Name of the Procedure:

Wrist Hand Finger Orthosis (WHFO), Prefabricated, Off-the-Shelf (L3809)

Summary

A Wrist Hand Finger Orthosis is a type of medical brace designed to support, immobilize, or correct the wrist, hand, and fingers. This device is prefabricated and comes ready-made, requiring minimal adjustment to fit the patient properly.

Purpose

The primary purpose of a Wrist Hand Finger Orthosis is to provide support and stabilization to the wrist, hand, and fingers. It is used to manage and treat conditions such as carpal tunnel syndrome, tendonitis, fractures, sprains, and other musculoskeletal disorders. The orthosis aims to reduce pain, promote healing, and restore function.

Indications

• Carpal Tunnel Syndrome
• Tendonitis or Tendinosis
• Wrist and hand fractures
• Sprains and strains
• Post-surgical recovery
• Rheumatoid arthritis
• Nerve injuries or compressions
• Other musculoskeletal impairments of the wrist, hand, and fingers

Preparation

• No specific preparation is typically required for using a prefabricated orthosis.
• Your healthcare provider may recommend a fitting appointment to ensure the orthosis suits your needs.
• Diagnostic imaging like X-rays or MRI may be conducted to assess the condition of the affected area.

Procedure Description

1. The healthcare provider will select an appropriately sized orthosis based on the patient's measurements.
2. The prefabricated orthosis is then fitted to the patient's wrist, hand, and fingers.
3. Any necessary adjustments are made to ensure a snug but comfortable fit.
4. Instructions on how to wear, adjust, and maintain the orthosis will be provided to the patient.

Duration

• The fitting and adjustment process typically takes 20-30 minutes.
• The duration to wear the orthosis depends on the medical condition and physician’s advice, ranging from a few weeks to several months.

Setting

• Can be performed in various settings such as hospitals, outpatient clinics, physiatry offices, or medical supply stores.

Personnel

• Orthotists
• Physical or occupational therapists
• Healthcare providers such as primary care physicians, orthopedic specialists, or physiatrists

Risks and Complications

• Skin irritation or pressure sores
• Restricted circulation if fit too tightly
• Joint stiffness due to prolonged immobilization
• Difficulty in performing daily activities initially

Benefits

• Reduces pain and inflammation
• Provides support during the healing process
• Improves function and mobility over time
• Can prevent further injury
• Helps in post-surgical stabilization

Recovery

• Follow all wearing schedules as advised by your healthcare provider.
• Watch for any signs of skin irritation and report them.
• Engage in recommended physical therapy exercises to maintain flexibility and strength.
• Regular follow-up appointments to monitor progress and adjust the orthosis as needed.

Alternatives

• Custom-made orthoses: tailored to the patient's exact measurements but more expensive and time-consuming to produce.
• Physical therapy: exercises and manual techniques without the use of a brace.
• Medications: for pain and inflammation management.

• Surgical intervention: in case of severe or unmanageable conditions.

  Patient Experience

• During the fitting, you may feel some pressure but no pain.
• Initially, wearing the orthosis may feel cumbersome, but most patients adapt quickly.
• Pain management can be aided with over-the-counter pain relievers if necessary.
• Regular checks and adjustments may be needed to ensure comfort and effectiveness.