Details
The most effective streamlined and durable brace for the relief of thumb CMC (basal joint) osteoarthritis.
Custom-fit the brace by squeezing the imbedded metal insert to snuggly fit your thumb.
Wear the Push® MetaGrip® while cooking, golfing, gardening, playing tennis, driving, knitting, and during all other work/household activities.
Advantages
- Can be worn during work and household activities as well as golf, tennis, knitting, swimming, etc.
- Imbedded, contoured metal insert offers custom fit
- Provides CMC stability during pinch & grip without impeding other joint movement
- Provides long term durability, resisting abrasion
- Can be worn under a glove
- Can be machine washed on gentle cycle at low temperature
- Won’t deform if left in hot environment; latex free
Push MetaGrip Indications
- Pain from osteoarthritis at the CMC joint.
- Instability of the CMC joint.
- Post-operative care after CMC surgery.
Push MetaGrip Contraindications
- Thumb CMC osteoarthritis which has progressed to significant subluxation with a “shoulder sign” will not allow the MetaGrip to fit properly.
- Those lacking normal muscle bulk of the thenar muscles may experience inadequate stabilization as normal thenar muscle mass is required for optimal fit & function.
Additional Information
Download and print an information sheet for the Push MetaGrip.
Insurance
PLEASE NOTE: This information is provided by BraceLab as a courtesy. We are not a medical provider and we do not file insurance. We are unable to provide any information beyond what is included below. Please contact your insurer with any questions about claims/filing.
Medicare -
You must use the CMS form for DME reimbursement, which can be found with instructions at https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS1490S-ENGLISH-Instructions-DME.pdf. BraceLab’s receipt (order confirmation) must be attached which has the correct code for filing (L3924-CG: Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf).
Medicare Advantage, Medicare Supplemental Plans and Other Insurers -
Contact your insurer to obtain the correct form to request reimbursement. Whether your insurer requires the “CG” modifier will vary, so you will need to ask them which code is appropriate: L3924-CG or L3924. Following these guidelines does not guarantee reimbursement; that is the decision of each insurer.
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Works great! review by Old lady bones on 9/25/2018
I cant believe how great this works! Its been a game changer for sure! My orthopedic surgeon recommended I try it. It's been a month and I love it. I can write again, and do so much more virtually pain free! The tingling and sensitivity is gone. I can easily slip a disposable vinyl glove over it for doing dishes and gardening. The only time I take it off is for showering and at night (I wear a fabric brace at night for comfort). Well worth the money!
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This, THIS works review by Anonymous on 5/12/2017
I have tried so many things to deal with my basal joint pain, nothing has worked, even the most expensive splints from the doctor didn't work. This, THIS works. It doesn't take all the pain away, but it makes it so much more manageable. The searing hot knife pain is gone. It's worth the price.
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I recommend this to my patients as well. review by N.S. on 5/5/2017
as a hand therapist I have to admit i was skeptical about not having my MP joint included but this does a great job of supporting my CMC due to inflammation and a bit of arthritis. I recommend this to my patients as well.
Write Your Own Review
Use a soft measuring tape to measure the circumference of your hand just below the knuckles of all fingers, excluding the thumb. Choose the appropriate size from the chart. NOTE: This measurement is only a guideline for determining size, as it cannot take into account the size/shape of your thumb. If your measurement is near the size break point, only trying on both sizes can allow you to determine the best fit.
If the Push MetaGrip does not fit snuggly or is too snug, you may exchange the Push MetaGrip for another size if:
- It has not been worn past the fitting stage
- Is returned in its original undamaged package.
- Because accurate fitting may require trying on different sizes, BraceLab cannot be responsible if your measured size is not the best fit.
You are responsible for return shipping costs for a size exchange, but HandLab will ship your replacement free of charge. BraceLab reserves the right to refuse your exchange if you do not follow these procedures.
The Push MetaGrip is not intended for all problems of the thumb. We strongly recommend you be measured and have the fit evaluated by a medical professional.
Application Instructions:
1. Before applying the Push MetaGrip to your hand the first time, gently bend the metal insert SLIGHTLY outward so the thumb area is somewhat larger.
2. Open the straps.
3. Slide your fingers and thumb into the brace and push the brace as far down on your thumb as possible.
4. Gently, but firmly, close the straps; do NOT pull them tightly.
5. Touch your thumb tip to your index fingertip, making a gentle “O” shape, but BE SURE your thumb muscles are relaxed and the thumb joints are slightly flexed.
6. Look directly into your palm to be sure your thumb is not too far across your palm or too far out of your palm but in a mid-position.
7. With your thumb in the mid-position and relaxed, squeeze the metal insert firmly so it snuggly fits around the muscles of your thumb.
The Push MetaGrip can be machine washed on gentle cycle at low temperature. Place the brace in a mesh laundry bag and be sure the straps are closed. DO NOT add bleach. DO NOT dry in dryer or wash/dry in a dishwasher.
To increase the longevity of the brace:
- Do not pull the straps too tightly; the support comes from the squeezing of the metal insert instead of from tightening the straps.
- Keep the hook and loop straps free of dirt and debris to maximize adherence.
- Do not frequently remove and reapply the MetaGrip® as that will wear the straps prematurely.
- Do not expose the brace to harsh chemicals or heavy soiling which can deteriorates the straps; use gloves during heavy cleaning or gardening.
To ensure proper care of your Push MetaGrip and to maximize the longevity we recommend you watch the care video.
The following information is provided for medical professionals to better understand the Push MetaGrip and provide patients with the best possible support.
White Paper
Download a PDF of the White Paper entitled: Describing the Stabilizing Mechanism of the Push MetaGrip which explains the design rationale for the Push MetaGrip orthosis.
Clinical Insights Video
This video provides an overview of the Push MetaGrip and how it works; how to size, fit, and modify the MetaGrip, and how to care for the brace. Use the menu to skip to the section of interest.
Design
Developed and manufactured by:
Nea International bv/Push Braces, the Netherlands
Patented in U.S. with D patent
Designed in consultation with:
Judy C. Colditz, OT/L, CHT, FAOTA
Owner, HandLab and BraceLab
Past-President, American Society of Hand Therapists
Past-President, International Federation of Societies for Hand Therapy
Insurance
Medicare Pricing, Data Analysis and Coding (PDAC) has assigned two L-codes for the Push MetaGrip:
- L3923 - custom fitted (hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise) Note: The CG modifier must be used with this code to be reimbursed by Medicare: Read the PDAC article on the use of CG modifier.
- L3924 - off the shelf (hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf)
A detailed overview for medical professionals and patients is here. If you are an ASHT member, non-product specific coding information may be found on their website: ASHT L-code information. BraceLab is not a provider. We do not file insurance nor can we provide information on insurance coverage or reimbursement rates. Patients should contact their insurance provider for specific filing information.
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