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Application of a modality to 1 or more areas; diathermy (eg, microwave)

CPT4 code

Name of the Procedure:

Application of a Modality to 1 or More Areas; Diathermy (e.g., Microwave)

Summary

Diathermy is a physical therapy treatment that uses high-frequency electric currents to generate deep heat within body tissues. This procedure is often applied to relieve pain, improve circulation, and enhance tissue healing.

Purpose

Diathermy is used to treat a variety of medical conditions such as chronic joint and muscle pain, arthritis, and fibromyalgia. The goals of this procedure are to reduce pain, increase blood flow, and promote the healing of tissues.

Indications

  • Chronic musculoskeletal pain
  • Inflammation and swelling
  • Limited range of motion due to stiffness
  • Muscle spasms
  • Conditions like arthritis, bursitis, and fibromyalgia

Preparation

  • Patients are usually advised to wear loose, comfortable clothing.
  • Remove any metal objects or jewelry to avoid burns.
  • No specific fasting or significant medication adjustments are generally required.
  • A medical history and physical examination may be necessary to confirm that diathermy is appropriate.

Procedure Description

  1. The patient is positioned comfortably on an examination table.
  2. A diathermy machine, which generates microwaves, is adjusted according to the targeted treatment area.
  3. The therapist places electrodes or applicators on the patient's skin over the specific area to be treated.
  4. The machine is activated, delivering high-frequency currents to heat the underlying tissues.
  5. The treatment lasts for about 15-30 minutes, depending on the condition being treated.
  6. The equipment is removed, and the area is inspected for any adverse reactions.

Duration

The procedure typically takes about 15-30 minutes per session.

Setting

Diathermy is performed in outpatient physical therapy clinics or specialized medical centers.

Personnel

Typically conducted by physical therapists or healthcare professionals trained in the use of diathermy equipment.

Risks and Complications

  • Burns or overheating of tissues
  • Skin irritation
  • Potential interference with electronic implants like pacemakers
  • Rare instances of tissue damage if improperly administered

Benefits

Patients often experience reduced pain and muscle spasms, improved blood circulation, and enhanced healing of inflamed or injured tissues. Benefits are usually felt within a few sessions.

Recovery

  • Generally no significant recovery period is required.
  • Patients may resume normal activities immediately after the procedure.
  • Follow-up sessions may be scheduled to achieve the desired therapeutic effects.

Alternatives

  • Physical therapy exercises and manual therapy
  • Ultrasound therapy
  • Medication for pain and inflammation (e.g., NSAIDs)
  • Cold or heat packs

Patient Experience

Patients might feel a mild to moderate warmth during the procedure, but it is generally not uncomfortable. Pain management includes ensuring the intensity of heat is tolerable and adjusting the machine based on patient feedback. Most patients find diathermy sessions to be soothing and effective for pain relief.

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