TLSO Wear & Care Instructions
Proper application, wear schedule, and maintenance guidelines for Thoracolumbar Sacral Orthosis
The Thoracolumbar Sacral Orthosis (TLSO) provides stabilizing support to your spine and back. It is designed to help control spinal posture, reduce pain, prevent further injury, and promote healing. TLSOs are commonly prescribed following traumatic injuries or spinal surgery, when external support is essential for a safe and effective recovery. The brace helps limit unwanted movement during the healing process and serves as a physical reminder to maintain an upright, aligned posture.
Application
Instructions specific to your TLSO will be discussed at the appointment. Additional information and diagrams can be found in the device's instruction manual. The following is a generalized summary:
- • Always wear a thin shirt between your skin and the brace. It should never be worn directly against your skin, as this can cause irritation.
- • The shirt helps absorb sweat, keeps the brace clean, and protects your skin from friction.
- • If you're wearing a thicker sweatshirt, it should go over the brace. Wearing it underneath may cause the fabric to bunch up, leading to skin irritation.
- • Position the brace so the back is upright and centered on your spine, with your shoulder straps in place but not yet tightened. This should be the most comfortable placement, as the lumbar curve of the back insert will naturally align with the curve of your spine.
- • Wrap the brace tightly around your abdomen, ensuring the right side overlaps the left.
- • When applied correctly, both the upper and lower edges of the brace should feel snug. If there's a gap, reposition the brace and adjust the ends for a secure fit around your hips.
Using the Pull Cords
- • Locate the pull cords. Place your thumbs in the holes and pull the cords away from your body.
- • The right pull cord controls upper compression.
- • The left pull cord controls the lower compression.
- • When you feel they are tightened to the right amount, secure/velcro the pull tabs to the front of the brace. Adjust as needed.
- • When sitting, you may need to loosen the upper pull cord for extra comfort.
Shoulder Straps
To tighten the shoulder straps, pull the long strap cords downward. This action will gently pull your shoulders back, encouraging an upright posture. By improving alignment, this adjustment helps to reduce pressure on your spine, limit unwanted motion, and serve as a reminder to avoid bending or twisting during your recovery.
Wear Schedule
Unless directed otherwise by your doctor, the TLSO is to be worn at all times, especially when you're up and moving around. For more detailed guidance on when and for how long you should wear the brace, consult your physician.
Some light red marks/impression lines may be observed on the skin where the brace is the most snug. These should fade or disappear completely within 20-30 minutes. However, if the marks persist beyond that time, or if you notice any skin irritation or bruising, do not put the orthosis back on. Contact your orthotist immediately and schedule an appointment for further evaluation.
Maintenance
- • Inspect your TLSO daily for any signs of damage, such as breaks, rips, or reduced effectiveness. Do not try to modify the brace on your own. If you notice any issues, contact your orthotist and schedule an appointment for repairs or adjustments.
- • To clean the brace, wipe the fabric with a damp cloth and mild soap. Do not submerge it in water or place it in the washing machine. After cleaning, let the brace air dry completely before wearing it again.
- • When removing the brace, always loosen the pull cords and return them to their sides. This makes it easier to locate them when you're ready to put the brace back on.
Reminders & Tips
- • Always bend at your hips and knees, not your back, when getting into or out of a car, sitting, or standing. This helps protect your spine and maintains the effectiveness of the brace.
- • Due to changes in swelling or weight, you may need to adjust the brace's circumference. If you're unsure, feel free to bring the brace in for a refit.
- • If adjusting it yourself, completely open the brace with the inside facing you. Peel up the folded Velcro edge on each side panel, then adjust the numbered sizing for a better fit. Be sure to adjust both sides equally to maintain balance.
Need Help?
If you have any questions or concerns about your TLSO, please contact your orthotist or call us at (763) 684-1010.
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