Name of the Procedure:

Leg Extensions for Walker, per set of four (HCPCS Code: E0158)

Summary

Leg extensions for a walker are devices added to the bottom of a standard walker to increase its height. This procedure involves attaching four extension legs which can help the user maintain proper posture and improve mobility.

Purpose

These extensions are designed to assist people who need a higher walker due to their height or other mobility-related needs. The goal is to enhance stability, comfort, and safety when using the walker.

Indications

• Height discrepancy making the standard walker too short.
• Poor posture or discomfort while using a walker at its standard height.
• Recommendations by a healthcare provider or physical therapist for a custom-tailored walker height.

Preparation

• No special preparation is required for this procedure.
• Patients should ensure their walker is clean and in good condition.
• It may be useful to consult with a healthcare provider to ensure proper measurement.

Procedure Description

1. Materials Needed: A standard walker, a set of four leg extensions, and possibly a wrench or screwdriver.
2. Installation: Remove the existing rubber tips or glides from the walker legs.
3. Attachment: Insert the extension legs onto the walker, ensuring they are snapped or screwed into place securely.
4. Adjustment: Adjust each leg to the same height, following the manufacturer's instructions to ensure stability.
5. Check: Once installed, verify that the walker is level and test for wobbling or instability.

Duration

The procedure typically takes about 10-20 minutes.

Setting

This procedure is usually carried out at home by the user or a caregiver. It can also be performed in a clinical or outpatient setting, especially on initial fitting.

Personnel

• The user or a caregiver can perform the installation.
• A physical therapist or a medical equipment professional may assist if needed.

Risks and Complications

• Improper installation leading to instability.
• Uneven leg heights causing imbalance.
• Wear and tear on the extensions, requiring frequent checks and maintenance.

Benefits

• Custom height adjustment for improved posture.
• Enhanced comfort while using the walker.
• Increased stability and safety.

Benefits are typically realized immediately after proper installation and adjustment of the walker.

Recovery

• No recovery time needed as it is a non-invasive procedure.
• Users should walk with the modified walker to ensure it meets their needs.
• Follow-up may include periodic checks to ensure the extensions remain secure.

Alternatives

• Custom-fitted walkers available through medical supply companies.
• Other mobility aids such as canes or rollators.
• Pros: Custom-fitted options can offer more tailored support.
• Cons: May involve higher costs and longer wait times for customization.

Patient Experience

Patients can expect an immediate improvement in the usability and comfort of their walker. There should be no pain associated with the procedure. Comfort measures include ensuring the walker is stable and height-adjusted appropriately.