C.Ped case studies

C.Ped · Put your knowledge to work in context.

The Certified Pedorthist (C.Ped) credential is issued by the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC), which describes itself as "the national certifying and accrediting body for the orthotic, prosthetic and pedorthic professions since 1948." Pedorthists work with footwear and foot orthoses - assessing the foot and lower limb, designing and modifying therapeutic footwear, and following patients over time. The certification exam is built around the pedorthic care cycle: patient assessment, formulation of a treatment plan, implementation of that plan, follow-up and maintenance, and practice management with professional responsibility. The C.Ped case studies are 5 cases and about 4,007 words.

Diabetic Footwear: Risk Stratification, Design, and Vascular Findings

R, 64, has had type 2 diabetes for 22 years and arrives with a prescription reading simply "diabetic footwear." He is insensate to the 10-g monofilament at 9 of 10 plantar sites bilaterally, and vibration sense is absent to the knee. There is a healed ulcer scar over the left first metatarsal head that closed five months ago, rigid claw toes 2–5, prominent first and fifth metatarsal heads, and a fixed plantarflexed first ray.

792 words, about 4 min 2

Five-Year-Old with Intoeing: When the Prescription Is the Wrong Answer

L brings her 5-year-old son Ethan to your clinic with a pediatrician's note reading "orthotics for flat feet and intoeing." Ethan has no pain, runs and plays normally, and his mother is mainly concerned because he trips "a little" and his shoes wear on the medial side. On observation he walks with both feet pointing in, but his patellae point forward.

724 words, about 4 min 3

Rheumatoid Arthritis: Redness at the Navicular Two Weeks After Delivery

K, 58, has had rheumatoid arthritis for 15 years. She was fitted bilaterally with functional foot orthoses - 4° medial rearfoot post and 25-mm medial arch fill - for pes planovalgus with forefoot varus.

839 words, about 4 min 4

Thirteen-Month-Old AFO: Falls, Redness, and a Change in Condition

T, 71, had a left CVA 14 months ago with foot drop. A solid-ankle AFO was fitted 13 months ago, when he was ambulating with a single-point cane.

828 words, about 4 min 5

Practice Management: Pre-Signed Forms, a Second Pair, and a Disclosed Interest

A local podiatry practice refers a steady stream of patients to your facility. Their office manager asks you to do three things: (a) pre-sign a stack of "certification of need" forms so their front desk can attach one to any diabetic shoe order; (b) bill a patient's second pair of depth-inlay shoes in November as a "replacement due to wear," although the first pair was dispensed in February; and (c) describe an $85 prefabricated gel insert as "custom molded" so the patient's secondary insurer will cover it.

824 words, about 4 min