This simple article, here presented only as an abstract, draws the connection between achilles problems and medial instability or over pronation in the foot. T...
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Your Website Isn’t Selling Orthotics — Here’s What Patients Actually Look For
Dr. Jim McDannald posted in Marketing Pearls •In the last post, we talked about why patients who need orthotics can’t find you on Google Maps. But here’s the thing: even if a patient does find your practice online, that&rsq...
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New AFO PA language
Paul Kesselman posted in Compliance and reimbursement pearls •Local Carrier Determinations (LCD) for all products and services provided by medical professionals, must go through arduous review process in accordance with the 21st Century Cures Act. To avoid th...
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A Study in Muscles and Orthoses when a Patient has PTTD
Richard Blake posted in Clinical pearls •Here I am just presenting the abstract of an article that looked at our common diagnosis of PTTD. As the foot collapses, the ankle and knee joints have greater stress, along with over contr...
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Second Pair Coverage for Custom Orthotics: What Clinicians Should Know
Paul Kesselman posted in Compliance and reimbursement pearls •A common question in practice is whether insurance will cover a second pair of custom orthotics within the same year. The answer is not always straightforward. Coverage fo...
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The Effectiveness of Foot Orthoses when Treating Runners with Lower Extremity Pain
Richard Blake posted in Clinical pearls •For those of us who have treated lower extremity pain in our runners, this article comes to no surprise. Running is very stressful, but its health be...
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Neuro Part 3: Advanced AFO Prescription
Paul Kesselman posted in Compliance and reimbursement pearls •This week’s issue builds on our previous discussions by moving beyond general AFO concepts into something far more exciting: how to confidently prescribe solutions that truly change t...
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Give Orthotic Devices, then Teach Short Arc Foot Exercises
Richard Blake posted in Clinical pearls •I love metatarsal doming aka short arc foot exercises. The video below is demonstrating these. This article backs up my previous one showing an improvement in both static, and now, dynami...
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Why Patients Who Need Orthotics Can’t Find You Online
Dr. Jim McDannald posted in Marketing Pearls •Right now, somewhere in your service area, a patient is Googling “custom orthotics near me.” They have plantar fasciitis that won’t quit. They’ve tried the...
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Hello, I am Jim McDannald, DPM
Dr. Jim McDannald posted in Introduction + Announcements •Jim McDannald, DPM, is the founder of Podiatry Growth, a digital marketing consultancy built exclusively for private practice podiatrists. He works one-on-one with practice owners...
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Coding vs Reimbursement Part 2
Paul Kesselman posted in Compliance and reimbursement pearls •In Part 1 we presented an overview of coding and began to ask some questions about reimbursement. Now let’s dive a bit deeper into a bit more of the orthotic reimbursement issue… &nbs...
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The Use of Foot Orthoses for Ankle Sprains
Richard Blake posted in Clinical pearls •One of the most brilliant Podiatrists that I have ever known here presents an article on their use in the management of ankle sprains. Dr. Doug Richie, of Rich...
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Coding vs Reimbursement Part 1
Paul Kesselman posted in Compliance and reimbursement pearls •Over the past few decades one of the most common questions posed by most providers is how do I code for a … so I can get paid for? That “innocent” question is anyt...
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The Relationship between Foot Pronation and ACL Injuries
Richard Blake posted in Clinical pearls •I have had plenty of experience treating ACL injuries, both in the subacute phase when surgery is not being considered right now, or in the chronic stage. The ...
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Neuro Exam 2
Paul Kesselman posted in Compliance and reimbursement pearls •The last few installments of this column have provided some insights into how the neurological component of your examination provides both clinical and coding justification for specific AFO. Today&...
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Pregnancy: How does it affect a woman's foot?
Richard Blake posted in Clinical pearls •Pregnancy is a 9 month challenge to the human body and then over and done. But is it? Are there long term effects from this normal, but radically different, pe...
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Neuro Exam
Paul Kesselman posted in Compliance and reimbursement pearls •In a previous edition of this column, we began an initial discussion of the documentation required to support the medical necessity for a drop foot brace. This week’s column will star...
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Stiffness Effects in Rocker-Soled Shoes: Biomechanical Implications
Richard Blake posted in Clinical pearls •This is a good paper if you want to delve into the biomechanics of rocker bottom shoes (now termed “Hoka-type” shoes. The rocker effect is real to allevi...
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Moratorium on new supplier enrollment
Paul Kesselman posted in Compliance and reimbursement pearls •Some late breaking news from CMS requires a slight delay in Part 2 of the elements of documentation of neurological workup to substantiate the need for AFO. Last week, the President announ...
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Using Orthotics with patients with Hyper-Mobility
Richard Blake posted in Clinical pearls •I have always treated patients with various degrees of hyper-mobility syndrome. The mantra from our clinic was stable orthotics, strengthening exercises, no st...



