Name of the Procedure:

Dynamic Adjustable Toe Extension/Flexion Device, includes soft interface material (HCPCS Code: E1830)

Summary

The dynamic adjustable toe extension/flexion device is an orthotic aid designed to help patients with toe mobility issues. It includes soft interface materials for enhanced comfort and is used to correct or support the movement of the toes.

Purpose

This device addresses conditions such as toe deformities, limited range of motion, or muscle weakness in the toes. The goal is to improve toe alignment, support proper foot mechanics, and enhance overall mobility and comfort.

Indications

• Toe deformities such as hammer toes or claw toes
• Restricted toe movement due to arthritis or other joint issues
• Muscle weakness impacting toe flexion and extension
• Neurological conditions affecting foot mobility

Preparation

• No special preparation is typically required.
• Patients may need an initial assessment by a healthcare professional to determine the correct fit and customization of the device.

Procedure Description

1. The healthcare provider assesses the patient’s foot and toe structure.
2. The device is fitted and adjusted to the patient's specific needs.
3. Soft interface materials are added for comfort.
4. Instructions are given on how to use and maintain the device.

Duration

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

Setting

This procedure can be done in a clinical setting such as an orthotics clinic, outpatient rehabilitation center, or a specialized podiatry office.

Personnel

• Orthotists or prosthetists
• Podiatrists or specialized medical doctors
• Trained nurses or physical therapists

Risks and Complications

• Minor discomfort or irritation from the device
• Skin breakdown if not properly fitted or maintained
• Rarely, worsening of symptoms if the device is used incorrectly

Benefits

• Improved toe alignment and function
• Enhanced overall foot mechanics
• Increased comfort and mobility
• Benefits may be realized immediately or over a few weeks of consistent use

Recovery

• Users should follow care instructions to maintain the device.
• Regular follow-up appointments may be necessary to adjust the device.
• Normal activities can usually be continued with minimal restrictions.

Alternatives

• Surgical correction of toe deformities
• Physical therapy for toe strengthening exercises
• Use of less dynamic orthotic devices
• Each alternative has differing levels of invasiveness, effectiveness, and recovery periods.

Patient Experience

Patients generally experience initial relief and improved toe function. Some may feel minor discomfort during the adjustment period, which typically subsides as they become accustomed to the device. Pain management and comfort measures include proper fitting and routine device checks.

By providing detailed information in markdown format, this text ensures that patients and healthcare providers have a clear understanding of the dynamic adjustable toe extension/flexion device and its role in treating toe mobility issues.