Chiropractic manipulative treatment (CMT); spinal, 1-2 regions
CPT4 code
Name of the Procedure:
Chiropractic Manipulative Treatment (CMT); Spinal, 1-2 Regions
Summary
Chiropractic Manipulative Treatment (CMT) of the spinal regions involves using hands-on spinal manipulation and adjustments to improve spinal motion and physical function. This specific procedure targets 1-2 regions of the spine.
Purpose
CMT is used to address issues related to spinal misalignment or dysfunction. The goals of this procedure include reducing pain, improving mobility, alleviating pressure on nerves, and enhancing overall spinal health.
Indications
CMT is indicated for patients experiencing:
- Acute or chronic back pain
- Limited spinal mobility
- Muscle spasms
- Sciatica
- Headaches or migraines linked to spinal issues
- Neck pain
Preparation
Patients are generally advised to:
- Wear comfortable clothing
- Avoid heavy meals right before the procedure
- Provide a complete medical history to the chiropractor
No specific fasting or diagnostic tests are typically required unless otherwise indicated by the chiropractor.
Procedure Description
- Assessment: The chiropractor will evaluate the patient’s medical history and perform a physical examination of the spine.
- Positioning: The patient will be positioned (usually lying face down, seated, or lying on their side) on a specialized chiropractic table.
- Adjustment: The chiropractor will use their hands or a small instrument to apply a controlled, sudden force to a spinal joint.
- Post-Adjustment: The chiropractor may provide advice on exercises, posture, and lifestyle adjustments.
Tools such as drop tables or adjusting instruments may be used. Anesthesia is not typically required.
Duration
The procedure typically takes 10-20 minutes.
Setting
CMT is usually performed in an outpatient setting, such as a chiropractor’s office or clinic.
Personnel
- A licensed chiropractor conducts the procedure.
Risks and Complications
While generally safe, potential risks include:
- Mild pain or discomfort
- Muscle stiffness
- Rare instances of nerve damage or herniated disks
- Rare risk of stroke following neck manipulation
Benefits
Expected benefits include:
- Reduction in pain
- Enhanced spinal mobility and flexibility
- Improved overall physical function
- Relief may be experienced shortly after the procedure or may take a few sessions.
Recovery
Post-procedure care includes:
- Hydration and rest
- Following any specific advice regarding exercises or posture
- Some patients might experience mild soreness which typically resolves within 24-48 hours
Recovery time is minimal, and normal activities can usually be resumed immediately unless otherwise directed by the chiropractor.
Alternatives
Other treatment options include:
- Physical therapy
- Medications (anti-inflammatory drugs, pain relievers)
- Surgery (in severe cases)
- Lifestyle changes (exercise and ergonomics)
Each alternative has its own pros and cons, such as the invasiveness of surgery or the potential side effects of medications.
Patient Experience
During the procedure, patients might feel slight discomfort from the manipulations but generally do not experience pain. After the procedure, patients often feel some immediate relief or mild soreness. Chiropractors may offer advice on managing any discomfort with cold or heat packs and will ensure the patient’s comfort throughout the process.