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Anyone try Fluidotherapy for Dups or Ledderhose?
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08/04/2012 19:53
sorefeet 
08/04/2012 19:53
sorefeet 
Anyone try Fluidotherapy for Dups or Ledderhose?

Fluidotherapy is a dry superficial thermal physical agent that transfers heat to soft tissues by agitation of heated air and Cellux particles. A fluidotherapy machine contains fine particles of Cellux (ground up corn cobs that are about the size of grains of sand). A benefit of fluidotherapy is that patients can perform active range of motion (AROM) while undergoing treatment.

08/06/2012 15:56
Larry 
08/06/2012 15:56
Larry 
Re: Anyone try Fluidotherapy for Dups or Ledderhose?

A FIRST exploration of the internet based knowledge system PUBMED finds several 100s of positive studies and a MUST GO for EVERONE !

JOKE !

These types of announcements are really anoying and cause a lot of insecurity for many hopeful candidates for other better proven treatment methods ...

By the way, sorefeet, do YOU have Dupuytren or Ledderhose and have tried this treatment or are YOu an UNDERCOVER agent for a smart organisation ?

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Official statements of AETNA insuarance :


Clinical Policy Bulletin: Fluidized Therapy (Fluidotherapy) - Number: 0450

Policy

Aetna considers fluidized therapy medically necessary for the treatment of acute or subacute traumatic or non-traumatic musculoskeletal disorders of the extremities.

Aetna considers fluidized therapy experimental and investigational for all other indications because of insufficient evidence in the peer-reviewed literature.

Notes: Fluidized therapy is considered to be a physical therapy modality subject to the physical therapy guidelines and any applicable plan benefit limits for physical therapy.

Aetna will cover only the professional charges of a physical therapist or other recognized, licensed providers for fluidized therapy and other physical therapy modalities that require direct, one-on-one, patient contact. Please check benefit plan descriptions.

See also CPB 174 - Pool Therapy, Aquatic Therapy or Hydrotherapy and CPB 325 - Physical Therapy Services.


Background

Fluidized therapy (Fluidotherapy®) is a high intensity heat modality consisting of a dry whirlpool of finely divided solid particles suspended in a heated air stream, the mixture having the properties of a liquid. Studies comparing its effective heating with that of a paraffin bath and whirlpool have found them to be similar. The indications for fluidized therapy are similar to paraffin baths and whirlpool. Use of fluidized therapy dry heat is an acceptable alternative to other heat therapy modalities in reducing pain, edema, and muscle spasm from acute or subacute traumatic or non-traumatic musculoskeletal disorders of the extremities. Fluidized therapy is contraindicated in patients with local sensory loss or open lesions.

CPT Codes / HCPCS Codes / ICD-9 Codes: There is no specific code for fluidized therapy (fluidotherapy):
Other CPT codes related to the CPB: 97036 - 97113
Other ICD-9 codes related to the CPB: 710.0 - 739.9 Diseases of the musculoskeletal system and connective tissue
800.00 - 959.9 Injury

The above policy is based on the following references:

U.S. Department of Health and Human Services, Center for Medicare & Medicaid Services (CMS). Fluidized therapy dry heat for certain musculoskeletal disorders. Medicare Coverage Issues Manual Section 35-56. Baltimore, MD: CMS; 2002.
Ganz SB, Harris LL. General overview of rehabilitation of the rheumatoid patient. Rheum Dis North Am. 1998;24(1):181-201.
Herrick RT, Herrick S. Fluidotherapy. Clinical applications and techniques. Ala Med. 1992;61(12):20-25.
Borrell RM, Parker R, Henley EJ, et al. Comparison of in vivo temperatures produced by hydrotherapy, paraffin wax treatment, and Fluidotherapy. Phys Ther. 1980;60(10):1273-1276.
Borrell RM, Henley EJ, Ho P, et al. Fluidotherapy: Evaluation of a new heat modality. Arch Phys Med Rehab. 1977;58(2):69-71.
Gloth JM, Matesi AM. Physical therapy and exercise in pain management. Clin Geriatr Med. 2001;17(3):525-535, vii.
Klein MJ. Superficial heat and cold. eMedicine Physical Medicine and Rehabilitation Topic 201. Omaha, NE: eMedicine.com; updated December 16, 2004. Available at: http://www.emedicine.com/pmr/topic201.htm. Accessed July 10, 2005.
Dorf E, Blue C, Smith BP, Koman LA. Therapy after injury to the hand. J Am Acad Orthop Surg. 2010;18(8):464-473.

Edited 08/06/12 18:57

08/06/2012 18:23
sorefeet 
08/06/2012 18:23
sorefeet 
Re: Anyone try Fluidotherapy for Dups or Ledderhose?

Yes Larry i have both -dup in both hands & ledderhose in both feet.....You say better treatment & the way i see it is nothing people are doing is working,until its too late & the fingers are closed...I have found things that are working good on myself..And this was just a thought to see if anyone has tried it,its hard to try new things when every one knows so much about this disorder & has all the cures!

08/06/2012 18:59
sorefeet 
08/06/2012 18:59
sorefeet 
Re: Anyone try Fluidotherapy for Dups or Ledderhose?

Also what i know Larry is these are microscopic & live in the epidermis of the outermost layers of skin cells, fusing the skin together!!!!

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