Thoracolumbosacral Orthosis

You have just received a brace for either scoliosis or kyphosis. The first few weeks will be a time of adjustment for you and your parents. Focus on what you can do and not on what you cannot do. Use common sense and please feel free to call if you have any questions.

Skin Care

  • Remove brace and bathe or shower each day.
  • Wear a clean T-shirt daily and use only 100% cotton without ribbing.
  • Apply alcohol to the red areas for the first two weeks and allow your skin to dry before applying brace.
  • Change your T-shirt frequently if damp.
  • Apply cornstarch to skin to absorb some of the moisture. Do not use talcs or powders.
  • Pull T-shirt down through bottom of brace and back of brace to remove wrinkles.
  • Do not use fabric softeners or "Cling Free" because they leave a residue on the T-shirts.

Common Skin Problems
Skin problems often occur because the brace is not tight enough and can shift, causing constant rubbing on the skin or wrinkles in the T-shirt. Make sure the brace is very snug and is on correctly.

Symptom: Direction

  • Redness: Massage with alcohol (some normal redness is expected). Do not use lotions, oils or creams on these areas.
  • Blisters: Leave open to air and remove the brace for 24-48 hours until healed.
  • Raw Areas: Expose to air and remove the brace for 24-48 hours until healed.
  • Heat Rash (red, raised pimples): Clean and dry the area. Try cornstarch before reapplying the T-shirt and brace.
  • Darkened Areas: These are normal at the waist and will fade. Normal skin color will return after brace is discontinued.

Brace Care

  • Use a face cloth to wash the brace daily and wipe thoroughly.
  • Use liquid dishwashing soaps, either white or clear.
  • Clean straps by scrubbing with an old toothbrush to remove soil. Remove lint from velcro.
  • Pat dry with a towel or use a hair dryer on the cool setting before re-applying brace. Heat from a hair dryer, radiator, stove or direct sunlight may deform the plastic.
  • Padding can be glued by the Orthotics Department; home glue usually does not work. Call your brace shop if rivets pull out, straps tear, or if your brace needs any kind of repair.

Your brace may be removed for certain activities. Please discuss this with your doctor or the nurse.

Schedule for Wearing Brace
Because your brace may be uncomfortable at first, this schedule is set up to allow for gradual adjustment to your brace. This allows time for your skin and body to adjust to your brace. You are expected to reach wearing time as ordered by your physician. During this time, observe any brace/skin problems.

Day 1 } On 2 hours on return home
Day 2 } On 2 hours; off 1/2 hour; on 2 hours = 4 hours
Day 3-4 } On 2 hours; time off; on 4 hours; time off = 6 hours
Day 5 } On 2 hours; off until bedtime; then sleep in it 8 hours = 10 hours
Day 6-7 } On 4 hours; off until bedtime; then sleep in it 8 hours = 12 hours
Day 8-9 } On 6 hours; off until bedtime; then sleep in it 8 hours = 14 hours
Day 10-11 } On 8 hours; off until bedtime; then sleep in it 8 hours = 16 hours
Day 12-13 } On 20 hours total; off 4 hours = 20 hours
Day 14+ } On 23 hours per day; off 1 hour = 23 hours

Follow-Up Appointment
Please call for follow-up appointment 2-3 weeks after brace delivery.

For Further Information About TLSO, Call:
— Monday-Friday, 8 a.m. till 4 p.m., Follow-up Appointments
205-638-6208 — Monday-Friday, 8 a.m. till 5 p.m., Orthopeadic Clinic/Nurse
205-638-9836 — Pediatric Orthopaedics Office