Name of the Procedure:

Pelvic Belt/Harness/Boot (HCPCS Code E0944)

• Common Names: Pelvic Belt, Pelvic Harness, Pelvic Boot
• Technical/Medical Terms: Pelvic Orthosis, Pelvic Support Device

Summary

A pelvic belt, harness, or boot is a supportive device used to immobilize and stabilize the pelvis and lower spine. It is designed to reduce movement and provide support during the healing process of pelvic fractures, injuries, or post-surgical recovery.

Purpose

The primary purpose of this device is to immobilize and stabilize the pelvis and lower spinal region to:

• Aid in the healing of fractures or injuries in the pelvic region.
• Provide support post-surgery.
• Reduce pain by limiting pelvic movement.
• Prevent further injury by stabilizing the affected area.

Indications

• Pelvic fractures or dislocations.
• Post-operative care following pelvic surgery.
• Severe pelvic pain requiring immobilization.
• Conditions that lead to instability or weakness of the pelvic region.

Preparation

• Follow the healthcare provider's instructions regarding any necessary diagnostic tests (e.g., X-rays, MRI).
• No specific fasting or medication adjustments are generally required.
• Wear comfortable clothing and ensure easy access to the pelvic region for fitting.

Procedure Description

1. A healthcare professional assesses the patient's pelvic condition and determines the appropriate type and size of the pelvic support device.
2. The belt, harness, or boot is carefully placed around the pelvis, adjusting it to ensure a snug yet comfortable fit.
3. Straps or fasteners are securely tightened to immobilize and stabilize the pelvis.
4. Instructions are given on how to wear and adjust the device, including how often and when to remove it if necessary.

Duration

The fitting and adjustment of the pelvic device generally take around 15-30 minutes. The duration of usage depends on the medical condition and the healing progress, as advised by the healthcare provider.

Setting

The procedure is typically performed in an outpatient clinic, hospital, or orthopedic specialist’s office.

Personnel

• Orthopedic specialist
• Nurse or medical assistant

Risks and Complications

• Skin irritation or pressure sores if not properly fitted.
• Discomfort due to prolonged use.
• Potential for reduced blood circulation if too tight.
• Muscle stiffness or atrophy from immobilization.

Benefits

• Reduction in pain by stabilizing the affected area.
• Enhanced healing conditions for pelvic fractures or post-operative recovery.
• Prevention of further injury by restricting harmful movements.
• Improved mobility and function over time with proper use.

Recovery

• Follow healthcare provider instructions for wearing duration.
• Monitor for skin irritation or discomfort and report any issues immediately.
• Gradual reintroduction to normal activities as advised.
• Physical therapy may be recommended to strengthen the pelvic muscles.
• Follow-up appointments to assess progress and make necessary adjustments.

Alternatives

• Conservative management with bed rest and pain medications.
• Physical therapy without immobilizing devices.
• Surgical intervention in severe cases. Pros and Cons:
• Alternatives like bed rest may prolong recovery and increase pain.
• Surgery has more invasive risks but may be essential for certain fractures.

Patient Experience

During the fitting, the patient might feel pressure as the device is adjusted. The initial use might cause some discomfort, but this should lessen as the device is properly adjusted and the patient becomes accustomed to it. Pain can be managed with prescribed medications, and periodic assessments ensure comfort and effectiveness of the device.