Many rules in medicine are just guidelines, and may or may not apply to your patient. You need to learn that there are general rules of a profession or discipline, and there are golden rules (rules...

@Stanley Beekman  Thank you kindly, Dr. Beekman for responding.  I didn't know Dr. Schuster personally, only those who worked with him, I always value additional insight into what Dr. Sc...

I think you misunderstood what Dr. Schuster said. With the subtalar joint in neutral position, there is a restriction to the Range of Motion of the midtarsal joint. Therefore it cannot be maximally...

In the 1970s, a disagreement between two of the foremost authorities in podiatric biomechanics led to a split that became known as East Coast versus West Coast biomechanics.  Such disagreement...

        Besides teaching and practicing, Dr Phillips wrote chapters on biomechanics for several podiatric texts as well as published a dozen research papers on biomechanic...

Plantar heel pain is ubiquitous in the United States, affecting individuals spanning the entire spectrum of age, gender, race, height, weight, and activity level. Subsequently, there are as many op...

I am new to Medicare DME and my claims are not processing as I am getting several error messages including my CEDI does not match my taxpayer ID, NPI or PTAN. What do I do? The CEDI is a CMS opera...

A 47 year old female presents to the clinic complaining of pain on the bottom of the left heel. She states the condition has existed for at least 3 months, started gradually and has worsened over t...

In the two previous posts on this subject a relatively straightforward case of a middle aged female, medium build and moderate activity level was presented, complaining of pain in the area of the s...

Last week I talked about the relationship of achilles flexibility and achilles strength. Basically, if you are too tight or muscle bound, the charge within the muscle between the actin and myosin f...

I will be spending a few posts now on the importance of measuring achilles strength. By far the strongest tendon in the body, I have watched its power and majesty, and I have watched what happens w...

I would like to finish my brief discussion of Limb Length Discrepancy with answers to the last 7 of the 13 general rules presented in Part 4. We have already discussed 1-6 in Part 4. But, I will li...

The previous post on this blog presented a hypothetical case involving pain in the sesamoid area of a medium built, middle aged female. Included in the presentation are several factors that should ...

Thanks Dr Blake! It could have been a different case with limited ROM of the 1st MTPJ and associated 2nd MTPJ dysfunction, with different answers.  

Dear Dr. Feldman (Stefan), excellent post. The cases of sesamoiditis with long second rays and pronation issues is always fascinating. The Mortons foot can need a Morton's extension, and the pain c...

A common scenario occurs when an order is billing filled, or after being completed but not yet delivered, the patient passes away. Is the provider stuck? Can the vendor still insist on payment?&nbs...

A 43 year old female presents to the clinic with pain in her “bunion” on the right foot, but indicates the painful area is on the bottom of the foot behind the big toe. She is 5”4...

We have talked about the gait signs and osteopathic measurements for limb length discrepancy, so today let us talk about treatment. Like most biomechanical topics, there are wide variety of approac...

These words are usually used to start a 100 yard dash. We are not using a starter's pistol, but instead we are respectfully requesting our clients adequately mark their impressions where there are ...

@Lucy Best Great comment. I will give my approach to pelvic tilts, which I think the lying down or sitting gets best. However, your approach is extremely sound, and another good way to raise the su...