Name of the Procedure:

Gradient Pressure Aid (Glove), Custom Made, Medium Weight (HCPCS Code: S8425)

Summary

A custom-made gradient pressure aid glove is designed to provide evenly distributed compression over the hand and wrist area to manage conditions like lymphedema or chronic swelling. It is medium weight, meaning it provides a moderate level of compression, suitable for everyday use.

Purpose

The primary goal of this custom-made glove is to reduce swelling and improve lymphatic flow in patients who suffer from conditions causing chronic swelling, such as lymphedema. This helps to alleviate pain, improve mobility, and prevent complications associated with prolonged swelling.

Indications

• Lymphedema management
• Chronic swelling due to injury or surgery
• Conditions requiring consistent compression to reduce fluid buildup

Preparation

• Patients may be required to undergo measurements for a custom fit.
• Ensure the hand and wrist area are clean and dry.
• No specific fasting or medication adjustments are generally required.

Procedure Description

1. Assessment and Measurement: The healthcare provider will measure the dimensions of the patient’s hand and wrist.
2. Customization: Based on the measurements, a glove is custom-made to ensure proper fit and optimal compression.
3. Fitting: Once the glove is ready, the patient will return for a fitting session to ensure comfort and effectiveness.
4. Education: Patients are instructed on how to wear the glove, care for it, and recognize signs of improper fit or issues.

Tools, Equipment, or Technology Used

• Measuring tape or digital measurement tools
• Customized medical-grade fabric
• Specialized sewing techniques for custom alteration

Anesthesia or Sedation Details

• Not applicable, as this is a non-invasive procedure.

Duration

• The measurement and fitting process typically takes about 30 minutes.
• The time required to produce the glove can vary, typically taking a few days to a week.

Setting

The procedure is usually performed in an outpatient clinic or a specialized medical supply center.

Personnel

• Certified lymphedema therapist
• Orthotist or prosthetist
• Medical assistant

Risks and Complications

• Minor skin irritation or allergic reaction to the glove material
• Improper fit leading to inadequate compression or discomfort
• Limited movement if the glove is too restrictive

Benefits

• Reduced swelling
• Increased comfort and mobility
• Prevention of potential complications associated with chronic lymphedema
• Benefits often realized within days to weeks of consistent use

Recovery

• Wear the glove as prescribed by the healthcare provider
• Regular follow-up appointments may be necessary to adjust the fit or compression level
• Hand and wrist exercises might be recommended to maintain mobility

Alternatives

• Off-the-shelf compression gloves: less personalized fit, possibly less effective
• Manual lymphatic drainage therapy: requires frequent therapist visits
• Compression bandaging: more cumbersome and less convenient for daily activities

Patient Experience

• Patients may feel mild pressure while wearing the glove but should not experience pain.
• Some initial discomfort is normal as the patient adjusts to the new compression aid.
• Proper fit and regular wear will lead to increased comfort and reduced symptoms over time.