The Orthopaedic Sleeve UNI grade certified

Engineered for "Pain to Performance"

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What are you recovering from?

Calf Tear?

How to Use The Orthopaedic Sleeve

This Brace Covers 6 Conditions

1

Calf Tears

Calf Tears require immediate brace application with high tension applied. This allows maximal EMG reduction while tissue heals (reducing muscle work). Pending grade of tear, the tension is relieved after 3-10 days and gradually further reduced as the user heals.

Main Findings Backing:

  • 20-48% Decrease Calf EMG (Muscle Activity)
  • 8% Decrease Achilles Tension

Increases in exercise intensity, duration, or change in exercise type may see the user increase tension.

Reduce tension and brace use as performance allows.

Transition from full time use to task specific use (walking, jogging, running, sport) as function progresses.

Discontinue use when fully recovered.

Calf Tears
2

Achilles Tendinopathy

Achilles tendons are the elastic transfer of energy to the body's joints. When they are injured, they require constant low-to-moderate tension from The Orthopaedic Sleeve. This allows load modification, load management and exercise transition or introduction

Main Findings Backing:

  • 20-48% Decrease Calf EMG (Muscle Activity)
  • 8% Decrease Achilles Tension
  • 5% Decrease Heel Contact Time

If acute flare ups occur, high tension can be applied to manage task specific loads, or morning walks/long sedentary periods.

The brace should be used until painful task goals have accomplished pain free for 7-10 days with no flare up.

Achilles Tendinopathy
3

Sever's Disease (Kids Heel Pain)

Sever's Disease happens in kids aged 8-14. They inflame at the growth plates of the heel bone with repeat stress and trauma. Usually in combination of high running loads and growth spurts. The Orthopaedic Sleeve should have constant day time use for these cases.

Main Findings Backing:

  • 5% Decrease Heel Contact Time
  • 8% Decrease Achilles Tension

As this pathology is largely bone related, the therapeutic effect of The Orthopaedic Sleeve is best placed when being used through all waking hours of the day. As pain settles, reduce tension. Brace should be used for 10-14 days post last notice of pain.

Sever's Disease (Kids Heel Pain)
4

Plantar Heel Pain

Plantar Fascia is an taught elastic tissue that does move like tendons or ligaments, rather a blend of something between. This disease largely requires full time waking Orthopaedic Sleeve use when flared up. Best at a low to moderate tensions.

Main Findings Backing:

  • 20-48% Decrease Calf EMG (Muscle Activity)
  • 8% Decrease Achilles Tension
  • 5% Decrease Heel Contact Time

Main use time can be refined down to tasks specific to pain or flaring activities/ times of day when pain is worse. The Orthopaedic Sleeve will mimic heel lift and reduce tissue work.

Plantar Heel Pain
5

Shin Splints

Heavily load related and major findings for the Soleus Muscle impacting the shin bone heavily. Being bone related, this brace should be worn full time through waking hours when flared up. Reduce wearing time to activity specific pain provokers.

Main Findings Backing:

  • 20-48% Decrease Calf EMG (Muscle Activity)
  • 8% Decrease Achilles Tension
  • 5% Decrease Heel Contact Time
  • 10% Decrease Ankle Compression

The massive offloading of the Soleus EMG and reduced contact time offloads the shin bone, allowing relative rest opportunity for catch up healing.

Shin Splints
6

Anterior Ankle Impingement

A bit more rare, but very common in hyper-mobile populations and sports where a lot of direction change is required under speed and load. The Orthopaedic Sleeve is applied for provoking activities only, or days post flare up.

Main Findings Backing:

  • 10% Decrease Ankle Compression
  • 5% Decrease Heel Contact Time

This may be the one pathology that the brace will need consistent use for through activity. The impingement here largely comes from bone remodelling in response to load

Anterior Ankle Impingement
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"
"
Life doesn’t get easier or more forgiving, we get stronger and more resilient.
Steve Maraboli
Fall seven times, stand up eight.
Japanese Proverb
Strength does not come from physical capacity. It comes from an indomitable will.
Mahatma Gandhi
It does not matter how slowly you go, as long as you do not stop.
Confucious
You can't control injuries, but you can control how hard you work to come back.
Brittney Griner
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Get The Right Brace Advice For Your Pain

What will this brace do for you?

  • Tension adjustments as you need for the "Just Right" feel
  • Adjust at any time
  • Build the Optimal Environment for Your Injury to Recover
  • Control Your Loading
  • Decrease Flare Ups & Aggravating Events
  • Control Muscle Activity Levels to Promote Healing
  • Decrease Tendon and Ankle Angle Compression
  • Minimise Joint Loading
  • Reduce Soleus and Periosteal Bone Loading
  • Reduce Limping and Reset Walking Patterns
  • Decrease Pressure for Long Standing Periods
  • Shield Muscles and Tendons Through Healing Periods
  • Get Back to Exercise Intervention Soone
  • The Only Brace of Its Kind
  • Customised and Adjustable Support via Twist to Tension Dial Design
  • Mixed Webbing Configuration to Mimic Real Heel Mechanics
  • Compression Support for Swelling Management and Environmental Healing Factor

Healthcare Practitioners

Clinical Application Summary

'The Orthopaedic Sleeve', developed by The Orthopaedic Sleeve Society (TOSS), is a biomechanically advanced, adjustable brace designed to optimise recovery for heel-related and ankle pathologies, including calf tears, Achilles tendinopathy/enthesopathy, Sever’s disease, plantar fasciitis, and anterior ankle impingement. By modulating electromyographic (EMG) signals, reducing tendon and fascial tension, redistributing workload, and limiting ankle dorsiflexion, it aligns with pathophysiological healing stages to accelerate recovery, normalise gait, and minimise complications such as retrocalcaneal bursitis, Kager’s fat pad irritation, or fibrosis. Below is a concise guide for healthcare practitioners to effectively integrate 'The Severs Sleeve' into evidence-based rehabilitation protocols.

Key Benefits and Mechanisms

1. Pathology-Specific Support

- 'The Orthopaedic Sleeve' targets specific structures (plantar fascia, Achilles tendon, calcaneal apophysis, anterior tibiotalar joint) to reduce tensile and compressive stress, protecting injured tissues and promoting healing without restricting uninjured areas.

- Clinical application: In plantar fasciitis or Sever's disease, 'The Orthopaedic Sleeve' offloads the enthesis of the Achilles and plantar fascia on the calcaneus; in anterior ankle impingement, 'The Severs Sleeve' minimises synovium/capsule compression.

2. Biomimetic Design:

- 'The Orthopaedic Sleeve' mimics natural heel and ankle biomechanics, reducing compensatory pain patterns (e.g., limping, forefoot striking) that strain secondary joints (e.g., metatarsophalangeal, knee, hip joints).

- Supports symmetrical gait, enhancing functional recovery across conditions like Sever’s disease or Achilles tendinopathy.

3. Adjustable Tension for Healing Phases:

- 'The Severs Sleeve' features a patented tension system with high (maximum offloading), moderate, and low (progressive loading) settings to align with inflammatory, proliferative/dysrepair, and remodelling/chronic phases.

Acute Injury Phase: High dial tension minimises the EMG activity and muscle stress, reducing edema and inflammation. Such as during the first four weeks of plantar fasciitis and the first six weeks for Sever’s disease.

Semi-Acute Phase: Moderate tension introduces controlled loading to stimulate collagen alignment and tissue repair. Such as weeks four to twelve of Achilles dysrepair.

Return-to-Activity Phase: Low tension encourages functional adaptation and strength. Such as weeks 12–24+ for degenerative tendinopathy.

4. Stress Shielding for Tissue Protection:

- 'The Severs Sleeve' redistributes workload to the brace as a synergistic muscle and connective tissue, supporting secondary injury prevention and early ambulation without overloading damaged structures.

- The brace reduces: Achilles tendon tension, muscle stretch during activation with tears, plantar fascia eccentric straining in fasciitis, anterior joint compression in impingement, neovascularisation, fibrosis and microtears.

5. Reduction of Kinesiophobia:

- 'The Severs Sleeve' provides stable, pain-reducing support through lightweight, breathable materials and an ergonomic, adjustable fit, boosting patient confidence in weight-bearing and movement.

- The brace encourages adherence to rehabilitation by alleviating fear of reinjury, critical for athletes or active children with Sever’s disease.

6. Restoration of Normal Movement:

- 'The Severs Sleeve' limits dorsiflexion to reduce retrocalcaneal compression (e.g., bursitis, Kager’s fat pad irritation) and anterior joint stress, restoring stride length and cadence.

- Clinical example: In Achilles enthesopathy, dorsiflexion control minimises retrocalcaneal bursal inflammation, enabling influence on retrocalcaneal structures.

7. Patient Autonomy and Long-Term Outcomes:

- Easy-to-adjust tension settings empower patients to tailor support to their recovery stage, fostering independence and compliance.

- Supports long-term function by preventing recurrence through education on load management, footwear, and maintenance exercises.

Practical Implementation

Initial Use: Start with 1–2 hours daily, increasing by 1 hour/day until fully tolerated, ensuring comfort and skin integrity.

Complementary Interventions: Pair with heel lifts (5–10 mm) for enthesopathy or Sever’s disease, custom orthotics for plantar fasciitis, or footwear adjustments for anterior impingement to enhance biomechanical support.

Exercise Integration: Combine with condition-specific exercises (e.g., isometric heel raises for Achilles tendinopathy, intrinsic foot strengthening for plantar fasciitis, eccentric loading for calf tears) to align with brace tension settings.

Monitoring: Use validated outcome measures (e.g., VISA-A for Achilles, Foot Function Index for plantar fasciitis, FAOS for ankle impingement) and imaging (ultrasound, MRI) to assess healing and adjust brace settings.

Contraindications: Avoid low-tension settings or excessive dorsiflexion in early phases to prevent tissue irritation. Monitor for complications (e.g., compartment syndrome in calf tears, microfractures in Sever’s disease).

Clinical Considerations

Individualisation: Tailor tension and dorsiflexion limits based on pathology stage, patient factors (e.g., age, activity level, comorbidities), and biomechanics (e.g., overpronation, tight calf muscles).

Interdisciplinary Collaboration: Coordinate with physical therapists, podiatrists, and orthopedists for complex cases, such as degenerative tendinopathy or chronic impingement with osteophytes.

Patient Education: Instruct on brace use, load management (<10% weekly activity increase), and maintenance exercises to sustain recovery and prevent recurrence.

Conclusion

'The Severs Sleeve' is a versatile, patient-centred tool that bridges pathophysiology and biomechanics to optimise recovery across heel and ankle pathologies. By providing adjustable, pathology-specific support, the brace supports a healing environment, normalises gait mechanics, and empowers patients to transition from pain to performance. Healthcare practitioners can confidently integrate 'The Severs Sleeve' into rehabilitation protocols to achieve faster, more sustainable outcomes.

From Pain to Performance

The Orthopaedic Sleeve Society (TOSS)