Chiropractic manipulative treatment (CMT); spinal, 5 regions
CPT4 code
Name of the Procedure:
Chiropractic Manipulative Treatment (CMT); Spinal, 5 Regions
Summary
Chiropractic manipulative treatment (CMT) involves the hands-on adjustment and manipulation of the spine aimed at improving alignment and function in five separate regions: cervical (neck), thoracic (upper back), lumbar (lower back), sacral (base of the spine), and pelvic areas.
Purpose
CMT is used to alleviate pain, improve mobility, and foster overall spine health. It is often employed to address a variety of musculoskeletal issues, including back pain, neck pain, headaches, and joint problems. The primary goals are to reduce discomfort, enhance physical function, and promote healing through spinal adjustments.
Indications
- Chronic back and neck pain
- Headaches or migraines linked to spinal misalignment
- Joint pain or stiffness
- Muscle spasms
- Sciatica
- Poor posture
- Limited mobility due to spinal issues
Patients appropriate for this procedure typically exhibit one or more of these conditions and have not achieved satisfactory relief through other treatments.
Preparation
- Wear comfortable clothing to allow easy access to the spine.
- No fasting or special diet is generally required.
- Patients should disclose any current medications or underlying health conditions.
- A preliminary physical exam and possibly imaging tests like X-rays might be conducted to assess the spine's condition.
Procedure Description
- The patient lies on a specially designed chiropractic table.
- The chiropractor uses manual force to apply a targeted, controlled thrust to specific areas of the spine.
- Each region (cervical, thoracic, lumbar, sacral, and pelvic) is addressed as needed.
- The process may include a variety of techniques, like high-velocity low-amplitude (HVLA) thrusts or more gentle mobilization techniques.
- The chiropractor may also use additional tools like an activator adjusting instrument.
- No anesthesia or sedation is typically required, although comfort is a priority.
Duration
The procedure generally takes about 15-30 minutes, but this can vary depending on the patient's specific needs and the extent of the treatment.
Setting
Chiropractic manipulation is most commonly performed in an outpatient chiropractic clinic.
Personnel
- Chiropractor (DC), a healthcare professional specialized in chiropractic care.
Risks and Complications
- Mild soreness or discomfort in the treated areas
- Rare risks include more serious complications like herniated disks, nerve compression, or stroke
- Such complications are typically managed with rest, physical therapy, or medical attention if necessary.
Benefits
- Relief from pain
- Improved spinal alignment and mobility
- Enhanced overall physical function
- Benefits can often be felt immediately, though multiple sessions may be necessary for optimal results.
Recovery
- Patients can usually resume normal activities immediately after the session.
- Post-procedure instructions may include exercises or stretches to maintain spinal health.
- Follow-up appointments may be scheduled to monitor progress and conduct additional treatments if needed.
Alternatives
- Physical therapy focusing on exercises and stretches
- Pain medication or anti-inflammatory drugs
- Massage therapy
- Acupuncture
- Surgery, in severe cases
Each alternative comes with its own set of risks and benefits, which should be discussed with a healthcare professional to determine the most appropriate course of action.
Patient Experience
Patients might experience a sense of relief immediately after the procedure. Some may feel minor discomfort or soreness for a short period. Pain management strategies, such as over-the-counter pain relievers or heat/ice packs, can be used if needed. Comfort measures, like communication with the chiropractor during the procedure, ensure that the patient feels at ease throughout the treatment.