Name of the Procedure:

• Common Name: Static Progressive Stretch Ankle Device
• Technical/Medical Term: Static Progressive Stretch Ankle Device, Flexion and/or Extension, with or without Range of Motion Adjustment, Includes All Components and Accessories (HCPCS Code: E1816)

Summary

A static progressive stretch ankle device is a medical apparatus designed to help patients improve the range of motion in their ankles. It adjusts to apply continuous, gentle pressure to either flex or extend the ankle, aiding in stretching tight muscles and tissues.

Purpose

• Medical Conditions Addressed: This device is typically used for patients recovering from ankle surgery, injury, or conditions such as contractures or immobilization.
• Goals/Expected Outcomes: The primary goal is to increase the ankle’s range of motion and improve mobility. It aims to gradually stretch the ankle joint to achieve better flexibility and function.

Indications

• Symptoms/Conditions: Ankle stiffness, decreased range of motion, post-operative recovery, chronic injuries, joint contractures.
• Patient Criteria: Suitable for individuals with limitations in ankle movement who have not achieved desired results through other conventional physical therapies.

Preparation

• Pre-procedure Instructions: Patients may be advised to perform mild exercises to warm up the ankle area. No special fasting or medication adjustments are generally required.
• Diagnostic Tests: A physical examination and assessment by a healthcare provider to determine the appropriate settings and duration of use for the device.

Procedure Description

• Step-by-Step Explanation:
  1. The patient is fitted with the static progressive stretch ankle device.
  2. The device is adjusted to the correct angle and tension to apply gentle, progressive pressure.
  3. The patient wears the device for prescribed durations, following the guidance of their healthcare provider.
• Tools/Equipment: The static progressive stretch ankle device, which includes all necessary components and accessories.
• Anesthesia/Sedation: Not applicable; the treatment is non-invasive and does not require anesthesia.

Duration

• The procedure typically involves wearing the device for 30 minutes to several hours per day, depending on the healthcare provider’s recommendation.

Setting

• This treatment can be carried out at home, under the guidance of healthcare providers, or in outpatient rehabilitation centers.

Personnel

• Healthcare Provider: Often involves physical therapists or orthopedic specialists.
• Patient: Must follow the instructions provided by healthcare professionals for effective use.

Risks and Complications

• Common Risks: Minor discomfort or skin irritation.
• Rare Risks: Potential for over-stretching leading to minor injuries; improper fit may cause pain or tissue damage.
• Management: Regular monitoring by healthcare providers to adjust settings and ensure correct use.

Benefits

• Expected Benefits: Increased range of motion, improved flexibility, and enhanced mobility of the ankle.
• Timeframe for Results: Benefits can typically be observed over several weeks to months of consistent use.

Recovery

• Post-procedure Care: Regular follow-up appointments to monitor progress.
• Expected Recovery Time: Varies by individual; generally spans several weeks to months.
• Restrictions: Patients may need to limit high-impact activities initially and gradually reintroduce them.

Alternatives

• Other Treatment Options: Manual physical therapy, dynamic splinting, surgical intervention.
• Pros and Cons of Alternatives: Manual physical therapy is less mechanical but may not provide continuous stretch. Dynamic splinting varies in approach. Surgery carries higher risks but may be necessary for severe cases.

Patient Experience

• During Procedure: Patient may feel gentle stretching and slight discomfort.
• After Procedure: Possible temporary soreness; pain management includes over-the-counter pain relievers if needed.
• Comfort Measures: Regular adjustments and breaks during use for enhanced comfort.