@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...

The next 4 posts will be on limb length discrepancy and its place in a clinical biomechanical practice. If you are using orthotic devices, the lifts are placed under and up to 1/4 inch normally can...

People who have the misfortune of developing bunions generally look down at their feet and see a bump growing on the side of the foot and a big toe pointing towards the second toe. If only it were ...

Copied from a Previous Post (this post will be a continuation) The achilles tendon, like the patellar tendon and the hamstrings, are primarily sagittal plane movers. The more you put them in the...

The previous post in this forum emphasized a proactive approach to treating school aged patients’ biomechanical needs. Many of those young people may be trying out a new sport or activity tha...

The release of the new Barbie movie has focused attention on the popular children’s toy. The maker of the doll line has recently added a Down's Syndrome Barbie to the lineup for the purpose o...

As the summer transitions into autumn, many households begin to focus their attention on preparing their students for the upcoming school year. One item on many shopping lists is very likely to be ...

I am delighted that KevinRoot Medical have invited me to provide a twice monthly column on billing and coding issues important to orthotic providers. These columns will provide you with a brief but...

Great post Dr Blake! Thinking of this process of creating stability from a distal to proximal direction.