Spinal
Kyphosis
Degenerative disc disease and herniated disc
Degenerative disc disease commonly presents in the lumbar spine. lumbosacral orthoses (LSOs) are used to stabilize the affected area, reduce motion, and relieve pain.in cases of herniated disc spinal orthoses can help alleviate symptoms by limiting movement and reducing pressure on spinal nerves through applying intraabdominal pressure. While orthoses can be effective in reducing pain and providing stability, they are typically part of a broader treatment approach.
Spondylosis refers to the age-related degeneration of the spine, often involving the intervertebral discs, facet joints, and surrounding bone structures. It can occur in the cervical, thoracic, or lumbar regions and commonly leads to stiffness, chronic back or neck pain, and in some cases, nerve compression. Bracing in spondylosis is typically used to provide short-term support and symptom relief during periods of increased pain or inflammation. The primary goals of bracing are to reduce strain on the affected spinal segments, limit excessive or painful movement, improve posture, and relieve muscle fatigue. Soft braces, such as lumbar support belts or cervical collars, are most used.
Spondylolisthesis
Spondylolisthesis is a condition in which one vertebra slips forward over the one beneath it, most commonly in the lower spine. It can result from stress fractures (isthmic type), degenerative changes, congenital defects, trauma, or other pathological conditions. The isthmic type is particularly common in adolescents and young athletes and is caused by a stress fracture of the pars interarticularis, a small bone segment in the vertebra. This often develops due to repetitive spinal extension or overuse. If the fracture fails to heal, it can lead to vertebral slippage, causing lower back pain, tight hamstrings, and in more advanced cases, nerve-related leg pain or movement difficulties. Bracing is a key part of conservative treatment, especially in younger patients or those with mild to moderate slippage. A rigid lumbar brace (LSO) or thoracolumbosacral orthosis (TLSO) is typically used to stabilize the spine, reduce mechanical stress on the affected area, support fracture healing, and alleviate pain by limiting movement. Bracing is most effective when initiated early and is usually combined with physical therapy and activity modification to prevent progression and potentially avoid the need for surgery.
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