Name of the Procedure:

Form fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric) - HCPCS Code: E0731

Summary

A form-fitting conductive garment is used for delivering Transcutaneous Electrical Nerve Stimulation (TENS) or Neuromuscular Electrical Stimulation (NMES). The garment is designed with conductive fibers that are separated from the patient's skin by layers of fabric, ensuring a comfortable and effective treatment.

Purpose

This procedure is used to deliver electrical stimulation to the body through a specially designed garment. It addresses conditions like chronic pain, muscle atrophy, and poor circulation. The goal is to relieve pain, improve muscle strength, and enhance circulation.

Indications

• Chronic pain conditions (e.g., arthritis, fibromyalgia)
• Muscle atrophy due to disuse or neurological conditions
• Poor circulation in limbs Patients who meet these conditions and have not responded well to other treatments may find this procedure appropriate.

Preparation

• No special preparation is generally required.
• Patients may need to adjust regular medications under the guidance of their healthcare provider.
• A medical evaluation to determine the suitability of TENS or NMES therapy.

Procedure Description

1. The patient wears the form-fitting conductive garment over the target area.
2. The TENS or NMES device is then connected to the garment.
3. Electrical impulses are delivered through the conductive fibers.
4. Settings can be adjusted based on the patient's comfort and treatment goals. The procedure does not require anesthesia.

Duration

Typically takes 20-30 minutes per session, depending on the treatment plan.

Setting

The procedure can be performed at home, outpatient clinics, or physical therapy centers.

Personnel

• Physical therapists or physicians may provide initial setup and instructions.
• Patients typically administer the treatment themselves once properly instructed.

Risks and Complications

• Skin irritation or burns if the garment is improperly used.
• Muscle soreness following treatment.
• Rarely, allergic reactions to the fabric.

Benefits

• Pain relief can be felt immediately or after a few sessions.
• Improved muscle strength and function over time.
• Enhanced blood flow and reduced symptoms of poor circulation.

Recovery

• No recovery time is typically needed.
• Patients can resume normal activities immediately.
• Follow-up appointments may be scheduled to monitor progress.

Alternatives

• Traditional TENS or NMES devices with adhesive electrodes.
• Medications for pain and muscle conditions.
• Physical therapy.
• Pros of the garment include ease of use and comfort; cons may include initial cost.

Patient Experience

• Patients may feel a tingling sensation during treatment.
• Adjustments can be made to the intensity for comfort.
• Pain management strategies include proper garment fitting and regular monitoring.