What is the best alternative for a patient unable to tolerate a CASH orthosis due to abdominal pressure?

Choosing a Jewett style orthosis is the most appropriate alternative for a patient who cannot tolerate a CASH orthosis due to abdominal pressure. The Jewett orthosis is designed to provide effective trunk support while minimizing pressure on the abdomen. It does so through a unique design that allows for greater mobility and comfort in the anterior-posterior plane, specifically targeting the thoracic and lumbar regions without exerting excessive compressive forces on the stomach area.

This orthosis typically features a three-point pressure system that encourages proper alignment of the spine while easing the pressure exerted on the abdominal region, which is a key consideration for patients sensitive to discomfort in that area.

Other options, while they may provide temporary relief or comfort, do not address the underlying issue of abdominal pressure as effectively. For instance, simply adding padding or switching to a softer fabric may alleviate some discomfort but may not sufficiently address the mechanical design-related pressure that arises from the orthotic device itself. Cancelling all orthotic treatment would not be advisable, as it removes a vital form of support that may be necessary for the patient's condition.