How does chronic pain affect the use of orthotic devices?

Chronic pain significantly influences both the effectiveness of orthotic devices and a patient's adherence to wearing them. When a patient experiences chronic pain, their perception of comfort and mobility is altered, which can lead to a negative association with the orthotic device. As a result, they may find it difficult to wear the device consistently or may not experience the anticipated benefits such as pain relief or improved function.

Furthermore, chronic pain can result in psychological factors such as anxiety or depression, which may further decrease motivation to adhere to wearing the orthosis. If the device does not alleviate pain or if it causes discomfort, patients may be less likely to use it as prescribed. This all highlights the critical importance of addressing chronic pain in the overall management of orthotic therapy to enhance compliance and optimize outcomes.