Name of the Procedure:

Traction Equipment, Cervical, Free-Standing Stand/Frame, Pneumatic, Applying Traction Force to Other Than Mandible (HCPCS E0849)

Common Names:

• Cervical traction
• Pneumatic neck traction

Summary

This procedure uses a pneumatic (air-powered) device to apply traction force to a person's neck (cervical spine). The traction device is a free-standing frame or stand designed to alleviate pressure and provide relief from neck pain and certain spinal conditions.

Purpose

Cervical traction is used to:

• Alleviate neck pain and discomfort.
• Reduce pressure on spinal discs and nerves.
• Improve mobility and function in the cervical spine. The primary goal is to provide pain relief and enhance neck function.

Indications

Cervical traction may be indicated for:

• Chronic neck pain
• Cervical radiculopathy (nerve pain radiating from the neck)
• Cervical spondylosis (degenerative arthritis of the spine)
• Herniated cervical discs
• Occasionally for muscle spasms or strains

Preparation

Patients may need to:

• Wear comfortable clothing.
• Inform the healthcare provider about any pre-existing conditions or medications.
• Possibly undergo diagnostic imaging such as X-rays or MRI to assess the cervical spine.

Procedure Description

1. Setup:

   • The patient is positioned comfortably, often seated or lying down.
   • The cervical traction device is assembled and adjusted to fit the patient properly.

2. Application:

   • A pneumatic control is used to gradually apply traction force to the neck.
   • The healthcare provider monitors the pressure and ensures the patient is comfortable.

3. Duration:

   • The traction force is typically applied for short periods, often 10-20 minutes per session.

4. Adjustments:

   • The traction force and duration may be adjusted depending on the patient's response and comfort level.

Duration

Each session generally lasts between 10-20 minutes.

Setting

Cervical traction can be performed in various settings, including:

• Outpatient clinics
• Physical therapy centers
• Occasionally at home with the proper equipment and instructions

Personnel

The procedure may be supervised by:

• Physical therapists
• Trained nurses
• Occasionally a physician or chiropractor

Risks and Complications

Common risks include:

• Temporary discomfort or soreness
• Mild headache Rare complications may involve:
• Increased pain
• Dizziness or nausea
• Tissue injury

Benefits

Benefits typically include:

• Reduced neck pain
• Improved range of motion in the neck
• Relief from nerve-related symptoms (e.g., arm pain, tingling) Benefits are often observed within a few sessions, although some patients may experience gradual improvement over several weeks.

Recovery

Post-procedure care involves:

• Rest and avoiding strenuous activity immediately afterward.
• Application of ice or heat as recommended to manage any residual discomfort. Expected recovery time is minimal, with most patients resuming normal activities soon after the session.

Alternatives

Alternative treatment options include:

• Medications (e.g., pain relievers, muscle relaxants)
• Physical therapy exercises
• Manual cervical traction by a therapist
• Surgical interventions in severe cases Pros and cons will vary; for instance, surgery may offer a permanent solution but comes with higher risks, while medications can provide immediate relief without addressing the underlying condition.

Patient Experience

During the procedure, the patient might feel:

• A gentle pulling sensation
• Mild discomfort initially, which typically subsides Afterwards, the patient may experience:
• Temporary soreness or tiredness
• Relief from pain and improved mobility Pain management strategies will be provided, such as the application of ice/heat and recommendations for over-the-counter pain relievers if needed.