Name of the Procedure:

Addition to Lower Extremity, Pelvic and Thoracic Control, Gluteal Pad, Each (L2650)

• Common Names: Gluteal pad insertion, Pelvic support addition
• Technical/Medical Terms: Lumbosacral orthosis, Gluteal support augmentation

Summary

In simple terms, this procedure involves adding a specialized pad to the pelvic, thoracic, or lower extremity regions to provide additional support and improve stability for individuals with mobility or alignment issues. This pad, known as a gluteal pad, is customized to fit the patient's body and improve their overall posture and comfort.

Purpose

• Medical Conditions/Problems Addressed: This procedure is primarily for individuals with weakened or imbalanced muscles in the lower back, pelvis, or legs, which may be due to conditions like muscular dystrophy, spinal cord injuries, or post-surgical recovery.
• Goals/Expected Outcomes: The aim is to enhance stability, improve posture, and reduce discomfort or pain associated with poor alignment. The procedure seeks to provide better pelvic and thoracic control to facilitate easier movement and reduce the risk of falls.

Indications

• Specific Symptoms/Conditions: Chronic lower back pain, instability in the pelvic region, muscular dystrophy, weakened gluteal muscles, or postoperative support for spinal surgeries.
• Patient Criteria/Factors: Ideal for patients who experience difficulty walking or standing due to muscular weaknesses or alignment issues. It is also suitable for those who have undergone spinal or hip surgeries and need additional support during rehabilitation.

Preparation

• Pre-Procedure Instructions: Patients might need to undergo a physical examination and imaging tests like X-rays or MRIs to tailor the gluteal pad accurately.
• Diagnostic Tests/Assessments: A thorough assessment of the patient's posture, muscle strength, and range of motion is essential. Patients may also be advised to adjust certain medications before the procedure.

Procedure Description

1. Initial Consultation: A healthcare professional will evaluate the patient's needs and take measurements.
2. Customization: Based on the assessment, a custom-fit gluteal pad will be designed.
3. Fitting: The patient will return to have the pad fitted. Adjustments will be made to ensure comfort and effectiveness.
4. Instruction: The patient will be instructed on how to wear and care for the pad.

• Tools/Equipment/Technology Used: Custom-made gluteal pads, measurement tools, and possibly computer-aided design software.
• Anesthesia/Sedation: Generally not required, as this is a non-invasive procedure.

Duration

The entire fitting and adjustment process typically takes about 1 to 2 hours.

Setting

This procedure is usually performed in an outpatient clinic or a specialized orthotic facility.

Personnel

• Healthcare Professionals Involved: Orthotists, physical therapists, rehabilitation specialists, and occasionally a physician overseeing the treatment.

Risks and Complications

• Common Risks: Minor skin irritation or discomfort, initial difficulty in adapting to the pad.
• Rare Risks: Allergic reactions to materials used, significant discomfort requiring pad adjustment or replacement.

Benefits

• Expected Benefits: Improved stability and posture, reduced back and pelvic pain, and overall better mobility. Benefits are often realized within a few days to weeks as the patient adapts to the pad.

Recovery

• Post-Procedure Care: Regular follow-up appointments to check the effectiveness and fit of the pad. Instructions on skin care and hygiene.
• Expected Recovery Time: Most patients adapt within a few days. Full benefits typically appear within a few weeks.
• Restrictions/Follow-Up Appointments: Regular monitoring and adjustments as needed.

Alternatives

• Other Treatment Options: Physical therapy, surgery for severe cases, other forms of orthotic devices.
• Pros/Cons of Alternatives: Physical therapy offers gradual improvement but might take longer; surgery is invasive with higher risks but can offer permanent solutions for severe cases. Other orthotic devices might provide different types of support or comfort levels.

Patient Experience

• During the Procedure: Minimal discomfort during the fitting process; most experience no pain.
• After the Procedure: Some initial discomfort or adjustment period as the body gets used to the new support. Pain management is typically not required, but over-the-counter pain relievers can be used if needed. Regular follow-up ensures continued comfort and effectiveness of the support provided by the gluteal pad.