Tag: DONJOY

How Shoulder Braces Support Post-Operative Shoulder Recovery

Posted on | by Matthew Blackwell

Shoulder surgery represents a significant step toward resolving chronic pain or repairing damage, but the recovery process demands careful attention and appropriate support. Shoulder braces, such as the DonJoy PSI Plus, play an essential role in this recovery journey, providing stability and protection while healing progresses.

The Purpose of Shoulder Braces After Surgery

Following shoulder procedures such as rotator cuff repairs, labral reconstructions, or joint replacements, shoulder braces serve several critical recovery functions:

  • Immobilizing the joint to protect surgical repairs
  • Limiting potentially harmful movements
  • Reducing stress on healing tissues
  • Offering external support during rehabilitation phases

Types of Shoulder Braces for Post-Surgical Recovery

Different surgical procedures require specific types of support:

Immobilization Slings

These devices hold the arm close to the body, preventing movement during the initial healing phase. They typically feature:

  • Adjustable straps for proper positioning
  • Cushioning to prevent skin irritation
  • Simple design for ease of application

Example: DonJoy PSI Plus

Abduction Slings

For procedures requiring the arm to be held away from the body:

  • Maintains the shoulder in a specific abducted position
  • Includes a pillow or wedge to establish proper joint spacing
  • Helps reduce tension on certain repaired structures

Example: UltraSling PRO

Functional Braces

As recovery progresses, functional braces allow:

  • Controlled range of motion within safe parameters
  • Adjustable settings to gradually increase mobility
  • Support during rehabilitation exercises

Example: UltraSling Quadrant

Progression of Shoulder Brace Usage Throughout Recovery

The timeline for shoulder brace usage typically follows this pattern:

  • Stage 1: Strict immobilization with limited removal for hygiene or prescribed exercises
  • Stage 2: Transition to braces allowing controlled movement, often worn during physical therapy and daily activities
  • Stage 3: Decreased dependence on bracing with continued use during challenging activities or exercise
  • Stage 4: Occasional use for protection during high-risk activities or as needed for comfort

Benefits of Proper Brace Usage

Research indicates that appropriate bracing contributes to recovery by:

  • Promoting proper healing alignment of tissues1
  • Reducing the risk of re-injury during vulnerable healing phases2
  • Decreasing pain through stabilization3
  • Building patient confidence during rehabilitation4

Wearing a Shoulder Brace

For maximum benefit from a shoulder brace, patients should:

  • Follow their surgeon’s specific instructions regarding wear time
  • Ensure proper fit—too loose provides inadequate support, too tight may impair circulation
  • Inspect their skin regularly for irritation or pressure points
  • Maintain cleanliness of the brace according to manufacturer guidelines
  • Report any issues with fit or function to their healthcare provider

A New Brace for Post-Op Shoulder Recovery: DonJoy PSI Plus

The DonJoy PSI Plus shoulder immobilizer represents a thoughtful approach to post-operative shoulder support, addressing both clinical and patient needs.

Designed for Adaptability

The PSI Plus features a bilateral design that converts between left and right arm use by simply repositioning the arm and shoulder strap. This versatility:

  • Simplifies inventory management for healthcare facilities
  • Ensures appropriate support regardless of which shoulder requires immobilization

Patient-Centered Features

Several design elements focus on improving the patient experience:

  • A quick-access hand pocket supports the forearm in internal rotation
  • Lightweight, open construction promotes air circulation to reduce heat buildup
  • Enhanced comfort during extended wear periods supports treatment compliance
DonJoy PSI Plus shoulder immobilizer

Clinical Efficiency

Healthcare providers benefit from:

  • Intuitive strap configuration that reduces application time
  • Design that minimizes the risk of incorrect positioning
  • The ability to perform examinations without removing the entire sling

Practical Functionality

The PSI Plus includes an adjustable shoulder strap with a quick-release mechanism, enabling single-handed removal and attachment. This feature proves particularly valuable for patients managing daily activities during recovery.

For more information on DonJoy PSI Plus, contact your local Enovis representative here.

References

  1. Hurley ET, Fried JW, Alaia MJ, Strauss EJ, Jazrawi LM, Matache BA. Immobilisation in external rotation after first-time traumatic anterior shoulder instability reduces recurrent instability: a meta-analysis. J ISAKOS. 2021 Jan;6(1):22-27.
  2. Grubhofer F, Ernstbrunner L, Gerber C, Hochreiter B, Schwihla I, Wieser K, Bouaicha S. Effect of Abduction Brace Wearing Compliance on the Results of Arthroscopic Rotator Cuff Repair. JB JS Open Access. 2022 May 5;7(2):e21.00148.
  3. Conti M, Garofalo R, Castagna A. Does a brace influence clinical outcomes after arthroscopic rotator cuff repair? Musculoskelet Surg. 2015 Sep;99 Suppl 1:S31-5.
  4. Chu JC, Kane EJ, Arnold BL, Gansneder BM. The Effect of a Neoprene Shoulder Stabilizer on Active Joint-Reposition Sense in Subjects With Stable and Unstable Shoulders. J Athl Train. 2002 Jun;37(2):141-145.

Cold Therapy and Compression for Post-Operative Knee Recovery: What the Latest Evidence Says

Posted on | by Matthew Blackwell

Effective post-operative recovery following knee surgeries represents a significant challenge for healthcare providers as well as their patients. Procedures such as total knee arthroplasty (TKA), anterior cruciate ligament (ACL) reconstruction, and arthroscopic interventions require comprehensive recovery protocols to ensure optimal outcomes. Among the various supportive modalities available, cold therapy and compression have emerged as approaches worthy of consideration within orthopedic recovery protocols. 

This article aims to summarize the current clinical evidence surrounding cold therapy and compression techniques in post-operative knee recovery and provide insights for healthcare professionals seeking to enhance patient care following these common orthopedic procedures. 

The Clinical Challenge: Pain, Swelling, and Rehabilitation 

Post-operative knee patients commonly face several challenges that can impede their recovery trajectory. Inflammation at the surgical site often leads to significant pain, which may limit mobility and delay rehabilitation milestones. Additionally, many patients develop a reliance on pain medications, particularly opioids, which carries risks of dependence and side effects. 

These complications underscore the importance of implementing effective, low-risk adjunctive therapies that can support recovery, potentially reduce medication requirements, and improve overall patient outcomes. As healthcare providers continue to refine recovery protocols, evidence-based approaches to managing these challenges become increasingly valuable. 

What the Research Shows: A Summary of Key Studies 

Studies supporting cold therapy after Total Knee Arthroplasty (TKA) 

Several studies support the application of cold therapy following total knee arthroplasty. 

In a 2015 study by Bech et al.1, it was found that although there was no additional benefit of using the DonJoy Iceman over ice bags for pain reduction, TKA patients using the device were significantly more satisfied, used the device more consistently, day and night, and were more likely to recommend this method of cooling.

In 2006, Kullenberg et al.2 demonstrated that the Aircast Cryo/Cuff achieved better pain control, ROM improvement, and shorter hospital stays amongst 86 patients undergoing TKA than with epidural analgesia, NSAIDs, and opioids. 

Holmström et al. (2005)3 found that Aircast Cryo/Cuff is a viable alternative for pain management following TKA, as it was shown to be as effective as epidural anesthesia for pain reduction, while also being well tolerated, non-invasive, and risk-free. 

In a meta-analysis of studies on cold therapy for pain in total knee replacement patients, Yildiz et al. (2024)4 found that the application of cryotherapy was important in relieving patients’ pain, reducing it by a factor of 2.9.

Studies supporting cold therapy after ACL reconstruction

There is good evidence to support the use of cold therapy following anterior cruciate ligament (ACL) reconstruction. 

In their 2022 study, Yonetani et al.5 found that film dressing enhanced the effect of the Aircast Cryo/Cuff and Ice bags with respect to pain control immediately after ACL reconstruction surgery compared with traditional gauze dressing with elastic wrap. 

Hart et al. (2014)6 demonstrated that after ACL reconstruction, patients with arthrogenic muscle inhibition AMI who received cryotherapy immediately before performing rehabilitation exercises experienced greater strength gains than those who performed cryotherapy or exercises alone. 

Raynor et al.’s 2005 study7 showed that cryotherapy reduces post-operative pain significantly and being fairly inexpensive, easy to use, and satisfactory to patients, is therefore beneficial in the post-operative management of knee surgery. 

Furthermore, Kotsifaki et al.’s 2023 study8 resulted in the publication of new Aspetar guidelines that recommended the use of cold and compression therapy, along with neuromuscular electronic stimulation (NMES) in the early rehab protocol of ACL reconstruction.

Studies supporting cold therapy after knee arthroscopy 

According to these studies, knee arthroscopy is another procedure that can benefit from post-operative cold therapy.

In 2011, Stalman et al.9 found a significant decrease of knee temperature and associated pain and inflammation marker PGE2 with post-op Knee Cryo/Cuff application.

Martin et al.’s 2001 study10 showed a significant decrease of intraarticular temperature of the knee after arthroscopy with Aircast Cryo/Cuff application.

And Song et al.’s 201611 meta-analysis found that cold and compression is more beneficial for reduction of pain and swelling at the early post-operative period for knee surgery than cold alone. 

Conclusion

The growing body of evidence surrounding cold therapy and compression for post-operative knee recovery provides healthcare professionals with valuable insights for enhancing patient care. Across multiple procedure types, research consistently demonstrates benefits in pain management and potentially decreased reliance on pharmacological interventions. 

As a low-risk, cost-effective adjunct to established recovery protocols, cold therapy merits consideration within comprehensive rehabilitation approaches. This data may offer clinicians additional perspectives to consider when evaluating their current post-operative management approaches, with cold therapy and compression representing potential options within comprehensive rehabilitation frameworks. 

By implementing evidence-based approaches to post-operative care, healthcare providers can continue to enhance recovery experiences and outcomes for knee surgery patients, supporting their journey toward restored function and improved quality of life. 

Healthcare professionals interested in Enovis’s portfolio of cold therapy products can contact their local sales representative here.

References

  1. Bech M, Moorhen J, Cho M, Lavergne MR, Stothers K, Hoens AM. Device or ice: the effect of consistent cooling using a device compared with intermittent cooling using an ice bag after total knee arthroplasty. Physiother Can. 2015 Winter;67(1):48-55. 
  2. Kullenberg B, Ylipää S, Söderlund K, Resch S. Postoperative cryotherapy after total knee arthroplasty: a prospective study of 86 patients. J Arthroplasty. 2006 Dec;21(8):1175-9. 
  3. Holmström A, Härdin BC. Cryo/Cuff compared to epidural anesthesia after knee unicompartmental arthroplasty: a prospective, randomized and controlled study of 60 patients with a 6-week follow-up. J Arthroplasty. 2005 Apr;20(3):316-21. 
  4. Yildiz T, Topcu O, Avcu C. The effect of cryotherapy on pain in patients with total knee replacement surgery: a meta-analysis. Acta Orthop Belg. 2024 Mar;90(1):123-129. 
  5. Yonetani Y, Kurokawa M, Amano H, Kusano M, Kanamoto T, Tanaka Y, Horibe S. The Wound Dressing Influenced Effectiveness of Cryotherapy After Anterior Cruciate Ligament Reconstruction: Case-Control Study Comparing Gauze Versus Film Dressing. Arthrosc Sports Med Rehabil. 2022 Mar 8;4(3):e965-e968. 
  6. Hart JM, Kuenze CM, Diduch DR, Ingersoll CD. Quadriceps muscle function after rehabilitation with cryotherapy in patients with anterior cruciate ligament reconstruction. J Athl Train. 2014 Nov-Dec;49(6):733-9. 
  7. Raynor MC, Pietrobon R, Guller U, Higgins LD. Cryotherapy after ACL reconstruction: a meta-analysis. J Knee Surg. 2005 Apr;18(2):123-9. 
  8. Kotsifaki R, Korakakis V, King E, Barbosa O, Maree D, Pantouveris M, Bjerregaard A, Luomajoki J, Wilhelmsen J, Whiteley R. Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction. Br J Sports Med. 2023 May;57(9):500-514. 
  9. Stålman A, Berglund L, Dungnerc E, Arner P, Felländer-Tsai L. Temperature-sensitive release of prostaglandin E₂ and diminished energy requirements in synovial tissue with postoperative cryotherapy: a prospective randomized study after knee arthroscopy. J Bone Joint Surg Am. 2011 Nov 2;93(21):1961-8. 
  10. Martin SS, Spindler KP, Tarter JW, Detwiler K, Petersen HA. Cryotherapy: an effective modality for decreasing intraarticular temperature after knee arthroscopy. Am J Sports Med. 2001 May-Jun;29(3):288-91. 
  11. Song M, Sun X, Tian X, Zhang X, Shi T, Sun R, Dai W. Compressive cryotherapy versus cryotherapy alone in patients undergoing knee surgery: a meta-analysis. Springerplus. 2016 Jul 13;5(1):1074. 

Enovis™ Unveils Unified Brand Identity

Posted on | by Matthew Blackwell

For decades, healthcare professionals have trusted products from DonJoy®, Chattanooga®, and Aircast® to deliver exceptional patient outcomes. These iconic brands, part of the Enovis™ family, have shaped orthopedic care and rehabilitation across the globe. Today, Enovis—a worldwide leader in medical technology solutions—announces a strategic visual transformation that unites these trusted names under a cohesive brand identity while preserving their individual legacies of innovation.

The Enovis Family: A Legacy of Innovative Brands

Enovis encompasses approximately a dozen specialized product brands within its comprehensive portfolio. Each brand brings distinctive expertise to the continuum of care, from prevention and rehabilitation to surgical intervention. Let’s explore the remarkable journeys of three cornerstone brands:

DonJoy® – Protecting Knees (and More) Since the 1970s

DonJoy has become virtually synonymous with knee bracing excellence. This cornerstone Enovis brand has manufactured and supplied braces for knee ligament protection since the late 1970s, utilizing patented technology specifically designed to reduce anterior cruciate ligament (ACL) strain1,2.

The Garage That Changed Orthopedics

In 1978, Philadelphia Eagles’ offensive line captain Mark Nordquist and lawyer Ken Reed founded a small company in a Carlsbad, California garage. They named their venture DonJoy after their wives, Donna and Joy—a personal touch that reflected their commitment to improving patients’ lives.

DonJoy initially focused on developing knee braces, and by the late 1990s, it was generating approximately $100 million in annual revenues through an expanding range of orthopedic products. Following a series of strategic acquisitions and mergers, the company evolved into DJO and later, Enovis. Throughout these transformations, the DonJoy name has endured for almost half a century, proudly displayed on products worn by millions worldwide.

Flagship Product: Defiance® PRO

The Defiance® PRO represents the culmination of decades of research in knee stability engineering. This custom-fit functional knee brace features aircraft-grade aluminum and proprietary hinge technology that mirrors natural knee movement while providing crucial support for ACL, PCL, MCL, and LCL injuries. Professional athletes and weekend warriors alike rely on its lightweight yet robust design for confidence during activity.

Aircast® – Over Half a Century in Service of Medical Professionals

For more than 50 years, medical professionals worldwide have depended on Aircast for technological breakthroughs in patient care.

Rooted in sound scientific methods, each Aircast product is developed using the concept of “functional management,” setting progressive standards of care for lower limb fractures, ankle sprains, and other injuries with patented technology and graduated pneumatic compression.

Aircast was founded in 1972 by U.S. inventor Glenn Johnson Jr. after he created the eponymous pneumatic ankle brace system. The innovative air cell technology provides targeted compression and stabilization while allowing appropriate movement—a revolutionary approach to ankle injury management. Among Johnson’s other inventions was the VenaFlow™ system, a DVT-prevention device used in hospitals worldwide.

Flagship Product: AirSelect™ Walker

The AirSelect™ Walker exemplifies Aircast’s commitment to functional recovery. Its SoftStrike technology absorbs shock and reduces heel loading, while integrated air cells deliver customized compression. The intuitive pump system allows patients to adjust pressure levels independently, promoting compliance and improving outcomes. Clinical studies have demonstrated faster recovery times compared to traditional immobilization methods for appropriate indications.3,4

Chattanooga® – Supporting Physiotherapists Since 1947

Founded in Chattanooga, Tennessee, by local athletic trainer Lee Jensen and his business partner Jack Walker, the Chattanooga Group began as Chattanooga Pharmacal Company in 1947.

From Local Startup to Global Leader

The company initially created hot and cold therapy products for the physiotherapy market before expanding its innovation focus. A significant breakthrough came with the development of the Intelect line, which brought portable ultrasound and electrotherapy devices into private clinics and transformed treatment accessibility.

By the early 2000s, Chattanooga had established itself as the world’s largest manufacturer of rehabilitation equipment, contributing to improved treatment outcomes in hospitals, clinics, and home settings worldwide. After nearly 80 years, the Chattanooga brand continues to be associated with technological advancements in treating musculoskeletal, neurological, and soft tissue disorders.

Flagship Product: LightForce® Laser

The LightForce® laser therapy system represents a significant advancement in non-invasive pain management. Using specific wavelengths of light to penetrate tissue and stimulate cellular metabolism, this photobiomodulation therapy helps reduce inflammation and relieve pain.5 Clinicians appreciate its intuitive interface and customizable treatment protocols that address a wide range of conditions from tendinopathies to post-surgical recovery.

Introducing the Updated Enovis Product Brands

As a family of brands under the banner of Enovis, DonJoy, Aircast, Chattanooga, and their sister brands now share a cohesive visual identity that clearly communicates their relationship while honoring their individual histories.

Enovis product brand logo update

The refreshed type treatment applied to the product brand logos achieves a unified aesthetic while creating a clear hierarchy between the corporate brand and its product brands. The updated design maintains recognizable elements from each brand’s heritage while bringing them into alignment with Enovis’s forward-looking vision.

For healthcare professionals who have relied on these trusted brands throughout their careers, this unified identity signals not an ending but a strengthening—a commitment to continued excellence and innovation under the Enovis banner for decades to come.

Healthcare professionals interested in learning more about Enovis products can contact their local Enovis representative.

References

  1. Fleming BC et al. The influence of functional knee bracing on the anterior cruciate ligament strain biomechanics in weightbearing and nonweightbearing knees. Am J Sports Med 2000;28(6):815-24.
  2. Lin CF, Liu H, Garrett WE, Yu B. Effects of a knee extension constraint brace on selected lower extremity motion patterns during a stop-jump task. J Appl Biomech. 2008 May;24(2):158-65.
  3. Shahid MK, Punwar S, Boulind C, Bannister G. Aircast walking boot and below-knee walking cast for avulsion fractures of the base of the fifth metatarsal: a comparative cohort study. Foot Ankle Int. 2013 Jan;34(1):75-9.
  4. Haworth L, Booth N, Chohan A, Chapman G, Richards J. How does orthotic walker boot design influence lower limb and trunk function during gait? Prosthet Orthot Int. 2024 Mar. E-Pub ahead of publication.
  5. Chatterjee P, Srivastava AK, Kumar DA, Chakrawarty A, Khan MA, Ambashtha AK, Kumar V, De Taboada L, Dey AB. Effect of deep tissue laser therapy treatment on peripheral neuropathic pain in older adults with type 2 diabetes: a pilot randomized clinical trial. BMC Geriatr. 2019 Aug 12;19(1):218.

Understanding low back pain: facts, figures, and solutions for better living

Posted on | by Matthew Blackwell

Low back pain (LBP) affects millions globally, with an estimated 619 million people experiencing this condition in 2020. By 2050, experts project this number will reach 843 million cases, primarily due to population growth and aging demographics. This significant increase highlights the importance of understanding and effectively managing low back pain.

The growing impact of low back pain

Low back pain stands as the leading cause of disability worldwide among musculoskeletal conditions. Its effects reach across all demographics, but particularly impacts:

  • People aged 50-55 years
  • Women more frequently than men
  • Working populations, causing significant work absences
  • Quality of life across all demographics

The economic burden of low back pain extends beyond individual suffering, affecting workplace productivity and healthcare systems worldwide. Understanding this condition and its management options becomes increasingly crucial for both healthcare providers and patients.

Understanding different types of low back pain

Low back pain manifests in various forms, each requiring specific attention and treatment approaches:

Specific vs. non-specific pain

  • Specific LBP (10% of cases): Traced to particular diseases or structural issues in the spine, often requiring targeted medical intervention
  • Non-specific LBP (90% of cases): No identifiable structural cause, but potentially linked to lifestyle factors such as low physical activity, smoking, obesity, or occupational stress

Duration categories and their implications

  • Acute: Under 6 weeks, often resolving with proper care
  • Sub-acute: 6-12 weeks, requiring increased attention to prevent chronicity
  • Chronic: Over 12 weeks, necessitating comprehensive management strategies

The science behind bracing in low back pain management

Recent scientific research confirms that lumbar support bracing plays a significant role in managing low back pain and associated disability.1 Modern bracing solutions offer multiple benefits:

  1. Range-of-motion control: Protects against painful flexion and extension movements1
  2. Core stability: Increases intra-abdominal pressure for enhanced support2
  3. Posture enhancement: Improves overall balance and alignment3
  4. Proprioception benefits: Enhances body awareness and position sense4

Understanding proprioception

Proprioception, often called our “sixth sense,” helps us understand where our body is in space. Low back pain can disrupt this crucial sense, but proper bracing can help restore these important signals between body and brain.4

DonJoy® bracing solutions for lower back pain

Enovis™ offers a specialized range of lumbar supports within its DonJoy® orthopedics brand, each designed to address specific needs and activity levels:

DonJoy Skinstrap™

For patients seeking discrete support during daily activities:

  • Lightweight elastic webbing construction
  • Second-skin feel for maximum comfort
  • Ideal for sedentary to moderate activity levels

DonJoy Porostrap 2.0™

Engineered for breathability and comfort:

  • Advanced mesh materials
  • Vented bilateral straps
  • Suitable for various activity levels
  • Enhanced airflow for extended wear

DonJoy Actistrap 2.0™

Designed for active individuals requiring additional support:

  • Adjustable bilateral straps
  • Four semi-rigid dorsal stays
  • Enhanced postural control
  • Suitable for those with muscular weakness

DonJoy Immostrap 2.0™

Advanced support for specific conditions:

  • Independent upper and lower bilateral straps
  • Flexible dorsal stays
  • Targeted postural control
  • Suitable for herniated disc conditions

For more information about managing low back conditions and finding the right support solution, visit enovis-medtech.eu.

Healthcare professionals interested in learning more about the refreshed product line can contact their local Enovis representative or visit our website for detailed product information.

References

  1. Oleiwi MA, Shah SZA, Bilal H, Zeb A, Ahmad A, Hegazye FA, Chen H. Efficacy of orthotic support in mitigating low back pain and disability in low back pain sufferers. J Back Musculoskelet Rehabil. 2023;36(5):1111-1125.
  2. Ludvig D, Preuss R, Larivière C. The effect of extensible and non-extensible lumbar belts on trunk muscle activity and lumbar stiffness in subjects with and without low-back pain. Clin Biomech (Bristol). 2019 Jul;67:45-51. doi: 10.1016/j.clinbiomech.2019.04.019. Epub 2019 May 7. PMID: 31075735.
  3. Azadinia F, Ebrahimi-Takamjani I, Kamyab M, Parnianpour M, Asgari M. A RCT comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain. Med J Islam Repub Iran. 2017 May 1;31:26.
  4. Samani M, Shirazi ZR, Hadadi M, Sobhani S. A randomized controlled trial comparing the long-term use of soft lumbosacral orthoses at two different pressures in patients with chronic nonspecific low back pain. Clin Biomech (Bristol, Avon). 2019 Oct;69:87-95.
  5. WHO Facts sheet Low Back Pain 2023. https://www.who.int/news-room/fact-sheets/detail/low-back-pain.

Achilles tendonitis explained: causes, symptoms, treatments

Posted on | by Matthew Blackwell

Achilles tendonitis, also known as Achilles tendinopathy, is an overuse injury affecting the Achilles tendon. It is common among athletes and those engaged in repetitive physical activity, such as running and jumping. This article explains the causes and symptoms of Achilles tendonitis and explores the available treatments.

Causes

Achilles tendonitis often arises from excessive strain on the tendon due to overuse, improper footwear, or poor biomechanics (such as flat feet). Other contributing factors include sudden increases in activity level, weak calf muscles, or tightness in the calf or hamstring.

Athletes who engage in sports like running, basketball, or football are particularly prone to this injury, though it can also occur in people who do not warm up properly or who have abnormal foot posture.

Symptoms

The symptoms of Achilles tendonitis include pain, tenderness, and stiffness in the tendon, particularly at the back of the heel. Pain is often worse in the morning or after periods of inactivity and can be made worse by physical activity.

In some cases, swelling or thickening around the tendon may be visible, and in more severe cases, nodules may form along the tendon.

Prevention, treatment, and management of Achilles tendonitis

Preventing Achilles tendonitis involves ensuring proper training techniques, including gradual increases in the intensity and amount of exercise. Wearing appropriate footwear, stretching before physical activity, and strengthening the calf muscles can also reduce the risk of injury.

If Achilles tendonitis is already present, treatment is the next step. This generally starts with conservative measures like rest, ice, and anti-inflammatory medications. Physical therapy is crucial in managing Achilles tendonitis, particularly eccentric strengthening exercises that target the calf muscles to reduce strain on the Achilles tendon. Other interventions may include orthotics such as braces or heel lifts to reduce tendon strain, and taping to support the area during activity.

In more persistent cases, advanced treatments like shock wave therapy may be considered. Surgical intervention is typically a last resort for chronic, unresponsive cases.

Introducing AchilloForce® by DonJoy®: a new ankle support for Achilles tendonitis

For patients suffering with Achilles tendonitis, a new product by DonJoy® may offer relief. AchilloForce® is an elastic knitted ankle brace with an integrated pad covering the Achilles tendon area. This combination of compressive sleeve and cushioning pad can help deliver comfortable and easy relief and proprioception for Achilles tendon pain and inflammation.

The brace simply slides over the foot (with or without a sock on underneath) and is fixed in place by a simple two-part hook-and-loop closure at the front. Because of its slim profile, it fits easily into a shoe, and its breathable materials help the foot stay cool and dry during wear.

What’s more, AchilloForce comes with a pair of silicone heel wedges – placing one of these into the shoe underneath the heel provides extra cushioning for further relief of the Achilles tendon.

DonJoy AchilloForce Achilles tendon ankle support

To learn more about AchilloForce, visit enovis-medtech.eu

How the Defiance PRO® knee brace supports your ski and snowboard season

Posted on | by Matthew Blackwell

With winter around the corner, skiers and snowboarders are gearing up for a fresh season on the slopes. These snow sports provide a unique mix of speed, agility, and excitement—but they also bring a high risk of knee injuries, especially with the sharp turns, jumps, and high-impact landings. Whether you’re tackling moguls on skis or carving down a snowboard terrain park, the Defiance® PRO knee brace from DonJoy® offers robust protection, stability, and injury prevention for snow enthusiasts of all kinds.

Why skiers and snowboarders need knee support

Knee injuries are among the most common injuries for both skiers and snowboarders1. The rapid twisting motions in skiing, coupled with the board-fixed position in snowboarding, can put intense stress on the knee joint, especially the anterior cruciate ligament (ACL) and medial collateral ligament (MCL). Add high speeds, dynamic movement, and unpredictable falls, and it’s easy to see why additional knee protection is essential. The Defiance PRO knee brace is designed to provide that vital support and stability, whether you’re carving powder on a snowboard or navigating steep ski trails.

Key features of the Defiance® PRO for snow sports

The Defiance PRO knee brace combines clinically proven technology with a lightweight build to provide stability, prevent injury, and enhance performance without limiting your range of motion. Here’s a closer look at how this knee brace supports skiers and snowboarders alike:

1. FourcePoint® hinge technology

The brace’s FourcePoint® hinge technology is clinically proven to help protect the knee from injury2. By keeping the knee out of full and hyperextension, its dampening mechanism helps reduce the strain on the ACL that can occur during the impacts of skiing and snowboarding2.

2. Four-Points-of-Leverage™ system

The ACL is a ligament particularly vulnerable in skiing and snowboarding. The Defiance PRO’s patented Four-Points-of-Leverage™ system is clinically proven to reduce strain on the ACL by helping to prevent forward shin movement.3 For snowboarders, who face different movement patterns but similar knee stresses, this system provides the same stability against unanticipated jerks or impacts.

3. Custom fit for comfort and stability

As well as utilizing anti-migration technology, every Defiance PRO is custom-made to fit each user’s leg shape. This is crucial for skiers and snowboarders who need a stable fit without sliding or shifting. For both sports, this stability can make all the difference on sharp turns, landings, or during intense runs.

4. Lightweight carbon fiber frame

Made from carbon fiber, the Defiance PRO is engineered to withstand high impact while remaining lightweight and low-profile. Skiers and snowboarders can wear it comfortably under their snow gear without feeling weighed down, making it ideal for long sessions on the slopes. The durable frame offers protection even in rough conditions, providing peace of mind for those aiming to push their limits.

Defiance PRO knee brace

What’s new about Defiance PRO?

Skiers and snowboarders who have worn knee braces in the past may already be familiar with the name of Defiance. Building on its legacy, the new Defiance PRO retains all the features users have come to know, while introducing several enhancements.

Even lower profile

Compared to the Defiance Classic, the profile of Defiance PRO is slimmer by 5 mm, making for an even more discrete fit.

Internally mounted swiveling straps

On the new Defiance PRO, the straps are attached to the inside of the frame for a cleaner profile with less possible friction. The straps can also swivel at these connection points, helping to provide a degree of dynamic movement while retaining that all-important stability. And with their new soft-touch ends, the straps are even easier to apply and keep fastened.

More comfortable condyle pads

Defiance PRO features new condyle pads made from soft silicone for a more comfortable contact point with the knee.

New improved liners

The Defiance PRO’s new C-6 liner material is soft to the touch, moisture wicking, and anti-microbial, all of which helps keep wearers comfortable during use.

Preventing injury and supporting recovery

For skiers and snowboarders alike, injury prevention is vital to enjoying a long and active snow season. The Defiance PRO is crafted to help prevent both acute injuries (like ACL and MCL tears) and wear-and-tear injuries that can develop over time. Skiers, who face high-speed turns and quick directional changes, and snowboarders, who need support against hard impacts and rotational movements, can both benefit from the brace’s stabilizing features.

The Defiance PRO is also a helpful tool for those in recovery. If you’re returning to skiing or snowboarding after a knee injury, the brace’s targeted support can give you confidence to get back on the mountain. A re-injury rate of 5-10% for ACL injuries shows the importance of added protection4.

But don’t be fooled that this is something that only affects more mature people; secondary ACL injuries are common in adolescents too. However, at least one clinical study with young people has shown that wearing a knee brace can help prevent injury to ACL grafts following surgery.5

Make the most of your ski season with the Defiance PRO knee brace

As you gear up for ski and snowboard season, consider the added support and injury prevention that the Defiance PRO knee brace can offer. Whether you’re an experienced skier or a snowboarder hitting the terrain park, investing in a Defiance PRO can provide the security to allow you to take on the mountain without hesitation. Make this season one to remember, with knees that are fully supported for every twist, turn, and landing.

To learn more about Defiance PRO, visit our website.

References

  1. Wagner M et al. Incidence of alpine skiing and snowboarding injuries. Injury. 2023 Aug;54(8):110830. 
  2. Yu B et al. Immediate effects of a knee brace with a constraint to knee extension on knee kinematics and ground reaction forces in a stop-jump task. Am J Sports Med 2004;32(5):1136-43.
  3. Fleming BC et al. The influence of functional knee bracing on the anterior cruciate ligament strain biomechanics in weightbearing and nonweightbearing knees. Am J Sports Med 2000;28(6):815-24.
  4. Arendt EA et al. Anterior cruciate ligament injury patterns among collegiate men and women. Journal of Athletic Training. 1999;34(2):86-92.
  5. Perrone GS et al. Risk of Secondary ACL Injury in Adolescents Prescribed Functional Bracing After ACL Reconstruction. Orthop J Sports Med. 2019;7(11):2325967119879880.

Embracing the latest in knee osteoarthritis care: ROAM OA

Posted on | by Matthew Blackwell

For orthotist Laura Aggett, delivering the best outcomes for her patients is more than just a priority—it’s a passion. As the owner and director of Lewis Brand Orthotics, a leading private orthotics practice with multiple locations in the UK, Laura constantly seeks innovative solutions that can enhance her patients’ quality of life. Her dedication frequently leads her to explore the latest advancements in orthopedic products, always aiming to find the best fit for her patients’ needs.

One of Laura’s most exciting recent discoveries is DonJoy’s new ROAM OA knee brace. Designed for individuals with moderate to severe knee osteoarthritis (OA), the ROAM OA brace offers both comfort and offloading to help alleviate pain. After learning about the product from Enovis bracing specialists, Laura was eager to offer it to her patients dealing with knee OA pain.

‘I’ve been really impressed with how the ROAM OA works and how effective it is for knee osteoarthritis patients,’ says Laura.

DonJoy ROAM OA patient

‘I’ve only received positive feedback from my patients [on ROAM OA].’

Laura Aggett, Lewis Brand Orthotics

A standout feature of the ROAM OA knee brace is its telescoping frame, which can be adjusted to accommodate patients with unique leg shapes or sizes. ‘Some patients find that certain braces rub uncomfortably on their thigh or don’t provide the necessary force to offload the affected knee compartment,’ Laura says. ‘With the ROAM OA’s telescoping frame, I can lengthen or shorten both the proximal and distal segments of the brace to ensure a better fit, or to spread the force over a greater area.’

Ease of use is at the heart of ROAM OA’s design philosophy. Given that knee OA primarily affects older adults who may also have dexterity issues1, it is essential that products tailored for them are straightforward to apply and adjust.

‘They’ve put a lot of thought into the design of the straps,’ says Laura. ‘The magnetic touch-close fastenings make it really easy for the patients. And my favorite part is the strap that leaves the knee crease free – this definitely improves comfort and compliance.’

ROAM OA cross strap

The ROAM OA brace also features a combination of strategically placed straps and adjustable BOA dials. These work together with the unique condyle harness to create a pulling force on the knee to help offload the affected compartment. ‘You don’t have to unload it completely like some braces,’ Laura says. ‘Instead, you can both increase and decrease the load through the BOA system on a step-by-step basis. That gives patients a lot more adjustability and flexibility for different activities like going up and down hills.’

Having only recently launched, the full impact of the ROAM OA brace on knee osteoarthritis patients is yet to be seen. However, early adopters like Laura are optimistic about its potential. ‘So far, I’ve only received positive feedback from my patients,’ she says. ‘I’m looking forward to fitting many more in the years to come.’

Laura recently presented her experiences of knee bracing on a webinar with Enovis. You can watch the recording here.

To learn more about the ROAM OA knee brace, visit our website.

References

  1. Pereira D, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E. The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthritis Cartilage. 2011 Nov;19(11):1270-85.

Exploring the new DonJoy LumboForce® range – six ways to support the lumbar spine

Posted on | by Matthew Blackwell

Low back pain is an increasingly widespread issue1 that can often be relieved through the use of a back brace2,3,4. The new DonJoy LumboForce® range provides a versatile option for low back pain sufferers, offering six distinct products that cater to various levels of lumbar spine support. From light support for mild discomfort to more advanced braces for severe conditions, this refreshed range of products embodies a modular approach to back care, ensuring both patients and healthcare professionals have access to the right tool for the job.

DonJoy LumboForce® Sacro: new targeted support for sacroiliac and pelvic stability

Specifically designed for stabilizing the pelvis and relieving pain in the sacroiliac (SI) joint, the new LumboForce Sacro features dual repositionable proprioception pads. These pads not only massage the affected area to promote blood circulation, but also offer flexible support tailored to the patient’s needs.

The brace’s semi-elastic webbing and bilateral straps ensure that compression is both supportive and adjustable, making it an excellent choice for conditions like symphysis insufficiency and sacroiliac joint trauma.

DonJoy LumboForce Sacro back brace

DonJoy LumboForce® 1: moderate support with comfort in focus

For patients needing moderate lumbar support, LumboForce 1 offers a balance of comfort and stability. It features flexible dorsal stays that support the affected spinal segments, providing support and helping to reduce pain.

The addition of a repositionable proprioception pad massages the lower back to help relieve discomfort. This brace is particularly suitable for those dealing with lumbalgia, osteochondrosis, or spondylarthrosis, conditions that benefit from moderate stabilization without restricting movement.

DonJoy LumboForce 1 lumbar spine support

DonJoy LumboForce® 2: enhanced compression with customizable support

Taking the support up a level, the LumboForce 2 introduces bilateral straps that allow for greater control over compression. This feature is useful for patients who need variable support throughout the day, as it enables them to adjust the brace to their comfort.

Like LumboForce 1, this model includes flexible dorsal stays and a repositionable proprioception pad, making it suitable for managing both acute and chronic low back pain.

DonJoy LumboForce 2 lumbar spine support

DonJoy LumboForce® 3: partial immobilization for severe lumbar conditions

LumboForce 3 is designed for patients requiring more substantial support and partial immobilization of the lumbar spine. This model can be particularly beneficial for conditions like spondylolisthesis, facet syndrome, and herniated discs in the early stages.

The adjustable dorsal stays and double bilateral straps provide a superior level of compression, while the option to choose between two heights (26 cm and 32 cm) helps ensure a proper anatomical fit for both men and women.

DonJoy LumboForce 3 lumbar spine support

DonJoy LumboForce® 4: advanced stabilization for serious spinal issues

For those with more severe spinal conditions, such as advanced herniated discs or lumbar spinal canal stenosis, LumboForce 4 offers advanced support. This brace features a rigid aluminum back frame that bridges the lumbar spine, providing partial immobilization crucial for healing.

The bilateral pulley system and flexible dorsal stays work together to offer a higher level of compression and support, while the adjustable swiveling wings ensure the brace adapts to the patient’s movements. This design not only enhances comfort but also helps ensure that the brace remains effective throughout the healing process.

DonJoy LumboForce 4 lumbar spine support

DonJoy LumboForce® 5: maximum immobilization for critical support

LumboForce 5 provides the highest level of support and immobilization in the range. This model is engineered for conditions that require greater lumbar immobilization, such as advanced stages of herniated discs, stable vertebral fractures, and severe spinal stenosis.

The rigid back shell, combined with dynamic side wings and a rigid abdominal pad, ensures over 50% circumferential waist support. The bilateral pulley system allows for precise compression adjustment, making this brace the go-to option for the most critical lumbar conditions.

DonJoy LumboForce 5 lumbar spine support

Do back braces weaken abdominal muscles?

A common misconception about back braces is that wearing them can weaken your abdominal muscles. A 2019 study by Azadinia et al. showed that this is a false assumption, and that wearing a back brace for an average of more than 7 hours a day for 4 weeks did not lead to atrophy of deep trunk muscles, including abdominal muscles5.

Why Choose DonJoy LumboForce?

The DonJoy LumboForce range stands out not only for its comprehensive coverage of lumbar spine support needs but also for its focus on patient comfort and compliance. The range’s unisex design, anatomically shaped for an ergonomic fit, and use of soft, breathable materials help ensure that patients can wear these braces comfortably throughout the day. Whether you’re a healthcare provider seeking reliable options for your patients or someone dealing with back pain, the LumboForce range offers a well-rounded, customizable approach to lumbar care.

For more information on these products, visit our website.

References

  1. Hoy, D., Bain, C., Williams, G., et al. (2012). A systematic review of the global prevalence of low back pain. Arthritis Rheum., 64(6): 2028-2037.
  2. Mi, J., Ye, J., Zhao, X., Zhao, J. (2018). Effects of lumbosacral orthoses on postural control in individuals with or without non-specific low back pain. Eur Spine J., 27(1): 180-186.
  3. Soo Choi, J., Kim, H., Lim, J., Seok Ryu, J. (2022). The facilitation of trunk muscles by abdominal bracing during walking in chronic low back pain patients. J Biomech, 143: 111299.
  4. Ludvig, D., Preuss, R., Larivière, C. (2019). The effect of extensible and non-extensible lumbar belts on trunk muscle activity and lumbar stiffness in subjects with and without low-back pain. Clin Biomech (Bristol, Avon), 67: 45-51.
  5. Azadinia, F., Ebrahimi Takamjani, I., Kamyab, M., Kalbassi, G., Sarrafzadeh, J., & Parnianpour, M. (2019). The Effect of Lumbosacral Orthosis on the Thickness of Deep Trunk Muscles Using Ultrasound Imaging: A Randomized Controlled Trial in Patients With Chronic Low Back Pain. American journal of physical medicine & rehabilitation, 98(7), 536–544.

DonJoy OA GO® – an OA knee brace with a twist

Posted on | by Matthew Blackwell

Living with knee osteoarthritis (OA) can significantly impact daily life, making even simple activities challenging. DonJoy OA GO® is a groundbreaking knee brace designed to help alleviate pain and improve mobility for those suffering from this condition. This innovative brace features several key components that work together to help provide effective relief and support.

Innovative design and functionality

The standout feature of the DonJoy OA GO knee brace is its unique three-point offloading system, which specifically targets and offloads the affected knee compartment. This system helps to reduce the pressure on the damaged area, thereby helping to alleviate pain and discomfort.

The brace also includes dual BOA® dials that allow for easy adjustments. With a simple turn of these dials, users can customize the level of support they need, ensuring a personalized fit that caters to their specific condition.

How OA GO works

Comfort and stability

Comfort is crucial when it comes to wearing a knee brace for extended periods. The OA GO knee brace addresses this with flexible shells and anti-slip bands. These features help ensure that the brace stays in place and does not migrate during use, providing consistent support throughout the day.

Additionally, the brace is made from breathable, anti-bacterial material, which promotes hygiene and makes it suitable for long-term wear without causing irritation or discomfort.

Enhancing quality of life

The goal of the DonJoy OA GO knee brace is to help users maintain an active and fulfilling lifestyle despite their osteoarthritis. Whether you’re engaging in outdoor activities, climbing stairs, or playing with your grandchildren, this brace offers the support you need to help stay active and pain-free. The ability to adjust the brace easily means that you can tailor the support to your activity level, providing more stability or flexibility when you need it.

Versatility and availability

Half wrap, half sleeve, the OA GO knee brace combines the benefits of both to make fitting quick and easy. Simply open the thigh section then pull the lower sleeve section over the calf before securing the support with the hook-and-loop fastening.

Available in various sizes, the brace is a versatile option for individuals with different needs and body types, helping to ensure that patients can find a brace that fits them well and provides the necessary support. The ease of use and adjustability make it a convenient choice for managing mild to moderate knee osteoarthritis.

Living with knee osteoarthritis doesn’t have to mean giving up the activities you love. The DonJoy OA GO knee brace offers a practical and effective solution to manage pain and improve mobility. With its innovative design, adjustable support, and focus on comfort, this brace can help you lead a more active and pain-free life.

For more information on the DonJoy OA GO knee brace, visit www.donjoyoabraces.com/oa-go

BOA® is a registered trademark of Boa Technology, Inc.

Understanding knee osteoarthritis and how DonJoy® OA braces can help

Posted on | by Matthew Blackwell

Living with knee osteoarthritis (OA) can be a challenging experience, marked by pain and limited mobility. For those navigating this condition, finding ways to manage symptoms and maintain an active lifestyle is crucial. This is where DonJoy® OA braces come into play, offering a range of innovative products designed to alleviate pain and support knee health.

What is knee osteoarthritis?

Knee osteoarthritis (OA) is a degenerative joint disease characterized by the breakdown of cartilage in the knee joint. This deterioration leads to pain, stiffness, and swelling, making everyday activities challenging. Common risk factors include aging, obesity, joint injuries, and repetitive stress on the knee joints.

Knee osteoarthritis diagram

The role of bracing in knee OA management

Bracing is a non-invasive treatment option that can significantly reduce pain and improve function for individuals with knee OA.1 By redistributing weight away from the affected compartment of the knee, braces help decrease pressure on the affected areas, helping to provide relief and enhance mobility.2,3

Go Roam with DonJoy OA braces

DonJoy has established itself as a leader in the field of orthopedic bracing, offering a variety of braces designed for the full spectrum of knee OA severities. Two new products in their lineup include the DonJoy OA GO® and the ROAM™ OA.

DonJoy OA GO®: This brace is designed with a unique fitting mechanism that allows for easy adjustments, helping to provide personalized pain relief and support. It’s an excellent option for individuals looking for a customizable and comfortable brace to address mild to moderate single compartment osteoarthritis.

ROAM™ OA: As the latest innovation in offloader braces, the ROAM OA offers advanced features aimed at maximizing comfort and mobility. This brace is for active individuals who need robust support without compromising their movement. Designed for moderate to severe unicompartmental knee osteoarthritis.

Why choose DonJoy OA braces?

Innovation and quality: With a legacy of over forty years of knee bracing, DonJoy is renowned for its commitment to quality and continuous innovation, ensuring our braces meet the highest standards.

Patient-centered design: Our knee osteoarthritis braces are designed with the patient’s needs in mind, offering features that enhance comfort and ease of use.

Proven effectiveness: Clinical studies and patient testimonials highlight the effectiveness of DonJoy OA braces in reducing pain and improving quality of life.3,4,5

Additional resources and support

In addition to our product offerings, we provide extensive patient education resources on our OA braces website. These resources cover various aspects of knee OA, from understanding the condition to exploring different treatment options.

If you or someone you know is struggling with knee osteoarthritis, consider speaking to a healthcare professional about the braces offered by DonJoy. With the right brace, managing knee OA can become a more manageable part of daily life, allowing for continued activity and improved well-being.

For more information on knee OA and DonJoy OA braces, visit our official website: www.donjoyoabraces.com.

References

  1. Brophy RH, Fillingham YA. AAOS Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty), Third Edition. J Am Acad Orthop Surg. 2022 May 1;30(9):e721-e729.
  2. Nagai K, Yang S, Fu FH, Anderst W. Unloader knee brace increases medial compartment joint space during gait in knee osteoarthritis patients. Knee Surg Sports Traumatol Arthrosc. 2019 Jul;27(7):2354-2360.
  3. Dries T, Van Der Windt JW, Akkerman W, Kluijtmans M, Janssen RPA. Effects Of A Semi-rigid Knee Brace On Mobility And Pain In People With Knee Osteoarthritis. J Rehabil Med Clin Commun. 2022 Jul 5;5:2483.
  4. Khan SJ, Khan SS, Usman J, Mokhtar AH, Abu Osman NA. Orthoses versus gait retraining: Immediate response in improving physical performance measures in healthy and medial knee osteoarthritic adults. Proc Inst Mech Eng H. 2020 Jul;234(7):749-757.
  5. Nagai K, Yang S, Fu FH, Anderst W. Unloader knee brace increases medial compartment joint space during gait in knee osteoarthritis patients. Knee Surg Sports Traumatol Arthrosc. 2019 Jul;27(7):2354-2360.