Patient Compliance

The key to compliance is that the patient clearly understands how the PCI’s work and why improving posture is important. It is of utmost importance that the patient has an emotional desire to improve. If they don’t, they might forget to move the PCIs between shoes to maximize use, forget to use the patient diary, or they might not bother to get help if the PCI’s don’t fit correctly.

To obtain maximum compliance:

  • Relate wearing the PCIs to the subjective and objective findings in the PCI evaluation. Illustrate clearly the implications of continuing life with the postural deficiencies found.
  • Make sure the patient understands that mild, temporary muscle ache in the calf is normal and expected. Otherwise the patient may be frightened by feeling muscle tenderness and discontinue wearing the insoles.

  • Explaining to the Patient What to Expect

    Some patients may believe there is something wrong because they feel an initial discomfort from using the PCIs. This may cause them to discontinue their use. Make sure they are informed that they may feel the following, and that it is expected and normal:

  • Mild soreness in the leg muscles
  • Mild pressure on the outside of the foot
  • All the above sensations should be temporary and not noticeable by the end of the break-in

    period. Instruct the patient to temporarily discontinue or reduce the use according to the break-in instructions if any of the above sensations become objectionable.

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