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Traction equipment, overdoor, cervical

HCPCS code

Name of the Procedure:

Traction Equipment, Overdoor, Cervical (E0860)

  • Common Name: Overdoor Cervical Traction
  • Technical Term: Cervical Traction Device

Summary

Overdoor cervical traction is a non-invasive treatment to relieve neck pain. It uses a harness attached to a door and a counterweight system to gently stretch the neck.

Purpose

The main goal of overdoor cervical traction is to alleviate neck pain and discomfort. It aims to:

  • Reduce muscle spasms
  • Relieve pressure on the spinal nerves
  • Improve neck mobility
  • Assist in the alignment of cervical discs

Indications

This procedure is typically recommended for:

  • Chronic neck pain
  • Cervical radiculopathy (nerve pain)
  • Herniated cervical discs
  • Tension headaches due to neck strain
  • Muscle spasms in the neck

Preparation

  • No special pre-procedure instructions or preparations are typically required.
  • It may be helpful to wear comfortable, loose-fitting clothing.
  • Initial assessment by a healthcare professional to determine suitability.

Procedure Description

  1. The device includes a harness, door clamp, and weights.
  2. The patient sits in a chair, positioning their head in the harness.
  3. The harness is connected to a counterweight system hanging over the door.
  4. The counterweight gently pulls on the neck, providing traction.
  5. Traction is maintained for a prescribed period, usually 10-20 minutes.

Duration

The procedure typically takes about 10 to 20 minutes per session.

Setting

The procedure can be performed at home, with initial instruction and supervision by a healthcare professional such as a physical therapist.

Personnel

  • Physical Therapist (initial assessment and instruction)

Risks and Complications

Common risks:

  • Mild discomfort or muscle soreness

Rare risks:

  • Headache
  • Dizziness
  • Increased neck pain
  • Tingling or numbness in the arms (should be reported immediately)

Benefits

  • Pain relief can be noticed within a few sessions.
  • Improvement in neck mobility.
  • Non-invasive and cost-effective compared to surgical alternatives.

Recovery

  • There is no recovery time needed.
  • Patients can return to normal activities immediately.
  • Follow-up appointments may be scheduled to monitor progress.

Alternatives

  • Physical therapy exercises
  • Medications (pain relievers, anti-inflammatory drugs)
  • Manual spinal manipulation
  • In severe cases, surgical intervention

Pros and cons:

  • Alternatives like medications may provide quicker pain relief but come with side effects.
  • Surgery may offer permanent solutions but involves higher risks and longer recovery.

Patient Experience

During the procedure:

  • Patients might feel a gentle pulling or stretching sensation in their neck.
  • Most patients do not experience significant discomfort.

After the procedure:

  • Minor soreness is possible but usually resolves quickly.
  • Pain management techniques like applying ice or heat can help.

Comfort Measures:

  • Proper instruction on using the device can enhance comfort and effectiveness.
  • Practicing good posture and neck ergonomics can further aid in recovery and comfort.

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