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)
Richard Blake posted in Clinical pearls •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
Stefan Feldman posted in Practical Pearls •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
Stefan Feldman posted in Practical Pearls •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
Randy Rosler posted in Marketing Pearls •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
Richard Blake posted in Clinical pearls •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
Paul Kesselman posted in Compliance and reimbursement pearls •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
Stefan Feldman posted in Practical Pearls •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...
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Biomechanical Changes We Make
Richard Blake posted in Clinical pearls •I think it is important to understand the biomechanical changes you are making when treating your patients. So many are secondary nature that we do not even think in these terms when treating patie...
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Plantar Forefoot Pain, An Orthotic Build
Stefan Feldman posted in Practical Pearls •Last week's post featured a case study of an active 39 year old male with symptoms consistent with both Morton’s Neuroma and 2nd MTPJ capsulitis (predislocation syndrome), both feet left grea...
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Reception Room Visibility
Randy Rosler posted in Marketing Pearls •Step into your reception room. Does anything there point out that you prescribe orthotics? Probably not. But if you think of the waiting room as a blank canvas, you can add things to the environmen...
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Plantar Heel Pain, An Orthotic Build
Richard Blake posted in Practical Pearls •Dr Feldman, excellent discussion. I would say for me when I am adding extra heel cushioning I raise the depth of the heel cup. Therefore, in this case, from 18 mm to 21 mm. I also want to maximize ...
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Plantar Heel Pain, A Case Study
Stefan Feldman posted in Practical Pearls •I would usualy start out with relatively straightforward plantar fasciitis (fasciopathy) if the main complaint is post static dyskinesia. If the patient complains of pain when off weight bearing, o...
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Plantar Heel Pain, A Case Study
Richard Blake posted in Practical Pearls •Excellent discussion Stefan (Dr Feldman)! What was your Working Diagnosis at the first visit? And when and how did you decide you definitely needed to immobilize this patient? Thanks Rich Blake
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Treating Moderate to Severe Pronation with the Inverted Orthotic Technique
Richard Blake posted in Clinical pearls •Moderate to Severe Pronators are attracted to me. My reputation grew in the 1980s after I started having success with the Inverted Orthotic Technique for these patients. The technique is a laborato...
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Tips to Sell More Orthotics
Marilyn C Henderson posted in Marketing Pearls •Hi! Can you tell me where you got that foot model? The only ones I have are bones only, no muscles. Thanks!
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What does the KX modifier signify and when should I use it?
Paul Kesselman posted in Compliance and reimbursement pearls •The KX modifier is a payment modifier used almost exclusively with HCPCS codes. It signifies to the payer, whether Medicare or not, that the claim for whatever DMEPOS you are billing, has corrobora...
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Plantar Forefoot Pain, A Case Study
Stefan Feldman posted in Practical Pearls •The patient is a 39 year old male, 6’ 1” tall, 185 pounds, presents with a complaint of pain in the ball of the left and right foot with the left being markedly worse. The problem has b...
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80/20 Rule of Rehabilitation
Richard Blake posted in Clinical pearls •I used this rule everyday of my practice life. It concerns both the patient's activity level and their pain level. 80 (% overall functional and pain improvement) stands for "the injury is better en...
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Tips to Sell More Orthotics
Randy Rosler posted in Marketing Pearls •Start with a Foot Skeleton Every Podiatrist should have an anatomically-correct, articulated skeleton of the human foot to demonstrate to patients why their particular pathology is a pro...






