Prosthetic Limb LCD: How a Genuine Threat Can Motivate an Entire Field
By Peter Thomas, JD
Photographs courtesy of Ashlie White, NAAOP secretary and socialmedia committee chair. By now, you are likely aware of the Proposed/Draft LocalCoverage Determination (LCD) for Lower Limb Prostheses(DL-33787) issued by the Durable Medical Equipment...
The O&P EDGE : 2015 Salary Survey
By Laura Fonda Hochnadel
THERE ARE MANY REASONS WE CONDUCT A BIENNIAL SALARY SURVEY AND WHY O&P PROFESSIONALS PARTICIPATE It's a way for employers to determine market wages and offer their employeescompetitive salaries, it's a guide for newcomers to the profession to esti...
Hiring Family, Friends, and Clients: Pluses and Pitfalls
By Miki Fairley
Family-owned businesses have playeda major role in building the O&Pindustry from its origins as a trade,with craftsmen making artificial limbsand braces, through its growth into ahealthcare profession. In the larger U.S. economic picture, family-o...
Odds Are…Incidence, Prevalence, and Costs of Commonly Encountered Patient Populations
By Phil Stevens, MEd, CPO, FAAOP
I grew up in a small town. It was large enough to have its own elementaryschool but not its own grocery store. Getting to the middle school requireda 20-minute drive to a slightly larger town.
Owen Cole: A Kid Just Being a Kid
By Tara McMeekin
Photographs courtesty of Nickie Cole When you meet five-year-old Owen Cole, his prosthesis is not thefirst thing you notice. Instead you notice his big blue eyes, blondhair, infectious smile, and tenacity. Owen's smile is just part ofhis upbeat a...
LCD Testimony and Rally Reactions
The following individuals shared their thoughts with The O&P EDGE about the public Open CommentMeeting to discuss the Medicare Draft Local Coverage Determination (LCD) for Lower Limb Prosthesesand the rally following it that was held in front of t...
Seven Laws of Metal Work
By Tony Wickman, CTPO
Almost every time I give an O&P fabrication presentation someone says, "Ihate metal work." Because many of the technicians who are most comfortableworking with metal have retired and the newer generations aren't comfortablewith it, it's no wonder...
BOC Advances O&P Through Collaborative Alliance Endeavors
By Jeff Price, Chief Operating Officer
Price, Michelle Yoon, and Chait at the AOPA Policy Forum. This article continues our series of articles about theOrthotic and Prosthetic Alliance (O&P Alliance) tohighlight united advocacy efforts in the profession.This issue features reflections...
ICD-10 Is Here, Ready or Not
By Maria St. Louis-Sanchez
Ready or not, a new medical coding systemis now required for all entities coveredby the Health Insurance Portability andAccountability Act, and O&P practices thataren't prepared for the change may have theirreimbursements denied, experts say. On O...
Face to Face
Kevin L. Hines, CPO
Kevin L. Hines, CPO, clinical manager and partner at Arise Orthotics andProsthetics, Blaine, Minnesota, volunteered to provide prosthetic carein Haiti after the 2010 earthquake, which he says was a "life-changingtrip. It was great to provide O&P d...
Billing and Collections Q&A
By Lisa Lake-Salmon
Denials are difficult to identify and time consumingto appeal. Count on Got FAQs? to help ensureyou are using the most current information whenpreparing your claims.
Industry Review - Associations and Conferences
PFA’s 2015 Annual Symposium: Uncharted Territory
The Pedorthic Footcare Association (PFA) ventured into what its president, RobSobel, CPed, calls uncharted territory when the association held its annualsymposium and exhibition in conjunction withthe American Podiatric Medical Association(APMA) i...
Coming Together and Reflecting on a Profession
By Andrea Spridgen
As The O&P EDGE staff began preparing this issue, theprofession was anxiously consuming analysis of thetestimony given during the August 26 Open CommentMeeting regarding Medicare's Draft Local CoverageDetermination (LCD) for Lower Limb Prostheses...
Trash Into Treasure
Over the past seven years, the Florida O&P Outreach Team (FOOT) has set up and maintained a successful clinic in Guatemala City, Guatemala, for pediatric patients. At a recent visit, the team treated over 45 children with custom O&P devices, which were all casted for and made on location, while simultaneously teaching local practitioners and technicians to continue the care and provide help for their own community. "Every year we improve on the care provided by the More...
Endolite's AOPA Highlights
Endolite is pleased to announce the following new product releases and updates during the AOPA National Assembly in San Antonio.
Today's complicated medical world sometimes makes doing the best
for your clients a challenge. You shouldn't have to feel that you need
to choose between quality and affordability. For more than 30 years,
Syncor Ltd. has offered solutions with the TES Belt and a variety of
Durasleeves designed for light-, medium-, and heavy-duty use. Our
commitment to high-performing materials, quality construction, and
excellence of design speaks for itself. As prosthetists, we are sensitive
to design issues, but we also know what our clients tell us: Syncor TES
Belts and Durasleeves last longer and perform better.
Features and benefits include:
- 100% silicone can be worn directly against the chest wall
- Incredibly soft, triple-layer design for more natural feel and movement
- Beautiful, natural shape and drape
- Advanced fan-shaped design for enhanced cooling and breathability
- Tapered edges for a seamless and intimate fit
- Discreet integrated nipple and areola design for a more natural, feminine look
Lightest, most comfortable breast form available!
Visit www.trulifebreastcare.com for more information.
The Guardian Suction Liner from
ALPS features raised GripGel bands
that grip the socket wall to form a
secure interface between the socket and
liner to prevent slippage or premature
release. These low-modulus GripGel
bands stretch against the socket wall,
while the inner wall conforms easily to
the residual limb to ensure there is no
restriction of blood flow or stiffening to
inhibit donning. No seams and a single-piece
construction improve durability. Available in both transfemoral
and transtibial models, the Guardian Suction Liner can be fully
inverted for ease of donning.
The best just got better. ESP liners are simply the most cost-effective
liners on the market. Now with new, enhanced lockstitch textile to
The medi Tele-ROM™ is a postoperative range-of-motion knee brace that provides the ultimate in adjustability, comfort, and ease of use.
Features and benefits include:
- Telescoping struts with easy, push-button adjustment
- Length adjustability for a customized fit
- Simple rotate and release flexion and extension limitation
- Drop-lock button quickly locks at 0°, 15°, 30°, and 45°
- Quick-release buckles for easy application
- Choice of cool and full foam versions in standard length
- PDAC-approved for L-1832 or L-1833
A great alternative to itchy, expensive carbon fiber braid! Coyote
Composite, made from basalt filament, is a safe, tough material for
composite sockets and AFOs. It's also easy to cut and finish compared
to other materials.
Features and benefits include:
- Less expensive
- Less itch than carbon
- Extremely durable
- Strong and lightweight
- Finishes smooth and easily
- Uses typical prosthetic resins
- Not an inhalant risk
- Inert, noncarcinogenic, and nontoxic
Our proprietary braid was designed to be used in equivalent amounts to carbon. Coyote Composite is more flexible than carbon (we consider this to be an advantage).
Exclusively from SPS-receive a free YETI Tundra 45 Cooler with the
purchase of a qualifying microprocessor product. For more details,
Coyote Design has introduced two new, heavy-duty, solid brass pin options for its Air-Lock and Easy-Off Lock lines. Coyote found the new brass pins are more durable, have less deflection, and have exceptional wear characteristics. These pins increase the Air-Lock weight capacity from 265 lb. to 350 lb. Like most Coyote products, they are noncorrosive and water resistant, making them great for active people and heavier weight patients, and the pins help eliminate noise issues.
CD103P8H (eight click brass pin), CD103P11H (eleven click brass pin), and CD103H (Air-Lock with brass pin).
Kinterra™ combines hydraulics and carbon-fiber technology to provide K3 ambulators with 12° of motion and an exceptionally normal walking gait-regardless of surface angle or speed. The result is rock-solid stability and the confidence for users to choose a new path.
Kinterra's articulating ankle provides:
- Improved stability and safety, especially on slopes and varied terrain.
- Reduced socket pressure for healthier residual limbs.
- Enhanced comfort while sitting or squatting.
- Increased ground contact and a more symmetrical gait.
See the Kinterra in action on our website.
We have extensive knowledge of your concerns and offer various
strategies to help you compete in your local market. OP Solutions
optimizes health engagements and care outcomes through information
technology. Offering participation in research opportunities, translating
evidence into evidence-based practice, and practice management
information applications. We provide O&P clinics with current content
delivered in state-of-the-art applications, a website platform, and useful
media. Start building a better brand today! Visit our website, call, or
e-mail us at . Schedule a tour today!
Why make the transition to BOC? Award-winning customer service,
nationally recognized credentials, and a user-friendly website are
just a few of the benefits of choosing BOC. With BOC as your
credentialing partner, you get accreditation for your O&P facility at
a discounted rate and individual certification, all under one roof.
Plus, it's easy and free! Make the transition to BOC for accreditation
or certification for no up-front cost.
Contact us today at .
We're with you every step of the way!
Board of Certification/Accreditation
Partial Foot, An Illustrative Guide,
is a comprehensive 12-page guide for
the management and fabrication of
a partial foot prosthesis. Reduce
friction, reduce shearing, reduce
pressure, restore propulsion, restore
limb length, and preserve the residual
limb. The guide has professional
illustrations and step-by-step
instructions. We support our customers
to provide better lives for patients.
Call or e-mail to
request your free copy.
Specifically designed for O&P devices, the PDE© is a
modular composite spring system designed as a "plug
and play" spring kit to address dynamic response
bracing, unloading bracing, as well as prosthetic
partial foot devices, and more.
- Modular design
- Contoured-fit spring
- Five categories
- Exclusive Click Medical™ cuff system
- Post alignable
Come see the PDE system at AOPA in San Antonio, booth #908.
Call for more details.
Introducing the Dual Purpose
Expansion Arbors from Fillauer. These
arbors combine the patent-pending
technology of our expansion arbors
with the power of our polishing arbors,
allowing you to polish and sand without
changing tools. Contact Fillauer or your
preferred O&P distributor to place your
The DARCO PegAssist™ Walker Insole is an
excellent offloading addition when using a
walker boot. The PegAssist is a tri-laminate
insole that effectively offloads any area of
the plantar surface of the foot. Pressure
reduction is key when healing wounds or
ulcerations on the foot. The PegAssist will fit
into most standard walkers on the market,
making it extremely flexible to use and an
easy item to stock.
Contact your DARCO distributor to order,
or visit our website for more information.
Whether you practice in a state that has licensure requirements or
are moving to one that does, find everything you need with ABC's
interactive state licensure map. With detailed information about each
state's requirements and costs, and links to important documents and
applications, we've got you covered!
American Board for Certification/ABC
Low-Profile M-Spine LSO #584
The M-Spine lumbar-sacral orthosis is designed to support the patient at all stages of recovery. The moldable panels are to be applied post-operatively without delay for effective immobilization and kept in place throughout the rehabilitation phase. Later, the corset, worn alone, can be adapted to provide comfortable daily support thanks to the progressive immobilization capabilities of our unique locking system featuring intercrossed straps and flexible, plastic-covered steel stays. Learn more and check out our other products and product lines on our website.
Please join us November 19-21 for our first International Prosthetic
Symposium at our state-of-the-art Össur Academy facility in Orlando,
Florida. The three-day symposium will focus on rehabilitation and
prosthetic solutions for the low-active amputee.
The program will feature a variety of experts-George Hipp,
MD; Jeffry Pirofsky, DO; Chris Ireland, PT, DPT, OCS; and Glenn
Crumpton, CPO/L-and the agenda will cover several important
topics, including post-operative solutions, rehabilitation, prosthetic
technology, elevated vacuum, osteoarthritis, and diabetes.
Contact your Össur® rep today, or visit www.ossur.com/ips to
download the full agenda and register.
Branier Orthopedic Custom Molded
Shoes, Inserts & Braces, through a
collaboration with Click Medical,
is now offering the patented Boa®
closure system with its custom-molded
shoe lines. With the capacity
to easily generate tension across
the vamp of a shoe, comparable to
or in excess of that achieved with
standard laces, Boa's mechanical reel system works to draw its steel
cable through a series of easy glide nylon guides. By integrating a Click
Medical kit containing Boa® components, Branier can manufacture
custom-molded shoes capable of achieving an unprecedented fit for
patients with limited manual dexterity.
Customer service representatives at PEL always strive to deliver
the very best service in the O&P industry by anticipating each
independent practitioner's needs. Representatives will follow through
on your requests in a timely and responsive way to help you deliver
better patient outcomes. For a superior service experience, call PEL.
You will find our personalized approach to be a powerful reason to
rely on PEL for your O&P products and supplies.
A complete system for cost-effective automation in facilities of all sizes.
Scan, modify, carve, and thermoform. The cordless S1 Scanner allows fast, accurate 3D shape capture with unmatched
ease of use and at low cost. Newly released ProvelCAD modification software is easy to use and template based. The C7 Carver is not only fast and precise, its self-contained dust collection system is extremely quiet. The T7 Thermoformer, now with IR sensing, consistently produces high-quality thermoplastic sockets from industry-standard preforms. Compatible with AOP, OBJ, and STL files.
Introducing the Sidekicks™, the
first adjustable stubbie feet for
foreshortened prostheses. With
natural anatomical ankle motion
and a flexible platform, they are
a vast improvement over current
options for people with bilateral
transfemoral amputations. Gait-matched
and approved for water
use, Sidekicks flex and plant in
real-world environments for the
ultimate balance and stability.
Learn more at www.college-park.com/sidekicks.
College Park Industries
From your home, complete the first two quarters (6 months) and final quarter (3 months) of the NUPOC 21-month MPO. Spend four quarters (12 months) in mentored practicum at NUPOC, building P&O skills by working with people who have neuromusculoskeletal impairments. NUPOC graduates are eligible for NCOPE residencies and P&O certification examinations. The NUPOC MPO prepares you to become a proficient clinician, deliver comprehensive P&O services, integrate research into clinical practice, and contribute to the P&O profession. NUPOC accepts candidates on a rolling admissions basis.
Northwestern University Prosthetics-Orthotics Center
Feinberg School of Medicine
- Limbguard™ limb protector
- Limbsock™ one-size-fits-all soft sock
- Limbsleeve™ suspension sleeve
Visit us at AOPA in San Antonio, booth #414.