I recently saw a patient with pes cavus foot type for whom I had designed orthotic devices around 10 years ago. He simply was coming in to get his very successful orthotic devices (in his mind) ref...

 I have begun a discussion on patients with both tendencies to abnormally pronate and abnormally supinate in the same foot. These are my Medial/Lateral Instability Patients. At times, pronatio...

A common dilemma faced by the biomechanics practitioner involves how to treat the diabetic patient with orthotic devices. People with diabetes are similar to the general population in so much as no...

Most of us were barely in kindergarten when Dr. Merton Root began to revolutionize the biomechanics world, much like Copernicus telling the world the Earth moved around the Sun. One of Dr. Root&rsq...

Most often the process of creating a highly effective functional foot orthosis is straightforward if performed properly by an experienced and knowledgeable practitioner. However, the end product ma...

 In today’s post, I am excited about a wonderful conversation with Dr. Mark Warford. I am intrigued with these feet that can pronate at times and supinate at other times. Today, we will ...

A quick perusal of the “Custom Modifications” tab on the KevinRoot Medical website will lead you to several options available to help accommodate or reduce pressure under one or more of...

Many clients have asked beyond the HCPCS codes for custom fabricated foot orthotics and casting code, what other HCPCS or CPT codes are available for reimbursement?     Gait analysis...

 This week's post presents a video of the common modifications that I will use for my supinators (contact phase). We are attempting a real mechanical change where we want them to reverse cours...

The treatment of heel pain has been a hot topic for many years, with seemingly as many treatment protocols as there are practitioners. Pathology within the proximal insertion area of the plantar fa...

Today I want to present a challenging patient which presents to our offices occasionally, although routinely as you get good at both the recognition of the problem and your fame spreads far and wid...

Many clients have asked how to bill Medicare for custom foot orthotics when the patient’s secondary insurance does, but must first be rejected by Medicare?     This scenario is...

The two videos linked below should help in recognizing contact phase supination. The last post taught there are 3 names for this in the world: over or excessive supination, under pronation, or late...

Every podiatrist and other foot care specialists no doubt are familiar with the common ingrown toenail of the great toe. Thousands of nail avulsions are performed successfully daily on a routine ba...

Orthotics for children pose unique challenges and opportunities to help them. The first milestone for walking in children is generally at the age of 2. Toe walking is generally resolved by the age ...

Now let’s talk about contact phase over supination, and why I think it is so much worse than most cases I see of over pronation (with hundreds of exceptions). When the foot strikes the ground...

Dear Dr Feldman, I love the description of My-Go-To Device. As with my Gold Standard, it is the starting point. Everyone has one and should define it. That makes your variations, and why you are de...

Excellent discussion. Can not wait for the Medicare discussion next week!!! Rich Blake

The previous four posts in this blog detailed some pearls in creating high quality, effective custom foot orthoses in a busy practice environment. The emphasis being on breaking down the process in...

The last 6 installments of this column have provided some insights into proper documentation and coding of the foot orthotic device itself.  This installment will discuss the proper completio...