CURRENT PEDORTHICS July/August 2010 Volume 42, Issue 4 www.pedorthics.org
Wound Care is a Team Approach Q&A: Dr. Gary Mazzanti Talks About the Fight Against Non-traumatic Amputation
Physical Therapists and Pedorthists: Supporting Each Other
Pedorthists Working Side by Side with O&P Professionals is a Win-Win Arrangement
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Pedorthists and Chiropractors Should have Each Others’ Backs – and Feet! page 26
FEATURES Departments
12 Wound Care is a Team Approach 5 PFA Corporate Sponsors Q&A: Dr. Gary Mazzanti Talks About the Fight Against 6 From the President Non-traumatic Amputation By Jay Zaffater, C.Ped. 8 From the Editor 10 Board Member Profile 18 Physical Therapists and Pedorthists: Supporting Each Other 30 Association News By Ken Stack, MS, PT, CSCS 35 Coding, Billing and Reimbursement 20 Pedorthist and Podiatrist Working Together? 37 Government Affairs A Match Made in Heaven 40 Advertiser Index By Kirk Woelffer, D.P.M. 41 Industry News 22 Pedorthists Working Side by Side with O&P 42 Pedorthic Industry Events Professionals is a Win-Win Arrangement By Robert Patai, C.Ped. 44 Pedorthic Marketplace 45 Product Reference Guide 26 Pedorthists and Chiropractors Should have Each Others’ Backs – and Feet! By Rob Sobel, C.Ped. 28 From Shoe Repair to Pedorthics – Expanding our Horizons Saved our Skills from Becoming Extinct By Liz Chiles, C.Ped., & Margaret Haga, C.Ped.
Pedorthic Footwear Association • www.pedorthics.org 1 CURRENT PEDORTHICS
P edorthic Footwear Association Board of Directors Executive Committee Headquarters Staff President: Dane LaFontsee, C.Ped. Vice President: Kristi Hayes, C.Ped. Executive Director Treasurer: Liz Chiles, C.Ped. Secretary: Jamie Dick, C.Ped., PT Brian K. Lagana
Directors Membership Services Coordinator Faith Ballard, C.Ped., CO Harlon Compton, C.Ped., CO Tristan Wood Tamara A. Daulton, C.Ped. Dean Mason, C.Ped., OST, BOCO Education Director Ryan Nichols, C.Ped., OST Joyce Arawole Stuart L. Pressman, C.Ped., CO Arthur Smuckler, C.Ped. Education Associate Michael D. Veder, C.Ped., CO, BOCO Lauren Kemp Jay Zaffater, C.Ped. Pedorthic Educators Liaison: Robert Schwartz, C.Ped. Meetings and Conventions Director Vendor/Manufacturer Liaison: Stephen O’Hare John Rubsamen Legal Counsel: Allan J. Weiner Medical Advisors Exhibits and Sponsorship Coordinator Allan B. Grossman, DPM, FACFAS Marlene Mirman Craig Young, MD Marketing Manager E ditorial Staff Kara Dress Kristi Hayes, C.Ped ...... Volunteer Executive Editor Dennis Coyle...... Editor Senior Marketing Coordinator William Wargo...... Art Director Kevin Hurley Steve Biernacki...... Design/Production Government Relations Director A dvertising & Services William H. Applegate Tristan Wood...... Membership Tracey Aaron ...... Current Pedorthics Marlene Mirman...... PFA Symposium M arketing, Communications & Editorial Committee Current Pedorthics (ISSN 1552-8111) is published bimonthly by the Pedorthic Footwear Association (PFA), 2025 M St., NW, Suite 800, Washington, DC 20036. Telephone: 202-367-1145 or Chair: Kristi Hayes 800-673-8447, Fax: 202-367-2145, website: www.pedorthics.org, E-mail: [email protected]. Co-Chair: Tammy Daulton Copyright© 2010, PFA. All rights reserved. No part of this publication may be reproduced in any manner without written permission. Letters to the Editor and other unsolicited material are Faith Ballard assumed intended for publication and are subject to editing. Liz Chiles Articles in CP do not necessarily reflect the opinion of PFA, its Board of Directors or its employees. Jamie Dick CP’s use of trademarked names is done in an editorial fashion intended to benefit the trademark Dean Mason owner, with no intention of trademark infringement. Ryan Nichols Subscriptions are available for $45 per year in the United States ($65 outside USA). Back copies, if available, may be purchased for $5 U.S. Stuart Pressman If you have any questions regarding display advertising or classified ads, please e-mail Tracey Aaron Rob Sobel at [email protected]. Jay Zafatter Please send all product- and industry-related press releases to [email protected].
2 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4
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PFA offers its thanks to these Corporate Sponsors whose support allows PFA to serve members and the greater pedorthic community.
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Pedorthic Footwear Association • www.pedorthics.org 5 From The President
Pedorthic Certification and Education Must Evolve
Dear Colleagues: What this all amounts to is an impending surge in demand for pedorthic services without the number I frequently hear from members asking about of practitioners needed to support the increase in pedorthic pre-certification education and its future. patients, leading to a severe access issue. How can pedorthists gain the same professional This presents the pedorthic profession with a respect as orthotists and prosthetists if our tremendous opportunity to increase the ranks educational standards remain the same? How can of practitioners, increase our practices via the we remain competitive if we cannot fully exploit expansion of health care coverage for millions our scope of practice? How can we respond to of additional people, fully exercise our scope of concerns from the federal and state regulators that practice and increase the status of the profession pedorthic pre-certification education is not where through enhanced educational standards. The the regulators would like it to be? What can PFA new educational standards that PFA is pushing do to help enhance pre-certification education? aren’t just window dressing. We won’t be able to In response to these concerns, PFA’s volunteer achieve professional growth without them. Instead, leadership met more than a year ago to strategically pedorthists will be shut out of this revolution in look at the situation. At the end of the process, health care. the consensus was that significantly enhancing the pre-certification education that pedorthists receive It is imperative that pedorthic pre-certification would have the following benefits: education take the same route to improvement and growth that orthotic and prosthetic education took • Ensure the survivability and growth of the not that long ago. PFA’s position is that pedorthic pedorthic profession; pre-certification educational standards should be • Enhance the image of pedorthics with the general increased to an AA degree program by 2015 with a public, patients/clients, third-party payers, pedorthic residency incorporated into the program potential students, regulators and other decision- to provide the equivalent of the current American makers; and Board for Certification in Orthotics, Prosthetics and • Increase quality patient care. Pedorthics (ABC) 1,000 hour pre-exam experience requirement. This route will insure not only better, Other external drivers also helped to convince us more qualified practitioners, but practitioners who that the need for increased pre-certification will be better qualified when they obtain their standards was real, including: certificate and begin practicing, not after additional • Nearly two years ago, the Centers for Medicare and education and training to fill experiential gaps in Medicaid Services (CMS) clearly indicated to PFA existing pre-certification education. that the reason it rescinded the facility accreditation and surety bond exemptions for pedorthists Change is never easy or without cost. However, was due to the educational differential between PFA’s leadership and a significant portion of pedorthists and orthotists and prosthetists. the educators firmly believe that educational • The Patient Protection and Affordable Care Act improvement is critical to the future survivability of (PPACA) will expand the number of insureds pedorthics and the evolution of patient/client care. by at least 30 million people. Given the new constraints that the legislation places on insurance PFA will keep you updated as the recent process companies, they will be looking to partner with initiated by the pedorthic education stakeholders physicians, providers and suppliers of the highest to review and make recommendations on the caliber to ensure quality delivery of health care to future of pedorthic pre-certification education their beneficiaries while maintaining the integrity moves forward. And, as always, we welcome your of their benefit programs. questions, comments and suggestions. • More states are introducing legislation Sincerely, requiring private health insurance companies to cover orthotics and prosthetics and/or pedorthic Dane LaFontsee, C.Ped. modalities. PFA President
6 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 XSPRESS™ yourself
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Pedorthic Teamwork
Dear Current Pedorthics readers, Teams are characteristically made up of a group of are also highly functioning because of teamwork people with similar values who work together to and positive communication. You don’t have to accomplish common goals. Companies worldwide agree all the time but through positive and constant acknowledge the many benefits that teamwork communication, it’s possible to establish common yields. One of the most valued products of ground as well as a solution for the overarching goal. teamwork is efficiency. Perhaps this is because large tasks can be broken down into smaller assignments When people have to work together, opportunities that are then farmed out to individuals best suited for team building are usually created but not for the job. Smaller tasks also require less time and necessarily utilized. At work, people may be shy, brain power and, therefore, are less taxing on the bossy, independent or lazy and team building never individuals involved. really gets off the ground. A great way to practice the kind of teamwork that successful companies Another benefit to teamwork is that unique cultivate is to get your employees to play together. skills are combined and effectively utilized. A relaxed and fun environment can be just the Every individual has different strengths. In catalyst needed to develop good relationships teams, different strengths from several people are between employees. combined and used to benefit the whole team and make a better product. Combining different skills As a group of people interacts and communicates also leads to increased creativity. Your practice and with each other, individual strengths, a sense of the practices of other health care professionals in belonging, team spirit and trust will develop. your area can thrive from these benefits. Leaders also emerge. These elements can all help grease the gears of teamwork. Once a group of people has learned how to enjoy each other and work together during play, it is much easier for A great way to practice the kind of them to employ the same skills at work as well as in other environments such as school or athletics. teamwork that successful companies If you are looking for fun team-building activities, cultivate is to get your employees choose those that involve a lot of people and require those people to work together. You can to play together. A relaxed and try forming many different teams to create a little competition helps raise enthusiasm, too. Team fun environment can be just the building can be really fun and the benefits of catalyst needed to develop good improving teamwork are certainly worth the effort. relationships between employees. It is important to look for ways to encourage teamwork internally in your business or outside with your referral sources, get involved in your pedorthic community and learn from other successful Teamwork strengthens relationships and builds pedorthic professionals. You also should consider unity. People communicate with one another, and volunteering for a leadership position of your friendships often contribute to job satisfaction. professional organizations, PFA included. A little Support systems are stronger, too, because people effort goes a long way and the benefits are big. feel more comfortable relying upon one another. Individuals also develop a better sense of responsibility Sincerely, when they are a part of a team because other team members depend upon them for success. The PFA Kristi Hayes, C.Ped. Board of Directors has learned this time and again as Volunteer Executive Editor, Current Pedorthics board members fluctuate in and out. PFA committees Vice President, PFA
8 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Lines Outlines TRIST IA D O
P
D E N DE SI G Board Member Profile
Getting to Know… P FA Vice President Kristi Hayes, C.Ped.
Where do you work? an amazing pool of knowledge and tools at our Shane’s Foot Comfort Center, Seattle, Wash. fingertips. When did you join PFA? How do you use the member network? 1993: Associate Member; 2001: Full Member. I regularly contact many pedorthic practitioners around the country to discuss business practices, How did you become interested in pedorthics? marketing efforts and other important issues. My father is a pedorthist; growing up in and I encourage them to assist in improving the around the profession, I saw the power of how profession with their unique skill sets. This pedorthics can truly help someone. outreach helps me be a better leader for PFA.
What do you see as the biggest issue facing What has surprised you most about your the profession? leadership position in PFA? I see two that are incredibly important. The first is I would say it is the extra gray hairs and total the lack of respect due to the insufficient education exhaustion from the additional 800 plus hours of standards. Referral sources, allied health care work per year! Ha! In all honesty, serving in the professionals, health care companies and the public have discovered pedorthics and are critical of our PFA leadership is a humbling experience and has brief education vs. our substantial clinical contact been truly rewarding. with foot ailments and disease. The second is What would you tell other members considering apathy toward marketing the pedorthic practice to pursuing a PFA leadership position? current patients, potential patients and other health care communities. If you don’t think you can handle the responsibility or don’t feel you have the right skills, you can Are these issues affecting how you approach learn. Listen to the membership and others who your work? came before you. I love volunteering my time for Absolutely. In some cases, I cannot fully utilize the the profession. entire scope of practice because I lack expertise in certain components of what should be a part of Please tell us your favorite story of how you basic pedorthic education. Luckily, I am extremely helped someone through your work. well educated in the marketing arena and am able I have volunteered for years by visiting critical care to do a lot for my business, PFA and ultimately facilities, hospitals and nursing homes. Because the profession. these folks can’t get out and often are forgotten by their families, they are starved for assistance and How does PFA help members navigate this issue? conversation. Not only has it felt incredible to help Members contact PFA through e-mails, phone get them moving again, but the gratitude in their calls, direct contact and surveys. As a result of eyes is unparalleled. I anonymously sent flowers the resounding requests, PFA has taken part to an elderly woman after our first visit. The floor in a stakeholders meeting with the National nurse told me that she got excited and spent weeks Commission on Orthotic and Prosthetic Education speculating on who could have sent them. It gave her (NCOPE) regarding a new pedorthic education something to do while walking in her new shoes! model and has solicited and accepted abstracts for lectures, continuing education courses, Webinars Where do you see the profession in 10 years? and articles for our media outlets to boost both the I see steady growth with a better education education and the standards. We have an extensive model, resulting in more respect and gaining marketing and rebranding plan. We expanded the marketing and communications committee and more national recognition through direct-to- reached out to other organizations that have proven patient marketing by individual practitioners and extremely helpful to PFA and its membership. PFA. Pedorthic knowledge is well established on Capitol Hill and in the agencies, so we are now What are the best benefits of being a PFA member? able to focus our attention to building recognition We have an organization fighting to keep us in with decision makers at the state level. I predict practice and doing what we love to do. PFA offers pedorthic licensure in all states by 2015.
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2010 Footwear Catalog Woud n Care is a Team Approach By Jay Zaffater, C.Ped.
Q&A: Dr. Gary Mazzanti Talks About the Fight Against Non-traumatic Amputation
Dr. Gary Mazzanti (right) stands with staff at the Shreveport Hyperbaric and Wound Center in Shreveport, La.
12 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 We all know the statistics of foot ulcer prevalence regarding the diabetic patient. If you have seen patients with uncontrolled blood sugar and diabetes diagnosis for more than 15 to 20 years, the results are predictable.
ecently, I sat down with Dr. Gary Mazzanti of JZ: What advances have you seen that has changed the Shreveport Hyperbaric and Wound Center in face of wound care? Shreveport, La., to discuss his role in the fight against R Dr. M: The biggest advance is the increase of knowledge. non-traumatic amputation. Some in Northern Louisiana say that he is a miracle worker; those in the medical field say that This knowledge is as simple as a physician referring a he is a knowledgeable, caring and concerned physician who chronic wound patient sooner to increased surgical skills in is willing to put the time in on the hard-to-heal chronic non- debridement, specialty adjunctive modalities such as offloading traumatic ulcer cases. equipment and therapeutic shoes. Also, I think that the team approach of using many modalities is now more expected. JZ: What lead you to wound care, and how long have you been specializing in this area? JZ: How many patients are you treating on average? Dr. M: After finishing my residency in family medicine, I Dr. M: We see about 20 to 25 patients a day. Compared to went into business contracting for emergency rooms and then an internal medicine or family practice physician, it does not moved on to urgent care. While doing the acute side, I started seem a lot. However, we spend more specialized time with noticing a lot of chronic wounds and, at the time, no one each patient. really was treating the non-healing wound. I then went solely JZ: What percentages of wounds are from diabetic patients? to treating chronic wounds in a wound clinic environment and have done so exclusively for more than 10 years. Dr. M: I would say that number is around 40 percent. The bulk of what is left is surgical dehiscence, decubitus, neuropathy and JZ: Why are there more dedicated wound clinics now as trauma. I do feel that out of the remainder, a lot of those hard- opposed to 20 years ago? to-heal wounds are complicated secondarily by diabetes. Dr. M: First and foremost, with the explosion of diabetes, the JZ: How long, on average, does it take to heal a diabetic need was clear. Secondly, there was the increased knowledge foot wound? of wound-healing procedures and techniques and, finally, the push for limb salvage. In the past, they would give it a little Dr. M: Our usually healing time is 14 to 16 weeks. Coming time and hope for the best. If it did not heal, then you would in with an infection or developing an infection prolongs amputate, either digitally or the entire limb. One of the main treatment and also the added problems of additional procedure enhancements is that of the ability to vascularize the indications such as the size of the treatment area. When lower extremities. However, with the push for limb salvage, taking longer to heal, you can run into problems such as more wounds are treated on extremities that in the past would creating pressure ulcers on another spot on the foot from have been amputated. Thus, more wound centers are needed. offloading, contra-lateral appendage issues or even reaction to antibiotics. A wound can change from day to day, especially when it is infected. So there is always an urgency to bring the wound together. Any day that you have an open wound, it could turn bad. JZ: Will you please take me through what new patient intake is like in your practice?
Pictured above is a work-related crush injury to dorsum of left mid and forefoot with fully involved DTI and hematoma. The Dr. M: With a new lower image to the right shows a Hyperbaric-treated wound closed after 20 months. extremity wound patient, continued on page 14
Pedorthic Footwear Association • www.pedorthics.org 13 Wound Care is a Team Approach continued from page 13
I tell my patients that I essentially get paid for advice. What they do with the advice is up to them. I feel that the patient is 50 percent responsible for the healing process. We are partners!
before, our ability to maximize blood flow to involved areas has improved over the years with advances in angioplasty and bypass surgery. So if this works, great! However, if you can’t do that, hyperbarics is still helpful. With the pressure, you can defuse the plasma with 100 percent oxygen. Normally, the plasma is the acellular portion of the blood. The benefit is the plasma can defuse through the blood vessel into the tissue and bath the cells with oxygen. In addition, the plasma helps attract cells that are good for the healing process and killing bacteria. The greatest attribute is angiogenesis of the blood vessels, which is creating new growth. Now you have new blood vessels and oxygen in areas that were hypoxic. JZ: How important is patient compliance? Dr. M: I tell my patients that I essentially get paid for advice. What they do with the advice is up to them. I feel that the patient is 50 percent responsible for the healing process. We are partners! I do know that out of the top 10 diagnoses that cost Left plantar surface 5TH met non-adhering full thickness diabetic wound. It took us the most, six or seven are caused by us and our lifestyle. 16 months to heal. Without proper offloading, ulceration reoccurrence is 80 percent more likely. JZ: How important is addressing plantar surface pressure in the diabetic patient? we do a full work up on any and all related problems. We Dr. M: If you don’t address the pressure, all of the physician’s rate the wound using the Wagner scale and do evaluations knowledge and techniques, different modalities and even for sensory, neuro, vascular, nutrition, pressure and if needed hyperbarics will not have as much of a positive effect as the diabetes control. At that time, we can also assess if the patient negative effect of pressure. might be a candidate for hyperbaric treatment. JZ: How important are therapeutic shoes and custom JZ: For those who do not know, what is hyperbaric inserts to your practice? treatment? Do you use it on 100 percent of patients? Dr. M: It could be the difference between higher financial Dr. M: There are only 16 diagnoses that are approved and costs and the preservation of a limb. I cannot tell you how qualify for reimbursement for hyperbaric treatment. Out many times I have had a patient come in for the first time with of those 16, we see about a half dozen that are potential candidates. How hyperbaric treatment works is the patient continued on page 16 is put into a chamber that is pressurized with 100 percent oxygen. The patient breaths in the pure oxygen and this in turn will increase the oxygen in the body 10-fold. The increase allows more available oxygen into the tissues. All of the cells of the body need oxygen, but for various reasons, not all the cells receive it. So our goal is to maximize Shown above are before and after images of a right calcaneal macerated decubitus ulcer complicated secondarily by diabetes. It blood flow. As I mentioned fully closed after eight months with standard healing protocol and offloading.
14 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4
Wound Care is a Team Approach continued from page 14
have a team approach with multi specialty treatments and modalities is very important. With physicians like Dr. Mazzanti leading the way in promoting the team approach to wound care, hopefully, it will allow physicians and insurance providers alike to start Shown above is a right lateral malleolus non-infected chronic friction wound. It healed in 16 weeks, aided by friction relief. to understand that the preventative nature of the Medicare’s Therapeutic a hard-to-heal digital or trans met amputation and state that Shoe’s for Diabetes (TSD) legislation and the equipment that it it is hard to believe that this all started with a little sore on supports is medically necessary. As a Credentialed Pedorthist, my toe. Once this happens, it can all quickly unravel. Maybe it is my pleasure to participate as a part of a health care team they don’t seek care or receive care from the wrong source. So, resulting in better foot care for all patients, whether they as I stated before, a wound is directed by pressure, therefore, present with wounds, diabetes or other foot ailments. ■ proper shoes are essential. Many times, I ask patients about shoes and they say that they have diabetic shoes, but when I Jay Zaffater graduated from Louisiana Tech in 1989 and taught high ask if they were sized and have custom inserts, they say that school five years. He currently works as the clinical marketing director for they got them from somebody over the phone that they never ArTex Medical, Inc., in Shreveport, La. He has been a Certified Pedorthist met and were shipped to them. So, for a wound center to for six years and currently serves on the PFA Board of Directors.
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16 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Celebrating 20 Years of O&P Product Design & Manufacturing
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© 2010 ShearBan is manufactured in the USA by Tamarack Habilitation Technologies. U.S. Patent No. 6,362,387 EC Patent 1087738 Rev. 04/10 Failure to address asymmetries in the foot and ankle complex may slow or even prevent the recovery of local conditions such as tarsal tunnel syndrome and plantar fasciitis. Imbalances anywhere in the lower kinematic chain can lead to pathology elsewhere such as anterior cruciate ligament tears and sacroiliac joint subluxations. An inability to recognize these direct and indirect consequences is also a failure to provide patients the best care possible. Confronting the cause of distal lower extremity imbalances must also result in the treating physical therapist recognizing their own capabilities. Honest introspection by the physical therapist results in a realization of limitations in available treatments and a need to collaborate in providing the best patient care. Patients are typically grateful to attain a desired outcome regardless of the strategy, and PTs should be open to utilizing a quality pedorthist when indicated to achieve that goal. Identifying abnormalities in the structure of the foot’s longitudinal arch allows for classification of the patient’s foot type. Reliable and valid methods have been identified to determine arch quality in published literature within the scope of physical therapy practice. Biomechanical factors also are considered by the evaluating physical therapist while classifying the patient’s foot type. Mechanical issues are best improved by the physical therapist to the exclusion of other provider choices. Structural abnormalities determined contributory to the patient’s complaint should not be ignored in favor of temporary and often modality-based, symptom-reducing tactics. Hammer and claw toes are examples of gray areas when selecting Physical which health care practitioners are best suited to address their manifestation. Reversible mechanical factors have been implicated in the development of these forefoot pathologies. Therapists and Physical therapists should attempt to independently correct these and other conditions for a reasonable time period. The absence of measurable progress will then indicate the Pedorthists: combination of orthotic support being the ideal intervention. Decreased longitudinal arch height and rear foot compensations are a common clinical encounter by the outpatient physical Supporting therapist with the use of orthotics indicated. The physical therapist must acknowledge their limitations in correcting such a structural imbalance and rely on the abilities of the Each Other pedorthist to assist the patient’s recovery. Physical therapists expecting to recreate or lift the arch through foot intrinsic and By Ken Stack, MS, PT, CSCS posterior tibial muscular strengthening are being unrealistic. Therapeutic exercises available do facilitate recovery but are not a substitute for a supported and symmetrical ankle and he importance of a properly balanced distal component foot complex. is critical for a variety of lower extremity conditions T and spinal pathologies. Practitioners caring for local The physical therapy profession may attain greater knowledge conditions in the foot appreciate the need for foot and ankle of orthotics; however, physical therapists should yield to the support. Asymmetries in one segment of the body too often professional best trained to determine and dispense orthotic lead to compensation behavior eventually manifesting in pain. support — a Certified Pedorthist! ■ Physical therapy providers (PTs) may be guilty of overreliance on passive modalities rather than attempting to remedy the Ken Stack, MS, PT, CSCS, is founder and president of S.T.A.C.K. Physical imbalances causing the complaint. Therapy & Corrective Exercise, Incorporated.
18 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4
Pedorthist and Podiatrist Working Together? A Match Made in Heaven By Kirk Woelffer, D.P.M.
t’s hard to believe it’s been almost 12 years since Faith course. Her mind is constantly churning out a new technique Ballard, C.Ped., CO, joined our podiatry practice, Raleigh to help an orthoses or brace function better, make an orthoses IFoot and Ankle Center. Ballard currently serves on the relieve pain or simply get a pair of patient’s shoes to fit better. PFA Board of Directors as well as the association’s Marketing, Communications & Editorial Committee. Employing a pedorthist as one of our professionals was not my idea. The credit goes to Dr. Bob Hatcher, our founder. After all these years, we still seem to come up with new ways to help our patients. Most of these great ideas are from Ballard, of “It just felt like the right thing to do to help our patients,” Dr. Hatcher said. “Besides keeping her own appointment list each day at our office, Ms. Ballard routinely sees patients spontaneously when one of our doctors needs immediate assistance.” “It seems like Faith helps me with a diabetic ulcer everyday,” said Dr. Alan Boehm, one of the practice doctors. “An on-the- FREE spot orthotic adjustment can make the difference between Pedorthic e-newsletter healing an ulcer in a week, and healing an ulcer in a month.” “A great advantage to this partnership is the variety of patients I am able to see as opposed to being on my own,” Ballard said. “I may see a toddler with a congenital deformity and a pro hockey player with a leg length discrepancy in the same morning.” Ballard said she also enjoys her own treatment space, specialized The Professional Publication of FOOT.com equipment and her own patient appointment schedule. “Everyone likes to be comfortable at work,” Ballard said. Stay informed with Pedorthic Newswire, the industry’s primary weekly e-newsletter. Receive vast information relevant to footwear and footcare She likes being able to use her training and experience to retailers, foot health professionals and more. Communicate and connect help patients as she sees fit. with fellow industry professionals regarding the latest news and trends, pedorthic reimbursement, diabetes, products, upcoming courses and “I’m lucky. Our doctors are very easygoing,” She said. information on becoming a certified pedorthist. And all of this is free! I think I am lucky too. Having a pedorthist at our podiatry Simply email us at [email protected] with “subscribe” practice has been great. A great fit, you might say — like a in the subject line. perfect pair of orthoses! ■ Pedorthic Newswire is a professional service of Foot.com, the #1 foot health site on the internet. Kirk Woelffer, D.P.M, specializes in Foot and ankle care at the Raleigh Foot and Ankle Center in Raleigh, N.C. 414 Alfred Avenue, Teaneck, NJ 07666 800-526-2739 | www.aetrex.com
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ARL-pub- KLM product AD.indd 1 5/17/10 11:41:28 AM Pedorthists Working Side by Side with O&P Professionals is a Win-Win Arrangement
By Robert Patai, C.Ped.
ver the years, I have repeatedly heard the same due to the fact that I had a bachelor’s degree in the related question: Should the two professions of pedorthics field of kinesiology. I passed the exam, but I was not ready O and orthotics and prosthetics (O&P) go hand in to provide care for patients. At that time, I was fortunate to hand? In my professional opinion, the answer is yes. have been hired and trained by one of the foremost pedorthic practitioners in the field, Shane Hayes, C.Ped., O.S.T., The skill sets of each field complement one another. Some to whom I owe a great deal of gratitude. Hayes is a past make the argument that the majority of Certified Pedorthists president of PFA, served 15 years on the board and won PFA’s working in the O&P field are already cross-credentialed as highest honor — The Seymour Lefton Award. He currently COs, Certified Pedorthists or CPOs. I, however, believe there practices in Seattle, Wash., at Shane’s Foot Comfort Center. are quite a few true Certified Pedorthists working in the O&P field — just as I am. However, not everyone new to the profession is as fortunate to have someone with considerable experience to guide you. Some Throughout my career as a Certified Pedorthist, I have been may believe that the new 1,000-hour experience requirement exposed to the O&P world peripherally by fitting orthotic is a bit daunting; however, I believe the new, inexperienced devices into shoes or by providing pedorthic services after a pedorthist will ultimately be appreciative, as will the patients. CO has completed his or her work to help a patient improve their function. There were times, however, when I wondered My personal experience of additional training actually took what the O&P practitioner might have been thinking when more than 1,000 hours, but the knowledge and skills he or she casted for a particular orthosis, or how it would be gained have been invaluable to me, especially now that I possible to get a shoe to fit around the device. practice in a busy and diverse O&P environment. Generally speaking, most Certified Pedorthists are not privy to the processes involved in getting to the final device. Through Experiencing the O&P Perspective my current work at a busy O&P facility, I finally understand From a pedorthist’s perspective, O&P facilities see very the complexities involved with both professions working challenging cases and are expected to develop devices that together. I gained a new respect for O&P professionals and result in positive outcomes for the patient. More often than what they do as practitioners in their area of expertise. not, that is not an easy task to accomplish. Historically, the relationship between the pedorthic and O&P In the last six months, I have seen or consulted on more professions has been positive. In speaking to many O&P extreme problematic foot patients than I’ve seen in my practitioners, I have observed the full spectrum from praise to 14-year career. In each case, one constant is always true: If the criticism for our profession. The praise is for our ingenuity, our foundation of the device is flawed, the device will not function innovative techniques and products, providing a unique skill set properly and may cause more issues for the patient. for other professionals and our attention to detail. The majority of the criticism comes from the lack of proper education and For example, a recent patient I consulted on had a triple training to become a Certified Pedorthist, compared to other anthrodesis on his left ankle from a crush injury to his disciplines and allied health care professions. foot. The patient was prescribed custom orthotics, a metal, double-upright brace on a PW Minor boot with a Fortunately, the Association of Boards of Certification in rocker sole accommodation and appropriate compensatory Orthotics, Prosthetics and Pedorthics (ABCOPP) recognized accommodations to the right shoe. The work was performed that in order to move the profession forward, there was a by the technicians, and the device fitted to the patient. The need to increase and improve the educational content and patient came back to the facility a few days later complaining experience guidelines for certification in the field. I applaud of ankle pain. The practitioners tried several different these moves, as knowledge and experience are imperative if a solutions, but nothing seemed to alleviate the symptoms. profession is to progress and increase its value. I was asked to come in and observe the patient who was For example, in 1996, I was able to take my certification wearing the brace. Upon initial observation, I immediately exam (before the requirements changed to write the exam) noticed a very slight knee hyperextension when moving into
22 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 For over 70 years AGS Footwear Grou p mid-stance. Upon examination of the patient’s feet, I noticed has been here to serve you with the most complete line that his left foot was slightly shorter than the right, but the of pedorthic products, fitting and merchandising aids shoe sizes for both feet were the same. and shoe accessories and materials. I surmised that the apex of the rocker was too far distal; Prefabricated Orthotics designed with therefore, it could not be successfully utilized by the patient. a contoured heel cup to cradle and stabilize the heel. Features a raised longitudinal arch, a gentle metatarsal Also, the shoe by itself did not have enough heel-height support to reduce pressure to the metatarsal heads and a cuboid to ball-height variance; therefore, the rocker action was relief that balances pressure across the midfoot. significantly reduced. I suggested incorporating a 3/8" heel Conformer 3/4 lift as well as moving the apex of the rocker more proximal, just behind where the metatarsals landed inside the shoe. The The original Conformer manufactured with a cushioning, yet supportive foam footbed. Our most affordable and appropriate compensation was also completed for the right popular Conformer 3/4. Blue packaging. shoe. The practitioners agreed to the modifications, and the #Con34 (The brushed version is also available.) work was performed. When the patient tried the shoes on again, he became asymptomatic and ambulated quite well. Conformer 3/4 DD This was an example of believing the device was at fault, when Features a combination of two materials with the top it was actually the foundation that had created the issue. surface firmer than the bottom. This combination gives comforting support through the bottom shell Through my experience as a professional in the field and biomechanical control from the top layer. The Dual Density is usually chosen as a sports of pedorthics, I have found that the majority of O&P orthotic for control as well as for comfort. technicians and most practitioners dislike completing shoe Green packaging. #Con34DD work for a variety of reasons. I believe the biggest reason is the time involved in performing some of the modifications, Conformer 3/4 HD and the relatively small financial return compared to more One piece of extra firm material is molded into the conventional O&P devices. design. It can be ground or posted and is used when customizing is needed as an option, or when the However, the correct shoe modification is just as important weight of the patient is a concern. as a brace when considering patient outcomes. An orthopedic Red packaging. #Con34DD surgeon once said to me that he always gauged his impressions of a pedorthic or an O&P facility not by the quality of Conformer Size Chart the braces but by the quality of the shoe modifications. If Size 0 1 2 3 4 5 6 7 attention to detail is not put into the modification work, then Women’s 3-4 5-6 7-8 9-10 what kind of detail is put into the orthoses? Men’s 7-8 9-10 11-12 13-14 In defense of the current technicians and practitioners, proper shoe modification is not part of their educational curriculum ® and making a shoe look complete after the work is done Blue Footbeds is an art learned through experience. Unfortunately, many Casual Arch Support O&P clinicians are spread thin and are just trying to get it This contoured arch support is made of BirkoCork ®, done and out of the way. This area is where the pedorthist Birkenstock’s unique blend of natural cork, lined with blue silk at the top and moleskin at the can utilize his or her talents to improve the facility’s image bottom. it provides long-term comfort and arch by increasing the quality of pedorthic work and improving support! Contoured arches and a deep heel cup outcomes. Not only that, a talented pedorthist could also help relieve heel pain and plantar fasciitis. Sole remove that burden from the O&P techs, allowing them to material of natural cork and EVA provide shock absorption and flexibility. Designed for flat concentrate on their area of expertise. shoes, where the heel and forefoot are the same height. #B110ASST (med. width) How the Pedorthist Improves the Practice Provides proper alignment, balances foot impact areas and reduces fatigue. In some practices, 50 percent or more of patients are seen for Supports instep and ball-of-foot. foot and ankle-related care, which makes an ideal situation for a pedorthist. The majority of patients are in need of proper Euro Sz 35 36 37 38 39 40 41 42 Wom 4-41/2 5-51/2 6-61/2 7-71/2 8-81/2 9-91/2 10-101/2 11-111/2 footwear, and the devices provided need to articulate properly Euro Sz 40 41 42 43 44 45 46 with the ground to provide optimal function to the patient. Men 7-71/2 8-81/2 9-91/2 10-101/2 11-111/2 12-121/2 13-131/2 There are many advantages to having a pedorthist on staff at an O&P facility. In my experience, the most important advantage is the ability of the pedorthist to positively affect 11234 Air Park Rd., P.O. Box 6444, Ashland, VA 23005 continued on page 24 804 798 1891 800 446 3820 Fax 800 822 0180 www.agsfootweargroup.com
Pedorthic Footwear Association • www.pedorthics.org 23 P edorthists Working Side by Side with O&P Professionals is a Win-Win Arrangement continued from page 23
My pedorthic pathway began in a retail facility, and, over the years, I noticed that I use the same skills regardless of the setting. the time management of the other practitioners. Most Expand Your Skill Set O&P practitioners would rather concentrate on their area In the conversations I have had with fellow pedorthists, of expertise as opposed to fitting footwear, casting and/or I noticed that many have limited themselves by focusing fabricating custom orthotics or assessing and fitting diabetic primarily on only one aspect of pedorthics, such as diabetic shoes and inserts. The pedorthist can serve the majority of shoes. It is difficult to grow as a practitioner when you are these patients, which allows the other practitioners to focus one dimensional. When you limit your scope to one aspect on other modalities, such as lower limb orthoses. of a small portion of it, you are not only limiting the entire practice but ultimately a positive patient outcome. Another advantage of pedorthists in O&P facilities is the access to pedorthic information, such as different shoe lines A pedorthist should aspire to master all areas of the profession and other specific qualities of which the practitioners may and not become too comfortable with just one specialty not be familiar. Broadening the available knowledge for the area. The diversity found in O&P demands a well-rounded O&P practitioners can aid in the area of patient care. The and experienced pedorthist who can contribute immediately facility further benefits by having the ability to advertise as opposed to one who has to undergo significant training. comprehensive services to their referral base. A pedorthic The pedorthist must be able to conduct a variety of tasks — patient may likely require some type of O&P device in the clinician, technician, marketing specialist, shoe fitter, etc. future. Therefore, it is beneficial if the doctors can send their When you limit your scope to one aspect or a small portion patients to just one place for all their needs. Ultimately, of it, you are not only limiting the entire practice but also the doctors would be more inclined to keep referring and ultimately jeopardizing positive patient outcomes. potentially increase their referrals to a particular facility. When considering the economics of an additional hire within The pedorthist’s attention to detail is another key advantage a facility, employers must also be able to ensure that the in the O&P facility. Those who have performed shoe pedorthist’s position can sustain itself and be profitable. Hence, the need for a diverse skill set and experience for the modifications know that the little details are usually the most pedorthist to be able to step in and immediately contribute in important in this process, no matter how small. an O&P facility or any facility or retail entity for that matter. For example, a ½" lift is a ½" lift, not 9/16". The apexes of a My pedorthic pathway began in a retail facility, and, over the rocker need to be exact, not just close. A shoe that has been years, I noticed that I use the same skills regardless of the modified should always be polished and made to look as setting. Having good clinical and technical skills is crucial, not though it just came out of the box. It’s the small details that only to be a good practitioner but to be highly marketable to go a long way. the various employers who use pedorthists in their facilities. The use and advancement of clinical skills is the first and If I can use one word to sum up my experiences in the foremost advantage for a pedorthist to be on staff at an O&P O&P realm, it would be: Awesome! Being back in a clinical facility. O&P is clinically based; therefore, good assessment setting, having to assess, problem solve and then fabricate techniques and evaluation skills are necessary to provide devices to address those problems have made me realize my successful outcomes. These facilities have a diverse patient passion. Regardless of what medical discipline in which we base and provide different and interesting challenges that you are certified, we are ultimately there to help people. I am would not necessarily see in a comfort-shoe store setting. reminded of a statement made to me when I was fairly new to this career by the late Carl Riecken, He said, “There is no Another advantage is the ability to provide all services and greater reward in this profession than to increase the quality devices that fall within the pedorthic scope of practice. This of life for a patient and watch them walk out your door further benefits the pedorthist by allowing him or her to better than when they walked in.” utilize all clinical and technical skills in an effort to contribute to the O&P facility’s team approach for patient care, which is I really didn’t understand what he meant at that time…but I necessary for the continued success of the facility. Being a part do now. ■ of a team also gives pedorthists valuable insight as to why O&P practitioners do what they do on a daily basis. That knowledge Robert Patai is a seasoned Certified Pedorthist and licensed pedorthist at is invaluable when fabricating custom orthotics or shoe Victory Orthotic and Prosthetic Services in Johnson City, Tenn. Patai has modifications that have to be integrated with other devices. served as a practitioner all over the country in retail, clinical and home care.
24 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4
Pedorthists and Chiropractors Should have Each Others’ Backs – and Feet!
By Rob Sobel, C.Ped.
Pedorthic and chiropractic care often go hand in hand. Chiropractors are an excellent referral source for both shoes and orthotics.
share an office with a chiropractor, splitting the week so we are not bumping into each other in the Ihallway of our small office. I am not saying your relationships with chiropractors should be this close, but it works for me. Relationships with chiropractors will definitely work for you. There are some things you will need to know about chiropractors up front. It is important to sit down and have some conversations together. In your discussion, you should ask what, if any, kind of orthotics or removable lifts the practitioner uses or dispenses. I have found that many may use an over-the-counter orthotic homeopathic preparations in addition to manipulating the (OTC) brand like Foot Levelers that has done a great job spine and other joints. marketing themselves in the chiropractic community. Foot Levelers manufacture soft foot orthotics that are usually well Do you make a great athletic orthotic? Let the chiropractor tolerated by the patient, though not necessarily giving the who markets his or her practice as such know your full functional benefits that a more structured or custom specialties. I know a chiropractor who is a tri-athlete, whose orthotic will. This type of OTC typically needs an extra practice is mostly athletes and who has a massage therapist, depth style shoe, especially if one has a build-up due to a leg acupuncturist and exercise physiologist on the team. He length discrepancy. swore his podiatrist was the only one who knew how to make a proper foot orthotic. I made orthotics for a couple of his Just because the chiropractors are used to working with patients and now he is sold on the pedorthic philosophies. OTC orthotics does not mean they won’t switch if shown a superior product and if pedorthists can partner with them for As pedorthists, our skills and knowledge are needed by local the mutual benefit of the patient. chiropractors, just as their skills and knowledge are needed by us. Market your abilities and specialties that match their If shoe modification work is also something you do in your practice’s philosophy. Send your local practitioners some practice, show them a sample. This is much needed in every literature about what you do and follow it up by a visit. Show community and chiropractors handle a lot of patients with some samples of your work. Explain how you can change a Leg Length Discrepencies (LLDs) and back problems, and it patient’s stance, gait, etc. Leave them a stack of business cards can really aid in their chiropractic treatments. I bought a $10 and ask for some of their cards. pair of shoes off a clearance rack and did a buildup to show other practitioners examples of my work. This has been a rewarding relationship for me, the chiropractor, our patients and our businesses. Build a relationship with the It is also important to know about the chiropractor’s services. chiropractors in your area, and you will be glad you did. ■ Just as some pedorthic practices are geared more toward shoe sales while others focus on custom molded foot orthotics, Rob Sobel, C.Ped., is an allied health professional with 25 years of patient chiropractic practices vary as well. Some concentrate on care experience. He was trained in pedorthics at Temple University School sports medicine, some are more holistic. They may offer of Podiatric Medicine and is owner of Sobel Orthotics & Shoes, Inc., Active Release Technique (ART), applied kinesiology or which is an ABC-accredited pedorthic facility.
26 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Tricky dogs? Give them style and comfort they’ll flip over.
Innovative features make Natural Step your patients’ new best friend. Our extra depth therapeutic shoes are designed by podiatrists and pedorthists to ensure comfort as well as fit. All of our shoes come standard with an out-flare heel, as well as a rocker bottom sole, and are available in four distinct widths. A combination last with a narrower heel helps keep dogs comfortable… in style. To see how happy your patients’ dogs can be, call us toll free at 866-500-SHOE (7463) or visit www.naturalstepshoes.com. From Shoe Repair to Pedorthics Expanding our Horizons Saved our Skills from Becoming Extinct
By Liz Chiles, C.Ped., and Margaret Haga, C.Ped.
eing part of the shoe repair industry, we have seen repairing and/or modifying footwear. This was such an easy many changes take place over the last 25 years both in and seamless transition for us to make. It isn’t uncommon for Band out of our facility in Raleigh, N.C. a customer to ask, “Why is a shoe wearing a specific way?” With a certification in pedorthics, proper education and It is painfully obvious that shoe repair is a dying art. Less training as well as additional knowledge about the gait, it is than 10 percent of the population has their shoes fixed. easier to answer this question, among others. People view footwear as disposable items and others simply don’t realize that their shoes can be fixed to wear for many With all of the questions that were being asked about the more years to come. Of course, because of the way a lot foot and the gait, we knew that we had to be knowledgeable of footwear in the marketplace is now manufactured, it is in this area in order to help our business and answer our sometimes not cost effective to have them fixed. customer’s questions. We researched pedorthics, decided to become certified and the rest is history. We realized that it We have become a disposable society. It is easier to get rid of was imperative to have proper education and training, not the old and buy new instead of having something repaired. just gain a certification in pedorthics. We wanted to provide With these factors, as well as extremely high overhead and no the best care for our patients and be able to practice what we income incentive, most shoe repair shops cannot survive. With could now preach. no one new to embrace the profession, what are we to do? In addition, with the downturn in the economy, we have In order to survive as shoe repairmen and women, we seen an increase in the shoe repair aspect of the business. learned that we had to diversify. We had to find something to More people are having their shoes fixed instead of buying complement our skill sets and help us carry our ever-rising new ones. overhead and costs. This meant finding something that was a natural fit with shoe repair. We found this with pedorthics. This has happened before. What makes it so different this We use similar or the same equipment, and we deal with time, however, is the age and gender of the new shoe repair
28 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 customer. Historically, men have been the traditional shoe DEMAND THE BEST repair customer making up more than 80 percent of people who have their shoes fixed. We have found over the last five years, the new face of shoe repair is younger, middle-aged Your patients do! women. They are spending more on their shoes, and they are more environmentally conscious. With the world going green and everyone realizing the importance of the impact we have Why shouldn’t you? on our environment, it makes much more sense to recycle shoes by having them fixed and save money in the process. In addition, we saw a large number of people who ABC facility complained about their feet on a daily basis. It made the addition of pedorthics a no brainer for us. The baby boomer generation helped us in our endeavors to stay viable in today’s accreditation is market of shoe repair and pedorthics. After receiving our certification, we added athletic foot wear as well as custom BEST. orthotic fabrication. With the population aging and wanting to stay active, it created a market for our athletic shoes and We offer the: orthotic business. Obviously as part of our business, we do a lot of shoe :: Best value modifications. Our shoe repair background has given us better insight into how shoes are made. This allowed us to :: Highest standards be more creative in the shoe modification process. :: Longest track record For instance, when working with leg-length discrepancies, we for excellence in the have the ability to elevate one side and lower the contralateral side because we have easy access to heeling material and orthotic, prosthetic trimmers used in the shoe repair trade. We can also cover and pedorthic elevations with leather giving them a dressier and more professions finished look. It is definitely more time consuming and more expensive for the patient, but it is available to them because it is already built into our shoe repair business model. We Can Help Another way to really boost an existing pedorthic practice is to seek out competent shoe repair people and invite them Contact us today at 703-836-7114 into your business. Whether they become employees and and join the best in the profession. begin taking education in pedorthics and sit for their exams Download the accreditation or you simply partner and send each other clients, it can be a guidelines and an application very rewarding relationship. at www.abcop.org. For many years, PFA has encouraged shoe repair people across the country to become involved with pedorthics because it is a very smart next step to a new level of education and a profession using current skill sets to create new careers. Whether they choose to work in a practice, with other pedorthists or venture out on their own, partnership is encouraged. It’s tragic that shoe repair is a dying art. The good news is diversity is available for survival — reach out and grab it and you have the possibility of enjoying the same success we have experienced. Becoming a Certified Pedorthist is the most natural transition and fit to keeping shoe repairmen and women and their skills not just alive but thriving for years to come. ■
Liz Chiles, C.Ped., H & H Shoe Repair & Pedorthic Facility Raleigh, N.C., serves on the PFA Board of Directors as well as the association’s Marketing, Communications & Editorial Committee. Margaret Haga, C.Ped., is owner of H & H Shoe Repair & Pedorthic Facility in Raleigh, N.C. www.abcop.org DEMAND THE BEST :: DEMAND THE BEST :: DEMAND THE BEST :: DEMAND THE BEST :: DEMAND THE BEST :: DEMAND THE BEST DEMAND THE BEST :: DEMAND THE BEST :: DEMAND THE BEST
Pedorthic Footwear Association • www.pedorthics.org 29 Association News
P FA Continuing Education Learning is Now Online PFA is pleased to offer on-demand learning opportunities, • Introduction to Modern Coding: Off-the-Shelf Shoes and accessible via the Internet and available to view wherever and Shoe Modifications; whenever you are—at the office, in your home, day or night. • Introduction to Pedorthic DMEPOS Insurance Billing; • The Neuromuscular Foot: A Pedorthic Approach; and Topics explore coding and billing, the diabetic foot, patient and practice management, and more. Simply select the courses that • Pedorthic Management of the Diabetic Foot. are right for you. Take advantage of this excellent opportunity Online courses include: to expand your knowledge while earning continuing education • Complex Foot Problems; credits (for ABC and BOC credentialed pedorthists). • Complex Forefoot Disorders Among Athletes; At $30 to $50 per course for PFA members, these on-demand • Differential Diagnosis of Foot and Ankle Pain: Part 1; opportunities provide you with convenient, top-notch • Differential Diagnosis of Foot and Ankle Pain: Part 2; learning at a great value. • Lower Extremity Biomechanics; and Recorded Webinars include: • Using Diabetic Foot Screenings to Build Your Practice. • Arthritis and Pedorthics: An In-Depth Look; For more information, visit www.pedorthics.org or • Introduction to Modern Coding: Custom and Off-the-Shelf contact PFA Headquarters at 202-367-1145 or e-mail Foot Orthoses; [email protected].
Save the Date: 2010 North American Pedorthic Congress Members are encouraged to attend 2010 North American Pedorthic Congress, which will take place Nov.18-21 at the Hilton Walt Disney World Resort in Orlando, Fla. If you have any questions, please contact PFA Headquarters at 800-673-8447 or visit www.pedorthiccongress.org.
30 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 * Not all widths and sizes available in all styles Updated Veiw Our A5500 Print Catalog On Line! www.propetusa.com
Come visit us at:
APMA (American Pedorthic Medical Association) • 7/19-7/21 • Seattle, WA www.apma.org
The Atlanta Shoe Market • 8/13-8/15 • Atlanta, GA www.atlantashoemarket.com
MAGIC Marketplace • 8/17-8/19 • Las Vegas, Nevada magiconline.com
A5500 Medicare Coded Therapeutic MedTrade • 11/16-11/18 • Atlanta, GA Footwear Collection www.medtrade.com Spring 2010 Update
PFA (Pedorthic Footwear Association) • 11/18-11/20 • Orlando, FL www.pedorthics.org Association News
2010 North American 2010 North American Pedorthic Congress Exhibitors (As of Aug. 2, 2010) Pedorthic Congress The exhibit floor at the 2010 North American Pedorthic Congress is nearly sold out. With three Corporate Sponsors months to go until the largest pedorthic educational event in the world, 98 percent of the (As of Aug. 2, 2010) available exhibit space is already sold. To ensure that your company doesn’t miss out on a truly global event, contact NAPC Exhibit Sales Coordinator Marlene Mirman at 202-367-1139 or The Pedorthic Association of e-mail [email protected]. For more information about the 2010 North American Pedorthic Canada and the Pedorthic Congress or to view the live virtual exhibit floor, visit . Below is a Footwear Association would like www.pedorthiccongress.org to thank the following companies list of companies already committed to exhibit space. for sponsoring the 2010 North Acor Orthopaedic, Inc. Human Motion NA LLC Pine Tree Orthopedic Lab, Inc. American Pedorthic Congress: Aetrex Worldwide Inc. Hush Puppies Propet USA, Inc. AGS Footwear Group Institute for Preventive PW Minor Foot Health Alps South Renia GmS H American Board for Certification InStride Shoes, LLC Riecken’s Orthotic Laboratory in OP&P International School of Right Way Custom Molded Shoes New Step Orthotic Lab, Inc. American Shoe Corporation Pedorthics General Congress Sponsor Amfit Inc. Jerry Miller I.D. Shoes Ruby Leather & Orthopedic Co. AON Affinity Insurance Services JMS Plastics Supply Rx 24 Quadrastep System Apis Footwear Co. Justin Blair and Company SAS Shoemakers Arizona AFO, Inc. Kanner Corporation Sequoia/Comfort Rite Propet USA, Inc. Atlantic Footcare Kiwi Software Solutions Inc. Shoe Systems Plus, Inc. KLM Orthotics Labs Tote Bags Avia Silipos Klogs USA Becker Orthopedic Sole Berkemann Knit-Rite, Inc. Sole Science Bintz Company Kumfs of New Zealand Soletech, Inc. BioPed Franchising Inc. LL Custom Somnio Renia GmS H Birkenstock USA, LP M.J. Markell Shoe Co., Inc. General Congress Sponsor BOC International Matplus Spenco Medical Corp. Branier Custom Molded Shoes Mephisto Spira Footwear, Inc. Brooks Sports Miami Leather Co. Sroufe Healthcare Products Carl Semler (Semler Shoes) MMAR Medical Group, Inc. STS Company Clinical Marketing Source MTB Footwear Sunrise Shoes & Pedorthic SAS Shoemakers Cluffy Biomedical National Pedorthic Services, Inc. Services Corp Friday and Saturday Afternoon Cloud Nine Sheepskin National Shoe Specialties Ltd. Superfeet Worldwide, Inc. Breaks in the Exhibit Hall Natural Step Coppi USA Tauer & Johnson Comfort Footwear Curtis Research Inc. New Balance Athletic Shoes, Inc. TechMed 3D Delcam New Step Orthotic Lab Inc. Tekscan DIABCO-Healthcare Nimco Orthopaedics bv Software Solution Northwest Podiatric Laboratory The Compliance Team, Inc. Shoe Systems Plus, Inc. DIA-Foot O&P Edge Thorlo, Inc. Name Badges and Lanyards Doctor Specified O&R Shoe Corp, Inc. Topy DOT Distribution Inc. Oasis Footwear, LLC Tru-Mold Shoes Dr. Comfort Orthaheel UCO International Dr. Jill’s Foot Pads Orthofeet Varifit Orthotics Drew Shoe Corp Ortoped Vers Tech Science Co. Ltd. Vibram/Quabaug Corporation Dynamic Foot Systems LLC Otabo Inc. Vibram/Quabaug Corp. Saturday’s Keynote Speaker Ergoresearch PartnerShip LLC Vittoria Phoenix Euro International Ped Lite LLC Vtech Lab Inc. Frankford Leather Co. Inc. Pedag USA Gadean Footwear Pedifix Footcare Inc. Waldlaufer
Vittoria Phoenix Guard Industries Inc. Pedors Shoes Waterhouse Leather Co Vittoria Phoenix Haflinger PEL Supply Company Wellness Life Systems Friday Night Social Event Haphad Pilgrim Shoes Z-Coil
32 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 preventive medicine.
For many painful foot problems, Brooks is the prescription. SADMERC-approved and available in widths, our motion control shoes are biomechanically engineered to keep feet healthy and happy. Brooks customers have long referred to our Beast® and Ariel® as “lifesavers.” For flat arches, orthotics, and the other special needs of severe overpronators, they offer the maximum dose of support and cushioning. Association News
Q & A with the National Supplier Clearinghouse (NSC)
Question: What are the qualifications to provide diabetic footwear? Answer: Section 1861 (s) (12) (C) of the Social Security Act PFA’s E-newsletter Covers the states, “The shoes are fitted and furnished by a podiatrist or other qualified individual (such as a pedorthist or orthotist, Pedorthic Community as established by the secretary).” PFA OnLine is PFA’s members-only, bimonthly Until the term “other qualified individual” has been defined, e-newsletter. The publication covers high- the Centers for Medicare and Medicaid Services (CMS) has level industry (pedorthic and general heath instructed the National Supplier Clearinghouse (NSC) to care) news, government affairs updates and allow suppliers to provide diabetic footwear as long as the supplier can illustrate some type of training has been received. association news. However, the NSC will not accept this training in lieu of any If you do not currently receive PFA OnLine, state licensure requirements. Supplier Standard 1 states, “A contact Tristan Wood, PFA’s membership supplier must be in compliance with all applicable federal and state licensure and regulatory requirements.” Therefore, services coordinator, at 800-673-8447 or if a state requires a license to provide diabetic footwear, then e-mail [email protected]. the supplier will have to be properly licensed in order to provide this service to Medicare beneficiaries.
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34 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Coding, Billing & reimbursement
PFA Update on DME MAC Jurisdiction B Pre-payment Medical Review of TSD Claims PFA recently reported that the National Government Services Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Medical Review Department is initiating a pilot prepayment medical review of claims for therapeutic shoes. Per the TSD medical policy, suppliers always have had the responsibility to maintain appropriate documentation as part of their patient’s records to support their claims to Medicare. Suppliers of selected claims will receive a documentation request letter by mail. They then must return the requested documentation no later than 30 days from the date of the letter, or the claim will be denied as not medically necessary. The required documentation is: • A valid physician’s order prior to the date of service on the claim; • A detailed description of the items to be dispensed; • The treating physician’s signature; • If the signature is illegible, a signature key that includes the typed name of the physician with credentials, the physician’s signature and the physician’s initials is required; • The date of the signature; • The start date of the order (only required if the start date is different from the signature date); • Copy of the Statement of Certifying Physician prior to the date of service on the claim; • Documentation from the certifying physician’s medical records prior to the date of service on the claim showing that the patient has one or more of the following conditions: 1. P revious amputation of the other foot or part of either foot; 2. History of previous foot ulceration of either foot; 3. History of pre-ulcerative calluses of either foot; 4. Peripheral neuropathy with evidence of callus formation of either foot; 5. Foot deformity of either foot; or 6. Poor circulation in either foot. • Documentation from the certifying physician’s current medical records prior to the date of service on the claim that validates the patient is under a comprehensive plan of care for his/her diabetes; • Manufacturer and product name/number of the shoes and the inserts that were provided; • For inserts billed with Healthcare Common Procedure Coding System (HCPCS) code A5513 that are not listed on the Durable Medical Equipment Coding System (DMECS) product Classification List, a description of the process and materials that are used to custom fabricate the inserts; and • Valid proof of delivery, including the patient’s name, item delivered and date of delivery.
continued on page 36
Pedorthic Footwear Association • www.pedorthics.org 35 Coding, Billing & reimbursement
P FA Update on DME MAC Jurisdiction B Pre-payment Medical scope of practice and the burden of soliciting additional Review of TSD Claims documentation from other physicians. continued from page 35 In addition to the legal review, PFA’s Government Affairs Committee member Mark Grundman has met three times What has PFA Done? with Dr. Adrian Oleck, Jurisdiction B’s medical director. PFA has sought a legal review of the requirement to While Dr. Oleck empathized with PFA on this issue, he determine if DME MAC has the authority to require the concluded that there was essentially nothing that the medical collection of all of the elements in the list above. PFA asked directors could unilaterally change. counsel to research whether NGS may require a pedorthist to produce a doctor’s plan of care or other records to prove What You Should Do? that a therapeutic shoe is covered by Medicare. Counsel PFA recommends that, when a diabetic Medicare patient calls informed PFA that NGS has a local coverage determination your office to set up an appointment based on a referral, your (LCD) in effect, which provides that therapeutic shoes are office should request that the patient obtain and provide you only covered if there is (1) a written order for the shoes and a copy of the patient’s progress notes related to the physician’s (2) a certificate of medical necessity issued by the physician treatment of the patient’s diabetic condition. The notes should treating the patient. justify the medical necessity for the referral to a pedorthist for In addition, the LCD specifically provides that a certificate therapeutic shoes and inserts. of medical necessity alone is insufficient to prove that a therapeutic shoe is covered by Medicare. Since the certificate Moving Forward of medical necessity alone is insufficient, a pedorthist (or For years, PFA has been advocating for common-sense other qualified supplier), as the supplier requesting payment, changes to numerous provisions of the TSD medical policy may have to produce a doctor’s plan of care and other to help ensure benefit integrity, quality patient care and fewer medical records to prove that a therapeutic shoe is covered administrative burdens for the suppliers while still meeting by Medicare. Thus, given the current state of the law, there is Medicare’s need to ensure compliance with the policy. PFA little legal ground from which PFA can attack NGS’s position. continues to push for a significant overhaul of the TSD This conclusion is very unfortunate given the pedorthists’ medical policy.
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36 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Government Affairs
DMEPOS Requires Detailed Written Orders Medicare requires an order for every item (except repairs) of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). Detailed written orders are used to confirm what was ordered by the treating physician following the supplier’s receipt of a verbal or written dispensing order. Detailed written orders must include separately billable options, accessories or supplies related to the base item that is ordered. Detailed written orders must not be used to add unrelated items, whether requested by the beneficiary or not, in the absence of a dispensing order from the physician for that item. Example: The treating physician calls the supplier and prescribes a glucose monitor with a verbal order. The supplier can then create a detailed written order that includes an itemized listing of all directly related, separately billable items – the glucose monitor, test strips, lancets, calibration solution, batteries and lancing device. This detailed written order is then returned to the physician for their signature. Although the initial dispensing order from the physician did not specifically include the test strips, lancets and other supplies, they are clearly related to the glucose monitor. Therefore, it is an acceptable detailed written order. For detailed written orders of this type, no further action is required from the physician beyond their signature and date. However, for other types of detailed written orders other actions by the physician may be required. In the example above, it is not acceptable for the supplier to include additional, unprescribed and unrelated items, such as a water circulating heating pad or wrist orthosis to the detailed written order. While the test strips, lancets and other supplies are related to the glucose monitor in the original order, the water circulating heating pad and wrist orthosis are not related and. Therefore. must not be included on the detailed written order. Some suppliers use preprinted forms for their detailed written orders that include a listing of many different items, not all of which may be needed by an individual beneficiary. These listings often create incompatible combinations. For example, an order form for CPAP accessories might list all possible interfaces. On these forms, the final document that is signed and dated by the physician must clearly identify the specific items that are being ordered for that patient. This may be accomplished in one of two ways: • The supplier may indicate the items that are being provided before sending the form to the physician. The physician can then review the form and accept either the items marked by the supplier or make any necessary changes. The physician must then initial and date the revised entries; or • The supplier may send the form to the physician without any items selected and ask the physician to indicate
continued on page 38
Pedorthic Footwear Association • www.pedorthics.org 37 Government Affairs
D Mepos Requires Detailed Written Orders Reminder: Coding Guidelines continued from page 37 for Therapeutic Shoes for Persons which items are being ordered. The physician must make with Diabetes their choice clear. Check marks, circling items or other affirmative indicators are acceptable ways to show that the This is a reminder to reemphasize a policy that has been in physician selected the item(s). place since the initiation of Coding Verification Reviews of Therapeutic Shoes and Inserts. A5500 and A5501 include In each case, the physician must sign and date the form. two components to the codes. The first component is the fitting and follow-up associated with dispensing the shoes. The following are examples (not all-inclusive) of forms listing The second is the composition and characteristic components multiple items, which would be considered invalid detailed of the shoe. written orders: When a manufacturer and/or distributor submits their • Forms listing incompatible items without specific items therapeutic shoes to the Pricing, Data Analysis and Coding being selected. For example, for CPAP, a form that includes Contractor (PDAC) for coding verification review, that full-face mask, nasal mask and nasal pillows with none being specifically selected by the physician. review is solely focused on whether the composition and characteristic components of the shoe meets the requirements • Forms with incompatible items checked off or selected by specified in the Coding Guidelines section of the Therapeutic either the supplier or the physician. For example, a form Shoes for Persons with Diabetes Policy Article. Inclusion of that includes full-face mask, nasal mask and nasal pillows a shoe on the Product Classification List does not indicate and two or all three are selected. whether the fitting and follow-up is acceptable. That As always, you should refer to the Supplier Manual and the determination is made by the Durable Medical Equipment Local Coverage Determinations for additional information Medicare Administrative Contractor (DME MAC) and other about order requirements for specific benefits. contractors that conduct medical review of claims.
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38 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Clinic_Extra_Ad:Layout 1 6/17/10 2:44 PM Page 1
Suppliers are reminded to access the Durable Medical Equipment Coding System (DMECS) at https://www. ______EXTRA DEEP dmepdac.com/dmecs/index.html or contact the PDAC Contact Center at 877-735-1326 for any questions regarding the correct coding of products. ______EXTRA WARM
CMN: Understanding Physician ______EXTRA DRY
Documentation Responsibilities OLIVIA T09860 Suppliers are encouraged to remind physicians of their Adjustabl Velcro Fit Medicare A5500 responsibility in completing and signing the Certificate Coding Approved of Medical Necessity (CMN). Physicians and suppliers are responsible to determine the medical need for, and the utilization of, all health care services. The physician and supplier should ensure that information relating to the beneficiary’s condition is correct. Suppliers are also encouraged to include language in their cover letters to physicians reminding them of their responsibilities.
T herapeutic Shoes for Persons with ALYSSA T09862 Diabetes – Prepayment Review Update Easy on Full Front Zipper Medicare A5500 The National Government Services, Jurisdiction B Durable Coding Approved Medical Equipment Medicare Administrative Contractor (DME MAC) Medical Review Department recently conducted a prepayment targeted medical review of therapeutic shoes for persons with diabetes. This was a widespread random selection of submitted claims based on a targeted service(s) from multiple suppliers which were reviewed for medical necessity. Nine suppliers were involved in this review, 88 claims were reviewed and 19 claims were allowed as billed. The remaining claims were denied for one or more of the reasons listed below. CLAIRE T10868 Easy on Adjustable NUMBER OF Double Velcro Upper DENIAL REASON CLAIMS DENIED Medicare A5500 Coding Approved No/insufficient medical record documentation 51 of a qualifying foot condition No/insufficient medical record documentation 25 of the management of diabetes Invalid detailed written order 22 No documentation received 11 Invalid Statement of the Certifying Physician 4 Insufficient information regarding the coding 4 of inserts
It is important for suppliers to be familiar with the documentation requirements and utilization parameters as outlined in the Local Coverage Determination for Therapeutic Shoes for Persons with Diabetes and Policy WATERPROOF Article for Therapeutic Shoes for Persons with Diabetes. When submitting information pertaining to additional documentation ______MADE IN THE USA requests, please ensure that all supporting medical necessity Call 1-800-445-0886 to reach your local rep. documentation is provided in a timely manner.
Pedorthic Footwear Association • www.pedorthics.org 39 Government Affairs
Therapeutic Shoes – In-Person Fitting and Delivery Appendix C of the DMEPOS Quality Standards published in measurements of the patient’s feet. For custom molded October 2008 addresses specific requirements for orthoses, shoes (A5501) and inserts (A5513), this visit must also prostheses, prosthetic devices and therapeutic shoes. Those include taking impressions, making casts or obtaining standards include requirements for “an in-person diagnosis- CAD- CAM images of the patient’s feet that will be used specific functional clinical examination” by the supplier to in creating positive models of the feet. determine the need for a particular item as well as “face- 2. The in-person visit at the time of delivery must include to-face fitting/delivery” by the supplier. Therefore, in order an assessment of the fit of the shoes and inserts with the for therapeutic shoes, inserts and shoe modifications to be patient wearing them. covered, both of the following criteria must be met: 1. Prior to selecting the specific items that will be provided, Depending on the items ordered, both the evaluation and the supplier must conduct and document an in-person delivery could occur on the same day if the supplier had both evaluation of the patient. a sufficient array of sizes and types of shoes and inserts and 2. At the time of delivery of the items selected, the supplier adequate equipment on site to provide the items that meet must conduct and document an in-person visit with the the beneficiary’s needs. Both components of the visit (criteria patient to ensure that the shoes/inserts/modifications are 1 and 2, above) must be clearly documented. properly fit and meet the beneficiary’s needs. Documentation of these visits must be available to the DME In order to meet these criteria, effective for claims with dates MAC, ZPIC, RAC or CERT contractor on request. If one or of service on or after July 1, the following documentation more of these requirements are not met, the claim will be requirements must be met: denied as statutorily noncovered. 1. The in-person evaluation prior to selecting the items must include at least an examination of the patient’s This information will be incorporated in a future revision of feet with a description of the abnormalities that will the Therapeutic Shoes policy. Refer to the Therapeutic Shoes need to be accommodated by the shoes, inserts and/ Local Coverage Determination and Policy Article for additional or modifications. For all shoes, it must include taking information regarding coverage, coding and documentation.
Advertiser Index
Advertiser Page Web site Acor Orthopaedic, Inc. 11 www.acor.com Aetrex Worldwide, Inc. 7, 20, BC www.aetrex.com AGS Footwear Group 23 www.agsfootweargroup.com American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc. 16, 29 www.abcop.org Apis Footwear Co. 36 www.apisfootwear.com Brooks Sports 33 www.brooksrunning.com Dr. Comfort 4 www.drcomfortdpm.com JMS Plastics Supply, Inc. 41 www.jmsplastics.com Kanner Corporation 3 www.finncomfort.com KLM Orthotics Lab 21 www.klmlabs.com MMAR Medical Group, Inc. IFC www.mmarmedical.com Natural Step 27 www.naturalstepshoes.com New Balance Althletic IBC www.newbalance.com New Step Orthotic Lab, Inc. 19 www.newsteporthotics.com Nolaro 24, LLC 35, 37 www.whatsmyfoottype.com Nor’East Sales Inc. 39 [email protected] Orthofeet, Inc. 15 www.orthofeet.com Orthoheel/Vasyli Medical 9 ww.orthaheelusa.com & www.vasylimadical.com Propet USA, Inc. 31 www.propetusa.com Riecken’s Orthotic Laboratories 34 www.footcomfortworld.net Rowan Billing Services 25 www.rowanbillingservices.com Tamarack Habilitation Technologies 17 www.tamarackhti.com Verne Bintz Company 38, 43 www.bintzco.com
40 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Industry News
ABC Releases New Facility Updated ABC Scope of Practice Accreditation Guide Now Available The American Board for Certification in Orthotics, Prosthetics The American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc. (ABC) recently announced the release and Pedorthics, Inc. (ABC) recently announced the release of a new Facility Accreditation Guide. The guide was updated of its updated Orthotics, Prosthetics and Pedorthics Scope of to provide ABC accredited facilities with clearer and more Practice. The Scope of Practice is periodically reviewed by a concise direction for acquiring and maintaining an ABC group of Certified Orthotists, Prosthetists and Pedorthists to accreditation. The new guide provides an overview of ensure its continued relevancy to the profession. Setting the ABC’s accreditation standards in plain language, making the standards that are the benchmarks for the profession, ABC information much more comprehensive and reader friendly. credentialed individuals use the scope of practice to define the parameters of their patient care. A copy of the Scope of A copy of the Facility Accreditation Guide is available for Practice is available for download at ABC’s Web site. download at ABC’s Web site.If you would like to receive a printed copy, please contact Joan Dallas at 703-836-7114, If you would like to receive a printed copy, please contact Joan ext. 203, or e-mail [email protected]. Dallas at 703-836-7114, ext. 203 or e-mail [email protected].
2010 North American Pedorthic Congress Early-bird Registration Ends September 30
Register today for the North American Pedorthic Congress at a discounted rate. Visit www.pedorthiccongress.com for more information.
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Pedorthic Footwear Association • www.pedorthics.org 41 Pedorthic Industry events
ORCT BE U EPon R Q EST Eneslow Pedorthic Institute October 18 – 22 International School of Pedorthics, Dallas, Texas 470 Park Avenue South @ 32nd Street, New York, N.Y. Pedorthic Pre-Certification Class (in-person portion) Training and Tutoring Program, Individual and Small Groups Contact Kathy Meanwell, ISP Administrator, at 918-872-1212, Contact Sarah Goldberg, 212-477-2300 ext 211 or [email protected] or visit http://pedorthiceducation.com. [email protected] or visit www.eneslow.com/epi. NOMR VE BE C OURses Robert M. Palmer M.D., Institute of Biomechanics November 4 1601 Main St., Elwood, Ind. Eneslow Pedorthic Institute, New York, N.Y. Courses providing pedorthic education for the retail, clinical One Day Review for Pre-Certification Exam or biomechanical knowledge seeking pedorthist. Also offering Contact Sarah Goldberg at 212-477-2300, [email protected] or visit traveling courses to your area. Course dates for Levels 1-3 in a http://www.eneslow.com/epi. variety of locations in the United States, Hong Kong, Mainland For more information on ABC Clinical Practice Requirements, visit China and Korea are available. http://www.abcop.org. Contact Pam Haig at 765-557-7216 or e-mail [email protected]. November 12 For more information, visit www.pedorthicbiomechanics.org Foot Solutions, Marietta, Ga. One-Day Cram Session CFS Allied Health Education Contact Tracy Strickland at 866-338-2597, ext. 206 or e-mail Pedorthic Certification: Exam Review [email protected]; Betty Hubauer at 866-338-2597, ext., This program focuses on supplying the student with the skills 201 or e-mail [email protected] or Dr. William Faddock at and knowledge needed to pass the ABC Certified Pedorthic exam 866-338-2597, ext. 209 or e-mail [email protected]. by presenting exam-like questions, exploring possible answers, and discussing rationales for correct and incorrect answers. November 18 – 21 Call 918-266-3678 or visit www.LearnPedorthics.com for PFA and the Pedorthic Association of Canada additional information. North American Pedorthic Congress Hilton in the Walt Disney World Resort Scholl College at Rosalind Franklin University Orlando, Fla. Pedorthic Pre-certification Course Contact PFA: 202-367-1145 or e-mail [email protected]; PAC at 204-975-8200 or e-mail [email protected]. Contact Ellie Wydeven, special programs office, 847-578-8410 For more information, visit www.pedorthics.org, www.pedorthic.ca or or e-mail [email protected]. www.pedorthiccongress.org. For more information, visit www.rosalindfranklin.edu/scpm/ce. DMRECE BE December 6 – 10 A TUGUS 2010 International School of Pedorthics, Los Angeles, Calif. Pedorthic Pre-Certification Class (in-person portion) August 30 – September 4 Contact Kathy Meanwell, ISP Administrator, at 918-872-1212, International School of Pedorthics, Hugo, Minn. [email protected] or visit http://pedorthiceducation.com. CEU Classes Contact Kathy Meanwell, ISP Administrator, at 702-449-0974, NOMR VE BE 2011 [email protected] or visit http://pedorthiceducation.com. November 10 – 13 SEPTEMR BE PFA 52nd Annual Symposium and Exhibition Albuquerque Convention Center Albuquerque, N.M. September 13 – 17 Call 202-367-1145 or e-mail. [email protected]. For more International School of Pedorthics, Charlotte, N.C. information, visit www.pedorthics.org. Pedorthic Pre-Certification Class (in-person portion) Contact Kathy Meanwell, ISP Administrator, at 918-872-1212, [email protected] or visit http://pedorthiceducation.com. NOMR VE BE 2012 September 27 – October 1 November 1 – 4 PFA 53rd Annual Symposium and Exhibition International School of Pedorthics, Dallas, Texas Statehouse Convention Center Pedorthic Pre-Certification Class (in-person portion) Little Rock, Ark. Contact Kathy Meanwell, ISP Administrator, at 702-449-0974, Contact 202-367-1145, e-mail [email protected] or visit [email protected] or visit http://pedorthiceducation.com. www.pedorthics.org for more information.
42 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Must Know Information About the 2010 North American Pedorthic Congress
Early Registration Deadline: September 30 Hotel Reservation Deadline: October 17
CEP Information: The American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) has tentatively awarded the three-day North American Pedorthic Congress up to 20 Category 1 Continuing Education Points (CEP). Optional Sunday add-on courses are worth additional points. The Board of Certification/Accreditation International (BOC) has tentatively awarded the three-day North American Pedorthic Congress up to 20 Continuing Professional Education (CPE). Optional Sunday add-on courses are worth additional points. The College of Pedorthics of Canada (CPC) has tentatively awarded the three- day North American Pedorthic Congress 18 Continuing Education Points (CEP). Optional Sunday add-on courses are worth additional points. Visit www.pedorthiccongress.com for more information.
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Pedorthic Footwear Association • www.pedorthics.org 43 Pedorthic marketplace
HELP WANTED This is an uncapped commission structure that FOR SALE provides continual cash flow. With this opportunity, Certified Pedorthists Wanted you can realistically generate a six (6) figure income, or it can be utilized as a supplemental income. Business software specifically Seeking ABC/BOC Certified Pedorthists immediately dsgee i n d for orthopedic shoe stores If this opportunity matches your desires and in all states for a nationwide therapeutic footwear Orthopedic Shoe Store Automation (OSSA) will fitting and delivery service. You will work closely experience, please contact us immediately. We help you manage and grow your business. OSSA with physicians in a team care approach operation have an immediate need to fill this position. software is network ready and runs on a standard and receive excellent pay and benefits. Please e-mail E-mail your resume and references to careers@ PC with Microsoft 2000, XP or Vista. Inventory resume (include contact phone number, city and state medicaldynamicsllc.net. Only those candidates management is a snap because OSSA uses of residence) to [email protected]. who meet our needs will be contacted. the standard UPC barcode on the products to automate the inventory process. Records can be Medical Sales Representative - Certified Shoe Fitter (full-time) transferred to OSSA from QuickBooks and other record keeping systems. Features include: Location Nationwide Gottlieb Memorial Hospital is seeking candidates Full or Part-Time to help run our therapeutic shoe program. • Point of Sale Medical Dynamics, LLC is looking for qualified sales Qualified candidates should be certified (CFTS) • Inventory management representatives. Medical Dynamics is a national or have experience in shoe fitting and pharmacy • Patient records (unlimited) Durable Medical Equipment provider, specializing that will help achieve certification. Certified • Order processing in orthotics for contracture management, diabetic Pharmacy Technician experience is preferred. supplies, diabetic footwear, Ostomy, Urology, Bilingual abilities is a plus, computer literacy and • Scheduling Incontinence and Wound Care. We are currently knowledge of Medicare billing. looking for sales professionals to develop new • Powerful mailing capabilities accounts nationwide. If you have sales experience, For further details and to apply online at • Physician referrals linked to patient sale or you are a physical or occupational therapist looking www.gottliebhospital.org. Join the Gottlieb Team. EOE • Track advertising results for a new challenge – we want to talk to you. • Diabetic reminder notices Qualified Candidates Must Have: Here We Grow Again – Uncapped • Employee sales performance • Ability to think independently and creatively Income Potential! • Commission processing • Exceptional interpersonal skills Artex Medical, Inc. (a national supplier of • Employee time clock • Ability to develop strong customer loyalties therapeutic footwear) is hiring Certified • Patient photo management • Strong organizational skills, and you must be a Pedorthists in multiple locations to provide foot • Full security driven, self starter evaluations and fittings in multiple settings. We These are a plus: Physical or Occupational are currently looking for professionals in ALABAMA, • Patient charting Therapist or Assistant ARKANSAS, FLORIDA, OHIO, TEXAS, VIRGINIA and • Document management (paperless office) • BOC Certified many other areas. • Insurance code processing • DME sales experience Come find out why our C.Peds love working for • Business reports • CPED us! Artex has an ABC Accredited Pedorthic Lab • Track sales from doctor referrals with over 24 C.Peds currently on staff! Please • Outside sales experience e-mail resume to [email protected], fax to • GMROI • Experience in diabetic supply sales 903-791-8665 or call for more information about Call or E-mail Engwer & Associates at 412-751-2433 This is an INDEPENDENT sales representative this great opportunity. Julie Jones, Director of [email protected] to schedule a comprehensive online opportunity that is PAID ONLY ON COMMISSIONS. Operations, Artex Medical, Inc., 800-794-2859. demonstration of OSSA.
To place a classified ad contact [email protected], send a fax to (202) 367-2145, or mail to Current Pedorthics, 2025 M St., NW, Suite 800, Washington, DC 20036.
Classified Advertising Rates Words PFA Member PFA Non-Member 50 or fewer words $25 $45 51-75 words $45 $65 76-150 words $65 $125 The above rates are calculated by counting complete words. (A telephone number is counted as a complete word.)
44 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Product Reference Guide
This reference guide is intended solely to make it easier for individuals, facilities and companies to locate pedorthic products. Companies listed in the guide are PFA vendor/manufacturer members. Companies may produce additional products beyond those listed, and most companies are pleased to provide additional information on request. As a courtesy to our readers, CP has noted the year the company joined PFA in parentheses after the company’s name. Inclusion in this list does not suggest or imply PFA endorsement of companies or products. To arrange changes in your company’s listing, e-mail [email protected].
Acor (1979) Brooks Sports, Inc. (2001) Apis Footwear Company (2000) Walking/athletic shoes in women’s and men’s styles. Delivery Custom and comfort footwear, inserts and materials. Women’s footwear, 103 sizes; men’s footwear, 98 sizes. Open includes special orders. Originator of Tri-Lam and P-Cell. stock for immediate delivery. Bothell, WA...... 800-2-BROOKS Cleveland, OH...... 800-237-2267 S. El Monte, CA...... 888-937-2747 Fax...... 425-483-8181 Fax...... 216-662-4547 Fax...... 626-448-8783 E-mail ...... [email protected] E-mail ...... [email protected] E-mail ...... [email protected] Website ...... www.brooksrunning.com Website ...... www.acor.com Website ...... www.bignwideshoes.com Cluffy Biomedical (2008) Arizona AFO, Inc. (2003) Great Falls, MT ...... 406-590-3668 Arizona AFO manufacturers a line of medical ankle braces Fax...... 406-761-7219 for the treatment of foot disorders. The Arizona AFO line E-mail ...... [email protected] is used by physicians and practitioners as a way to increase Aetrex Worldwide, Inc. (1973) mobility, avoid paid, avoid surgery and provide a better quality of life. C.N. Waterhouse Leather Co., Inc. (1998) Aetrex Worldwide has been a supplier of footcare products Manufacturer and distributor of fine leathers, woolskins, ® for 60 years. Aetrex’s brands include Aetrex and Apex Mesa, AZ ...... 480-222-1580 suede pig-skins, sheet goods and adhesives for use in the ® ® Footwear, Lynco Orthotics, iStep and raw materials. Fax:...... 480-461-5187 pedorthic footwear and orthopedic industries. Teaneck, NJ...... 800-526-2739 E-mail:...... [email protected] Website:...... www.arizonaafo.com Bedford, MA...... 800-322-1177 Fax...... 201-833-1485 Fax...... 781-271-0499 E-mail ...... [email protected] E-mail ...... [email protected] Website ...... www.aetrex.com Curtis Software, Inc. (2009) Affinity Insurance Services, Inc. (1998) Curtis Software is a unique medical billing software Affinity Insurance Services administers the PFA product company. What makes us unique is that we use our own and malpractice liability insurance program. Designed for software on a daily basis in our national billing company pedorthists, insurance protection can be customized for called ClaimCare. Our company started as a nationwide each‑PFA member. billing service in 1986. Our company will do any type Chicago, IL...... 800-544-2672 Bintz Company, Inc. (1991) of medical billing, including DME, specialized pharmacy, Fax...... 312-922-9321 Distributor of pre-molded orthotics, comfort foot products, physical therapy and physician claims. sheet goods and fitting aids. Products from Birkenstock, Pedag, Spenco, Pedifix, Knit-Rite, Powerstep, Hapad, Sroufe, Akron, OH...... 800-648-2377 Khepra and more. Fax...... 330-376-9812 E-mail ...... [email protected] Wheaton, IL...... 800-235-8458 Website ...... www.curtis.lek.net Fax...... 630-653-5077 AGS Footwear Group (1995) E-mail ...... [email protected] Shoe store supplies, fabricating materials, prefabricated Website ...... www.bintzco.com DB Shoes Ltd. (2003) orthotics, heel cups and forefoot supports. Manufacturers of direct injection molded footwear. Ashland, VA...... 800-446-3820 Biomechanical Services Inc. (2004) Rushden, Norhamptonshire, England . +00 44 1933 359217 Fax...... 800-822-0180 Custom foot orthotics as well as lower extremity evaluation Fax...... +00 44 1933 410218 E-mail ...... [email protected] systems, custom sandals, prefabs, balance therapy tools and E-mail ...... [email protected] Website ...... www.agsfootweargroup.com educational courses. Technical support services. Website ...... www.dbshoes.co.uk Brea, CA...... 800-942-2272 American Shoe Corporation (2003) Fax...... 714-990-4060 Doctor Specified (2008) Custom shoe company. Complete lines for diabetic, arthritic E-mail ...... [email protected] The Doctor Specified line has been specially developed for and geriatric patients. 15-day manufacturing time and fully Website ...... www.biomechanical.com the discerning consumer or those among us with foot or guaranteed fit and finish on each pair. general health issues. The line includes Diabetic and Medical Bedford Hill, NY...... 914-241-0422 Grade categories, which feature socks that are specific in Birkenstock USA, LP (1990) need and technically advanced. Fax...... 914-241-1974 U.S. distributor of Birkenstock sandals, shoes, clogs and E-mail ...... [email protected] arch supports, and also representing Footprints® shoes and By incorporating features such as hand-linked seamless Birko Orthopädie arch supports. toes, extra-deep heel wells, and our proprietary Med Dry® moisture management system, we have produced a product American Sporting Goods Corp. (2009) Novato, CA ...... 800-949-7301 line unique to the U.S. market. Aliso Viejo, CA...... 949-267-2800 Fax...... 415-884-3250 Fax...... 949-225-6386 E-mail ...... [email protected] Hickory, NC...... 828-485-3316 E-mail ...... [email protected] Website ...... www.birkenstockusa.com Fax...... 828-485-0049 E-mail ...... [email protected] Website ...... www.doctorspecified.com Amfit Inc. (1996) Branier Orthopedic Custom Molded Shoes (2004) Footfax-SL 3D Contact Digitizer, Footprinter Foam Casting Catalogue contains over 40 styles. Can duplicate any shoe System, precision CAD/CAM Carving Mill, accommodative on the market. 12-day turnaround, great fit! Dr. Comfort (2004) and functional custom foot orthoses and orthotic sandals. Dr. Comfort manufactures, warehouses and distributes the Sunrise, FL...... 877-524-0639 finest quality extra-depth shoes for diabetics or patients who Vancouver, WA...... 800-356-3668 Fax...... 954-727-2608 need quality comfort shoes. Fax...... 360-566-1380 E-mail ...... [email protected] E-mail ...... [email protected] Website ...... www.branier.com Mequon, WI...... 262-242-5300 Website ...... www.amfit.com Fax...... 262-242-9300 E-mail ...... [email protected] Website ...... www.drcomfortdpm.com
Pedorthic Footwear Association • www.pedorthics.org 45 Product Reference Guide
Dr. Kong Footcare Limited (2005) Gadean Footwear (2010) JMS Plastics Supply (1992) Manufacturer of children’s, men’s and women’s healthy shoes Gadean Footwear is the largest orthopaedic shoemaker JMS Plastics distributes all your needs to make a quality insoles, footcare accessories and computerized assessment in Australia. Gadean Footwear provides retailers with Foot Orthotic. We stockTL-2100/ TL-silver and now XTX software. 33 chain shoe shops in Hong Kong. Provides washable slippers, motion shoes, fashion shoes, depth shoes, our newest composite material. Along with a complete line check and fit services and healthy products for everybody. removable insole sandals and many more products. of EVA in many colors/ thicknesses and durometers. JMS Kwai Chung, N.T., Hong Kong ...... 852-2744-2638 Mt. Hawthorn, Western Australia, Australia. . 08-9208 1000 now carries a complete line of insoles, from The Healix care Fax...... 852-2744-8845 Fax ...... 08-9443 9915 footbeds with Bamboo and Silver top covers to Superstep E-mail ...... [email protected] E-mail ...... [email protected] in 3 rigidities and the complete line of Sof Sole insoles. JMS Website ...... www.dr-kong.footcare.com.hk Website ...... www.gadeanfootwear.com.au is the first company to have a Bamboo top cover laminated onto Neoprene. Bamboolon comes in sheets. We also carry a full line of Poron in sheets/wheels and rolls. Call 1-800-342- Drew Shoe Corporation (1968) Guard Industries, Inc. (1996) 2602 for free samples and a current catalog. Men’s and women’s depth and comfort footwear in over Components for shoe care, foot comfort, orthotics and Neptune, NJ...... 800-342-2602 150 sizes. prosthetics. Complete listing of available products will be Fax...... 732-918-1131 Lancaster, OH ...... 800-837-3739 sent upon request. Website ...... www.jmsplastics.com Fax...... 740-654-4979 St. Louis, MO...... 800-535-3508 E-mail ...... [email protected] Fax...... 314-534-0035 Website ...... www.drewshoe.com E-mail ...... [email protected] Justin Blair & Company (2001) Website ...... www.guardmfg.com Manufacturer of Ralyn Shoe Care and Backroom Supplies and NightCare Foot Care. Distributor for Aetrex, eSoles (2009) Acor, Darco, Herbal Concepts, Pedifix, Swede-O, Silipos eSoles vision is to become the world’s premier brand name Haflinger/Highlander (Gerda Hoehm) (1999) and Therafirm. and technological leader in custom footbeds for consumers Boiled wool slippers, latex arch support, felt and leather Chicago, IL...... 800-566-0664 seeking superior athletic performance, lifestyle and medical clogs, cork molded footbed. Highlander is Gerda Hoehm’s Fax...... 773-523-3639 benefits. eSoles custom footbeds were born with a sporting new high-quality comfort line with a removable footbed. E-mail ...... [email protected] heritage that grew out of the passion of a world class athlete Both Haflinger and Highlander are made in Germany. Website ...... www.justinblairco.com and the ingenuity of a certified pedorthist. New York, NY ...... 212-949-6767 Scottsdale, AZ ...... 480-222-7333 Fax...... 212-949-8833 Fax...... 480-315-1790 E-mail ...... [email protected] E-mail ...... [email protected] Website ...... www.esoles.com Hapad, Inc. (1988) Hapad is a leading manufacturer of 100% natural wool Euro International, Inc. (1997) felt foot products and sports replacement insoles used Preformed insoles, diabetic shoes and materials in different for conservative management of common, painful foot KLM Laboratories (2006) hardnesses, especially for diabetics. complaints. Correctly sized, comfortably skived and adhesive An industry leader in the manufacture of foot orthotics Tampa, FL...... 800-378-2480 backed for quick and effective adjustments in the shoe. and insoles, specializing in custom orthotics, pre-fabricated Fax...... 813-246-5998 Bethel Park, PA...... 800-544-2723 orthotics, orthotic insoles and orthotic materials. E-mail ...... [email protected] Fax...... 800-232-9427 Valencia, CA...... 800-556-3668 Website ...... www.eurointl.com E-mail ...... [email protected] Fax...... 800-556-3338 Website ...... www.hapad.com Email...... [email protected] Ever-Flex, Inc. (2008) Website ...... www.klmlabs.com Ever-Flex is a well-respected manufacturer of fine medical InStride Shoes (2003) foot orthotics. Specialized laboratory technicians in both the InStride is a manufacturer of Medicare reimbursable, Klogs-USA (2007) United States and United Kingdom precisely form and finish multiple width footwear for diabetics that features the three Sullivan, MO...... 573-468-5564 custom Rx and prefabricated orthotics that are dispensed layer Custom Fit System. Fax...... 573-468-5560 by healthcare professionals worldwide. We offer a complete Hillsborough, NJ ...... 866-9-MY-FEET E-mail ...... [email protected] line of orthotics that have proven successful in the treatment Fax...... 908-359-7434 of neuromas, heel spurs, plantar fasciitis, poor posture and E-mail ...... [email protected] other medical problems relating to the foot, ankle, knee and Website ...... www.instrideshoes.com Kumfs Shoes N.Z., Ltd. (1998) back. Quality, thoughtfully designed shoes and sandals. Orthotics Taylor, MI...... 734-947-2060 friendly with specialist designed removable contoured Fax...... 734-947-9372 J.H. Cook & Sons, Inc. (2004) footbeds. E-mail ...... [email protected] Shoe modification components, foot comfort products and El Dorado Hills, CA...... 530-676-9960 Website ...... www.ever-flex.com shoe repair supplies. Products from Aetrex, Spenco, Vibram Fax...... 530-676-9965 and Soletech. E-mail ...... [email protected] Granite Quarry, NC...... 704-279-5568 Website ...... www.kumfs.com Finn Comfort (1993) Fax...... 704-279-5261 Luxury comfort footwear. Men’s and women’s walking E-mail ...... [email protected] shoes, sandals and boots featuring removable/modifiable Landesman Bros., Inc. (2003) orthopedic footbeds. Hand-crafted in Germany. Distributors of foot comfort products, pedorthic, orthopedic Thousand Oaks, CA...... 805-375-0038 Jerry Miller I.D. Shoes, Inc. (1977) and wound care supplies. Same day shipping. Fax...... 805-375-0848 Jerry Miller Shoes extensive custom-molded shoemaking Island Park, NY...... 800-852-8855 E-mail ...... [email protected] experience has also been applied to a new family of custom Fax...... 516-889-1253 Website ...... www.finncomfort.de AFOs - Buffalo Brace. Both shoes and braces feature state-of- E-mail ...... [email protected] the-art CAD technology, high quality glove leather, various Website ...... www.landesmanbros.com color options and a choice of closure methods. Jerry Miller Frankford Leather Company, Inc. (1997) Shoes and Buffalo Brace. For all walks of life! Diabetic seamfree socks, foot comfort products, shoes, shoe Buffalo, NY...... 800-435-0065 Lord Custom Molded Shoes, Inc. (1994) modification/shoe repair supplies, foam impression kits, specialty Fax...... 716-881-0349 Fashionable custom-molded shoes for men, women, and adhesives and more. Same-day shipping. Products from Apex, Websites...... www.jerrymillershoes.com children. Guaranteed fit and service. Soletech, Vibram, EVA, Sher, Dryz, etc. Catalogs available...... www.buffalobrace.net Bohemia, NY ...... 800-SHOES11 Bensalem, PA...... 800-245-5555 Fax...... 516-471-3090 Fax...... 215-244-4411 MacPherson Leather Company (2005) E-mail ...... [email protected] Seattle, WA...... 206-328-0855 Website ...... www.frankfordleather.com Fax...... 206-328-0859 E-mail ...... [email protected]
46 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Product Reference Guide
MacPherson Leather Co. (2005) Oasis Footwear, LLC (2009) Pine Tree Orthopedic Lab (2007) MacPherson Leather Company has provided a tradition of Oasis Footwear was founded on the principle of prevention, As an orthopedic lab, we offer physicians across the nation caring service since the early 1900s. As a generational family wellness, and style through our diabetic shoes and inserts. high quality leather covered AFO’s (Ankle Foot Orthoses), business, we are committed to providing excellent service We strive to offer the diabetic patients a shoe they will want custom orthotics, semi-custom orthotics, and diabetic and expertise for all of our customers’ needs. to wear. Oasis Footwear is ‘Diabetic Footwear Redefined.’ To inserts. For more information on a specific product line, As a wholesale and retail company, we offer quality products learn more, visit our website today at www.oasisfeet.com. please visit our website. for saddle and tack, shoe findings, and leather craft trades. Erie, PA ...... 814-384-7579 We pride ourselves in manufacturing high quality devices We hope you find what you are looking for on our site and Fax...... 814-217-1354 using the most durable materials possible. With standard please contact us with any questions you may have. E-mail ...... [email protected] five business day turnaround, and exceptional customer Seattle, WA...... 206-328-0855 Website ...... www.oasisfeet.com service, it is time to see what PTOL can do for you! FAX...... 206-328-0859 Livermorefalls, ME...... 207-897-5558 E-mail ...... [email protected] Fax...... 207-897 1117 Website ...... www.macphersonleather.com E-mail ...... [email protected] Website ...... www.pinetreeorthpedic.com Miami Leather Company (2001) Orthofeet, Inc. (1999) Wholesaler to the orthopedic, prosthetic, retail shoe and Manufacturer and distributor of high quality depth-shoes shoe repair trades. Wide variety of products. and orthotics. Miami, FL...... 305-266-8328 Northvale, NJ...... 800-524-2845 Fax...... 305-266-8728 Fax...... 201-767-6748 E-mail ...... [email protected] E-mail ...... [email protected] Propet USA, Inc. (2000) Website ...... www.miamileather.com Website ...... www.orthofeet.com Leading manufacturer in men’s and women’s comfort walking shoes. Available in up to 5 widths, sizes 5-13 in M. J. Markell Shoe Company, Inc. (1973) PartnerShip (2000) women’s, 7-17 in men’s. Propet features a vast selection of Medicare A5500 coded footwear with removable orthotics, Men’s, women’s and children’s comfort and orthopedic footwear. PartnerShip, in cooperation with PFA, offers members-only secure closure and maximum customization. Yonkers, NY...... 914-963-2258 discounts and savings on small package shipping with FedEx Kent, WA...... 800-877-6738 Fax...... 914-963-9293 Ground, and on large freight shipments with Yellow Freight. Fax...... 800-597-8668 E-mail ...... [email protected] Oberlin, OH...... 800-599-2902 E-mail ...... [email protected] Website ...... www.markellshoe.com Fax...... 440-774-2823 Website ...... www.propetusa.com
MMAR Medical Group, Inc. (2003) PediFix, Inc. (2001) P.W. Minor, Inc. (1968) Distributor of multiple diabetic shoe brands at Foot specialists since 1885, PediFix is the only fourth Footwear products for foothealth. manufacturer-direct wholesale pricing. Other products generation, family-owned business in the pedorthic industry. include AFO’s, ankle braces and cam walkers. Choose from more than 150 quality foot treatment products, Batavia, NY...... 585-343-1500 Fax...... 585-343-1514 Houston, TX...... 800-662-7633 including a unique OTC line guaranteed to generate cash Website ...... www.pwminor.com Fax...... 713-465-2818 sales, keystone profits and doctor referrals, an assortment E-mail ...... [email protected] of both traditional and exclusive Visco-GEL foot pads and Website ...... www.mmarmedical.com cushions, new dermatology products, GelStep silicone Quality Outcomes, LLC (2007) insoles and orthotics, Diabetic Solutions Socks, PediPlast Quality Outcomes helps remove the stress and worry and more. 15 new products are being introduced this year. Munro & Company, Inc. (2000) associated with complying with the mandatory Contact PediFix today for a free color catalog. Medicare accreditation process. Not just guidance and Hot Springs, AR...... 501-262-6156 recommendations, but the leadership and expertise needed Fax...... 501-262-6165 Brewster, NY ...... 800-424-5561 Fax...... 845-277-2851 to maintain your specific policies and procedures while E-mail ...... [email protected] ensuring your organization continues to comply with Website ...... www.pedifix.com accreditation requirements. Let Quality Outcomes handle the organization and paperwork burden so you can see more Pedors Shoes (1999) patients and increase your profits! Fredericksburg, VA...... 800-986-3004 Orthopedic shoes with a neoprene forefoot. E-mail ...... [email protected] Marietta, GA...... 800-750-6729 Website ...... www.qualityoutcomes.org Fax...... 800-446-3101 Natural Step (2004) Email...... [email protected] Manufacturer of men’s and ladies’ handsewn moccasin Website ...... www.pedors.com Remington Products (2000) extra-depth shoes. Available in a large selection of sizes and Insoles and sheet packages, rigid arch supports, viscoelastic widths. heel cups, 3/4 and full insoles. Jupiter, FL ...... 866-500-7463 Wadsworth, OH...... 330-335-1571 Fax...... 866-540-7463 Fax...... 330-336-9462 E-mail ...... [email protected] E-mail Adress...... [email protected] Website ...... www.naturalstepshoes.com PEL Supply Company (1995) Website ...... www.remprod.com Wholesale distributor stocks broad selection of finished foot and arch products, materials and tools for fabricating Renia GmbH (2001) foot orthotics. Specially designed adhesives and components for the shoe Cleveland, OH...... 800-321-1264 industry, shoe repair trade, and O & P industry. Fax...... 800-222-6176 Cologne, Germany...... 49-221-6307990 New Balance/Aravon (1990) E-mail ...... [email protected] Fax...... 49-221-63079950 New Balance is a leading manufacturer of technologically Website ...... www.pelsupply.com E-mail ...... [email protected] innovative athletic products. Website ...... www.renia.com Boston, MA ...... 617-783-4000 Fax...... 617-783-7050 Ruby Leather & Orthopedic Company Inc. Website ...... www.newbalance.com (1998) Milwaukee, WI...... 414-778-2288 Fax...... 414-778-2047
Pedorthic Footwear Association • www.pedorthics.org 47 Product Reference Guide
Somnio (2010) Tekscan, Inc. (1994) Somnio is Latin for “dream.” Our mission is to help people Broad range of pressure assessment and clinical/research achieve their lifestyle goals and do so while remaining injury evaluation tools for use in orthotics, brace evaluations, joint and pain free. We aren’t just selling shoes; we’re solving biomechanics, and gait analysis. problems, and are helping to make some dreams come true Boston, MA ...... 617-464-4500 along the way. Fax...... 617-464-4266 SAS Shoemakers (1992) La Selvai Beach, CA...... 831-688-7861 E-mail ...... [email protected] Comfort walking shoes for women and men in a wide range Fax...... 831-688-7683 Website ...... www.tekscan.com of widths and sizes. E-mail ...... [email protected] San Antonio, TX...... 210-924-6561 Website ...... www.somniorunning.com Fax...... 210-921-7460 E-mail ...... [email protected] Website ...... www.SASshoes.com Southern Leather Company (1996) 7 locations nationwide. The most extensive pedorthic and shoe care/repair inventory in the industry. Inventory Therafirm (A Division of Knit-Rite, Inc.) (1999) STS Company (1997) includes Apex, Soletech, Eva, Vibram and Acor. Quality medical-grade compression hosiery and diabetic socks. Resin-impregnated tubular and fitted socks made to take Memphis, TN...... 800-844-6767 Ellerbe, NC ...... 800-562-2701 foot and ankle impressions for custom shoes and foot/ankle Fax...... 901-946-1059 Fax...... 910-652-2438 orthotic devices. E-mail ...... [email protected] Website ...... www.therafirm.com Mill Valley, CA...... 800-787-9097 Fax...... 415-381-4610 Spira (2004) E-mail...... [email protected] Thor-Lo, Inc. (2001) El Paso, TX...... 866-838-8640 Website ...... www.stssox.com Statesville, NC...... 704-872-6522 Fax...... 915-838-8641 Fax...... 704-838-6323 Sequoia/Comfort Rite (1998) Quality comfort footwear in a variety of sizes and widths. Tru-Mold Shoes, Inc. (1980) New Holstein, WI ...... 800-898-5556 Tru-Mold Shoes offers a complete line of contemporary, fully Fax...... 920-898-4605 accommodating custom-molded shoes, including the Thera- Medic Shoe package – the most flexible, highest value shoe package for Medicare-eligible patients with diabetes. Sroufe Healthcare Products LLC (2006) Buffalo, NY...... 800-843-6653 Custom diabetic inlays, casting foam boxes, pre-fabricated Fax...... 716-881-0406 orthotics and orthopedic softgoods. E-mail ...... [email protected] Website ...... www.trumold.com Ligonier, IN...... 260-894-4171 Fax...... 260-894-4092 E-mail ...... [email protected] Vibram-Quabaug Corporation (1998) Shoe Systems Plus, Inc. (2003) Website ...... www.sroufe.com Quabaug Corporation is the U.S. manufacturer of Vibram Complete line of orthotic and prosthetic equipment soling products and Barge adhesives. including finishers/grinders, vacuum pans, pumps, presses, Superfeet Worldwide LLP (2003) North Brookfield, MA...... 508-867-7731 industrial sewing machines, fume busters and more. Ferndale, WA...... 360-384-1820 Fax...... 508-867-4600 Goshen, NY...... 800-354-6278 Fax...... 360-384-2724 E-mail ...... [email protected] Fax...... 845-291-7097 E-mail ...... [email protected] Website ...... http://www.vibram.us E-mail ...... [email protected] Website ...... www.shoesystemsplus.com SureFit, Inc. (2009) Walkwell International Laboratories (2006) SureFit features an expanded line of SureFit branded shoes, Boise, ID...... 208-343-8907 popular shoe brands, DME products, and alternate therapies E-mail ...... [email protected] for patients with neuropathy. SureFit is a Richie Brace provider. Xsensible Footwear North America, Ltd. SoleTech, Inc. (1994) Coral Springs, FL...... 678-455-8872 (2002) Fax...... 954-752-8995 Orthopedic footwear, cushioning and rubber materials, Patented stretchable leather, nubuck and fabric footwear E-mail ...... [email protected] and adhesives. in many styles. All stretchable materials are breathable and Website ...... www.surefitlab.com Salem, MA...... 800-225-2192 wick moisture away from the foot. Fax...... 978-741-2091 Vancouver, British Columbia Canada...... 866-887-4605 E-mail ...... [email protected] Fax...... 866-328-4842 Website ...... www.soletech.com E-mail ...... [email protected] Website ...... http://www.stretchwalker.com
48 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 W R 12 25 ST
Shoes that Fit Better PERFORM BETTER
Performance is our heritage, commitment, and the force behind New Balance Total Fit. New Balance personally selects dealers with the proper expertise and an extensive selection to ensure you get the right shoe and right fit for your active lifestyle. Find a Procare dealer near you now: newbalance.com/shop/procare
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