Great photos and explanations Richard. In addition to these, I always get the patient to lie supine on a couch, with head and body as central as possible. I then ask them to bend their knees with f...

Custom foot orthotics are often not considered a front line treatment option for several common distal forefoot complaints. However, these conditions can all be potentially treated successfully by ...

As of November 2022, the National Supplier Clearinghouse ceased to exist and the DMEPOS enrolment was divided into two new enrollment carries NPE East (administered by Novitas) and NPE West  (...

How do we determine if someone is unstable? From a pure physics model, instability is a state that is not in equilibrim, or in which a small change has a large irreversible effect.  Synonyms a...

The september, 2023 issue of Consumer Reports contains an article entitled; “Do you Really Need to Walk 10K Steps a Day?” The article cites studies which conclude 8K steps per day for t...

There are many ways to be brought into a discussion of limb length discrepancy by your patients. They may explain that their PCP wanted someone good in biomechanics to check for a short leg due to ...

Hello Dr. Feldman,   Unfortunately, I couldn't figure out how to post a public reply, however I would like to make a few comments about your essay on orthotics for the aging foot.   I...

Medicare Part C plans while legally required to provide coverage to the same services/products as FFS Medicare have a great deal of latitude as to how they provide those services. Medicare Advantag...

@Eddie Davis Eddie, thank you so much for your comments. I can go a little "biomechanical crazy" without my peers feedback. I think standing and walking the forefoot (thus midtarsal joint function)...

Richard, At PCPM (TUSPM), my alma mater, there was an ongoing debate, largely for educational purposes.  Harold Schoenhaus DPM maintained that "the rearfoot controls the forefoot."  Alan...

L3000 is the HCPCS code for the vast majority of the orthotics we provide for our patients in need of a biomechanically based treatment plan. Despite the fact that Medicare doesn't cover this servi...

I was reminded last night of a famous quote from one of the most influential Podiatrists of all time Dr Thomas Sgarlato. He was discussing biomechanics with Drs Root and Weed, and their fellow, Dr ...

During the early 1970s, as a young man, I broke a toe on my left foot. As the son of a podiatrist, I was quickly examined and treated by my dad. On the x-ray of my foot, the incidental finding of a...

I will start this post recognizing the wonderful discussion I had with Dr Mark Warford on biomechanics which sparked this post and a few more. Thank you Mark. I hope to encourage my colleagues to b...

L3000 is the HCPCS code for the vast majority of the orthotics we provide for our patients in need of a biomechanically based treatment plan. Despite the fact that Medicare doesn't cover this servi...

During the early 1970s, as a young man, I broke a toe on my left foot. As the son of a podiatrist, I was quickly examined and treated by my dad. On the x-ray of my foot, the incidental finding of a...

@Michele Kurlanski Michele, inspired by your courage to go insurance-less as a health provider!! Unfortunately, I am retired. I use Hapad metatarsal pads with their adhesive backing. The felt can b...

Unlike local FFS Medicare, which often have different Local Coverage Determinations (LCD), all four DME MAC, share identical coverage policies. That is if something is covered in Region A in the No...

Dr. Blake, What materials do you use for the met pad, aperture pad and sulcus extension?  Sincerely,  Michele Kurlanski, DPM

The Rule of 3 means that it takes 3 stresses on a tissue that can cause it to be injured. When one patient overly pronates (Stress #1), they can injure 27-28 structures (at least they will start co...