How does an orthosis work? | Back orthosis

How does an orthosis work?

The back orthoses with their different components fulfill different functions. Rigid components are required to restrict movement, stabilize and redistribute forces. This effect can be achieved with long plastic splints, metal rods or even entire plastic shells.

It is also often used to correct malpositions such as scoliosis. Another stabilizing component is the fabric. This is usually somewhat stretchy and thus adapts very well to the shape of the back.

In addition, the orthosis sits firmly on the back, which gives not only the spine but also the other tissue (muscles) a better structure and thus supports the back as a whole. Wide rubber and fabric strips that can be attached to the orthosis with a Velcro fastener are also used to provide special support for certain structures on the back. They also provide protection against the orthosis slipping.

Most back orthoses consist of several of these components, which can often be disassembled. Thus, one orthosis can simultaneously fulfill several functions that are necessary at different stages of the disease. For example, while a lot of stability is required at the beginning after spinal surgery, the hard plastic splints can be removed after a certain time. The spinal column can now support itself again, but the back muscles are still stimulated (stimulated) and supported by the fabric orthosis.

Costs

The cost of back orthoses varies greatly depending on size and material. The technical refinements used also play a role in the costs. Small back orthoses that only treat a certain section of the spine usually cost between 60 and 150 euros. Custom-made products, which are individually adapted and finished by hand, are correspondingly expensive and can quickly cost over 1000 Euros. For example, the price of a hard shell corset for scoliosis is often 2500 Euros.

Does the health insurance pay for it?

The statutory health insurance companies are obliged to cover the basic care with a back orthosis for corresponding indications. In most cases, low costs such as the prescription fee have to be covered by the patient. With private health insurance companies, the assumption of costs depends on the insurance contracts.

The back orthosis generally falls under the category of medical aids. The exact share of the costs covered can be found in the respective contract. Those who need unusual models (e.g. expensive materials such as carbon) or back orthoses for special occasions (e.g. sports) should clarify the financing with the health insurance company in advance.