Traction Devices For Use In The Home
Durable Medical Equipment
© Blue Cross and Blue Shield of Montana
Current Effective Date:
October 25, 2013
Original Effective Date:
July 18, 2013
October 25, 2013
Traction is the application of a mild stretch to muscles, ligaments, and tissue to provide relief of pain resulting from a variety of conditions, such as muscle spasm, nerve root compression, osteoarthritis, degenerative joint disease, and others. Traction is frequently used to treat the spine, most often either the cervical or the lumbar spine. When used on the spine, traction promotes separation of the intervertebral joint spaces to reduce impingement of structures in the area. The goal of traction is usually short term pain relief, returning the patient to normal range of motion, and return to work.
Although traction can be accomplished in a variety of ways, home traction is commonly achieved using a system of pulleys, weights, and counterweights connected to a stand (either freestanding or attached to the bed) or “over-the-door” equipment, and connected to a harness or belt worn by the patient.
721.0, 721.1, 721.3, 721.42, 721.90, 721.91, 722.0-722.2, 722.4-722.93, 723.0-723.2, 723.8, 723.9, 724.00, 724.02, 724.2-724.6, 724.8-724.9, V53.7
E0840, E0849, E0850, E0855, E0860, E0890, E0900, E0920, E0930, E0941, E0942, E0944, E0946, E0947, E0948
- Harte, A.A., Baxter, G.D., et al. The efficacy of traction for back pain: a systematic review of randomized controlled trials. Archives of Physical Medicine and Rehabilitation (2003 Oct) 84(10):1542-53.
- Smith, D., McMurray, N., et al. Early intervention for acute back pain: can we finally develop an evidence-based approach? Clinical Rehabilitation (2002 Feb) 16(1):1-11.
- Beurskens, A.J., de Vet, H.C., et al. Efficacy of traction for non-specific low back pain: a randomized clinical trial. Lancet (1995 Dec 16) 346(8990):1596-600.
- Reust, P., Chantraine, A., et al. Treatment of lumbar sciatica with or without neurological deficit using mechanical traction. A double-blind study. Schweizerische Medizinische Wochenschrift (1988 Feb 27) 118(8):271-4.
- Hoving, J.L., Gross, A.R., et al. A critical appraisal of review articles on the effectiveness of conservative treatment for neck pain. Spine (2001 Jan 15) 26(2):196-205.
- Van der Heijden, G.J., Assendelft, W.J., et al. The efficacy of traction for back and neck pain: a systematic, blinded review of randomized clinical trial methods. Physical Therapy (1995 Feb) 75(2):93-104.
- Graham N, Gross A, et al. Mechanical traction for neck pain with or without radiculopathy. Cochrane Database Syst Rev. 2008 Jul 16;(3):CD006408. doi:10.1002/14651858.CD006408.pub2.
- Clarke JA, van Tulder MW, et al. Traction for low-back pain with or without sciatica. Cochrane Database Syst Rev. 2007 Apr 18;(2):CD003010.
- Kjellman, G.V., Skargren, E.I., et al. A critical analysis of randomized clinical trials on neck pain and treatment efficacy. A review of the literature. Scandinavian Journal of Rehabilitation Medicine (1999 Sep) 31(3):139-52.
- Swezey, R.L., Swezey, A.M., et al. Efficacy of home cervical traction therapy. American Journal of Physical Medicine and Rehabilitation (1999 Jan-Feb) 78(1):30-2.
- Gross, A.R., Aker, P.D., et al. Physical medicine modalities for mechanical neck disorders. Cochrane Database Systematic Review (2000) (2):CD000961.
- van Tulder, M.W., Koes, B.W., et al. Chronic low back pain: exercise therapy, multidisciplinary programs, NSAID’s, back schools, and behavioral therapy effective; traction not effective; results of systematic reviews. Nederlands Tijdschrift Voor Geneeskunds (2000 Jul 29) 144(31):1489-94.
- Philadelphia panel evidence-based clinical practice guidelines on selected rehabilitation interventions: overview and methodology. Physical Therapy (2001 Oct) 81(10):1629-40.
- Borman, P., Keskin, D., et al. The efficacy of lumbar traction in the management of patients with low back pain. Rheumatology International (2003 Mar) 23(2):82-6.
- Clarke, J., van Tulder, M., et al. Traction for low back pain with or without sciatica: an updated systematic review within the framework of the Cochrane collaboration. Spine (2006 June 15) 31(14):1591-9.
||New 2013 BCBSMT medical policy. considered investigational. |
||Literature reviewed. Coverage unchanged. Removed HCPCs codes E0830 and E0856.|