Month: January 2017

Lucy, I have discovered that corsets help greatly with my medical condition – but I’m hesitant to tell my doctor. How should I approach my physician with this information, and how can I convince my insurance provider to cover the cost of a therapeutic corset?

I’ve been receiving this question more frequently ever since my book Solaced was published, since the book covers many people’s true first-hand experiences of how they use their corsets not for vanity, but rather for medical purposes – like back support, pain relief, and anxiety reduction.

I’m not a doctor – I don’t have a medical license so I can’t give out medical advice. The book doesn’t violate this point, but of course, in the book and here on my site as well, I provide disclaimers that if you intend to wear corsets, it’s best to check with your doctor. Up until today however, I haven’t covered in detail how exactly I went about telling my own doctor (and chiropractor).

I understand that many people are shy or apprehensive about bringing it up with their doctor, but I must stress that it’s best for you to be open with your doctor about it, for better or for worse. Asking me for my opinion on whether you should or should not wear corsets is not that useful, because I have never met you – but if you have a family physician, they’re familiar with your long-term medical history. And just like your pharmacist would be able to tell you not to combine two different medications, your doctor might notice something in your medical history that might be incompatible with corseting (e.g. high blood pressure, inguinal hernia, gall stones).

Medical Professionals are People Too

Coming from a science background, I have several friends who have gone on to become doctors and nurses. Subsequently, I get to hear a lot of stories about their more interesting shifts, and believe me when I say that they’ve seen some pretty disgusting things. I honestly don’t think you mentioning that you wear corsets is going to particularly shock or faze them. In fact, there’s a surprising number of nurses who use corsets at work, to help support their backs while lifting patients. See the news segment below which features a nurse that wears a custom Starkers corset under her scrubs.

(All this said, if you work in an environment where there are potentially emergency situations where you need to spring into action, you will need to weigh the pros and cons yourself as to whether the corset would help with your strength vs hinder your mobility).

Remember that a (good) doctor’s office is a judgement-free zone. No matter what you show them, they’ve probably seen much worse. Smoking tobacco is almost universally seen as bad for your health, but you wouldn’t hide your smoking habit from your doctor. If you caught an STI, you would show your doctor. I don’t believe that corsets are as detrimental as cigarettes or STIs, even if they are considered by society as more controversial (that’s a post for another day) – but the point is that you should never be ashamed or afraid of bringing up anything with your doctor.

Also remember that all doctors are different, and different doctors may be more or less familiar with corsets depending on their location, their age, and what kinds of ‘side stories’ they learned from their professors in med school. A doctor from California has likely encountered patients wearing corsets more often than a doctor from Ohio. An elderly doctor who has childhood memories of their mother wearing corsets may have a different opinion about corsets than a younger doctor might, whose only exposure to corsets has been the sensationalistic social media posts on tightlacing.

How did I bring up the fact that I wear corsets with my doctor?

When I brought it up with my family doctor, and also my chiropractor, I did it as clearly and directly as possible. The first time I mentioned corsets to my family doctor, she seemed bored and was wondering why I was bringing it up in the first place. When you mention a corset to someone who’s unfamiliar, they might be thinking of flimsy lace bustiers, or perhaps latex or neoprene cinchers. (One person thought I was talking about floral corsages!) So the next time I had an appointment with my doctor, I brought one of my corsets in.

I showed them “THIS is exactly what I’m talking about, THIS is how it works. It has breathable material, it can be adjusted with laces, it has flexible steels, it’s rigid in these places, it presses on these areas of my body, it gives me this posture, etc.” That way, there was no miscommunication.

My chiropractor saw me lace into my corset, and took X-rays of my posture with and without my corsets. From that experience I learned that although I love the look of Edwardian inspired, flat-front longline corsets, they’re not the best for my posture and can lead to neck and shoulder strain over time. Longline, flat front corsets overcorrect my posture and give me an anterior (forward) tilting pelvis. This gives an exaggerated lumbar lordosis – not quite as dramatic as that associated with S-bend corsets, but it changed my posture all the same. This posture encouraged me to throw my shoulders back to counterbalance, and my head ended up popping forward too much, giving my neck a kyphotic curve. The hip bone’s connected to the… neck bone! (Abbreviated version of the song.) So, we learned that if I want to avoid neck and shoulder strain, I would need a corset that doesn’t tilt my pelvis and supports a more neutral posture.

In Sum:

If you have a G.P., a chiropractor, or some other health practitioner that you know and trust, I think it is in your best interest to tell them about your corseting for any reason – but especially if you are using it for therapeutic applications. Doctors need as much detail as possible to fully understand the situation help you the best they can, so the best way to approach your doctor is a directly and clearly as possible. They might be able to make suggestions about the way you’re wearing your corset to maximize comfort and minimize risks. For instance the tightness, or the duration, etc. (Or in my case, the type of corset to help improve but not overcorrect my posture).

Regarding convincing your insurance provider to cover the costs of a corset, unfortunately that is not my area of expertise. You will likely need a written note from your doctor in order to move forward, even a prescription for a custom corset (preferably one made by a corsetiere with some experience in orthopedics or medical devices). Your doctor may be able to give you more instruction on what to do next, and if the corsetiere is experienced in working with insurance companies already, they may be able to provide advice as well.

Have you told your doctor about your corsets? How did you tell them, and how did they respond? Leave a comment below!