Several colleagues have recently been hit with audit denials for an incomplete or absent Standard Written Order (SWO). Why can’t Medicare get this right? A Standard Written Order in DME parl...
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Gait Evaluation Checklist
The following Gait Evaluation form is what I used in practice and teach students with. I am happy if you want to copy into your EHR or just as a laminated handout in your office. If you do not look...
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Collaboration with Other Healthcare Professionals
Orthotics aren’t only for plantar fasciitis. They can prevent misalignment of the whole lower body—knees, shins, lower back, hips and back. That opens up a world of collaboration with o...
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Virtual Prescribing
A great question was recently raised as to whether a physician can prescribe an AFO (or any device) to a patient they are not physically examining? That is can telemedicine substitute for the in p...
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Case Histories: Achilles Pain in a Triathlete (Biomechanical Approach)
All answers at the end of the blog post Achilles Pain in a Triathlete History and Chief Complaint While training for his first Ironman Triathlon in Kona, Hawaii, this 40 year old man...
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How orthotics enhance sport performance
The foot is a marvel designed for articulating on uneven ground. Today, our ground is flat and most sports require shoe gear to adapt the foot to flat modern surfaces. Sports usually have thoughtfu...
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Case Histories: Metatarsal Pain in a Hiker (Biomechanical Approach)
The answers to all questions are at the end of the post. Metatarsal Pain in a Hiker History and Chief Complaint 62 year old hiker/walker trying to increase the amount walking per day...
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Case Histories: Metatarsal Pain from Crossfit (Using a Biomechanical Approach)
Patient: Metatarsal Pain from Crossfit Workouts History and Chief Complaint This next patient loves to work out. Mainly does CrossFit, but walks everywhere ...
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Two Steps Forward, One Step Back
During this, the last week of 2023, it may be a good opportunity to look back on the strides we have made during the past year and begin to look forward to the additional advancement in the field o...
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Medial Arch Pain, A Case Study Discussion
Our patient for this case study is a teenage female soccer player complaining of pain in her left arch with an associated bony enlargement present. A similar non-painful bump is also present on the...
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What Are You Hiding on Your Website?
You have an attractive and effective website. You list all the conditions that you treat on your homepage. But where, oh where, are orthotics? All Podiatrists should...
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Gait Evaluation: Part II (Equinus Findings)
There is a lot of discussion about what amount of achilles tendon tightness is pathological, and what amount should be considered normal. I will not have the ultimate answer, so relax if you were r...
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L5000 coverage
If a patient is not a diabetic and has a partial foot amputation does Medicare cover a partial foot filler (L5000) The short answer is that whether the patient is diabetic or not, the L5000 would ...
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Gait Evaluation: Key to Many Treatment Options (Part I)
Gait Evaluation is standard procedure in the biomechanical world. In training Podiatrists of the future, we focus on the gait of walking with its slower motions and more established normals and abn...
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Medial Arch Pain, An Orthotic Build
Our patient, in this case study, is a teenage female soccer player with a painful Accessory Navicular Syndrome. She is being treated initially with conservative measures , and in a few weeks time h...
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Medial Arch Pain, A case Study
The patient is a 17 year old, well developed, well nourished female, 5’ 4” in height, 125 pounds in weight, who presents to the clinic accompanied by her mother with a chief compl...
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Sports Stores, Gyms, and Footwear Retailers
Establishing partnerships with local businesses can be a highly effective way to tap into their customer base, gain valuable exposure, and increase your custom orthotics sales. &nb...
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Phases of Rehabilitation We Must Follow - sort of
There does not have to be a particular injury per se, but if there is pain that brings a patient to your office, you must understand the Phases of Rehabilitation well to do a good job getting them ...
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Football and DME
Often clinicians groan about third party payers and their devious schemes to deny their claims. Are carriers out to get you or are they simply asking you to play by their rules? Let’s make a...
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Plantar Forefoot Pain, A Case Study Discussion
The past two forum posts involved a case study in which a young, athletic male was diagnosed with 2nd MTPJ capsulitis (predislocation syndrome), a Morton’s Neuroma of the third intermetatarsa...