How do some clinicians add this to their clinical practice?
Some clinicians have their patients come in 20-30 minutes prior to their appointment. This allows the patient to be skillfully set up on HipTrac with moist heat for traction. The health team can monitor that patient without the need for hands on work and the procedure can be billed CPT 97012 Mechanical Traction. The clinician can then finish with their prior patient and perform billing with whatever codes they are providing. The provider can then move onto treating the patient coming off HipTrac who will be more relaxed and in less pain. This helps with the use of advanced manual therapy techniques, exercise, etc. In other cases, the hip traction patient will be placed on HipTrac after the provider’s treatment is completed for cool down, relaxation and pain reduction. In either case, the clinic is running more efficiently, there is less physical stress on the providers, the providers net fee is higher without taking any significant time away from other patients, the patients are more relaxed and ready for their treatments and may tolerate more treatment per session due to not being guarded and in pain.
How many units of force in Newtons does the HipTrac provide?
With the current pneumatic cylinder, 50 psi is nearly equivalent to 400 N of force. The HipTrac can easily and comfortably provide over 100 PSI to get above 800N of force when needed for some protocols.
What is a good starting point for our patients using HipTrac? Do you have a recommended protocol?
I used HipTrac with my patient and when they stood up to walk, they reported feeling increased discomfort around the hip.
Like any new manual therapy technique, exercise or device, it is important to begin with a clinically reasonable dosage. Even with proper beginning dosages, tissue does naturally have to adapt to new stresses applied to it. Similarly, when we begin flossing our teeth, our gums may bleed slightly and are irritated for a few weeks. The answer is to continue flossing to promote tissue remodeling. With HipTrac and varying individuals, some patients may feel increased tone at the psoas or some type of natural discomfort around the hip. However, at no time should the person feel real pain during or after the treatment. First ensure that you are monitoring the dosage (see sample beginning protocol) and also ensure consistency of use. Any beginning discomfort should be alleviated within a few weeks of use. If the patient’s condition is appropriate for manual Long Axis Hip Traction, then their condition is equally appropriate for HipTrac Long Axis Traction.
My patient is doing great with HipTrac, but I’d like to have my patient’s involved extremity in more extension beyond zero/neutral. How do I do this?
Once your patient is fully comfortable along the progressive protocol of HipTrac and can tolerate 0 degrees of flexion easily, you can then move into using HipTrac in side-lying and advancing the hip extension. (see instructional video for Side-lying HipTrac).
Can my patient effectively use HipTrac on a plinth in the clinic or a bed at home?
Yes. Depending on the size of your plinth and the size of the patient, it is completely ok. However, you must use your own clinical judgement to ensure safety for your patient. Standard plinths may not be appropriate for using HipTrac with a 6’7” person due to hanging off the end. Unlike other devices like home cervical traction, the HipTrac is completely ok to use on a patient’s bed at home. The slight softness in the surface will not negatively impact the angle of use like it could with a sensitive structure such as the cervical spine.
My patient is not sure whether they would like to buy one for long term use, can my patient demo a HipTrac?
Many clinics have found that having 2-3 HipTracs in clinic are helpful. They can always have 1-2 to use , but also clinics can increase revenues by having 1-2 to rent out to their patients for ~$125 per month. This allows a patient to take less financial risk to decide on long term purchase or use the unit for a short period of time while they are waiting for surgery and the clinic can feel good about assisting their patient while also earning some new revenues.
My patient asked me if she could purchase a HipTrac through me. Do you allow healthcare providers to re-sell HipTrac to their patients?
Yes. Email us at firstname.lastname@example.org or call us at (650) 479-4474 to set up an account.
I’d like to purchase 3-4 HipTracs to use as per FAQ #8 above, but I really cannot afford that purchase all at once. Do you have any payment plans to assist in purchase?
Yes. we’re happy to assist in a 3 month payment plan. We will automatically bill $300 per HipTrac ordered at time of purchase and continue to bill the remaining balance over the next two months. This offer is only for established clinics ordering 3 or more HipTracs at a time.
My bindings are now over a year old and are breaking down, can I order new bindings?
Yes. The HipTrac is designed for durability and lasts for many years. The bindings for the HipTrac since they are made of soft goods will eventually need to be replaced periodically, depending on frequency of use. You can order separate ankle and/or Above the Knee Bindings at any time. New Ankle Bindings cost $75 each, while the Above The Knee Bindings cost $65 each. You can also purchase the set of 2 (one New Ankle Binding and one Above the Knee Binding) for $110.
Can I use the HipTrac on my patients after surgery?
Manual long axis traction is commonly used after many hip surgeries including arthroscopic procedures for CAM and Pincer lesions, labral repair and stem cell injections. In fact, long axis traction is a routine part of the surgeon’s post-op protocol in most cases. You must use your own clinical judgement and have discussions with the surgeon on whether it is appropriate for your patient. Remember, HipTrac is simply replicating manual long axis traction.
In my practice, I perform stem cell injections for hip OA and other pathologies. I require my patients to use an inversion table for the first 2 months after the procedure. What makes HipTrac better than an inversion table?
Inversion tables are non-specific, oftentimes difficult or dangerous for some patients to get into independently. They can also increase blood pressure if used for extended periods of time. Most patients cannot tolerate them for more than 5-10 minutes at the levels needed to distract the hip joint. HipTrac is a great solution since the traction it provides is applied specifically to the hip joint, but does not place stress on other areas of the body. HipTrac can be used on the patient’s bed at home and is easy to take on or off independently by the patient. In fact, some physicians are using it during the procedure because it is much less expensive than a surgical distraction unit and is much less cumbersome than using some type of crude pulley system during the procedure.