Hallux Rigidus / Runner / Clyde's X1 GoBlade #7422

Published on Mar 10, 2017
Order Taken: WebSite Order 3/7/17 / Shipped 3/9/17
PA: Kathryn C./Carmel, IN
RX: Clyde's X1 Blade for Great Toe Arthritis - Right
DX: Hallux Rigidus
ICD-10-CM Billing Code : M20.21
Plan: Fabricate X1 Blade with FlexStiff midfoot, great toe and heel relief
& rocker shape. Pad heel with1/8" perf plastizote for heel strike
relief and prevent plantar fasciitis. Cover great toe relief with
ShearBan to prevent blistering.
Sport: Running
Comments: Hello Clyde - I run 40-50 miles per week. Aggravated my big toe hope this works while I put in my mileage.
Website: www.indianabrace.com
Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@indianabrace.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321
American Board for Certification in Orthotics & Prosthetics

Ryan from Fredrick, OH Orders X1 Blade for His Hallux Rigidus

New Order (#3771)

www.indianabrace.com	May 13 (11 days ago)
to me

You have received a new order.

Order Confirmation

Thank you for your order, Ryan Sxxxxxxxx. Your order number is: 3771 Date of order: 5/13/2013 5:33 PM Shipping Method: USPS Priority Mail Payment Method: Credit card payment
Ship To Ryan Sxxxxxxxx XXXX Mount Xxxxxxx Road Fredeicktown, OH 43019 United States
Additional Information Diagnosis: hallux rigidus
Product Information
Product Name Part No. Quantity Item Price Total Price "STOP THE OUCH!" - CLYDE'S REMARKABLE X1 BLADES FOR TURF TOE & HALLUX RIGIDUS Foot: Left Model: "Pro" Heavy Activity (football,basketball, soccer) Size / CM: Women's 12 1/2 Men's 11 1/2 Diagnosis:: Hallux Rigidus How Will You Be Using Your X1 Blade?: running I acknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes Comment About Your Injury?:  Turf toe injury February 2013 has developed into hallux rigidus - limiter ROM. TL-501-29.5-P-L 1 $109.95 $109.95 Subtotal: $109.95 Shipping: $5.60 Tax: $0.00 Order Total: $115.55