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Chiropractic manipulative treatment (CMT); spinal, 3-4 regions

CPT4 code

Name of the Procedure:

Chiropractic Manipulative Treatment (CMT): Spinal, 3-4 Regions

Summary

Chiropractic Manipulative Treatment (CMT) is a hands-on therapeutic procedure where a chiropractor uses controlled, sudden force to adjust spinal joints. This specific procedure targets adjustments in 3-4 regions of the spine, aiming to improve spinal function and alleviate pain.

Purpose

CMT is designed to address issues like back pain, neck pain, and headaches that stem from spinal misalignments or dysfunction. The goal is to restore proper alignment of the spine, improve bodily function, and reduce pain.

Indications

  • Persistent back or neck pain
  • Headaches or migraines
  • Limited range of motion in the back or neck
  • Sciatica or nerve-related pain
  • Muscle spasms or stiffness
  • Poor posture or spinal misalignment

Preparation

  • Wear comfortable, loose-fitting clothing.
  • Avoid heavy meals before the appointment.
  • Inform the chiropractor of any recent injuries or medical conditions.
  • Diagnostic imaging, such as X-rays or MRI, may be required to assess the spine.

Procedure Description

  1. The patient lies down on a special chiropractic table.
  2. The chiropractor locates the regions of the spine that need adjustment.
  3. Using hands-on techniques, the chiropractor applies controlled, sudden force to specific spinal joints.
  4. Each region is adjusted through a series of precise movements to align the spine properly.
  5. The chiropractor may use tools like an activator device for more delicate adjustments.
  6. No anesthesia or sedation is typically required.

Duration

The procedure usually takes about 15-20 minutes.

Setting

Chiropractic offices or outpatient clinics.

Personnel

  • Licensed Chiropractor

Risks and Complications

  • Temporary soreness or discomfort at the adjustment site
  • Rare risks include herniated discs, nerve compression, or stroke
  • All risks should be discussed with the chiropractor prior to the procedure

Benefits

  • Immediate relief from pain and discomfort
  • Improved range of motion and flexibility
  • Enhanced spinal alignment and function
  • Overall better physical health and well-being

Recovery

  • Some patients may experience mild soreness, which usually subsides within 24 hours.
  • Post-procedure instructions may include rest, hydration, and light exercises to maintain spinal alignment.
  • Follow-up appointments may be necessary for optimal outcomes.

Alternatives

  • Physical therapy
  • Medications (pain relievers, anti-inflammatories)
  • Surgical options in severe cases
  • Massage therapy

Patient Experience

  • During the procedure, patients might hear popping or cracking sounds, similar to cracking knuckles, which is normal.
  • Most patients experience minimal pain during the adjustment.
  • Post-procedure, any discomfort is typically mild and temporary. Comfort measures, such as ice packs, can help alleviate soreness.

Medical Policies and Guidelines for Chiropractic manipulative treatment (CMT); spinal, 3-4 regions

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