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Superior Biomechanical Advantage
Designed with advanced technology to deliver exceptional clinical results and therapeutic benefits. Its flexible, carbon fiber-covered posterior panel features a 6-post dual-pulley compression system, providing significant and effortless compression and conforming to each patient’s lordotic curve.
Transformational Therapeutic Benefit
It effectively increases intra-abdominal pressure and provides passive stabilization to offload weight from the spine, reducing muscle fatigue and spasms. A breathable plush fabric, along with a removable cryotherapy gel pad for enhanced pain relief and inflammation reduction, helps patients to feel better faster.

• Back Pain & Sprains
• Back Instability
• Spinal Stabilization
• Muscle Spasm
• Herniated Discs
• Acute Back Injuries
Step 1. Start with the brace opened flat, with the interior facing upwards.
Step 2. Remove and then refit the wings on the right and left sides, conforming to the patient’s waist size. indicated by #1 (Small) through #7 (Quadruple XL)
Step 3. Apply the LSO at the midpoint of the lower back, ensuring central alignment. Place the left panel over the abdomen at the belly button, the right panel goes over top of the left. Adjust accordingly.
Step 4. Grasp the two pull-tabs, then adjust tension until the desired level of compression is attained.
An LSO is designed to support your back and limit motion in your trunk, which will help to reduce spasms and alleviate pain. It is recommended to wear an LSO for 2 hours then remove for up to 30 minutes and repeat as needed. The Back Support should be worn intermittently with a limit of 6 hours in any 24-hour period unless otherwise directed by your Medical Provider. It is recommended to be worn over a shirt to avoid skin irritation. Do not wear it while bathing or showering. When using the gel pad, leave the gel pad on the back for 15 to 20 minutes at a time. This duration helps to reduce swelling and alleviate pain effectively. If needed, you can repeat the process after a break of at least 30 minutes.



World-Class Aerodynamic Structure
Our advanced aerodynamic and ergonomic engineering enhances structural integrity, providing castlike stability and protection. Made with innovative lightweight materials with flexible struts & anterior shield, and a calf adjustment function accommodates various anatomical differences. The safe step rocker absorbs shock and relieves pressure, promoting a smooth, natural gait with improved traction control. EZ grip strapping system has textured tips with a hybrid hook loop strap & 360 swivel d-rings for quicker donning & doffing.
Revolutionary Compression System & Patient Comfort
Purposefully placed compartmentalized air cells provide greater surface area contact, combined with a low-force bulb & intuitive inflation/deflation valve; allows for controlled increased compression with significantly decrease effort. T-shirt soft interior liner regulates temperature & enhances comfort. AFO Undersleeve is provided for light compression, warmth, and improved hygiene throughout wear.

• Soft Tissue Injuries
• Grade 2 Ankle Sprains
• Grade 3 Ankle Sprains
• Stable Ankle Fractures
• Stable Foot Fractures
• Post Operative
Step 1. In order, unhook the forefoot strap, the mid-foot strap and the mid-shin strap. Velcro each strap onto itself and swivel each of them out of position.
Step 2. Remove the front interior shield and open the softgood. Ensure it’s fitted all the way to the rear of the boot.
Step 3. Have the patient step in and show that their heel is to the back of the softgood and boot.
Step 4. Replace the softgood fit comfortably & replace the interior shield.
Step 5. Refit each of the straps starting with the forefoot, then the mid-foot, then the mid-shin and finally the top shin strap.
Step 6. Now, press the low-force bulb until the desired compression is achieved. If you over compressed, deflate and repeat.
Adjustment: Calf-adjustment is available should you need for any additional girth. Once all straps have been applied, adjust the tension as necessary for a secure fit.
Ensure the foot and ankle area are clean and dry before putting on the boot. Pull on the AFO Undersleeve sock provided with the boot and secure the boot as described in the application instructions. Wear the boot as directed by your healthcare provider, typically for most of the day or as needed for support during recovery.


Advanced Tech/Dual Axis and ROM Hinges
The XO Knee ROM features advanced AI technology with precision engineering, providing versatile solutions for knee injuries and instabilities. The anterior wrap-around design combines counter closure straps to ensure a customized fit. Includes flexible dual axis hinges for independent movement in two planes and unicentric metal hinges adjusting in 15-degree increments, allowing precise control of flexion and extension from full motion to complete lockout.
Extended Patient Comfort with Cryotherapy
The support is crafted from a proprietary foam blend and ventilated neoprene with a soft velvet covering creating cool and conforming wear throughout recovery. It is user-friendly, featuring an easy grip strap tip for frictionless application. Included are removable medical-grade cryotherapy gel pads for effective use in alleviating pain and swelling. Undersleeve is provided for light compression, warmth, and improved hygiene throughout wear. Available in sizes SM-2X and 3X-7X.

• Sprains & Strains
• Knee Instability
• Meniscus Tear
• PCL ACL Injury
• Tendonitis
• Arthritis
Step 1. Unfasten all Velcro straps and apply seated with the knee bent. Pull on the KO Undersleeve provided with support. Pull on the support over the undersleeve and position the patella pad on the kneecap and align the hinges with the center of the knee joint.
Step 2. Fasten the calf strap first (this strap prevents slipping) and then the top strap.
Step 3. Fasten the popliteal strap. If slipping occurs, check that the calf strap is above the largest part of the calf muscle and tightened securely.
Ensure the knee area is clean and dry before applying the support. Wear the KO Undersleeve provided for added comfort and support and better fit. For general support, the wrap can be worn throughout daily activities but remove it during sleep. When using the gel pad, leave it on the knee for 15 to 20 minutes at a time. This duration helps to reduce swelling and alleviate pain effectively. If needed, you can repeat the process after a break of at least 30 minutes.
X-ORTHO products are exclusive to TLC DME.
All TLC DME materials and manufacturing are medical grade. Not available in any retail environment.