Dr Feldman, excellent discussion. I would say for me when I am adding extra heel cushioning I raise the depth of the heel cup. Therefore, in this case, from 18 mm to 21 mm. I also want to maximize ...

I would usualy start out with relatively straightforward plantar fasciitis (fasciopathy) if the main complaint is post static dyskinesia. If the patient complains of pain when off weight bearing, o...

Excellent discussion Stefan (Dr Feldman)! What was your Working Diagnosis at the first visit? And when and how did you decide you definitely needed to immobilize this patient? Thanks Rich Blake

Moderate to Severe Pronators are attracted to me. My reputation grew in the 1980s after I started having success with the Inverted Orthotic Technique for these patients. The technique is a laborato...

Hi! Can you tell me where you got that foot model? The only ones I have are bones only, no muscles. Thanks!

The KX modifier is a payment modifier used almost exclusively with HCPCS codes. It signifies to the payer, whether Medicare or not, that the claim for whatever DMEPOS you are billing, has corrobora...

The patient is a 39 year old male, 6’ 1” tall, 185 pounds, presents with a complaint of pain in the ball of the left and right foot with the left being markedly worse. The problem has b...

I used this rule everyday of my practice life. It concerns both the patient's activity level and their pain level. 80 (% overall functional and pain improvement) stands for "the injury is better en...

Start with a Foot Skeleton   Every Podiatrist should have an anatomically-correct, articulated skeleton of the human foot to demonstrate to patients why their particular pathology is a pro...

I practiced in a large multi-disciplinary setting. Low Back pain was a very common complaint I would treat. Patients with back pain would be seen by many physicians, some of them podiatric physicia...

@Stanley Beekman I believe what Dr. Phillips is saying is that for every point within the range of motion of the subtalar joint, there is a unique end point range of pronation at the midtarsal joi...

A fairly typical case example of plantar heel pain was presented in this forum two weeks ago. Last week, there was a discussion of a custom foot orthotic build to treat plantar heel pain. This week...

Many rules in medicine are just guidelines, and may or may not apply to your patient. You need to learn that there are general rules of a profession or discipline, and there are golden rules (rules...

@Stanley Beekman  Thank you kindly, Dr. Beekman for responding.  I didn't know Dr. Schuster personally, only those who worked with him, I always value additional insight into what Dr. Sc...

I think you misunderstood what Dr. Schuster said. With the subtalar joint in neutral position, there is a restriction to the Range of Motion of the midtarsal joint. Therefore it cannot be maximally...

In the 1970s, a disagreement between two of the foremost authorities in podiatric biomechanics led to a split that became known as East Coast versus West Coast biomechanics.  Such disagreement...

        Besides teaching and practicing, Dr Phillips wrote chapters on biomechanics for several podiatric texts as well as published a dozen research papers on biomechanic...

Plantar heel pain is ubiquitous in the United States, affecting individuals spanning the entire spectrum of age, gender, race, height, weight, and activity level. Subsequently, there are as many op...

I am new to Medicare DME and my claims are not processing as I am getting several error messages including my CEDI does not match my taxpayer ID, NPI or PTAN. What do I do? The CEDI is a CMS opera...

A 47 year old female presents to the clinic complaining of pain on the bottom of the left heel. She states the condition has existed for at least 3 months, started gradually and has worsened over t...