In the two previous posts on this subject a relatively straightforward case of a middle aged female, medium build and moderate activity level was presented, complaining of pain in the area of the s...

Last week I talked about the relationship of achilles flexibility and achilles strength. Basically, if you are too tight or muscle bound, the charge within the muscle between the actin and myosin f...

I will be spending a few posts now on the importance of measuring achilles strength. By far the strongest tendon in the body, I have watched its power and majesty, and I have watched what happens w...

I would like to finish my brief discussion of Limb Length Discrepancy with answers to the last 7 of the 13 general rules presented in Part 4. We have already discussed 1-6 in Part 4. But, I will li...

The previous post on this blog presented a hypothetical case involving pain in the sesamoid area of a medium built, middle aged female. Included in the presentation are several factors that should ...

Thanks Dr Blake! It could have been a different case with limited ROM of the 1st MTPJ and associated 2nd MTPJ dysfunction, with different answers.  

Dear Dr. Feldman (Stefan), excellent post. The cases of sesamoiditis with long second rays and pronation issues is always fascinating. The Mortons foot can need a Morton's extension, and the pain c...

A common scenario occurs when an order is billing filled, or after being completed but not yet delivered, the patient passes away. Is the provider stuck? Can the vendor still insist on payment?&nbs...

A 43 year old female presents to the clinic with pain in her “bunion” on the right foot, but indicates the painful area is on the bottom of the foot behind the big toe. She is 5”4...

We have talked about the gait signs and osteopathic measurements for limb length discrepancy, so today let us talk about treatment. Like most biomechanical topics, there are wide variety of approac...

These words are usually used to start a 100 yard dash. We are not using a starter's pistol, but instead we are respectfully requesting our clients adequately mark their impressions where there are ...

@Lucy Best Great comment. I will give my approach to pelvic tilts, which I think the lying down or sitting gets best. However, your approach is extremely sound, and another good way to raise the su...

Great photos and explanations Richard. In addition to these, I always get the patient to lie supine on a couch, with head and body as central as possible. I then ask them to bend their knees with f...

Custom foot orthotics are often not considered a front line treatment option for several common distal forefoot complaints. However, these conditions can all be potentially treated successfully by ...

As of November 2022, the National Supplier Clearinghouse ceased to exist and the DMEPOS enrolment was divided into two new enrollment carries NPE East (administered by Novitas) and NPE West  (...

How do we determine if someone is unstable? From a pure physics model, instability is a state that is not in equilibrim, or in which a small change has a large irreversible effect.  Synonyms a...

The september, 2023 issue of Consumer Reports contains an article entitled; “Do you Really Need to Walk 10K Steps a Day?” The article cites studies which conclude 8K steps per day for t...

There are many ways to be brought into a discussion of limb length discrepancy by your patients. They may explain that their PCP wanted someone good in biomechanics to check for a short leg due to ...

Hello Dr. Feldman,   Unfortunately, I couldn't figure out how to post a public reply, however I would like to make a few comments about your essay on orthotics for the aging foot.   I...

Medicare Part C plans while legally required to provide coverage to the same services/products as FFS Medicare have a great deal of latitude as to how they provide those services. Medicare Advantag...