Name a common complication associated with long-term orthotic use.

Long-term use of orthotics can lead to skin irritation or ulceration due to prolonged pressure, friction, or moisture accumulation. The orthotic device can rub against the skin, particularly in areas where it is snug or in contact with bony prominences, potentially causing redness, blistering, or open sores. This is especially significant for patients with reduced sensation or those who may not be able to communicate discomfort, making it vital for healthcare providers to regularly inspect skin integrity and educate patients on proper hygiene and care of their orthotic devices.

While joint stiffness, muscle weakness, and bone fractures are indeed concerns associated with prolonged orthotic use, they are less directly related to the immediate effects of pressure and friction from the device. Joint stiffness can occur from a lack of movement or immobilization, muscle weakness can arise from dependency on the device instead of using one's own musculature, and fractures are often linked to falls or improper use of the device, rather than an inherent issue of the orthotic itself.