Jone's Fracture: Clyde's X5 Blades #6371 to Jerome in Coldwater, OH

Order Taken: WebSite Order 5/18/17 -Shipped 5/19/17 USPS Priority Mail

Jerome's X5 Blades

PA: Jerome M./ Coldwater, OH
RX: Clyde's X5 GoBlade for 5th Met Fracture - bilateral
DX: Fracture of 5th metatarsal growth plate- bilateral
ICD-10-CM Billing Code : S92.352D
Plan: Fabricate all composite X5 GoBlade #6371 x 4 men's size 13 LT&RT x 2 with StifFlex midfoot for unrestricted ankle motion during baseball. Add .03" unidirectional carbon sheet directly under the 5th metatarsal as a buildup to unload the base of the healing 5th metatarsal bilaterally. It will also add some stability to the shoe during activity. Specs: thickness and weight of X5 GoBlade #6371 - (1/25") thin - .9329 oz light
Style: X5F131RTX2 / X5F131RTX2
Sport: ADL
Comments: Clyde - I will be putting the X5 Blades under an orthotic in each shoe.
Website: www.indianabrace.com
Blog: braceblogger.blogspot.com
Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321
American Board for Certification in Orthotics and Prosthetics