What is an Orthosis?
An orthosis is an external medical device, such as a brace or splint, used to support, align, or immobilize parts of the body. There are orthoses to support almost any part of the body, from the head (cranial remolding orthoses aka helmet) to the toes (foot orthoses).
Who prescribes orthotic devices?
There are some stipulations by device and state, but generally, orthoses are prescribed by medical doctors, commonly in Physical Medicine and Rehabilitation, pediatricians, podiatrists (foot and ankle specialists) and orthopedic surgeons.
Who fabricates and fits them?
Most custom orthoses are fabricated and fit by Certified Orthotists. Orthotists are allied healthcare professionals who have a specialized degree (NCOPE.org) and certification (abcop.org) to treat patients by designing, building, and fitting a custom orthosis. Education requirements currently include a Masters Degree for didactic education followed by at least 18 months in an NCOPE accredited residency. They must then pass three ABC Board exams and any additional exams required by state licensure.
Where can I find an Orthotist?
Certified Orthotists work in private clinics, hospitals, VA’s, and some are even mobile, coming to you. To find a list of certified orthotists in your state you can search the abcop.org directory at abcop.org/abc-directory. Or search for a local orthotics clinic in your area.
What happens during an evaluation?
During the evaluation appointment, the orthotist will review your prescription and ask about your medical history, your primary concerns, your activities of daily living and what your goals are. They will then conduct a physical examination to determine what your strength, range of motion, skin and pain levels are. Finally they will provide you with a treatment recommendation. It’s important to note that orthotists do not charge for time like other healthcare providers. The evaluation is free. You are not charged until you decide to move forward with a device. Once you make that decision, your insurance will be contacted to determine if the orthosis is a covered benefit.
Will insurance cover my device?
That depends on your insurance plan, the device, your diagnosis, and several other factors. Each insurance has a policy plan for orthotic devices, stipulating if they are covered benefits. Most are available online, but sometimes you may need to call in order to confirm.
How long will it take to have my custom device made?
This can vary by device. Most custom devices take a minimum of two weeks, but please visit your specific device page for more information.