Name of the Procedure:

Static Progressive Stretch Shoulder Device Application (HCPCS E1841)

Summary

This procedure involves fitting a specialized device designed to gently stretch the shoulder, enhancing flexibility and range of motion for individuals with shoulder stiffness. It can include adjustments for various angles of movement and comes with all necessary components and accessories.

Purpose

The static progressive stretch shoulder device is used to address shoulder stiffness due to conditions such as adhesive capsulitis ("frozen shoulder"), post-surgical stiffness, or other orthopedic conditions. The goal is to improve the shoulder's range of motion, reduce pain, and enhance overall function.

Indications

• Decreased shoulder range of motion
• Pain associated with shoulder stiffness
• Post-operative shoulder recovery
• Chronic shoulder conditions like adhesive capsulitis

Preparation

• No special preparation is typically required.
• The physician may review the patient’s medical history and conduct a physical examination.
• Imaging studies (e.g., X-rays, MRI) might be reviewed or performed to assess the shoulder condition.

Procedure Description

1. Assessment: The healthcare provider evaluates the patient's shoulder condition and determines the appropriate settings for the device.
2. Fitting: The static progressive stretch shoulder device is fitted to the patient's shoulder.
3. Adjustment: The device settings are adjusted to provide the necessary stretch, which can be progressively increased over time.
4. Demonstration: The patient is shown how to use the device properly and safely.
5. Monitoring: Follow-up visits are scheduled to monitor progress and make any necessary adjustments.

Duration

Applying and adjusting the device typically takes about 30 minutes. Usage duration can vary, but patients often wear the device for specific periods each day, as recommended by their healthcare provider.

Setting

This procedure is usually performed in an outpatient clinic or a physical therapy center.

Personnel

• Physical Therapist
• Orthopedic Specialist
• Medical Assistants

Risks and Complications

• Minor discomfort or increased pain initially
• Skin irritation or pressure sores
• Improper use may lead to muscle strain

Benefits

• Improved shoulder range of motion
• Reduced pain
• Enhanced functional ability in daily activities Improvements can often be observed within weeks of consistent use.

Recovery

• Patients should follow instructions on device usage, including duration and frequency.
• Regular follow-up appointments for adjustments and progress assessment.
• Normal activity can often be maintained or gradually increased as range of motion improves.

Alternatives

• Physical therapy
• Surgical intervention
• Oral or injected medications Alternatives may have different recovery times, risks, and degrees of invasiveness.

Patient Experience

• Initially, the patient might experience mild discomfort as the shoulder stretches.
• Pain management strategies, such as over-the-counter pain relievers or prescribed medications, may be recommended.
• Patients are encouraged to communicate any concerns or unusual symptoms to their healthcare provider for management and adjustments as needed.