Dear Dr. Feldman, great presentation of a patient that does not have the ability to unwind from this lateral instability. His subtalar joint eversion is very limited to 2 and with the tibial varum,...

Today’s patient is a 20 year old male varsity basketball player at a local junior college. His chief complaint is recurring sprains on the outside of his right ankle. He has been playing team...

  The last installment of this column presented some issues with the inspection process during either your initial or revalidation process with Medicare as a DME supplier. Since composing tha...

    Now 8 years ago, this paper from 2017 quietly validated the use of orthotic devices in patients with knee pain, particularly patellofemoral joint pain. The paper starts with...

Our patient is a 39 year old female with a chief complaint of burning and occasional throbbing pain in the ball of her right foot. The pain started approximately six months prior and manifested ini...

A previous bulletin raised a new term for most reading this bulletin, “Quality Standards Appendix C”  What exactly is the “Quality Standards, Appendix C”?  The Q...

     This study is excellent in describing the forefoot motion during contact/midstance and then propulsion. The authors are able to separate the forefoot into 3 segments: ...

The next few weeks of posts will consist of hypothetical biomechanical cases intended to stimulate the thought process behind building an orthotic device. Biomechanical data will be provided, as we...

Recently many providers have questioned whether 3-D manufactured orthotics and prosthetics can be coded in the same way as devices manufactured under current traditional manufacturing? The short an...

First of all, Drs.Hillstrom are my friends so I want to shout out to them. This article is a a fine example of their excellent work which I will summarize here. The instruments alone are worth the ...

Recent announcements from Nike on emerging technology in the athletic shoe industry. I am not sure how this will pan out in the future, but very interesting concepts for biomechanists to discuss an...

  The past five articles have attempted to provide a crash course on AFOs. This is a very challenging subject. The simplicity of the material presented in these articles does not in any way i...

Athlete Stretching the Lower Hamstrings   This published article (I only copied the Abstract for you) brings up a couple of great points that we can use in our daily practices. These ar...

  Providing the correct orthotic device for your patient includes not only the symptoms of the patient, the biomechanical findings of the patient, the body morphology of the patient including...

  In four short articles this series has covered a significant amount of material on the very basics of what is needed to know about ordering an AFO. Now lets dissect what you may need to ha...

@Robert Shor Bob, Thanks for your knowledge. I have not been happy with straight poron under the heel, so your combo approach sounds great. Rich 

    I love varus posting for my pronators, and valgus posting for my supinators. Yet, as basic as that seems, it should be used more. This simple, but eloquent article, goes ove...

great read!

Hi Dr. Blake, I have been using a combination of 1/8 inch rubber cork and 1/8 inch poron for my heel lifts (that I glue together) with great results.  You get the best of both worlds. Dr. Bo...

In last week’s post we introduced the ShoeFit IQ technology within the Foot IDPro app. This week, let's take a little time to review classic techniques that have stood the test of time. Ortho...