When recommending an orthosis for lower back pain, what should the COF do first?

The first step a Certified Orthotic Fitter (COF) should take when dealing with lower back pain is to refer the patient to a physician. This is important because lower back pain can have a variety of underlying causes, ranging from musculoskeletal issues to serious medical conditions that may require medical intervention. A physician can provide a comprehensive evaluation, diagnose the issue accurately, and determine the necessity of any further treatment, including the use of an orthosis.

Once the physician assesses the patient's condition, a COF can proceed with the appropriate recommendations, including evaluating for an orthosis. Seeking medical evaluation not only ensures that the patient receives the best treatment for the specific cause of their pain, but it also safeguards against the risks of worsening an undiagnosed condition by applying an orthotic intervention without proper medical oversight. This collaborative approach emphasizes the importance of multidisciplinary care in managing health conditions effectively.