Order Taken: WebSite Order 4/24/17 / Shipped 4/25/17 USPS Priority Mail
PA: Adam R./ Baindbridge, IN
RX: Clyde's X1 GoBlade for Sesamoid Pain Right Foot
DX: Sesamoiditis
ICD-10-CM Billing Code : M89.371
Plan: Fabricate X1 GoBlade #7443 with StifFlex midfoot for unrestricted ankle motion during regular ambulation. Create .06" great toe pocket for sesamoid relief and heel relief pockets. Maintain rocker shape forefoot for natural toe off. Pad heel with1/8" perf plastizote for heel strike relief to prevent plantar fasciitis. Cover great toe relief zone with ShearBan to prevent blistering work. Add 1/8" perf plastizote to forefoot area covering 2nd thru 5th mets to the base of 5th mettarsal to unload 1st metatarsal. Specs: thickness and weight of X1 GoBlade #7443 (1/25 ") - 1.250 oz
Sport: ADL
User Comments: None
Website: www.indianabrace.com
Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321
Adam's X1 Blade #7443 |
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