What is a script
Common script terms
Case study
Pathologies
Common Misconceptions
100
True or False: All you need on a script is the Diagnosis.
False: a script need the Diagnosis, Patient's name, the Date, and the Dr.'s Signature.
100
What does a circled R or L mean?
It indicates what foot the script is referring to.
100
Script 1 Discuss
Valid Script: Patient has plantar fasciitis, a callus on the big left toe, and is Diabetic
100
What is a Plantar Wart? How do we treat it?
A hyperkeratotic lesion on the plantar surface.
We can treat it by recommending better socks/foot cream and by offloading the point of contact on the insole.
100
"I sprained my tendon!"
Tendons get strained or torn. Sprains only occur in the ligaments.
200
Why do we need scripts?
Insurance will not pay for anything unless they have a script.
200
What does a circled B mean?
Bilateral(both feet)
200
Script 2 Discuss
Invalid Script: No Dr. Signature
200
What is PVD?
Peripheral Vascular Disease
200
"This insole doesn't fit in my shoes."
Most insoles can be made to fit into almost any shoe. We would be able to shape the insole to fit.
300
Why do we need to follow the script?
The Dr. has access to more than we do when it comes to the patient. For example: x-rays, MRIs, patient history.
300
What does HX mean?
History of a diagnosis
300
Script 3 Discuss
Invalid Script: no patient name and no diagnosis
300
What is Muscular Dystrophy?
A group of disorders that involve muscle weakness and loss of muscle tissue that gets worse over time.
300
"My knee and hip hurt. I need more support."
If they are in corrective support it is better to under correct them than over correct them. Sometimes getting too much support can be worse than not having enough.
400
How long is a script valid?
If a script isn't filled within 4 months of the appointment the patient needs to get a new script.
400
What does FX mean?
Fracture
400
Script 4 discuss
Valid Script: can't read what is on it, call doctor for confirmation
400
What is MS and how can we help with it?
Multiple Sclerosis is an autoimmune disease that effects the central nervous system. This causes a lack of proprioception, or sense of self.
We can help with an over the counter AFO, deep shoes, carbon fiber plates, velcro shoes (to help with their lack of dexterity), and/or custom orthotics.
400
"I've been wearing these custom insoles for months and my feet still hurt. This insole doesn't work for me."
In the case of someone having a custom orthotic, sometimes it doesn't work right away. We should see if there is a modification we can make to the insole to stop any over stressed areas.
500
True or False: We need a script for the medicare program.
True: we don't need a script for the initial appointment, however, we do need it by the time we finalize the paperwork.
500
Translate this "script"
Hx DM ulcerations/ Fx (circled R) 1st DP/ Callusing heel (circled B)
The patient has a history of diabetic ulcers, a broken 1st distal phalangeal bone, and callusing on the heel bilaterally.
500
Script 5 discuss
Valid Script: however, not billable because it was signed by a physical trainer not a M.D. or a D.O.
500
What is Osteogenesis Imperfecta?
A condition causing extremely fragile bones
500
"I got a shot from the Dr. so I don't have plantar fasciitis anymore."
The shot you get doesn't cure you, it numbs the pain to allow you to recover more naturally. If the patient doesn't change the way they walk all the symptoms will come back in time.