Rx: 6/4/16 PA: Kyle K. - X1 Blade Right - all composite material
please, create plantar flexion room at great toe, 1/8" intrinsic lateral
force Hallux wedge, pad heel with 1/8" moleskin and cover great toe
relief with ShearBan.Diagnosis: Turf Toe ICD-10-CM diagnosis code M79.672
History: Kyle plays softball and golf and suffers from a turf toe injury.
Plan: Fabricate Right X1 Blade Pro model for Kyle with: medium great toe pocket covered in ShearBan, padded moleskin heel, flexible midfoot zone so as not to restrict normal ankle motion, intrinsic unloading lateral force wedge, StiFlex +2 at great toe to be used under current orthotics. Approximate Weight 1 oz. Density 0.04
Sx: Order received 6/4/16 via website http://indianabrace.com/turftoe.aspx Expect shipping 6/6/16 to La Jolla, CA by USPS Priority
Mail Expect delivery in 3-4 days.
FU: email customer satisfaction questionnaire on or about 6/14/16
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