Name of the Procedure:

• Common Name(s): Ankle joint motion limiting device
• Technical/Medical Term: Addition to lower extremity, limited ankle motion, each joint (HCPCS L2200)

Summary

This procedure involves fitting a specialized device to the ankle to limit its range of motion. This helps stabilize the joint and prevent excessive movement that could lead to pain or injury.

Purpose

• Medical Conditions: Ankle instability, chronic sprains, post-surgical recovery.
• Goals/Expected Outcomes: To stabilize the ankle joint, reduce pain, and prevent further injury. Improves overall mobility by restricting unnecessary movement.

Indications

• Symptoms/Conditions: Chronic ankle instability, frequent sprains, or recent surgery affecting the ankle.
• Patient Criteria: Patients experiencing repeated ankle issues who have not responded to other treatments like physical therapy or medication.

Preparation

• Pre-procedure Instructions: Generally, patients may continue normal activities but should avoid applying any creams or lotions to the ankle area.
• Diagnostic Tests: Physical examination of the ankle, possible imaging studies like X-ray or MRI to assess the joint condition.

Procedure Description

1. Evaluation: The medical provider will assess the ankle's range of motion and overall stability.
2. Fitting: The appropriate size and type of motion-limiting device are selected.
3. Adjustment: The device is adjusted to ensure it properly limits the ankle's motion without causing discomfort.
4. Education: The patient is educated on how to wear and adjust the device.

• Tools/Equipment: Ankle brace or orthotic device specific to limiting motion.
• Anesthesia/Sedation: Generally, there is no need for anesthesia as the procedure is non-invasive.

Duration

The entire fitting process typically takes between 30 minutes to an hour.

Setting

• Location: Outpatient clinic or orthotic/prosthetic office.

Personnel

• Involved Professionals: Orthopedic specialists, orthotists, nurses.

Risks and Complications

• Common Risks: Skin irritation or pressure sores at the contact points.
• Rare Risks: Improper fitting leading to increased pain or discomfort.
• Management: Regular follow-up to adjust the device and address any issues.

Benefits

• Expected benefits: Increased ankle stability, reduced pain, and lower risk of injury.
• Realization Time: Benefits can be noticed immediately but proper use over weeks will yield optimal results.

Recovery

• Post-procedure Care: Patients may need to adjust to wearing the device and should follow up for any required adjustments.
• Recovery Time: Instantaneous for wearing the device; overall recovery of the ankle depends on the underlying condition.
• Restrictions: Activities might be limited as per the doctor’s advice and follow-up appointments should be attended for adjustments.

Alternatives

• Other Treatment Options: Physical therapy, medication, surgical intervention.
• Pros/Cons of Alternatives: Physical therapy and medication are non-invasive but might be less effective for severe instability. Surgical options are invasive with longer recovery times but can offer more permanent solutions.

Patient Experience

• During the Procedure: Minimal discomfort during fitting; patients may feel slight pressure as the device is adjusted.
• After the Procedure: Initial period of adjustment to wearing the device. Pain management might include over-the-counter pain relievers. Regular follow-up ensures comfort and efficacy.