Issues with back braces after lumbar vertebral fractures?
Hello, I was involved in a car accident in mid-May that resulted in a comminuted fracture of the twelfth thoracic vertebra and the first lumbar vertebra, which compressed my nerves.
I underwent surgery the day after the accident, during which steel rods were implanted in my lumbar spine.
It has now been two months since the surgery.
During a follow-up appointment a few days ago, the doctor mentioned that I have recovered about 70-80%.
Currently, I do not experience any back pain, and the nerve compression that caused numbness and pain in both legs has resolved.
I can walk, get out of bed, and sit comfortably.
The doctor also stated that my recovery is stable.
Aside from bathing and sleeping, I have been wearing a long brace as shown in the image from the following link: https://goo.gl/images/ch2rQw.
The doctor advised that I should wear it for a full six months.
I found another type of brace on this website: http://www.uchanter.com.tw/products_detail.php?p_id=9.
I would like to know if it is possible to switch to this type of brace.
Since my next follow-up appointment is still a month away and I cannot make an interim appointment or contact the doctor, I chose to ask here.
Thank you.
Chen, 10~19 year old female. Ask Date: 2016/07/17
Dr. Wang Shouji reply Orthopedics
Hello: The fixation point of this type of back brace is too low, making it more suitable for fractures below the second lumbar vertebra.
It is advisable to return for a follow-up consultation with your physician.
Thank you!
Reply Date: 2016/07/17
More Info
After experiencing a spinal fracture, particularly in the thoracic and lumbar regions, it is understandable to have questions about the use of back braces and the recovery process. Your situation, involving a T12 and L1 fracture with subsequent surgery, is quite serious, and it’s great to hear that you are recovering well and have regained mobility.
Switching Back Braces
Regarding your question about switching to a different back brace, it is essential to consider a few factors. The brace you are currently using was likely prescribed to provide stability and support to your spine as it heals. The recommendation to wear it for six months is based on the need to ensure that the vertebrae heal properly and to prevent any further injury during the recovery phase.
The new brace you are considering may offer different support or comfort levels. However, without the guidance of your physician, it is difficult to determine whether it would be appropriate for your specific condition. Generally, if a brace is designed to provide similar or better support than your current one, it may be acceptable to switch, but this should ideally be discussed with your healthcare provider.
Importance of Medical Guidance
Since you mentioned that you cannot contact your doctor until your next appointment, I would recommend being cautious. If you feel that the current brace is causing discomfort or hindering your daily activities, you might consider consulting a physical therapist or another healthcare professional who specializes in spinal injuries. They can provide insights into whether a different brace would be beneficial for you.
Recovery Considerations
It’s also important to remember that while your recovery seems to be progressing well, the healing process for spinal fractures can vary significantly from person to person. The fact that you are no longer experiencing pain and have regained mobility is a positive sign, but it’s crucial to continue following your doctor's advice regarding activity levels and brace usage.
Potential Risks of Changing Braces
Switching braces without medical advice could pose risks, such as inadequate support leading to improper healing or even re-injury. The spine is a complex structure, and maintaining proper alignment and support during the healing process is vital. If the new brace does not provide the necessary support, it could lead to complications, including chronic pain or instability.
Conclusion
In summary, while it may be tempting to switch to a different back brace for comfort or convenience, it is best to wait until you can consult with your doctor or a qualified healthcare professional. They can assess your current condition and determine whether a change in your brace is advisable. In the meantime, continue to follow your rehabilitation plan, engage in any recommended physical therapy, and monitor your symptoms closely. Your health and safety should always come first, especially after a significant injury like a spinal fracture.
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