Why a Wearing Protocol is Important
Your new orthotic device may feel unusual at first. Your body needs time to adapt to the new positioning and support it provides. A gradual wearing schedule allows your skin, muscles, and joints to adjust comfortably whilst minimising discomfort.
Key Principles:
- Build tolerance gradually - don't rush the process
- Monitor your skin regularly for pressure areas
- Some initial discomfort is normal, but pain is not
- Consistency is important - wear your orthosis daily during the build-up period
- Contact us immediately if you experience persistent pain, skin breakdown, or concerns
Standard Wearing Protocol
This protocol applies to most orthotic devices including custom insoles, AFOs, KAFOs, and lower limb bracing. For specific conditions or devices, we may provide modified instructions at your fitting appointment.
Week 1: Initial Adaptation
| Day | Wearing Time | Notes |
|---|---|---|
| Day 1 | 1-2 hours | Light activity only, check skin after removal |
| Day 2 | 2-3 hours | Split into 2 sessions if preferred |
| Day 3 | 3-4 hours | Continue monitoring skin |
| Day 4 | 4-5 hours | Can increase activity level slightly |
| Day 5 | 5-6 hours | Include some more demanding activities |
| Day 6-7 | 6-8 hours | Building towards full-day wear |
Week 2: Increasing Tolerance
| Days | Wearing Time | Notes |
|---|---|---|
| Day 8-10 | 8-10 hours | Approaching full-day wear |
| Day 11-14 | All waking hours | Full daily wear achieved |
Progress Tips:
- If experiencing discomfort, hold at current wearing time for an extra day before increasing
- It's normal for muscles to feel tired - they're working in new ways
- Skin should not show prolonged redness (lasting more than 20 minutes after removal)
- Keep a wearing diary to track your progress
Modified Protocols for Specific Devices
Scoliosis Braces (NeJa RSC, Boston, TLSOs)
Spinal bracing typically requires a longer adaptation period due to the extensive contact areas and postural changes involved.
Recommended Schedule:
- Week 1: 2-4 hours daily, gradually increasing
- Week 2: 6-8 hours daily
- Week 3: 12-16 hours daily
- Week 4 onwards: Prescribed wearing time (typically 18-23 hours daily)
Note: Your orthotist will provide specific wearing hours based on your curve type, severity, and treatment goals.
Knee Braces for Osteoarthritis
Unloader knee braces can follow a faster protocol as they typically cause less adaptation challenges.
Recommended Schedule:
- Days 1-2: 2-4 hours during light activity
- Days 3-5: 4-6 hours, including some walking
- Days 6-7: 6-8 hours during more demanding activities
- Week 2 onwards: All waking hours or as recommended
Lycra Compression Garments
Dynamic orthotic Lycra garments generally require minimal adaptation and can often be worn for extended periods from day one.
Recommended Schedule:
- Day 1: 4-6 hours to assess comfort and fit
- Days 2-3: 8-10 hours
- Day 4 onwards: All waking hours if comfortable
Note: Lycra garments should not be worn overnight unless specifically instructed by your physiotherapist or orthotist.
Daily Wearing Routine
- Morning Application
Apply your orthosis in the morning after washing and drying your skin thoroughly. Ensure any creams or lotions are fully absorbed before donning the device.
- Skin Check Before Wearing
Inspect skin for any redness, blisters, or irritation from previous wear. Do not wear orthosis over broken or irritated skin without consulting your orthotist.
- Proper Donning
Follow the specific donning instructions provided at your fitting appointment. Incorrect application can cause discomfort and reduce effectiveness.
- During Wear
Engage in your normal activities. Some devices can be removed for specific activities (check your individual instructions). Ensure clothing worn over/under the device doesn't create pressure points.
- Skin Check After Removal
When removing your orthosis, immediately inspect all contact areas. Mild redness that disappears within 20 minutes is normal. Persistent marks, blisters, or pain indicate a problem - contact us.
- Skin Care
Wash and dry skin thoroughly. Allow skin to breathe. Avoid using creams or powders inside the orthosis unless recommended by your orthotist.
What's Normal vs. What's a Problem
✓ Normal Adaptation
- Mild muscle fatigue or achiness (should improve with continued wear)
- Slight redness that fades within 20 minutes of removing the orthosis
- Feeling that the orthosis is present (awareness of the device)
- Need for minor gait adjustments
- Slight increase in warmth in contact areas
⚠️ Contact Us If You Experience:
- Persistent redness lasting longer than 20-30 minutes after removal
- Blisters, skin breakdown, or open wounds
- Numbness or tingling
- Increasing pain rather than decreasing discomfort
- Swelling in areas contacted by the orthosis
- The orthosis feeling looser or tighter than initially
- Any cracks, breaks, or damage to the device
- Inability to don or doff the device properly
Skin Care and Hygiene
Daily Skin Care:
- Wash contact areas with mild soap and water daily
- Dry thoroughly before applying orthosis - moisture increases friction
- Check for redness, blisters, or irritation
- Keep toenails trimmed short and straight (for foot/ankle devices)
- Wear appropriate socks - seamless, moisture-wicking materials work best
Orthosis Care:
- Wipe inner surfaces daily with mild soap and water
- Allow to dry completely before next use
- Never place in washing machine or dryer unless specifically advised
- Check regularly for signs of wear, cracks, or damage
- Follow specific cleaning instructions provided at fitting
When to Contact Your Orthotist
We're here to support you throughout your orthotic journey. Don't hesitate to contact us if:
- You're experiencing pain or persistent discomfort
- Skin problems develop
- The orthosis no longer fits properly (weight change, growth, etc.)
- You have difficulty following the wearing protocol
- The device is damaged or broken
- You have questions about care or use
- You're unsure whether symptoms are normal
Frequently Asked Questions
Can I wear my orthosis overnight?
This depends on the type of device and your prescription. Scoliosis braces are typically worn overnight. Foot orthotics are removed at night. Always follow the specific instructions provided at your fitting appointment.
What if I forget to wear it for a day?
Don't panic. Simply resume your regular wearing schedule the next day. If you're still in the initial build-up phase, you may want to drop back slightly in wearing time for one day before progressing again.
Can I exercise in my orthosis?
Most orthotic devices are designed to be worn during activity, but check your specific instructions. Some devices are for specific activities only. Scoliosis braces are typically removed for 1-2 hours daily for sports and PE.
How long until it feels comfortable?
Most patients adapt within 2-4 weeks. However, this varies based on the device type and individual factors. Your body should progressively adjust, with discomfort decreasing over time.
Will I always need to wear it?
This depends on your condition and treatment goals. Some conditions require long-term orthotic use, whilst others may only need temporary support. Discuss your specific situation with your orthotist.