Over the last year, LOC has developed links with local consultants to assist with the bracing of patients with multiple myeloma. We treat and accept referrals from NHS Trusts as well as consultant led, private referrals. We work closely with Mr Darren Lui and his team at St George’s University Hospital, Tooting and with Mr Kevin Boyd at the Royal Marsden.
Your treating consultant will advise if a Thoracic Lumbar Sacral Orthosis (TLSO) brace is a suitable part of your myeloma therapy. A brace helps to stabilise the spine (which can help to control pain) and reduce the mechanical load on the vertebrae (which can aid healing). Your spinal brace will also help to prevent any further collapse/fractures of your vertebrae.
Spinal braces must be very well-fitting in order to achieve the above goals. The best way to achieve a well-fitting spinal brace is for the brace to be custom made so that it is a perfect fit.
At LOC, we take a 3D scan of your surface topography and base your brace on this. We apply some light modelling via CADCAM software, and we then use our onsite Robot (Victor) to mill out a life-size version of you (post-modelling). Our experienced technicians then make your brace by hand.
As we have all the above resources on-site, we are able to turn our Myeloma Spinal Braces around within 48 hours. That means your brace would be ready for fitting/supply 2 days following our initial assessment.
Please do not hesitate to get in touch with us in order to discuss this process, either for yourself or for your patients.
We have the following facilities and amenities at our Kingston Upon Thames location:
We also have the Gait Laboratory for orthotics patients and Onsite Manufacturing for speedy turnarounds and adjustments whilst you wait.
An insole is a contoured orthotic device which alters the characteristics and biomechanics of the foot and ankle area. Biomechanics are concerned with mechanical laws and how they affect the living body, especially the musculoskeletal system.
They are removable devices, often made from plastic, that are designed to fit inside a shoe to provide additional support for your feet. As well as offering shock absorption, an insole can help distribute the weight of your body more effectively across the foot and can be made bespoke to cover a range of biomechanical conditions.
If you have symptoms in your feet, ankles, hips or your lower back that are intermittent or were not there to start with in early life, and have started to cause you pain over a period of time, bespoke orthotic insoles could be an excellent option.
If you have already tried rest, icing, compression and elevation and your feet have not recovered, we recommend a biomechanical assessment to consider the possibility of insoles. They are a non-invasive approach to treatment and in many cases, are a great option for symptoms that are not severe enough to warrant surgical intervention. Alternatively, they can be considered as an option prior to surgery.
We will send patients away when an insole is not appropriate, if a patient is suffering with iliotibial band syndrome for example, the problem can be helped with physiotherapy and a stretching programme. That’s what our biomechanical assessment is all about; determining whether there would be any benefit from altering the alignment of your feet.
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