How important is patient compliance in orthotic prescription?


Patient compliance is crucial in orthotic prescription and treatment. The effectiveness of orthotics relies heavily on the patient's willingness to use and follow the prescribed treatment plan consistently. Here are some reasons why patient compliance is essential:
 
Treatment Efficacy: Orthotics are designed to address specific biomechanical issues and provide support to the feet and lower limbs. For them to be effective, patients need to wear them as recommended by the healthcare professional. Compliance ensures that the orthotics can fulfill their intended purpose in correcting foot alignment, reducing pain, and improving overall foot function.
 
Adaptation and Comfort: It's common for patients to need some time to adapt to wearing orthotics, especially if they are custom-made. Patient compliance with the gradual wearing schedule helps the feet adjust more comfortably to the new devices. If patients don't wear the orthotics consistently, they may experience discomfort or fail to experience the intended benefits.
 
Condition Management: Orthotics are often prescribed to manage various foot and lower limb conditions, such as plantar fasciitis, flat feet, or shin splints. Patient compliance with orthotic use can help prevent exacerbation of these conditions and promote healing and recovery.
 
Injury Prevention: For patients with a history of overuse injuries or biomechanical imbalances, orthotics can play a preventive role. Consistent use of orthotics can reduce the risk of developing new injuries or re-injuring previously affected areas.
 
Long-Term Outcomes: Orthotic treatment may be part of a broader rehabilitation or treatment plan. Patient compliance with orthotics can positively influence the overall outcomes of the treatment, leading to better long-term results and improved quality of life.
 
Avoiding Compensatory Mechanisms: When patients do not comply with orthotic use, they may unknowingly adopt compensatory mechanisms or altered gait patterns. This can lead to additional stress on other body parts, potentially causing new issues or exacerbating existing ones.
 
Cost-Effectiveness: Orthotics, especially custom-made ones, can be a significant investment for patients. Ensuring compliance maximizes the value of this investment by providing the intended benefits and reducing the likelihood of needing additional treatments or interventions due to poor compliance.
 
To enhance patient compliance with orthotic prescription, healthcare professionals should communicate effectively with their patients, providing clear instructions on when and how to use the orthotics. They should also address any concerns or discomfort the patients may experience during the adaptation period and offer ongoing support and encouragement throughout the treatment process.