Dear Dr Feldman, I love the description of My-Go-To Device. As with my Gold Standard, it is the starting point. Everyone has one and should define it. That makes your variations, and why you are de...

Excellent discussion. Can not wait for the Medicare discussion next week!!! Rich Blake

The previous four posts in this blog detailed some pearls in creating high quality, effective custom foot orthoses in a busy practice environment. The emphasis being on breaking down the process in...

The last 6 installments of this column have provided some insights into proper documentation and coding of the foot orthotic device itself.  This installment will discuss the proper completio...

Today’s post begins to explore the demands of a supinator. Who are these patients? What do they need specially prescribed in their orthotic devices? When is supination bad when we were taught...

Thank you Rich

@Stefan Feldman Excellent discussion of the vast array of forefoot corrections available! I always found that higher degrees of forefoot varus or valgus corrections needed the forefoot extensions t...

Many shoes feature a wider toe box, but often compensate by having a shallower overall volume, which complicates orthotic fitting. While no 3-D scan currently exists that captures the interior of a...

  Considerations for construction of the rearfoot and midfoot portions of a Root type custom foot orthotic have been previously reviewed. This post will review the forefoot considerations, wh...

     As we dig deeper into the layers of foot biomechanics, we need to discuss the very important topic of subtalar joint MPP or maximally pronated position. Typically, we have a cer...

Dear Dr Feldman, this was a great review of what is available from the lab in the midfoot. I was wondering if you could elaborate on the "Carlton Saddle" a bit more? Sounds fascinating!! Rich Blake

The previous post in this series discussed the rearfoot considerations of building a custom foot orthotic, and continuing with the theme of breaking down and simplifying the process into three part...

  The last four installments in this forum dealt with the three steps of required documentation for reimbursement for custom foot orthotics and L3000. To summarize those steps were proper cli...

     I want to stay focused on my last student image from Part 3, but turn out attention to student 4. We were talking about achieving subtalar joint neutral statically when we can i...

The previous forum post on this subject discussed the basics of creating an effective and accurate foot orthotic within the confines of busy clinic practice, with limited time and resources with wh...

We frequently add varus posting for our orthotic prescriptions but there are situations where adding valgus wedges can be useful. Conditions that may benefit from valgus prescriptions include peron...

     My last post was all about Subtalar joint neutrality. It was a goal of mine to place patients statically there if I could. I am totally aware that this position of subtalar join...

Excellent job Dr Feldman. I know biomechanical practices have to move away from the one hour biomechanical exam and casting visit for many reasons. This was and is the gold standard for biomechanic...

  This article is part one of a four part series on building an accurate and effective custom foot orthosis. It is assumed that the reader is a busy, overworked and underpaid practitioner, wh...

     In my last post (Part 1: Why use functional foot orthotic devices?), I boldly implied that using a good lab and taking a good impression of the foot, typically helps patients bo...