Pedorthic Footcare Association

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Topics		Replies	Score	Author	Latest Post
	I have a billing question...	1		K. Gramza	When billing for orthotics, common modifiers to consider include:1) KX (for required documentation of medical necessity)2) LT/RT (for left/right sides)3) CG (for elastic garments)- Teresa Alpert, CO, C.Ped, PMAC by T. Alpert Sunday, March 23, 2025
	Education and training...	0		K. Gramza	What schools are training aspiring pedorthists? How long are the courses? by K. Gramza Sunday, November 24, 2024
	A friend lost toes in a mower accident. What are your footwear suggestions?	0		K. Gramza	A friend lost toes in a mower accident. What are your footwear suggestions? Ready made and/or custom. Does he have to come into the store? Are there shoes that are not custom made for partial toe loss? Custom would probably be too expensive or is it at all covered by insurance given the accident? He needs a better solution than Merrells’. by K. Gramza Sunday, October 27, 2024
	Custom made shoes for lymphedema in the feet	0		K. Gramza	My two year old two-year-old daughter has lymphedema in her feet, causing them to be swollen. Do you have ready-made shoes, or can you make custom shoes to fit her (dress, casual and sneakers)? by K. Gramza Tuesday, October 15, 2024
	Determining the Highest Point of the Arch (HPA)	0		K. Gramza	I would like some to hear comments regarding where the highest point of the arch (HPA) exists relative to the heel and forefoot. I take it that it would be where the navicular tuberosity lies, but this may not be the case; does anyone know this? Now I realize that there is an infinite variation of the actual height of the arch at HPA, but where is this? If you were to draw a line from the medial 1st met head to the medial heel on a footprint (say a Harris mat), where (approximately) would be the HPA? I have had no success in finding biomechanical literature on this subject. Is there some formula one might adapt from autopsy findings? Submitted by: Jim Fisher, DPM, Eureka, CA by K. Gramza Monday, September 23, 2024
	Better-looking shoes?	1		K. Gramza	Thanks for contacting PFA re your question about Orthopedic shoes for limb length problem and structural abnormalities in your feet, from birth. Among other pedorthists who make custom footwear in the US, Eneslow offers this service in New York. We can make custom casual, dress, athletic footwear that incorporates 9CM LLD within the interior of the right shoe. Often, high-tops are preferred for competitive playing for Israel national team in amputee football. Feel free to contact us. We’re here to help.Robert S. Schwartz, C. Ped.Eneslow Pedorthic Enterprises, Inc.1319 Third AveNew York, N. Y. 10021rss@eneslow.comPFA Executive Director by R. Schwartz Monday, September 9, 2024
	What is the best way?	0		K. Gramza	What is the best way? In dealing with people who would like to have a fitting (take all the free advice and council) and go home and order online? by K. Gramza Monday, September 2, 2024
	Rockers for my patients with hallux rigidus…	2		K. Gramza	I would recommend Bondi 8, New Balance super comp trainer. These shoe have a plastic or Carbon plate in them making them rigid. The are ohet companies that make similar shoes. Looks for sneakers that have speed plates. by J. Rich Friday, August 30, 2024
	Pain in the back of the heel...	1		K. Gramza	There are number of reasons:1. Tight shoe thats two small. Try going up a half to one full size.2. Achilles tendonitis. Tight calf. You may need to to call stretches.3. Top rim of the shoe is to Tight. Try bending the rim back and forth with your hands. Leather softener may work too.4. Try a thinner soak.Hope this helps. by J. Rich Friday, August 30, 2024
	Coding & Billing	1		K. Gramza	L3030 or L3010. Those are the codes I use under Office Visit. by J. Rich Friday, August 30, 2024
	Currently I am a Canadian Certified Pedorthist and I am wondering...	1		K. Gramza	That's a question for the ABC or the BOC. I believeit should be fine as the requirements for being a Canadian C.Ped are more involved. Also I believe if you are working in a non-licensure state in the US you will be fine. by J. Rich Friday, August 30, 2024
	Benesch Boot	1		K. Gramza	Ponseti Bracing is the “new Benesch Boot” Web: https://kidshealth.org/en/parents/ponseti-bracing.html-Teresa Alpert, CO, C. Ped, PMAC by T. Alpert Friday, August 30, 2024
	Men’s Shoe Recommendations Post-Achilles Tendon Rupture...	4		K. Gramza	I would recommend a shoe with a higher heel...- Lew Schon, MD, FACS, FAAOS by L. Schon Friday, July 26, 2024
	Footwear modalities to make this patient ambulatory!	1		K. Gramza	This X-ray demonstrates a bunion with a second longer toe and the lesser toes are claw toes and they have midfoot and ankle arthritis. I would recommend an accommodative orthotic with metatarsal support, possible toe crest if tolerable, EVA, cork.A rocker sole with a deep wide toe box with soft leather or fabric. A chukka style boot would provide more ankle stability. Of course many more questions need to be asked about medical history, and lifestyle.- Teresa Alpert, CO, C.Ped, PMAC by T. Alpert Friday, July 26, 2024
	Painful feet in all my shoes...	1		K. Gramza	The blister indicates that the shoe you are wearing is rubbing. If in fact the shoe in the picture is what you are wearing it does not appear to have any medial arch support and may be to short for you. Go to a sit and fit shoe store and get measured and fit for properly fitted footwear.- Teresa Alpert, CO, C.Ped, PMAC by T. Alpert Friday, July 26, 2024
	Can a certified pedorthist start their own business?	1		K. Gramza	A: Yes absolutely.A couple things you will need:1) You will need a business plan2) Avenues for Insurance3) Picking your Location4) Understand your scope of practice.5) Maintain your certification!Please reach out to PFA at pfalearning@pedorthics.org for select mentorship and educational opportunities! by T. Alpert Friday, July 26, 2024