A custom-fitted back brace is considered medically necessary as the initial brace after surgical stabilization of the spine following traumatic injury.A custom-fitted back brace (a prefabricated back brace modified to fit a specific member) is considered medically necessary where there is a failure, contraindication or intolerance to an unmodified, prefabricated (off-the-shelf) back brace.The following additional criteria apply to custom-fitted and custom-fabricated back braces. The main effect is to support the injured muscle and reduce discomfort. Following a strain/sprain, supportive lumbar orthosis, lumbar-sacral orthosis, and thoracic-lumbar-sacral orthosis (back supports, lumbo-sacral supports, support vests) are used to render support to an injured site of the back. Supportive lumbar orthosis, lumbar-sacral orthosis, and thoracic-lumbar-sacral orthosis are considered experimental and investigational for other indications because their effectiveness for indications other than the ones listed above has not been established. To support weak spinal muscles and/or a deformed spine.To reduce pain by restricting mobility of the trunk or.To facilitate healing following a surgical procedure on the spine or related soft tissue (see section on Post-operative Back Braces below) or.To facilitate healing following an injury to the spine or related soft tissues or.Lumbar Orthosis, Lumbar-Sacral Orthosis, and Thoracic-Lumbar-Sacral OrthosisĪetna considers a lumbar orthosis, lumbar-sacral orthosis, and thoracic-lumbar-sacral orthosis medically necessary for any of the following indications:.The following braces may be considered medically necessary for the listed indications when they are used to treat disease or injury.
Certain orthopedic casts, braces and splints are covered under HMO plans without the DME rider because their use is integral to the treatment of certain orthopedic fractures and recovery after certain orthopedic procedures. Please check benefit plan descriptions for details. Standard Aetna HMO plans do not cover DME without a policy rider. Talk to your doctor if you still need to use medication 2 weeks after the injury.Note: Most Aetna traditional plans cover durable medical equipment (DME) as a standard benefit. Generally, you shouldn’t take pain medications for longer than 2 weeks at a time unless your doctor directs you to.government agency responsible for promoting public health Go to source X Trustworthy Source American Academy of Family Physicians Organization devoted to improving the health of patients, families, and communities Go to source X Trustworthy Source US Food and Drug Administration U.S. It’s generally safe to take 325 mg of acetaminophen every 4-6 hours, and no more than 4,000 mg in a day.X Trustworthy Source Family-focused medical advice site run by the American Academy of Family Doctors Go to source Ask your doctor about using these medications if you can’t take NSAIDs, or using them in combination with NSAIDs for extra pain relief. Non-NSAID pain relievers like acetaminophen will also help with the pain, but they won’t reduce inflammation.X Trustworthy Source American Academy of Family Physicians Organization devoted to improving the health of patients, families, and communities Go to source Never take more than the recommended daily amount within 24 hours. In general, it’s best to start with the lowest effective dose (typically 200 mg every 4-6 hours) and gradually increase to a higher dose, such as 400 mg every 4-6 hours, if that doesn’t work. Common NSAIDS are ibuprofen, naproxen, and aspirin.X Trustworthy Source Harvard Medical School Harvard Medical School's Educational Site for the Public Go to source X Trustworthy Source Harvard Medical School Harvard Medical School's Educational Site for the Public Go to source You can also try acetaminophen (Tylenol), either alone or in combination with NSAIDs. Follow the dosing instructions on the medication you use and take it as often as you’re directed to. These medications relieve the pain, but also reduce swelling and inflammation, which helps your back heal faster. If heat and ice aren’t enough to reduce the pain, you can take an NSAID pain reliever daily while your back heals. Take acetaminophen or NSAID pain relievers to manage the pain and inflammation.
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