Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS code
Name of the Procedure:
Wrist-Hand Orthosis (WHO), No Joints, Custom Fabricated
Summary
A wrist-hand orthosis without joints, such as straps and soft interfaces, is a custom-made device designed to fit a patient's wrist and hand. It helps maintain the wrist and hand in a specific position to aid in healing or provide support.
Purpose
This orthosis is used to treat various medical conditions that affect the wrist and hand. It aims to immobilize or support these areas to facilitate healing, reduce pain, and improve function.
Indications
- Arthritis affecting the wrist or hand
- Fractures or sprains of the wrist or hand
- Post-surgical immobilization
- Tendonitis or other soft tissue injuries
- Neurological conditions causing weakness or instability
Preparation
- No special preparation such as fasting is usually required.
- Diagnostic tests like X-rays or MRI might be necessary to guide the customization of the orthosis.
Procedure Description
- Assessment: A healthcare provider will assess the patient's hand and wrist to determine the exact specifications needed for the orthosis.
- Molding & Measuring: Custom molds or measurements of the wrist and hand are taken.
- Fabrication: The orthosis is custom-fabricated based on those measurements to ensure a precise fit.
Fitting & Adjustment: The orthosis is fitted to the patient, and any necessary adjustments are made to ensure comfort and effectiveness.
Tools: Molding materials, measurement tools, fabrication equipment for custom orthosis creation. Anesthesia: Not applicable.
Duration
The fitting and adjustment process typically takes about 30 minutes to an hour. The overall time from assessment to receiving the fabricated orthosis may take a few days.
Setting
The procedure is performed in an outpatient clinic or a specialized orthotics facility.
Personnel
- Orthotist (specialist in orthosis)
- Physicians (e.g., orthopedist, rheumatologist for relevant assessments)
- Nurses or medical assistants
Risks and Complications
- Minor skin irritation or pressure sores from wearing the orthosis
- Discomfort if not properly fitted
- Allergic reactions to materials used (rare)
Benefits
- Provides optimal support and immobilization, aiding in the healing process.
- Reduces pain and discomfort associated with wrist/hand conditions.
- Enhances function and stability for better daily activity performance.
Recovery
- Follow specific instructions on how long and when to wear the orthosis.
- Regular follow-up appointments to monitor progress and make adjustments if needed.
- Gradual transition to "off time" based on healing and healthcare provider recommendations.
Alternatives
- Prefabricated wrist-hand orthoses: Less expensive but may not offer the same level of custom support.
- Physical therapy: Focuses on rehabilitation without immobilization.
- Medications: Pain management, which may not address the underlying issue.
Patient Experience
- Initial slight discomfort during the fitting and adjustment period.
- May experience warmth or minor pressure initially, which should resolve as they get accustomed to wearing the device.
- Pain relief and increased functionality typically noticed within a few days to weeks of regular use.
Overall, most patients find the orthosis to be comfortable and beneficial after a short adjustment period, significantly aiding their recovery and daily life activities.