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...

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 ...

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...

  Many physician practices are facing harsh economic times with Medicare payments continuing to be cut. Recent estimates adjusted for inflation claim physician payments, adjusted for inflatio...

Several clients have requested the entire DME fee schedule for 2025, thinking that all DMEPOS payments are the same nationwide. To satisfy those wishing a specific DMEPOS fee schedule as well as pr...

As most of you know, the DME MAC fee schedule is updated yearly. As opposed to the complex formula of RVU’s for the physician fee schedule, the DME fee schedule is primarlly formulated based ...

  In our discussions on sesamoid care, there were some general rules discussed concerning orthotic therapy. These rules are: With the use of a dancer’s pad (reverse Morton’s Ex...

@Mark Warford, DPM Thank you. for your comments. I agree with you about not being able to do a neutral position suspension cast with a foam box. In terms of reducing a forefoot supinatus manually w...

Pronation and supination refer to the natural movements of the foot and ankle, which influence gait mechanics and overall foot health. These movements primarily involve the subtalar joint but also ...

         I hope following these 5 articles that sesamoid sufferers can be treated with higher sophistication. Let’s follow a common flow of mechanical cha...

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A common AFO L1951: Ankle foot orthosis (AFO), spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment has been in the ne...

    Today we should discuss treatment of sesamoid fractures from an orthotic standpoint. KevinRoot Medical has its Pre-set device for this called the P14 which emphasizes the medial...

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The previous post in this series discussed the rearfoot considerations of pronation and supination of the foot, and continuing with the theme of breaking down and simplifying the process into three...

       I have been discussing a challenging problem in sesamoid fractures these last 2 weeks. I concluded the last post (Sesamoid Fractures: Part 2) by summarizing so...

The previous forum post on this subject discussed the basic concepts of pronation and supination of the foot. Now, it would be helpful to break it down further, to simplify the process to three com...

Today I will be going through the diagnosis dilemmas we face when treating sesamoid injuries, and the local and global biomechanics to be addressed.         &...