In our clinic we have found that although recent guidelines on the prescription of belts has in real terms meant a reduced volume for low back pain, we still use the MKS Pontsana lumbar belt as our go to lumbar belt for those other clients referred to us by our orthopaedic colleagues / GPs who still see a merit in the proprioceptive qualities for LBP, but largely now lumbar sciatica, intervertebral disc protrusion/prolapse, spondylolisthesis, and post-intervertebral disc surgery.
More recently we have added another string to the bow of the Pontsana in that we have found its design lends exceptionally well to the management of reducible mild anterior midline incisional or umbilical hernias, for which our referrals are on the increase due to recent changes in operating targets resulting in an increase in conservative management, in addition to those who are just unfit for surgery.
Commonly with this group we have had to deal with frustrating waiting times for made-to-measure options, due to the added appointment times for measurements and fittings, to then ultimately end up with a device for a midline hernia that is often not as user-friendly or helpful as the Pontsana, which requires a single measurement. Alternative off-the-shelf abdominal / hernia binders have often proven not strong enough in providing adequate reduction of a reducible hernia.
The Pontsana lends itself handily to the task due to its design; the semi-elastic bandaging that is lightweight and breathable adjusts comfortably to the body, but is exceptionally strong.
The other key area is that it has a firm abdominal hook-and-loop section which fastens centre front and is reinforced, lending itself to great compression, with no requirement for an additional hernia pad to be slid in, which is unsightly from a cosmetic aspect and another burden to the client’s donning process.
The lateral reinforcing stays prevent the edges rolling up excessively in sitting, and give added support to the lateral abdomen and trunk which can be weak in most abdominal hernia cases. The front depth, although fixed at 18cm, is ideal for elderly stout female patients who require bust clearance in sitting. It is worth noting that when a hernia approached the larger pendulous side, then the alternative MKS Pontsana Plus with optional and increased front depths solved this challenge.
Posterior paraspinal steel reinforcements in conjunction with the mobile double lateral V-shaped fulcrum hook-and-loop straps help create 3-point correction by facilitating fastening upon the apex of the hernia, and due to the origin of the straps follow the line of the iliac crest to help with migration in sitting by defining the waist.
The simple 2-step donning process is aided by the hook-and-loop overlap with handy hand loops for clients with reduced upper limb dexterity, and allows them to introduce enough tension for reduction of the hernia. The lay-on abdominal closure allows for around 10cm of adjustment in circumference. No tricky hook-and-loop, D-rings, or multiple strap threading: an effective, repeatable donning experience to help with compliance.
Pontsana represents a solution from a single measurement, in a single appointment, that can be donned single-handed.