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 ...
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Choosing Metatarsal Accommodations
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...
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Proper Documentation for Custom Foot Orthotics 9
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...
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Video on Orthotic Modifications for Supinators
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...
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Plantar Fasciitis Treatment with Functional Orthotic Devices
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...
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Why Use Functional Foot Orthotic Devices? Part 6
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...
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Proper Documentation for Custom Foot Orthotics 8
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...
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Videos on Supination
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...
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Orthotics and Ingrown toenails, wait, what?
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...
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Pediatric Orthotic Adjustments
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 ...
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What Injuries or Pain Syndromes Can Be Related to Over Supination
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...
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Creating an Optimum Custom Foot Orthosis, A Summary
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...
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Proper Documentation for Custom Foot Orthotics 7
Excellent discussion. Can not wait for the Medicare discussion next week!!! Rich Blake
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Creating an Optimum Custom Foot Orthosis, A Summary
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...
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Proper Documentation for Custom Foot Orthotics 7
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...
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Why Use Functional Foot Orthotic Devices? Part 5
Today’s post begins to explore the demands of a supinator. Who are these patients? What do they need specially prescribed in their orthotic devices? When is supination bad when we were taught...
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Building a Custom Foot Orthotic, Forefoot Considerations
Thank you Rich
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Building a Custom Foot Orthotic, Forefoot Considerations
@Stefan Feldman Excellent discussion of the vast array of forefoot corrections available! I always found that higher degrees of forefoot varus or valgus corrections needed the forefoot extensions t...
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The marriage of shoes and orthotics
Many shoes feature a wider toe box, but often compensate by having a shallower overall volume, which complicates orthotic fitting. While no 3-D scan currently exists that captures the interior of a...
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Building a Custom Foot Orthotic, Forefoot Considerations
Considerations for construction of the rearfoot and midfoot portions of a Root type custom foot orthotic have been previously reviewed. This post will review the forefoot considerations, wh...