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
Stefan Feldman posted in Practical Pearls •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)
Paul Kesselman posted in Compliance and reimbursement pearls •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
Richard Blake posted in Clinical pearls •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
Stefan Feldman posted in Practical Pearls •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
Paul Kesselman posted in Compliance and reimbursement pearls •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
Richard Blake posted in Clinical pearls •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
Stefan Feldman posted in Practical Pearls •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
Paul Kesselman posted in Compliance and reimbursement pearls •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...
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Hours or by appointment
Paul Kesselman posted in Compliance and reimbursement pearls •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...
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Fee Schedule Look Up and Research
Paul Kesselman posted in Compliance and reimbursement pearls •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...
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Fee Schedules for specific products
Paul Kesselman posted in Compliance and reimbursement pearls •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 ...
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Sesamoid Fractures: Part 6 (Individualizing Orthotic Care)
Richard Blake posted in Clinical pearls •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...
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Neutral Position Impression Technique for Custom Foot Orthoses
Stefan Feldman posted in Practical Pearls •@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...
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Pronation and Supination, Forefoot Considerations
Stefan Feldman posted in Practical Pearls •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 ...
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Sesamoid Fractures: Part 5
Richard Blake posted in Clinical pearls •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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Spiral Rehab AFO’s: Part 1
Paul Kesselman posted in Compliance and reimbursement pearls •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...
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Sesamoid Fractures: Part 4
Richard Blake posted in Clinical pearls •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...




