Turf Toe Injury / Clyde's X1 GoBlade #7438 to C. Sue in Lafayette, TN

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Order Taken: WebSite Order 4/08/17 / Shipped 4/11/17 UPS 2nd Day Air
PA: C. Sue V./ Lafayette, TN
RX: Clyde's X1 GoBlade for Great Toe Pain Right Foot
DX: Turf Toe
ICD-10-CM Billing Code : S93.521A
Plan: Fabricate X1 GoBlade #7438
woman's size 11 with StifFlex midfoot for unrestricted ankle motion during tennis. Create .06" great toe 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 during tennis activity. Specs: thickness and weight of X1 GoBlade #7438- (1/25 ") - 1.250 oz.
Sport: competition shooting
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

C. Sue's X1 GoBlade

American Board for Certification in Orthotics & Prosthetics