Name of the Procedure:

Common Name: Elevating Footrests
Technical or Medical Term: Elevating Footrests, Articulating (Telescoping), each (HCPCS Code: K0053)

Summary

Elevating footrests are adjustable components typically installed on wheelchairs. They allow the wheelchair user to elevate and articulate (move) the footrests to a comfortable position, improving support and circulation.

Purpose

Medical Conditions Addressed:

• Poor circulation
• Pressure sores on the legs or feet
• Swelling of the legs (edema)
• Orthopedic conditions requiring leg elevation

Goals:

• Improve blood flow
• Reduce swelling and pressure sores
• Enhance overall comfort and posture

Indications

Symptoms and Conditions Warranting the Procedure:

• Chronic edema
• Venous insufficiency
• Mobility limitations requiring frequent changes in leg position

Patient Criteria:

• Individuals using wheelchairs who require adjustable leg support
• Patients experiencing discomfort or medical conditions affecting the lower extremities

Preparation

Pre-procedure Instructions:

• No specific preparations are generally required, given that this involves equipment installation rather than a surgical procedure.

Diagnostic Tests:

• Assessment by a healthcare provider to determine the necessity of the footrests for the individual's specific condition.

Procedure Description

1. Assessment: The healthcare provider assesses the wheelchair user's needs and measurements.
2. Customization: Footrests are customized to fit the specific wheelchair model.
3. Installation: The articulating footrests are securely installed on the wheelchair.
4. Adjustment: The height and angle of the footrests are adjusted for optimal comfort and functionality.
5. Demonstration: The patient is shown how to operate and adjust the footrests.

Tools and Equipment:

• Standard or power tools for installation
• Adjustable telescoping footrests

Anesthesia or Sedation:

• Not applicable

Duration

• The installation and adjustment typically take about 1 to 2 hours.

Setting

• Performed at a medical equipment supply store, outpatient clinic, or at the patient’s home by a qualified technician.

Personnel

• Medical equipment technician
• Physical therapist (if applicable for assessment)
• Healthcare provider for initial prescription and assessment

Risks and Complications

Common Risks:

• Improper installation leading to discomfort
• Mechanical failure if not adequately maintained

Rare Risks:

• Injury from improper use
• Allergic reactions to footrest materials (extremely rare)

Management:

• Regular maintenance and checks
• Instructions on proper use to prevent injury

Benefits

Expected Benefits:

• Immediate improvement in comfort and posture
• Better circulation and reduced risk of pressure sores
• Enhanced mobility and independence

Recovery

Post-procedure Care:

• Regularly check the footrests for wear and tear.
• Follow instructions for daily adjustments and maintenance.

Recovery Time:

• Not applicable as it is equipment-based.

Restrictions and Follow-up:

• No activity restrictions
• Periodic follow-ups might be needed to reassess and adjust as required

Alternatives

Other Options:

• Standard, non-adjustable footrests
• Elevating leg rests without articulating features

Pros and Cons:

• Non-adjustable footrests are less flexible but more affordable.
• Elevating leg rests without articulation might not provide the same level of comfort and support but can still offer elevation benefits.

Patient Experience

During the Procedure:

• Minimal discomfort, mainly involves adjustments and fitting.

After the Procedure:

• Enhanced comfort and mobility can be immediately noticeable.
• Pain management not typically required.
• Regular use improves overall health outcomes for wheelchair users.