How would you modify an orthotic that touches a bony area causing pressure points?

How would you modify an orthotic that touches a bony area causing pressure points?

• A. Flare edges by thenar eminences or pressure points until it is no longer touching the bony prominence.
• B. Add padding to the entire surface.
• C. Shorten the length of the orthosis.
• D. Replace with a larger size.

Answer: (A)

When a device presses on a bony area, the goal is to stop that concentrated contact by reshaping the edge so it doesn’t press on the bump. Flaring or beveling the edge at the pressure point moves the edge away from the bone, creating a contour that reduces peak pressure, lowers risk of skin breakdown, and preserves overall fit and function. Simply adding padding over the whole surface tends to increase bulk and can create new pressure or shear; changing the length or size doesn’t directly address the problematic contact and can affect alignment or function. So, carefully flare the edge at the pressure area until it no longer touches the bony prominence, then reassess comfort and fit.

When a device presses on a bony area, the goal is to stop that concentrated contact by reshaping the edge so it doesn’t press on the bump. Flaring or beveling the edge at the pressure point moves the edge away from the bone, creating a contour that reduces peak pressure, lowers risk of skin breakdown, and preserves overall fit and function. Simply adding padding over the whole surface tends to increase bulk and can create new pressure or shear; changing the length or size doesn’t directly address the problematic contact and can affect alignment or function. So, carefully flare the edge at the pressure area until it no longer touches the bony prominence, then reassess comfort and fit.