Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment
HCPCS code
Name of the Procedure:
Commonly referred to as a "Finger Orthosis," it is technically known as the "Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment" (HCPCS Code: L3935).
Summary
A finger orthosis is a custom-made supportive device designed to immobilize or support a finger. It's fabricated to fit the patient's unique anatomy and can include a soft interface for added comfort. The process includes the fitting and adjustment of the device.
Purpose
The purpose of a finger orthosis is to address conditions that affect the joints or muscles of the finger, aiding in stabilization, alignment, and protection. The goal is to improve functionality, reduce pain, and facilitate healing.
Indications
This procedure is indicated for patients with conditions such as arthritis, tendon injuries, fractures, deformities, or chronic instability of the finger joints. It's also recommended for post-surgical support or following an injury requiring immobilization for healing.
Preparation
Patients typically need no special preparation before being fitted for a finger orthosis. However, the healthcare provider may recommend diagnostic tests like X-rays or MRI scans to accurately assess the condition and design the orthosis.
Procedure Description
- Assessment and Measurement: The healthcare professional will first assess the affected finger and take precise measurements to ensure a custom fit.
- Fabrication: Using materials such as plastic, metal, or composite materials, the orthosis is custom-made. A soft interface may be included for comfort.
- Fitting: The orthosis is then fitted to the patient's finger, with adjustments made to ensure it provides the correct support and alignment.
- Adjustment: The practitioner will make any necessary tweaks to optimize comfort and functionality.
The tools and equipment may include measuring devices, fabrication materials, and adjustment tools. The procedure is usually done without anesthesia, though local numbing agents can be used for patient comfort.
Duration
The entire process, including assessment, fitting, and adjustment, typically takes about 1 to 2 hours.
Setting
This procedure is usually performed in an outpatient clinic or a specialized orthotic and prosthetic center.
Personnel
The procedure involves a certified orthotist or a healthcare professional specialized in orthotics. Sometimes, an occupational therapist may also participate in the process.
Risks and Complications
Common risks include skin irritation, pressure sores, and discomfort due to an improper fit. Rare complications might include allergic reactions to the materials used. Misalignment or improper fitting can lead to further joint issues or impede healing.
Benefits
The primary benefits include reduced pain, improved finger function, and enhanced healing. These benefits are usually realized shortly after the device is fitted and adjusted correctly.
Recovery
Post-fitting care includes regular cleaning of the orthosis and monitoring the skin for any signs of irritation. The finger orthosis is typically worn for several weeks to months, depending on the condition. Follow-up appointments may be necessary to make adjustments and assess progress.
Alternatives
Alternative treatments can include physical therapy, medication for pain management, steroid injections, or surgery in severe cases. The orthosis is usually preferred for its non-invasive nature and immediate support.
Patient Experience
Patients may feel slight discomfort during the initial fitting, which usually subsides as adjustments are made. Pain management measures include over-the-counter pain relief and, in some cases, prescribed medication. Comfort measures include ensuring a soft interface within the orthosis and regular adjustments to maintain a proper fit.