NeuroTalk Support Groups - traction unit?

NeuroTalk Support Groups (https://www.neurotalk.org/)

- Spinal Disorders & Back Pain (https://www.neurotalk.org/spinal-disorders-and-back-pain/)

- - traction unit? (https://www.neurotalk.org/spinal-disorders-and-back-pain/165223-traction-unit.html)

Do you know the stupid insurance company won't pay for the home traction unit... argh... But they will pay for me to go to PT everyday and have them do the traction... OMG... idiots... and they will pay for the $45,000 surgery instead of the traction to try to fix it (traction unit $500).

argh... argh... argh...

Joann

Quote:

Originally Posted by joojee22 (Post 853394)

Do you know the stupid insurance company won't pay for the home traction unit...

That may depend on the company, the policy, and/or the unit. Check your policy under "durable medical equipment". They may cover a traction unit - just not the one you want. :Dunno:

I have an over the door unit I've modified slightly (so I can watch television instead of staring at the door). It's been so many years I don't recall if it was covered, but that type is pretty inexpensive ~$30 IIRC.

http://images1.wikia.nocookie.net/__...3/Barney20.jpg

Doc

Quote:

Originally Posted by joojee22 (Post 853394)

What unit is costing $500? I had two Saunders units that I used in my office which were only $400 new (still have them in the garage after closing my office).

BTW, the over the door units are garbage. You need 15# just to unweight your head then traction starts from there. So by the time you are receiving effective traction, you have the unit up to 30# which is pretty damned uncomfortable going thru your jaw let alone being able to put that much water in the bag!!!

Quote:

Originally Posted by Dubious (Post 853556)

BTW, the over the door units are garbage.

Opinions on that vary, and that's ok. We did a lot of research before getting one (and were willing to go the $400 for the bench model) and the opinions were split exactly 50-50. Even our orthopedic surgeon prefers (and has) a door unit.

I don't understand what you mean by "15# just to unweight your head"; would you mind elucidating? I've never even used the water bag; I didn't trust it not to leak, and it seemed too.... imprecise, so I just tied a hook onto the cord and hang known free weights. ;)

Doc

Quote:

Originally Posted by Dr. Smith (Post 853696)

Sure, perhaps I spoke too strongly. Over the door units are not garbage per se, rather they are just low tech entry level units that an insurance company is more likely to spring a buck for. So when they only reimburse say $20 for a home unit to the provider, who is on panel, you can't dispense the $35 unit!

And besides, I got tired of people bringing back the door units saying either they were too uncomfortable or awkward to use. In terms of usability, we used to dispense essentially the same unit but it was designed for the person to lay down on their back. This is where there is a difference. The head weighs 10-12 pounds, add a little soft tissue tension and now you are up to 15 pounds of traction "force" before you start to unweight the head in the sitting position. If you are already lying down, you have removed the gravity's effect and 15 pounds of traction is now 15 pounds (almost) of traction working on the spine instead of just unweighting the head to zero pounds (sitting). Your spine doesn't care how the 15 pounds of traction force gets applied, it is just that you have to add an addition 15 pounds to your traction force when sitting as compared to laying down, for the same effect. This becomes important when a lot of the patients find 20-30 pounds on the chin and jaw uncomfortable after 15 minutes of use (TMJ problems, dentures etc.)! And then there is the whole head halter mess that is a game changer for some. With the supine (laying face up) units, you can use a cradle-type of halter that is so much more comfortable, which drastically increases compliance. The Saunders units also eliminate the halter problem.

In terms of the water bag vs. hanging weights on end of the rope, doesn't matter. In fact, in older days (pre-water bag) the home units came with a bag to place weights into.

In terms of the orthos, the one I used to work with (and dear friend) for 23 years (God love 'em) hadn't a clue on the different units other than writing a script for a home traction unit. Your PT or equivelant therapist would know so much more about the differences in the various types of units.

I don't mean to bag the door units especially when they work well for you and your are happy, but after dispencing and setting up hundreds if not thousands of them over more than two decades and comparing ease of use with patient compliance, I have had an opportunity to generally see what worked for the masses (not necessarily the individual)!

I had a $20 over the door thing, didn't do a darn thing but hurt my TMJ... ouch..

I am looking on the internet to buy one, if anyone wants to sell one please let me know :)

There is no insurance coverage :(

Quote:

Originally Posted by Dubious (Post 853715)

In terms of the orthos, the one I used to work with (and dear friend) for 23 years (God love 'em) hadn't a clue on the different units other than writing a script for a home traction unit. Your PT or equivelant therapist would know so much more about the differences in the various types of units.

Well, like I said, my ortho has and uses one, because he has his own spine & pain issues, which is one reason I like him - he does understand, and knows the difference. The PTs at the clinics had differing opinions, but they weren't selling them. The last PT I had (for traction) recommended the door unit primarily for cost, because most patients balk at the price (and possibly/probably insurance - I don't recall that part). Functionally, they said it was probably 50-50.

I wouldn't disagree about convenience, but having a design background, when something doesn't work right or can be improved, I tend to tinker with it until it suits me, hence the weights, but since you mentioned it, I also improved the harness.... ;) When we started, it took both of us to get me into & out of the darned thing. After my tinkering, I can do it myself, and if I fiddled with it a bit more I could probably get it to where I could do it with one hand.

Doc