures.
The short version boot is light, but it stabilizes the foot. You can be active in these, but dont push it. You should only walk when necessary. Do not go on any big trips around the mall or on a hike.
Sizing again is important. Boots typically go by shoe size, and the fit is the same on short and tall boots. Toes should not hang over the edge of the boot, where they might get blisters or be stubbed. If the toes are too far back, you can easily trip on the extended edge of the boot, leading to another injury.
When you put on a boot, push your heel into the back of the boot as far as possible. Fasten the strap closest to your ankle first to hold the heel in place. Then finish the foot strapping and work your way up your leg.
The liners of these boots come out, and you can wash them using hand wash or a gentle cycle setting on your washing machine with a small amount of soap. These pads are up against your skin constantly and can cause some irritation if not taken care of. We do recommend that you wear a tall sock when you wear a boot.
Most patients do not sleep in a boot unless your physician has told you otherwise.
Most of the boots we use allow you to add extra air to the boot to fill the space around the heel and ankle so the boot fits better. These boots are called pneumatics. Your fitter can show you where the button is to add air to your boot.
Take advantage of YouTube videos with detailed instructions from the vendor of your brace. Many of our braces have a QR code on them that you can scan with a smart for on-the-go fitting instructions. Of course, you can always call or come back to the office if you are feeling uncomfortable or struggling with your brace.
Contact us to discuss your requirements of Sports Back Support Solution. Our experienced sales team can help you identify the options that best suit your needs.
When wearing a boot, there will often be a little bit of a height difference between the leg wearing the boot and the leg not wearing the boot. We recommend that you place a heel lift in your other shoe. The difference in height between your legs can hurt your knee, hip, shoulder, and neck.
Yes, you can. However, youre not going to get all the benefits that buying a brace from OrthoVirginia will give you.
When you buy a brace from OrthoVirginia, youll receive:
In many cases, we have found that after insurance billing patients pay less out of pocket than if they bought the brace themselves. Braces may even be covered at 100% depending on your insurance plan and deductible.
If the brace is pinching the back of your knee, you can wear a knee sleeve with cotton-lycra in it underneath the brace. You can purchase the sleeve or take a pair of leggings and cut the legs off to make inexpensive homemade sleeves.
Yes, they do.
If you just want to keep your knee going warm or if you have some swelling, the compression sleeve will offer some relief. However, if you have more severe arthritis or other issues with your knee, we recommend you use a knee brace with hinges for improved stabilization and protection. You may also wear a knee sleeve under the functional off-the-shelf hinged brace for compression.
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Sports Back Support
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Has your back ever started to feel sore and tired after a long run? While it's true that the legs do a lot of the work, your core muscles play an essential role in maintaining your posture and protecting your spine from impact shocks. So after a while (especially if your spine isnt as used to running 15 ks as your legs are), your core muscles may tire out.
Studies show that compression knit helps delay muscle fatigue. A back brace does so in two key ways:
It boosts circulation through your core. When the blood supply to the muscles increases, they get nutrients and oxygen at a faster rate, reducing the rate of fatigue.
The compression weave communicates with muscle fibres, helping them transmit and receive messages to and from the brain. As a result, you can activate your muscles more efficiently.
Improve your running posture
Your running posture plays a crucial role in your overall running form. Even if the rest of your form is flawless, poor posture can negatively affect oxygen intake and muscle endurance, leading to injury.
As a compression back brace communicates with the muscles, it will remind your core to keep your spine in a neutral position. With good running posture, youll more evenly distribute impact pressure through your back. Youll also be able to breathe easier, as your ribs and lungs will be in a more open position.
Help you avoid back injury and pain
Training for a marathon involves a lot of running. Unfortunately, even if you follow a training guide to the letter and safely increase your distance over time, your back muscles and spine may still disapprove.
And as a result, you may experience tightening paraspinal muscles, sacroiliac or facet joint dysfunction, or even back tendonitis. Fortunately, as these conditions typically result from muscle fatigue or excess pressure from impact, wearing a back brace while you run can work wonders. Improved posture, muscle endurance, and pressure load distribution mean youll be less likely to develop these conditions.
Relieve back pain when running
SacroLoc Back Brace
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If youve had to minimise your marathon training due to back pain, a back brace can help here, too. At the risk of sounding like a broken record:
Back braces like our Sports Back Support and SacroLoc Back Brace incorporate special viscoelastic pads that massage painful areas as you move.
Compression knit works with your muscles, helping them better support your spine.
With improved posture and increased support, your disks and nerves will be under less pressure and subject to less stress as you run.
Learn more: Pain in Lower Back When Running? Heres How to Fix It
Some things to consider
A back brace is an excellent piece of gear for a long-distance runner. But not every back brace is made equal. You must keep size, quality, and relative comfort in mind when picking yours out. Simply put, a back brace that is made of quality knit, fits like a glove, and has good breathability and moisture-wicking properties will be much more effective and easier to wear than the alternative.
Additionally, its always best to combine bracing with other methods when it comes to boosting performance and preventing injury. Core strengthening, leg stretching, and rest days are all instrumental in keeping your back safe, strong, and pain-free.
To sum up
Marathon training (and long-distance running in general) can put a lot of stress on your back. Fortunately, a good back brace goes a long way - especially when combined with other techniques. With Bauerfeind, youll reduce muscle fatigue, relieve painful symptoms, minimise the risk of injury, and improve performance.
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