@Robert Shor Thank you for the encouragement. It can get lonely typing away, talking to myself as I drink coffee!! LOL Rich
All Posts
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Tips for Troubleshooting Orthotic Issues
Stefan Feldman posted in Practical Pearls •Your orthotic lab should be able to provide full service for you and your patients. I can tell you as a consultant with KevinRoot Medical we take this concept to heart. My primary role at the lab i...
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Prior Authorization Program
Paul Kesselman posted in Compliance and reimbursement pearls •Medicare, in its attempt to stem payments to providers and reduce fraud and abuse, CMS has now expanded its DMEPOS Prior Authorization program to include HCPCS L1951, a very specific type of AFO di...
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When pronation and supination is in the same foot: Part 3
Robert Shor posted in Clinical pearls •Great post, thanks Dr. Blake!
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When pronation and supination is in the same foot: Part 3
Richard Blake posted in Clinical pearls •I recently saw a patient with pes cavus foot type for whom I had designed orthotic devices around 10 years ago. He simply was coming in to get his very successful orthotic devices (in his mind) ref...
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When pronation and supination is in the same foot: Part 2
Richard Blake posted in Clinical pearls •I have begun a discussion on patients with both tendencies to abnormally pronate and abnormally supinate in the same foot. These are my Medial/Lateral Instability Patients. At times, pronatio...
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Orthotics for Diabetics
Stefan Feldman posted in Practical Pearls •A common dilemma faced by the biomechanics practitioner involves how to treat the diabetic patient with orthotic devices. People with diabetes are similar to the general population in so much as no...
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When Abnormal Supination and Pronation is in the Same Foot: Part 1
Richard Blake posted in Clinical pearls •Most of us were barely in kindergarten when Dr. Merton Root began to revolutionize the biomechanics world, much like Copernicus telling the world the Earth moved around the Sun. One of Dr. Root&rsq...
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Simple In-Office Orthotic Modifications
Stefan Feldman posted in Practical Pearls •Most often the process of creating a highly effective functional foot orthosis is straightforward if performed properly by an experienced and knowledgeable practitioner. However, the end product ma...
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The Asymmetrical Pair of Feet: A Conversation with Dr. Mark Warford
Richard Blake posted in Clinical pearls •In today’s post, I am excited about a wonderful conversation with Dr. Mark Warford. I am intrigued with these feet that can pronate at times and supinate at other times. Today, we will ...
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Choosing Metatarsal Accommodations
Stefan Feldman posted in Practical Pearls •A quick perusal of the “Custom Modifications” tab on the KevinRoot Medical website will lead you to several options available to help accommodate or reduce pressure under one or more of...
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Proper Documentation for Custom Foot Orthotics 9
Paul Kesselman posted in Compliance and reimbursement pearls •Many clients have asked beyond the HCPCS codes for custom fabricated foot orthotics and casting code, what other HCPCS or CPT codes are available for reimbursement? Gait analysis...
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Video on Orthotic Modifications for Supinators
Richard Blake posted in Clinical pearls •This week's post presents a video of the common modifications that I will use for my supinators (contact phase). We are attempting a real mechanical change where we want them to reverse cours...
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Plantar Fasciitis Treatment with Functional Orthotic Devices
Stefan Feldman posted in Practical Pearls •The treatment of heel pain has been a hot topic for many years, with seemingly as many treatment protocols as there are practitioners. Pathology within the proximal insertion area of the plantar fa...
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Why Use Functional Foot Orthotic Devices? Part 6
Richard Blake posted in Clinical pearls •Today I want to present a challenging patient which presents to our offices occasionally, although routinely as you get good at both the recognition of the problem and your fame spreads far and wid...
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Proper Documentation for Custom Foot Orthotics 8
Paul Kesselman posted in Compliance and reimbursement pearls •Many clients have asked how to bill Medicare for custom foot orthotics when the patient’s secondary insurance does, but must first be rejected by Medicare? This scenario is...
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Videos on Supination
Richard Blake posted in Clinical pearls •The two videos linked below should help in recognizing contact phase supination. The last post taught there are 3 names for this in the world: over or excessive supination, under pronation, or late...
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Orthotics and Ingrown toenails, wait, what?
Stefan Feldman posted in Practical Pearls •Every podiatrist and other foot care specialists no doubt are familiar with the common ingrown toenail of the great toe. Thousands of nail avulsions are performed successfully daily on a routine ba...
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Pediatric Orthotic Adjustments
Dr. Ben Pearl posted in Clinical Biomechanic Pearls •Orthotics for children pose unique challenges and opportunities to help them. The first milestone for walking in children is generally at the age of 2. Toe walking is generally resolved by the age ...
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What Injuries or Pain Syndromes Can Be Related to Over Supination
Richard Blake posted in Clinical pearls •Now let’s talk about contact phase over supination, and why I think it is so much worse than most cases I see of over pronation (with hundreds of exceptions). When the foot strikes the ground...





