Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoul...
HCPCS code
Name of the Procedure:
Lumbar Orthosis, Sagittal Control (L0626) Common Names: Lumbar Support Brace, Back Brace, Rigid Back Brace
Summary
A lumbar orthosis is a type of back brace specifically designed to support and stabilize the lower spine. It helps reduce the load on intervertebral discs by creating intracavitary pressure, and is equipped with a rigid posterior panel that extends from the L-1 vertebra down to below the L-5 vertebra.
Purpose
This back brace is primarily used to provide relief and stability for individuals experiencing lower back pain, spinal instability, or other lumbar spine issues. The goal is to reduce pain, improve mobility, and support proper spinal alignment.
Indications
- Chronic lower back pain
- Lumbar spinal instability
- Degenerative disc disease
- Post-operative support
- Lumbar spondylosis
- Herniated discs
- Muscle weakness or strain in the lower back
Preparation
- No specific fasting or medication adjustments are generally required.
- A physical examination and possibly imaging tests like X-rays or MRIs to identify the specific needs and correct fit of the brace.
Procedure Description
- Fitting: A healthcare professional measures your torso to ensure the correct size of the lumbar orthosis.
- Application: The rigid posterior panel of the brace is placed against your back, extending from L-1 to below L-5.
- Strapping: Straps and closures are used to secure the brace snugly around your torso.
Adjustment: Additional features like padding, stays, or shoulder straps are adjusted for comfort and effectiveness.
No anesthesia or sedation is needed.
Duration
Fitting and adjusting the lumbar orthosis typically takes about 20-30 minutes.
Setting
The procedure is usually performed in an outpatient clinic, orthopedic office, or physical therapy center.
Personnel
- Orthotist (a specialist in designing and fitting orthopedic braces)
- Physical therapist or physician
Risks and Complications
- Skin irritation or pressure sores
- Discomfort or restricted movement
- Improper fit can reduce the effectiveness
- Rarely, muscle atrophy with extended use
Benefits
- Improved spinal stability and reduced pain
- Enhanced mobility and daily functioning
- Protection and support for healing post-surgery
- Immediate to short-term relief, with benefits peaking as the spine stabilizes
Recovery
- Minimal downtime; you can often resume daily activities immediately, as advised.
- Follow specific wear-time recommendations (hours per day) from your healthcare provider.
- Regular follow-up appointments may be needed to adjust the brace.
Alternatives
- Physical therapy
- Pain management techniques (e.g., medication, injections)
- Surgical interventions
- Other non-rigid support devices or belts
Each alternative has different pros and cons, which your healthcare provider can discuss with you.
Patient Experience
- Initial use may feel restrictive but should not be painful.
- Some patients might experience mild discomfort or skin irritation initially.
- Progress should be monitored with adjustments for optimal comfort and effectiveness.
- Pain relief can typically be noticed immediately or within a few days of regular use.
Pain management and comfort measures will be provided to ensure a tolerable experience.