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.

In the treatment of the foot, and the lower extremity, we strive to make a foot less painful and more stable. Both the decrease in pain, and increase in stability, should guarantee increase functio...

The Introduction here has been consistent with all the discussions on orthotic types: With all patients, as I hear their complaints, and watch them walk and/or run, I am immediately designing the p...

@Eddie Davis Great point!! The valgus foot gets neglected, along with the motion of supination, which can be separate or go hand and foot with valgus feet. Thanks Eddie as always. Rich 

@Eddie Davis Thanks Eddie! Definitely first ray cut out would be great here!! Hope you are well, and thanks for commenting. Rich 

Definitely making a printout of this. This area is not adequately addressed due to all the attention to the pronated foot.  I see many patients with issues related to the "valgus" foot who ha...

Great post by Dr. Blake!   One thing to consider would be a first ray cut out.    Treatment of the valgus foot is an area where prefabs and generic devices tend to fail.  ...

The basic structure of a rigid foot orthotic device is referred to as the “frame”. Frames can vary by rigidity, thickness, depth, width and material. It helps increase accuracy and effe...

So, this post on holding some feet inverted has sort of gotten away from me, so I will attempt to rein it in. You have heels that you have bisected (post Type D: Part 2), measured RCSP and NCSP, an...

Prescribing foot orthotics includes proper selection of materials to be used in the manufacture of the devices. Making the correct choices can determine the ultimate success or failure of the devic...