Name of the Procedure:

Common Name:

Rigid Walker or Pickup Walker

Medical Term:

Walker, rigid (pickup), adjustable or fixed height (HCPCS Code E0130)

Summary

A rigid walker, also known as a pickup walker, is a mobility aid designed to provide stability and support for individuals who have difficulty walking. It features a frame with four legs that can be either adjustable or fixed in height.

Purpose

Medical Conditions Addressed:

• Difficulty walking due to aging
• Recovery from surgery or injury
• Balance and coordination issues
• Chronic conditions like arthritis or Parkinson's disease

Goals:

• To provide stability and support.
• To enhance mobility and independence.
• To reduce the risk of falls and injuries.

Indications

Symptoms and Conditions:

• Unsteady gait
• Poor balance
• Muscle weakness
• Limited mobility due to surgery or injury

Patient Criteria:

• Patients who have been evaluated for safety and need by a healthcare provider.
• Those who can utilize the walker effectively with proper training.

Preparation

Pre-Procedure Instructions:

• Patient should wear comfortable, supportive shoes.
• Bring any prescribed medications or mobility aids already in use.

Assessments:

• Balance and gait assessment by a physical therapist.
• Measurement to ensure the walker's height is suitable.

Procedure Description

1. Selection: Choose a rigid walker either adjustable or fixed in height.
2. Adjustment: Adjust the height to fit the patient, ensuring the handles are at wrist level when standing straight.
3. Training: Educate the patient on how to use the walker, including proper grip, stepping sequence, and safety tips.

Tools and Equipment:

• Rigid walker (pickup)
• Measuring tape

Anesthesia or Sedation:

• Not applicable

Duration

Approximately 20-30 minutes for the fitting and training session.

Setting

The procedure is typically done in an outpatient clinic or a rehab center.

Personnel

• Physical Therapist or Occupational Therapist
• Medical Assistant (optional for additional support)

Risks and Complications

Common Risks:

• Improper use leading to falls
• Skin irritation from improper fitting

Management of Complications:

• Frequent re-evaluation and adjustments.
• Patient education on correct use.

Benefits

• Improved mobility and independence.
• Enhanced safety, reducing the risk of falls.
• Increased confidence in performing daily activities.

Recovery

Post-Procedure Care:

• Regular follow-ups to ensure proper use.
• Progressive physical therapy to improve walking ability.

Expected Recovery Time:

• Immediate improvement in stability and gait.
• Continued long-term use for chronic conditions.

Restrictions:

• Avoid overuse to prevent muscle strain.
• Follow-up appointments for reassessment and adjustment.

Alternatives

Treatment Options:

• Rollator with wheels
• Cane
• Crutches

Pros and Cons:

• Rollator: Easier movement but less stability.
• Cane: Lighter and more portable but less support.
• Crutches: More support for temporary conditions but can be cumbersome.

Patient Experience

During Procedure:

• Minimal discomfort during fitting and height adjustment.
• Learning period required to get accustomed to the walker.

After Procedure:

• Increased confidence in walking.
• Potential minor discomfort as muscles adjust to new walking pattern.
• Regular practice will enhance ease of use.

Pain Management:

• Very minimal pain expected; over-the-counter pain relief if necessary.
• Follow-up with physical therapy for support and adjustments.