Elbow Orthoses Custom and Custom Fit

Elbow orthoses are beneficial for treatment of many medical conditions and injuries.

These conditions can be (but not limited to):

Humeral Fracture
Elbow Dislocation
Ligament Laxity
Post-operative
Osteoarthritis
Radial and or Ulnar Fracture
Tendonitis
Lateral Epicondylitis (Tennis Elbow)
Medial Epicondylitis (Golfer’s Elbow)
Fat Pad Injury

Anatomy and Biomechanics of Elbow	The humerus, radius, and ulna are the bones of the elbow joints. There are many muscles, tendons, ligaments and nerves in elbow. The elbow joint: Ulna Humerus The radial ulnar joint: Radius Ulna
Goals of Elbow Orthosis Treatment	Provide elbow stability Allow for needed elbow mobility Control biomechanical alignment of the elbow Aid in adaption to surfaces Redistribute pressures on the elbow Resist external forces on the elbow Limit excessive movements in the elbow Protect the elbow Provide shock absorption
Design of Elbow Orthosis	A Certified Orthotist will assess the elbow and take a 3-D cast/mould of the elbow if needed. This can be performed with the patient in a prone position or in a seated position. The Certified Orthotist will ensure the elbow is in a corrected position. There are a variety of elbow brace designs. The Certified Orthotist will determine which design is best for treatment based on individuals’ needs and goals. Elbow braces may have metal joints. All elbow braces have straps to help ensure correct application of the orthosis. Types of Elbow Braces: Ligament stability Various slings ROM Post-operative Hyperextension Epicondylitis strap Elbow pad
Elbow Orthosis Application	Elbow orthoses work best when applied directly against the skin. There are specific donning (application) instructions that the Certified Orthotist will explain to the patient. The Orthotist will also provide a wear schedule accompanied by cleaning and care recommendations.
Living with Elbow Orthosis (follow up)	The corrections provided by the elbow orthosis may take some time to get used to. The elbow orthosis should not be painful; however, it is not uncommon to feel some initial discomfort. The break-in period should not last more than two weeks. If you experience rubbing or blisters, please book an appointment with your Certified Orthotist for immediate attention. If you are experiencing problems after two weeks please book a follow up appointment with your Certified Orthotist. It is always a recommended to book a follow up appointment with your Certified Orthotist if you experience any changes in condition (pain, change in size, growth). The Certified Orthotist can determine what changes need to be made or make recommendations for alternative treatment. Elbow braces can often be modified or refurbished. The Certified Orthotist can reassess to determine the course of treatment with you.
Funding for Elbow Orthosis	Alberta Aids to Daily Living (AADL) does provide funding for custom elbow orthoses for Alberta Residents with valid Alberta Healthcare. AADL will pay 100% for the cost for Alberta Residents over the age of 65. AADL will pay 75% of the cost for Alberta Residents under the age of 65. A prescription from a physician is required. There is coverage for persons with low income. AADL may provide coverage for some off the shelf elbow braces. WCB may provide coverage with a copy of a prescription from a physician. NIHB may provide coverage with a copy of a prescription from a physician. Private insurance may pay for a portion of the cost of your elbow orthosis. It is important to consult your insurance company to determine the coverage that they provide. Many insurance companies require a physician's prescription for elbow orthoses benefits.