When can a fitter adjust or replace an orthosis without notifying the prescribing doctor?

A fitter can adjust or replace an orthosis without notifying the prescribing doctor only if the adjustments or replacements are consistent with the original design and specifications of the orthosis. This ensures that the integrity and intended therapeutic benefits of the original orthotic device are maintained. Making changes that are not aligned with the original could potentially lead to complications or diminish the effectiveness of the treatment plan established by the prescribing physician.

On the other hand, unqualified changes based on the fitters’ discretion, patient requests, or manifestations of pain could lead to negative outcomes or insufficient care, as these situations may involve significant alterations to the orthotic that require professional oversight to address safely and appropriately. Therefore, adherence to the original specifications guarantees compliance with established protocols and the standard of care necessary in therapeutic situations.