Order Taken: WebSite Order 4/5/17 / Shipped 4/7/17 USPS Priority Mail
PA: Rachel N./ Athens, WV / Concord University
RX: Clyde's FX2 Blade - Left Foot
DX: 2nd metatarsal fracture
ICD-10-CM Billing Code : S92.322K
Plan: Fabricate FX2 Blade woman's size 6 1/2 left foot - Specs: StifFlex
midfoot for unrestricted ankle motion during soccer. Create.03" stiffened relief pocket under 2nd metatarsal shaft. Maintain rocker shapeforefoot for natural toe off. Cover 2nd met relief zone with Shear Ban to prevent blistering. thickness and weight of FX2 Blade -(.0405") - 1.253 oz
Sport: Soccer
Comments: Transitioning from a walker boot to a playing shoe for soccer. Need to protect healing 2nd midshaft met fracture while competing.
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
 | |
| Rachel's FX2 Players Orthotic |
