Name of the Procedure:

Static Progressive Stretch Knee Device Application
Common Names: Knee stretching brace, knee extension device
Technical or Medical Terms: Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment (HCPCS code E1811)

Summary

A static progressive stretch knee device is a specialized brace used to help improve the flexibility and movement range of a stiff knee joint. It applies a constant, gentle stretch to the knee to gradually increase extension or flexion over time.

Purpose

Medical Conditions Addressed: This device is commonly used for patients with knee stiffness due to conditions like post-surgical immobilization, arthritis, or injury-related joint limitations.
Goals/Expected Outcomes: The primary goal is to gradually improve the knee's range of motion, reduce stiffness, and enhance overall joint function.

Indications

Symptoms/Conditions: Reduced knee mobility, joint stiffness, difficulty in knee extension or flexion.
Patient Criteria: Suitable for patients recovering from knee surgeries, injuries, or suffering from chronic conditions that limit knee movement.

Preparation

Pre-Procedure Instructions:

• Consult with your doctor to ensure the device is appropriate for your condition.

• No special preparation like fasting is typically needed.

  Diagnostic Tests/Assessments:

• Range of motion assessment
• Possibly X-rays or MRI to understand joint structure and limitations

Procedure Description

Step-by-Step Explanation:

1. Initial Fitting: A healthcare professional will measure your knee to ensure the device fits correctly.
2. Application: The device is placed around the knee, ensuring it's snug but not too tight.
3. Adjustment: The tension is adjusted to provide a gentle stretch to the knee.
4. Monitoring: Periodic adjustments are made as per sensation and feedback.

Tools/Equipment Used: The knee device itself, sometimes accompanied by straps, hinges, and adjusters.
Anesthesia/Sedation: Typically, no anesthesia or sedation is required.

Duration

The device is usually worn for several sessions daily, each ranging from 30 minutes to a few hours, depending on the physician's recommendations.

Setting

The initial fitting is typically performed in a clinic or outpatient setting. Follow-up adjustments might be done during regular clinic visits, or in some cases, at home.

Personnel

Healthcare Professionals Involved: Physical Therapists, Orthopedic Specialists, and sometimes trained Nurses or Medical Assistants.

Risks and Complications

Common Risks: Skin irritation, discomfort, temporary increase in pain.
Rare Risks: Soft tissue injury, worsening stiffness, or improperly increased stress on the knee joint.
Complication Management: Regular monitoring by healthcare providers to adjust the device as needed and prevent complications.

Benefits

Expected Benefits: Gradual improvement in knee range of motion, reduced stiffness, and better overall knee function. Benefits can typically be noticed within a few weeks of consistent use.

Recovery

Post-Procedure Care: Continued use as directed, performing accompanying physical therapy exercises.
Expected Recovery Time: Varies based on individual condition, usually several weeks to a few months.
Restrictions/Follow-Up Appointments: Follow up with your healthcare provider for adjustments and progress assessment.

Alternatives

Other Treatment Options:

• Physical Therapy alone
• Dynamic splints
• Manual stretching or manipulation
• Knee surgery (in severe cases)

Pros and Cons:

• Physical Therapy: less invasive but slow progress
• Dynamic Splints: more immediate but can be less comfortable
• Surgery: more invasive but can provide quicker, more permanent results for severe cases

Patient Experience

During the Procedure: Patients may feel a mild to moderate stretching sensation, which should not be painful.
After the Procedure: Some soreness or achiness is common; pain management can include over-the-counter pain relievers or prescribed medication. Comfort measures like ice packs and rest can also help.