L3000 is the HCPCS code for the vast majority of the orthotics we provide for our patients in need of a biomechanically based treatment plan. Despite the fact that Medicare doesn't cover this service (Dr Kesselman, please correct me I am wrong) for the 65 years old and over crowd, it doesn't mean you should disregard utilizing a functional orthotic device in this age group.
The privilege of retirement from full time employment provides increased opportunities for leisure activities. Many people with systemic conditions such as hypertension, heart disease and diabetes are being urged to “just walk more” or “get off the couch”. Many Medicare recipients enjoy covered health club membership through programs such as Silver Sneakers, senior golf tournaments are very popular, and pickleball courts are sprouting up everywhere. Podiatrists, physical therapists, chiropractors, orthopedic specialists of all kinds are positioned to be of great service in providing an enhanced quality of life as well as quantity of life to our mature patients.
It is very important to take the chronological, as well as the biological age of the patient when determining how to approach orthotics in this population. First and foremost a very careful and thorough gait analysis should be performed. Ask the patient to walk at several different speeds, shuffle from side to side in each direction as well as twisting their upper bodies in both directions with their feet firmly on the floor. A single limb squat, as well as simple tests for balance should be considered. Examine the range of motion of critical joints and muscle strength on both sides. Limb length inequalities should be investigated.
If you find the patient has moderate to severe limitations or weaknesses consider a more accommodative device that provides comfort rather than a functional device. If the patient has only minor restrictions or limitations in their functionality, a more flexible or padded device may be easier to tolerate. It is also helpful to ask the patient what their goals as far as weight bearing activities are for the next 5 years. Discuss their shoe choices to correctly partner with their orthotic devices.
The team at KevinRoot Medical is in it with you for the long haul!
