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HOW TO USE THE R&M BRACE
The proximal patch is applied to the upper arm
Peel the release paper from the shoulder patch and apply it to the skin overlying the lateral deltoid muscle.
The adhesive is a water based low allergy pressure sensitive adhesive designed for long term application to the skin.
The adhesive is a water based low allergy pressure sensitive adhesive designed for long term application to the skin.
The distal portion is attached just proximal to the wrist
The distal wrist gauntlet is attached just proximal to the wrist and is fixed with a hook and loop system. Some people with neurogenic arm pain are sensitive to even light pressure around the wrist. If this is the case then the wrist gauntlet should be used with an adhesive patch to prevent the gauntlet from slipping and then loosely closed using the hook and loop. material.
Adjust the length of the strap
The length of the brace strap should be adjusted so that when reaching forward with the brace on the pain is not produced; or if the pain is initially constantly present the pain should not increase.
If the changes in pain due to reaching are latent (ie onset or increase in pain hours after the movement is performed) then the brace should be adjusted to limit elbow extension by 45 degrees.
The brace should initially be worn continually if possible; even when showering and sleeping.
If the changes in pain due to reaching are latent (ie onset or increase in pain hours after the movement is performed) then the brace should be adjusted to limit elbow extension by 45 degrees.
The brace should initially be worn continually if possible; even when showering and sleeping.
With improvement the strap can be lengthened
As the pain improves the angle of restriction should be gradually reduced.
With further improvement the brace may be worn only during potentially provocative activities.
When worn the brace should be un-clipped at the buckle every hour or so and the elbow fully straightened while keeping the arm by the side of the body.
With further improvement the brace may be worn only during potentially provocative activities.
When worn the brace should be un-clipped at the buckle every hour or so and the elbow fully straightened while keeping the arm by the side of the body.
The strap should be released every hour or so
To avoid the elbow stiffening up the strap should be un-clipped every hour or so. This should be done with the arm by the side. The elbow should be bent and straightened a few times with the arm by the side and re-clipped.