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The Role of Orthoses in Chronic Axial Spinal Conditions
John Freeman1, Devin Nikjou1, Jillian Maloney1
1Mayo Clinic Department of Anesthesiology, Phoenix, AZ, USA.
Current Pain and Headache Reports
|February 26, 2024
Summary
Spinal bracing, including cervical collars and back supports, offers a conservative treatment for chronic conditions like spondylosis. Clinicians should consider these orthoses to improve patient function and reduce pain.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Bracing is a common conservative, non-surgical treatment for chronic spinal conditions.
- Various orthoses manage pain in cervical, thoracic, lumbar, and SI joint regions.
Purpose of the Study:
- To review brace types for spinal conditions.
- To examine current applications and implications of brace usage.
Main Methods:
- Literature review of cervical and lumbar orthoses.
- Analysis of brace selection criteria based on injury severity and neurological status.
Main Results:
- Cervical bracing includes soft and rigid collars for acute trauma and degenerative conditions.
- Decision-making for cervical collars depends on injury severity and neurological findings.
- Orthoses are frequently used for low back pain, aiding function and pain reduction.
Conclusions:
- Spinal bracing is a key conservative management strategy.
- Clinicians must explore all treatment options, including bracing, for chronic neck and back pain.
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