The London Orthotic Consultancy welcomes remote and international patients seeking chest bracing treatment in the UK.
This includes our non-surgical treatment for:
Our expert clinicians have extensive experience treating pectus patients from around the world, providing outstanding evidence-based orthotics.
We regularly treat patients overseas, including those from Europe, South America and the Middle East.
1. Book a free initial virtual consultation with one of our specialist clinicians. You can book this by sending an email to [email protected] or by calling the clinic.
2. Our remote treatment package will be explained in detail during this appointment. However, reading our Pectus Frequently Asked Questions will help you prepare for the consultation.
3. You will be shown how to use the LOC 3D Scanner App to take scans of your chest wall. It must be a 3D scan of your torso with your arms up so you will need somebody to help you, it could be a health professional, a parent or a friend. See our LOC Scanner support page for information and please download the app ahead of the consultation if possible.
4. Once we have confirmed that the scans are good, we will arrange another virtual consultation to discuss additional measurements that we need to design and manufacture your bespoke brace (s). For this, you will need a tape measure.
5. We design and manufacture your bespoke chest brace (s) in our manufacturing workshop.
6. We will then ship your pectus brace to you, with special fitting tools. A specific appointment will be arranged to help you fit your new brace remotely and LOC will clearly describe how to use it.
7. You will also be sent a link for the online pectus yoga classes that you should complete ideally weekly as part of the treatment regime.
Please note that patients under the age of 18 must be accompanied by a parent or legal guardian for all appointments.
As part of our treatment package, our specialist clinicians are available for follow-up support phone calls and virtual appointments should you need them. It is important to note that all remote pectus bracing patients must be required to visit LOC physically.
| Initial virtual consultation for either pectus carinatum or excavatum patients - 30 minutes | Free |
| Full Pectus Carinatum Treatment Package, which includes: | |
| - Dynamic Chest Compressor Bespoke Brace | £900 |
| - Adult Treatment Contract (includes fitting and up to two years of review appointments) | £2,200 |
| - Under 18 Year Olds Treatment Contract (includes fitting and up to two years of review appointments) | £1,800 |
| Rib Flaring Bespoke Brace (if required)* | £900 |
| Full Pectus Excavatum Treatment Package, which includes: | |
| - Vacuum Bell orthosis | £900 |
| - Adult Treatment Contract (includes fitting and up to two years of review appointments) | £2,200 |
| - Under 18 Year Olds Treatment Contract (includes fitting and up to two years of review appointments) | £1,800 |
| Rib Flaring Bespoke Brace (if required)* | £900 |
| *Please note: Not all pectus patients will require two braces for their treatment. Rib flaring braces are not included in the treatment package prices and are charged for separately. |
This depends on several factors; the position of the chest wall deformity, its severity, the flexibility of the chest, the kind of results wanting to be achieved and the age of the person undergoing treatment for pectus excavatum or pectus carinatum.
Early adolescence (roughly between the ages of 12-16 years old) – is an optimum age to start treatment, given that the chest is still maturing, and flexible, permanent correction is more easily achievable. Once bracing treatment is complete and a patient has stopped growing, the deformity will not return. For younger pectus patients, conservative bracing is used to keep a deformity from worsening and can help them to avoid surgery in later life.
For older pectus patients (between the ages of 20 to 30) results can be harder to achieve, as the costal cartilage hardens into the bone as a person matures. Over the years we have successfully treated many adults for both pectus excavatum and pectus carinatum and active adults with flexible chests can expect good results.
Again, this hugely depends on what a patient wants to achieve from treatment; whether that’s avoidance of surgery, improvement in the appearance of the chest shape, reduction in rib flaring etc. All these goals are taken into consideration during your first consultation. While there are no serious health risks of having pectus carinatum or excavatum – beyond the cosmetic – for many patients and parents, treatment outcomes involve improving confidence and self-esteem. During our 2018 Pectus Patient Survey, 92% of pectus carinatum patients surveyed said that treatment had a ‘major improvement’ or ‘an improvement’ on their social life.
You can read the results of our 2018 Pectus Patient Survey and quality of life questionnaire here.
Regular reviews are part of the treatment programme, preferably in clinic with one of our specialist orthotists, or via Skype consultations.
The number of appointments needed will vary from patient to patient but as a general rule, younger pectus patients who are growing at a faster rate will need to be seen more regularly for check-up appointments. This is to ensure that the brace fits well and is guiding the chest into the correct position as growth spurts occur. For other patients, this can be scaled back according to their individual needs and demands.
Regular appointments are beneficial for assessing progress, checking for signs of rubbing and determining whether another brace is needed. Appointments are also good for checking patient compliance to brace wearing and the breathing and exercise programme. At each appointment, we make time for patients to see our physiotherapist to fine-tune their exercise programme and check to see how a patient has been managing with the current programme.
We always advise coming in for appointments whenever you have any concerns about the brace or treatment programme, especially if a brace is rubbing or not fitting correctly. At the London Orthotic Consultancy, we have treated numerous international patients that have benefitted from specially designed braces that leave room to accommodate for growth and that can be adjusted remotely. Follow-up appointments for international patients are conducted via Skype.
This is a very common concern for patients considering treatment; in general, the dynamic chest compressor brace is easy to conceal if you are wearing a loose-fitting shirt for school or work. If you are wearing two chest braces – one for the main deformity and the other for rib flaring – then this may be more noticeable, especially under a t-shirt. Normally loose-fitting clothing will conceal the brace, though it’s likely it will be seen through tight-fitting clothes.
It is really important to continue exercising while going through bracing treatment. Exercise is fundamental to keeping the chest wall flexible. Our treatment programme incorporates a daily exercise routine of around 30-40 minutes of stretching using yoga poses, resistance bands, deep breathing exercises and general muscle stretches. Deep breathing exercises allow the lungs to expand against the chest wall, pushing it outwards.
Exercising with the brace on in the later stages of treatment can also make the chest correction more stable and permanent.
Swimming is one of the best forms of exercise to complement bracing treatment, as the body positions required to swim imitate the resistance band training designed to stretch the chest and increase its flexibility. Some swimming strokes are better for this than others, please check with your clinician. The brace should always be removed for contact sports and for swimming.
For most patients, one brace is often all that is needed to achieve a desired level of correction. They are each designed to last the duration of treatment and accommodate any growth that may occur in that time. Some patients have benefitted from having two braces – one to treat the main deformity and the other to treat rib flaring. For some pectus excavatum patients, having a brace apply pressure to the ribs – in addition to vacuum bell therapy – can greatly reduce the appearance of the depressed sternum area of the chest, forcing it upwards and outwards into a more corrective position.
If you are worried about your chest shape, or your child’s chest shape, then get in touch for a free Skype consultation with one of our pectus specialists who can assess their chest and discuss treatment options. We are always happy to communicate with local GPs, thoracic surgeons and consultants if a patient approaches us for bracing treatment after considering other options.
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