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TLSO and LSO


About this topic


TLSO and LSO are 2 main kinds of back braces. They are named for the parts of the back they cover. ‚  
TLSO stands for throacolumbosacral orthosis. ‚  
  • Covers the thoracic, lumbar, and sacral areas.
  • Goes from under the armpits down to the tailbone and hips.
  • Is used to treat a sideways curve in the spine, or after an injury or surgery.
  • Is often 2 rigid pieces connected by straps.

LSO stands for lumbosacral orthosis. ‚  
  • Covers the lumbar and sacral areas.
  • Goes from the middle of the back to the pelvis.
  • Is used after an injury or surgery.
  • May be made with rigid or stretchy materials.

General


  • Talk to your doctor about how often you should wear your brace. Once the brace is comfortably adjusted and you are able to tolerate it more, slowly increase how much time you are wearing it each day. Work up to the amount of time the doctor orders for you to wear the brace each day.
  • The orthotist is the expert that designs, measures, and fits your brace. Talk to the orthotist if you have any areas of redness or irritation that do not go away within 20 minutes after taking off your brace.
  • Talk to the orthotist if you feel like your back is moving too much when you have your brace on.
  • Always follow spinal precautions if you have them when putting on and taking off your brace. Do not twist.
  • How to put the brace on in bed:
    • Make sure all of the straps are loose before you start.
    • Carefully roll onto one side. Be sure to keep your back straight.
    • Put the back portion of the brace against your back. Be sure you have the top and the bottom in the right spots. Make sure your waist lines up with the waist part of the brace. You may need some help with this step.
    • Gently roll onto your back with the brace against your back.
    • Check that the brace is lined up correctly.
    • Put the front part of the brace on. Make sure the bottom of the brace is right above the hips.
    • Fasten all the straps so the brace is snug. Be sure the straps are tight so the brace does not allow movement.
    • Once you stand, you may have to tighten the straps more.
  • How to take the brace off in bed:
    • Lay down in bed on your back.
    • Loosen the straps.
    • Lift the front part off your body.
    • Carefully roll onto your side without twisting.
    • Pull the back part of the brace off your body. You may need some help to do this.

Helpful tips


  • Wear a snug fitting cotton t-shirt that will not wrinkle or irritate the skin under your brace. Wash your skin each day and put on a clean shirt under your brace.
  • Check your skin each time you take off your brace. Use a mirror or ask for help to check your back. Look for red spots, bruising, or irritation that does not go away within 20 minutes of taking off your brace.
  • Sit on a taller chair or higher surfaces. It is hard to get up from lower surfaces. At home, you may choose to add an elevated toilet seat.
  • Sit up straight or lean slightly backwards when sitting. This will keep pressure off of your chest. Leaning forward will put more pressure on your chest.
  • If the brace is riding up, the straps are probably too loose and need adjusted.
  • Use mild detergent or alcohol to wipe down the brace. Air dry.
  • Keep the brace away from heat as it can damage the plastic.

Where can I learn more?


American Academy of Orthopaedic Surgeons ‚  
http://orthoinfo.aaos.org/topic.cfm?topic=A00636 ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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