Archive for October, 2015
The goal of splinting for CMC arthritis is to reverse the postural deformity of the thumb; seating the CMC joint, lifting the metacarpal head, and opening the web space. Think of making an ‘OK’ sign.
The CMC Arthritis Brace is a new alternative for treating the thumb pain associated with Basal Joint (CMC) Arthritis. The strap design and moldable aluminum support give the metacarpal the lift and support it needs to seat the CMC joint.
This thumb brace is completely trimable so it can be customized to each person. The “patient assist strap” makes it simple for independent application. This low-profile thumb splint is comfortable and designed to leave the wrist and fingers free for unrestricted motion.
A sacroilliac belt is back brace specifically designed for for the sacroiliac joints, sacroiliac dysfunction, and sacroiliac pain.
The Low Profile SI Belt pictured above provides stabilization of the sacroiliac joints through direct circumferential compression utilizing a 3 to 1 ratio mechanical advantage pulley system. This is a flexible sacroiliac orthosis with breathable mesh. This belt is comfortable and will significantly reduce motion about the sacroiliac joint. This brace adjusts with one hand and provides customized stabilization.
Hyper Extension Back Brace
Hyperextension braces are a type of TLSO that controls flexion (bending forward).
With a compression fracture of the lumbar or low thoracic spine, it’s important to limit trunk flexion. You want to resist anterior flexion and the development of a kyphotic deformity. This positioning of the spine unloads the anterior portion of the vertebral bodies.
These devices are commonly prescribed for compression fractures due to trauma or osteoporosis from T10 to L2. Hyperextension braces must be prescribed by a physician and fit by an orthotist.
L0472 is the billing code.
The Extension Orthosis is pictured above. It is a TLSO ergonomically designed to control and relieve the acute pain associated with spinal anomalies. This TLSO is PDAC approved for L-0456.
The posterior shell can be customized to achieve an extended alignment of the thoracic spine and stabilization of the lumbar spine and pelvis. The placement of the extension straps allows the patient to bring the shoulders and upper spine into an extension that is comfortable and aligned. The mechanical advantage pulley system enables the patient to also control abdominal compression so they can actively participate in their therapy regimen.
A Lumbar Sacral Orthosis (LSO) is a modular back brace system that applies four sets of 3-Point Pressure Systems to the lumbar region. So a qualified medical professional like an orthotist needs to fit these devices. If the pressure is applied correctly these back braces can make a big difference in people’s lives who suffer from back pain. If they are applied incorrectly, the brace can do more harm than good.
LSO’s are used primarily to manage low back pain, though it’s sometimes prescribed for stable non-compression fractures in the lumbar region. The billing codes for LSOs are L0631 and L0637.
Lumbar supports need to be fit by a credentialed medical professional, like an orthotist. These are modular back brace systems so support can be individualized.
For example, if a patient requires a lumbar support after a spinal procedure for a herniated disc then the orthotist can fit a back brace that has removable rigid panels. So initially, the device is functionally rigid and restrictive. Then as the patient heals and progresses through rehabilitation, those rigid panels can be removed. This makes the spinal orthosis more flexible, allowing the user more mobility.
The billing code for this type of brace is usually L0627.