The previous two posts in this blog described options available for frame and top cover options in designing orthotic devices within the FootID Pro app or the KevinRoot Medical website. This post w...
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Getting Paid for Orthotics
A very relevant topic - especially for those who work at the intersection of medicine and small business. The issue of receiving payment for orthopedic products can be difficult, especially when wo...
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Posterior Tibial Tendon Injury Part 5: Video that reviews Posterior Tibial Muscle Testing
Patients present with medial ankle pain all the time, and typically the location alone gives us a working diagnosis of Posterior Tendon Injury. However, proper muscl...
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Plantar Heel Pain, A Case Study
Sophia, thank you for your note. You speak the truth. Best wishes, Stefan Feldman, DPM
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Choosing a Top Cover Material
Prescribing foot orthotics includes proper selection of materials to be used in the manufacture of the devices. The previous post covered frame material choices, now we will summarize top covers an...
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AFO claims are not being processed by my DME Carrier
Q: AFO claims are not being processed by my DME Carrier. What do I do? My AFO claims (custom and off the shelf) are being rejected by my clearinghouse, which has sent me a list of the reje...
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Plantar Heel Pain, A Case Study
Really appreciate the depth of this discussion. I dealt with plantar fasciitis for almost a year, and while my case didn’t require full immobilization, consistent support made a big differenc...
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Posterior Tibial Tendon Syndrome: Part 4 Medial Tibial Shin Splints
One of the reasons that this is a syndrome is due to the same tendon/muscle complex can cause pain in so many places. These include: Arch area Navicular Tuberosity Medial Foot and Ankle Media...
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Choosing an Orthotic Frame Material
Choosing the right material for a custom foot orthotic depends on a few key factors, including the patient’s condition, activity level, footwear, and personal comfort preferences.The basic st...
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Clinical and Reimbursement Challenges of Crow Boots (Part 2)
Part 1 of this two-part article dealt with clinical issues surrounding Crow Boots. This second and final installment deals with the reimbursement and coding of this very sophisticated device. &nbs...
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Posterior Tibial Tendon Syndrome: Part 3
Like any tendon problem in the lower extremity, you can successfully treat posterior tibial tendon problems with the mnemonic BRISS. The letters stand fo...
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A Foot Doctor Goes to the Kentucky Derby
The first Saturday in May is the time for The Kentucky Derby. This year, my family and I will be fulfilling a bucket list item by attending “The Run for the Roses" in person. Watching...
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Clinical and Reimbursement Challenges of Crow Boots (Part 1)
There is a myriad of clinical and reimbursement challenges associated with CROW Boots. Recently a client contacted me having had their multi-line claim for a crow boot rejected because the HCPCS c...
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Posterior Tibial Syndrome: Part 2 Video Presentations
I want to show you several of my YouTube videos today that I send to my patients following appropriate timing in their treatment of posterior tibial tendon problems.&n...
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Orthotic Control of the Over Supinated Forefoot
The most previous post on this forum discussed orthotic control of the over-pronated forefoot, now, we are attacking the opposite condition, the over-supinated forefoot, generally seen in cavus foo...
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Casting for Orthotics or AFO
I am a bit confused over what is the proper code for casting/scanning/or using bio foam when taking a negative impression for foot/ankle foot orthotics? This is multiple questions rolled into one ...
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Posterior Tibial Pain Syndrome: Part 1
Posterior Tibial Pain Syndrome refers both to the tendon and the many places pain can be located when the patient presents to you. The posterior tibial tendon works...
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Orthotic Control of Over Pronated Forefoot
It is my opinion that a foot that maintains a “mobile adapter" posture during the late stance phase of gait when forward propulsion should be occurring is the most common problem we see when ...
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L1952 vs L1951
Part 2 of L1951 and L1952 Effective April 1, 2025, CMS has introduced several new HCPCS codes affecting lower extremity providers. The first example this article will cover is L1...