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

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