Name of the Condition

• Fall on and from ladder, sequela
• Also referred to as "sequela of ladder fall."

Summary

• This condition deals with the long-term effects or complications that persist after an individual suffers a fall from a ladder. "Sequela" refers to any chronic condition that results from an acute illness or injury.

Causes

• Direct result of a previous fall from a ladder. The primary injury may have been managed, but ongoing complications or secondary conditions developed as a result.

Risk Factors

• Older age due to bone fragility and balance issues.
• Occupational risks for individuals frequently using ladders (e.g., construction workers).
• History of previous falls.

Symptoms

• Chronic pain at the site of the original injury.
• Mobility issues or physical limitations.
• Psychological effects such as anxiety or fear of heights.

Diagnosis

• Physical examination to assess the long-term impact of the original injury.
• Imaging tests like X-rays or MRI to identify any chronic changes.

Treatment Options

• Physical therapy to improve mobility and strength.
• Pain management through medications or alternative therapies.
• Psychological counseling if needed to address mental health impacts.

Prognosis and Follow-Up

• The prognosis varies based on the severity of the sequela.
• Regular follow-up is crucial to monitor progression and adjust treatment as needed.

Complications

• Chronic pain and disability if not properly managed.
• Psychological issues such as depression or anxiety related to the injury or reduced physical capabilities.

Lifestyle & Prevention

• Engagement in regular, safe exercise to maintain balance and strength.
• Use of proper safety equipment and ladders with safety features to prevent initial falls.
• Workplace safety training.

When to Seek Professional Help

• Worsening pain or new symptoms that emerge.
• Psychological distress impacting daily life.
• Any signs of infection at the original injury site.

Additional Resources

• National Institute for Occupational Safety and Health (NIOSH) for ladder safety guidelines.
• American Physical Therapy Association for rehabilitation resources.

Tips for Medical Coders

• Ensure use of the correct extension (S) to indicate sequela, distinguishing it from the acute phase of the injury.
• Verify documentation specifies the original condition leading to the sequela to avoid miscoding.