Name of the Procedure:

Common name(s): Non-segmental pneumatic appliance, Leg Compression Therapy
Technical/medical terms: Non-segmental pneumatic appliance for use with pneumatic compressor, full leg (HCPCS Code E0660)

Summary

In simple terms, this procedure involves using a specialized device that wraps around the full leg and inflates with air to apply controlled pressure. This leg compression therapy is used to improve blood flow and reduce swelling in the leg.

Purpose

This procedure addresses conditions such as chronic venous insufficiency, lymphedema, and edema due to various causes. The goal is to enhance venous return, reduce swelling, and alleviate pain and discomfort associated with these conditions.

Indications

• Chronic venous insufficiency
• Lymphedema (chronic swelling)
• Edema due to heart failure, surgery, or immobility
• Venous stasis ulcers

Patient criteria or factors:

• Diagnosed with one of the above conditions
• Not responding adequately to conservative measures like elevation or compression stockings

Preparation

• Follow your doctor’s instructions regarding medication adjustments.
• Wear loose, comfortable clothing.
• Ensure the skin of the leg is clean and free from lotions or oils.

Procedure Description

1. The patient sits or lies down comfortably.
2. The full leg non-segmental pneumatic appliance, which looks like a large cuff or sleeve, is placed around the leg.
3. The appliance is connected to a pneumatic compressor machine.
4. The machine inflates the appliance, applying controlled pressure to the leg.
5. The cycle of inflation and deflation helps to improve blood flow and reduce swelling.

Tools and equipment:

• Non-segmental pneumatic appliance
• Pneumatic compressor machine

No anesthesia or sedation is required for this procedure.

Duration

The procedure typically takes 30 to 60 minutes per session.

Setting

This procedure can be performed in:

• A hospital outpatient department
• An outpatient clinic
• A physical therapy center

Personnel

• Healthcare professional (e.g., nurse, physical therapist, or trained technician) who operates the pneumatic compressor machine.

Risks and Complications

Common risks:

• Skin irritation or redness
• Mild discomfort or tingling during the procedure

Possible complications:

• Rarely, skin breakdown or ulceration if the pressure is too high or if the appliance is not properly fitted.
• If complications arise, adjustments to the pressure settings can often manage them.

Benefits

Expected benefits include:

• Reduced leg swelling
• Improved comfort and mobility
• Enhanced blood flow Benefits are usually observed after a few sessions, but this varies depending on the underlying condition and patient compliance.

Recovery

• No significant recovery time is needed.
• Follow any specific instructions provided by your healthcare provider.
• You may be advised to continue wearing compression stockings between sessions.

Expected recovery time:

• Varies based on the individual condition and treatment plan.
• Regular follow-up appointments may be necessary to monitor progress.

Alternatives

• Compression stockings or wraps
• Medications to reduce swelling
• Surgical options in severe cases

Pros and cons:

• Compression stockings are less costly but may not be as effective for severe cases.
• Medications can help but may have side effects.
• Surgery is more invasive with a longer recovery time.

Patient Experience

During the procedure:

• You might feel a squeezing sensation as the appliance inflates.
• Any discomfort is typically mild and temporary.

After the procedure:

• You may feel immediate relief from swelling and discomfort.
• Generally, you can resume normal activities post-session.
• Pain management is usually not necessary, as the procedure is well-tolerated by most patients.