Name of the Procedure:

Common Name(s): Cervical collar, semi-rigid Technical/Medical Terms: Cervical orthosis, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf (L0172)

Summary

A semi-rigid cervical collar made of thermoplastic foam and designed in two pieces. It is ready-made and available off-the-shelf. The collar is used to provide support and stability to the cervical spine.

Purpose

The cervical collar is used to stabilize the cervical spine in cases of injury or chronic neck conditions. It helps to limit movement, reduce pain, and promote healing. The expected outcomes include reduced pain and prevention of further injury.

Indications

• Acute neck pain
• Cervical spine injuries (e.g., whiplash, minor fractures)
• Post-surgical support for cervical spine surgeries
• Chronic neck conditions requiring immobilization

Preparation

• No special fasting or medication adjustments are required.
• A medical assessment and possibly imaging tests like X-rays or MRIs to determine the need for the collar.

Procedure Description

1. The healthcare provider assesses the patient's neck to determine the correct size of the collar.
2. The two-piece collar is fitted around the neck, ensuring it is securely and comfortably positioned.
3. Adjustments are made to ensure the collar limits neck movement while not obstructing breathing or circulation.

Tools/Equipment: Semi-rigid thermoplastic foam cervical collar, possibly padding for comfort adjustments. Anesthesia/Sedation: Not applicable.

Duration

The fitting procedure typically takes about 15-30 minutes.

Setting

The procedure is performed in an outpatient clinic or a hospital.

Personnel

• Primary care physician
• Orthotist or orthopedic specialist
• Nurse or medical assistant for fitting and adjustments

Risks and Complications

• Skin irritation or pressure sores from prolonged use
• Discomfort or pain from improper fitting
• Potential for restricted breathing if fitted too tight

Benefits

• Immediate reduction in pain due to immobilization
• Prevention of further injury to the neck
• Speedier recovery with proper immobilization

Recovery

• Regular assessment by a healthcare provider to check the fit and condition of the collar.
• Patient education on proper collar maintenance and skin care.
• Recovery time varies depending on the underlying condition but wearing the collar as directed is essential.
• Follow-up appointments to monitor progress and determine the duration of collar use.

Alternatives

• Soft cervical collars for less severe conditions.
• Physical therapy for certain neck conditions.
• Surgical options in severe cases (with different sets of pros and cons).

Patient Experience

• Initially, the patient might feel restricted and uncomfortable but should experience pain relief soon.
• Continuous adjustments for optimal comfort and effectiveness.
• Pain management options include over-the-counter pain relievers as needed.
• Educated on signs of complications to report immediately, such as skin sores or increased pain.