The clothing worn to an orthopedic consultation significantly impacts the quality and efficiency of the examination. The primary goal of the initial visit is for the physician to conduct a comprehensive physical assessment, often requiring viewing and manipulating the affected body part. Selecting the right attire ensures the medical professional can properly assess mobility, range of motion, and the specific injured area without unnecessary delays. Appropriate clothing facilitates a smoother diagnostic process, allowing the doctor to move quickly toward a treatment plan.
General Principles for Comfort and Access
The overarching consideration for any orthopedic visit is choosing loose-fitting garments made from flexible fabrics. Stretchy materials, such as athletic wear, prevent clothing from restricting movement during active range-of-motion tests. This unrestricted movement allows the physician to accurately gauge the extent of any functional limitation and perform a proper biomechanical assessment.
Wearing clothing in layers provides a practical advantage during the examination. A light jacket or zip-up hoodie can be easily removed, allowing for temperature control and quick access to a larger area of the body. This adaptability ensures comfort and prevents the need for completely undressing or changing into a medical gown prematurely.
Dressing Specific to the Area of Concern
For injuries involving the hip, knee, or ankle, the patient should wear or bring loose shorts. Shorts are highly preferred because they allow the examiner to fully visualize the joints and muscles involved in walking or bending. If shorts are impractical, select sweatpants or trousers with wide, easily removable legs that can be rolled up above the knee.
For issues affecting the shoulder, elbow, or wrist, the physician needs unimpeded visibility of the entire shoulder girdle and surrounding musculature. Wearing a tank top, a loose T-shirt, or a sports bra simplifies the examination of the shoulder joint and scapular movement. This allows for a direct comparison between the injured and unaffected sides, which is a standard part of orthopedic assessment.
Back or neck complaints require clothing that does not bunch up or obscure the spinal column during postural checks and palpation. Thin, flexible shirts that can be easily lifted up to the mid-back or taken off are the best choice. Avoid restrictive items like bulky belts or rigid undergarments that could interfere with the assessment of core stability and lumbar motion.
Clothing Choices for Imaging and Assessment
Diagnostic imaging, such as X-rays, requires minimizing the presence of metallic objects that can obscure the anatomical structures being evaluated. Zippers, metal buttons, snaps, or underwire in bras create artifacts on the image, potentially necessitating a change into a disposable medical gown. Patients should also temporarily remove excessive jewelry, such as necklaces or body piercings, if they fall within the imaging field. This preparation streamlines the imaging process and reduces appointment time.
Footwear is another consideration, particularly if the examination involves the lower body or a gait analysis. Stable, comfortable shoes, such as athletic sneakers, are necessary to safely perform movement tests and observe walking mechanics. Avoid high heels, flip-flops, or restrictive dress shoes, as they alter natural biomechanics and limit the ability to conduct dynamic assessments.