Orthopedic appliances

Orthopedic appliances are also called orthotics. An orthotic is a special device to support or help weak joints work better and aid movement. They include braces, splints, corsets, collars, and special shoes or shoe inserts. Casts are not considered to be an appliance.

Orthopedic appliances are used to:

• support injured joints and prevent joint injury
• correct and support weak or deformed extremities
• prevent worsening of abnormal curves in the spine and
• support the neck in a specific position for healing

There are several kinds of splints. Static rest splints are worn when the joint should not be moved, usually at night. Static work splints are worn during the day and allow some movement. Dynamic splints have parts that can be moved. They may have parts that are metal, gas, electrical, or elastic. Pre-fabricated splints are splints that are ready made. This type may not be good for people with rheumatoid arthritis as they may not fit a deformity.

Braces are used on the legs to make them more stable while putting less weight on them. Braces may also be used to support the neck and the back.

There are many types of orthotics that can be used for the shoes. A high shoe boot may be needed to make the ankle more stable. Arch supports are very common orthotics for many foot problems. Other orthotics that may be used for the feet include wedges, heel flares, heel cups, and pads or cushions. Lifts may be added to a shoe if one leg is longer than the other.

When an orthotic is needed, the physician will prescribe the right appliance. The orthotic is then designed and fitted by an orthotist. A physical therapist helps the person needing the orthotic learn how to use and work with it.

No matter what kind of orthotic is needed, it is very important that the orthotic is used. Some orthotics are bulky and awkward to use. Sometimes, only certain clothes or shoes can be worn with an orthotic. Orthotics are designed to help movement and decrease pain and are very effective when used correctly.

Last Reviewed 2005

Disclaimer: This content is reviewed periodically and is subject to change as new health information becomes available. The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation, advice, diagnosis or treatment by a healthcare professional.

HIL File BONE3440.RF2 VRS# 7627 Data Version 7.0 Copyright 1999, 2002-2003 McKesson Health Solutions LLC. All rights reserved.