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Application of a modality to 1 or more areas; traction, mechanical

CPT4 code

Name of the Procedure:

Application of a Modality to 1 or More Areas; Traction, Mechanical

Common name(s): Mechanical Traction

Summary

Mechanical traction is a therapy technique used to relieve pain and improve function by stretching and mobilizing the spine using a mechanical device.

Purpose

Mechanical traction is often used to address issues related to spinal disc problems, herniated discs, degenerative disc disease, and nerve root compressions. The goal is to reduce pain, improve mobility, and promote healing by relieving pressure on the spine.

Indications

  • Chronic back or neck pain
  • Herniated or bulging discs
  • Degenerative disc disease
  • Sciatica or nerve root compression
  • Specific conditions as determined by a healthcare provider

Preparation

  • Patients may be advised to wear comfortable clothing.
  • Some patients may need an evaluation or imaging tests, such as X-rays or MRI, to assess the spine's condition.
  • Avoid heavy meals shortly before the procedure.

Procedure Description

  1. The patient is positioned on a specialized traction table.
  2. Straps or a harness are secured around the affected area (e.g., neck or lower back).
  3. The mechanical traction device is programmed and gradually applies a controlled pulling force to stretch the spine.
  4. The session may involve cycles of traction and relaxation, depending on the specific protocol.
  5. The therapist monitors the process and makes adjustments as needed.

Tools, Equipment, Technology:

  • Mechanical traction table
  • Straps or harness

Anesthesia or Sedation:

  • Not usually required

Duration

Typically, each session lasts between 15 to 30 minutes.

Setting

Mechanical traction is usually performed in an outpatient clinic or physical therapy center.

Personnel

  • Physical therapist
  • Chiropractor (in some cases)
  • Trained medical technician

Risks and Complications

Common risks:

  • Mild discomfort during or after the treatment
  • Temporary increase in pain

Rare risks:

  • Muscle spasms
  • Headaches
  • Injury to the spine or surrounding tissues (very rare)

Benefits

  • Pain relief
  • Improved spinal alignment and mobility
  • Reduced pressure on spinal discs and nerves
  • Benefits may be noticed immediately or over several sessions

Recovery

  • Patients can typically resume normal activities immediately after a session.
  • It is important to follow any additional care instructions provided by the healthcare provider.
  • Regular follow-up sessions may be necessary to achieve optimal results.

Alternatives

  • Manual traction performed by a therapist
  • Physical therapy and specific exercises
  • Medications (e.g., pain relievers, anti-inflammatories)
  • Surgical options (in severe cases)
  • Pros and cons of alternatives should be discussed with a healthcare provider.

Patient Experience

  • During the procedure, patients may feel a pulling sensation, which should be comfortable but noticeable.
  • Post-procedure, some mild soreness may occur, similar to exercise-induced muscle soreness.
  • Pain management strategies, such as ice packs or over-the-counter pain relievers, may be recommended for any post-treatment discomfort.

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