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Dynamic adjustable wrist extension / flexion device, includes soft interface material

HCPCS code

Name of the Procedure:

Dynamic Adjustable Wrist Extension / Flexion Device, Includes Soft Interface Material
Common Name(s): Dynamic wrist orthosis, wrist brace
Technical/Medical Term: E1805

Summary

The Dynamic Adjustable Wrist Extension/Flexion Device is a specialized medical brace designed to help patients with limited wrist movement. It provides support, while allowing controlled wrist extension and flexion to improve functionality and range of motion.

Purpose

This device is used to aid individuals with wrist conditions such as arthritis, tendonitis, or after wrist surgery. The goal is to reduce pain, enhance wrist function, and prevent further injury by stabilizing the wrist and allowing adjustable controlled movements.

Indications

  • Chronic wrist pain
  • Limited wrist mobility due to injury or surgery
  • Conditions like arthritis, tendonitis, or carpal tunnel syndrome
  • Patients requiring wrist stabilization and rehabilitative support

Preparation

  • No specific fasting or special preparation required.
  • Patients should inform their healthcare provider about any medications they are taking.
  • A physical examination to assess wrist condition and range of motion might be conducted prior to obtaining the device.

Procedure Description

  1. Fitting: The healthcare provider customizes the device to fit the patient’s wrist and arm.
  2. Adjustment: The device is adjusted to facilitate appropriate wrist flexion and extension based on the patient's needs and therapeutic goals.
  3. Soft Interface Material: Ensures a comfortable fit and reduces skin irritation.
  4. Instruction: Patients receive instructions on wearing and adjusting the device, as well as exercises to do if applicable.

Duration

The fitting and adjustment process typically takes about 30 to 60 minutes.

Setting

The procedure is usually performed in a clinic or outpatient setting, often in a physical therapy department or an orthopedic clinic.

Personnel

  • Orthopedic specialist or physical therapist.
  • Certified orthotist or trained healthcare provider.

Risks and Complications

  • Minor skin irritation or discomfort from the brace.
  • Possible allergic reaction to the materials used.
  • Incorrect usage may lead to delayed recovery or increased pain.
  • Rare complications include pressure sores if not fitted correctly.

Benefits

  • Immediate stabilization and reduced pain.
  • Gradual improvement in wrist function.
  • Enhanced recovery post-surgery or injury.
  • Customizable to patient’s therapeutic needs.

Recovery

  • Patients are advised to follow the wearing schedule provided by their healthcare provider.
  • Regularly scheduled follow-up appointments to monitor progress.
  • Physical therapy exercises may be recommended.
  • Most patients experience significant improvement within weeks to months, depending on the initial condition.

Alternatives

  • Static wrist braces (do not allow movement)
  • Physical therapy without a device
  • Surgical options in severe cases
  • Pros and Cons: Alternatives may not offer the same level of controlled movement and customization; surgery involves higher risks and longer recovery.

Patient Experience

  • Patients may feel some initial discomfort as they get used to wearing the device.
  • Gradual adjustment in wrist mobility with controlled range can be expected.
  • Pain management through over-the-counter pain relievers if needed.
  • Continuous support to aid in day-to-day activities and rehabilitation exercises.

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