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Your Patient’s Mechanics Fight Against Everything You Do In Practice From Surgery to Wound Care to Orthotics to Shoes! 
 
My name is Bob Levine.  I am a second generation Podiatrist who Makes a Living by Addressing, Manipulating, and Managing Peoples Gait.
 
 
 
I submit to you that the vast majority – in fact 90 Plus Percent of the Patients who walk through our doors, exhibit as The Underlying Reason for their visit, a Significant Degree of Faulty Mechanics – or if you like, Faulty Gait.   
 
 Factually Speaking, the Overwhelming Majority of all the Surgery, Wound Care, Orthotics and Shoes that You Do in Your Practice is Done Because of the Acute or Long Standing Effects of Your Patient’s Faulty Mechanics!
 
 Ultimately, If you correct the Faulty Mechanics by Directly Addressing the Core Etiology, the patient’s symptoms will be easier to treat and manage effectively as you have removed or significantly modified the Deforming Force that will Aggressively Fight Against and Undermine any Treatment Modality or Protocol that you attempt to use to Benefit your Patients Condition. 
 
But as Podiatrists, Why Don’t We Do More BioMechanically with Our Patient’s? 
BioMechanics – A Lost, But Essential Technology!
 
 “The Seven Reasons Why I Don’t Do More BioMechanics in My Practice”
 
 Over the years when I speak to my colleagues about this subject I’ve gotten the idea that “Patient’s Mechanics”, “BioMechanics”, “Gait”, “Gait Analysis”, “Orthometry Forms”, BioMechanical Evaluation”, and so on, have various concepts and connotations attached to them.  From speaking to literally hundreds of colleagues over the past decade alone, these break down into what I have come to refer to asThe Seven Reasons Why I Don’t Do More BioMechanics in My Practice”.  These include:
 
  1. Too Cumbersome
  2. Too Time Consuming
  3. Too Confusing
  4. Inconsistency or Inconsistent Results
  5. BioMechanics is Not Practical In My Practice Setting 
  6. BioMechanics is Not Overly Relevant to My Practice and
  7. At times, In Essence, Treating Patient’s for “Free” When Things Don’t Work Out as Expected.    
Prediction – The Key to Ultimate Success and Great Consistent Results!  
In the End, What all the Conjecture and Confusion Boils Down to is… Prediction – That is – Lack of Prediction.  In Fact, Lack of Prediction is Actually a Direct Index of Inconsistency and Inconsistent Results Concerning Any Given Modality or Service you Offer in your Practice!  
 
Cumbersome, Time Consuming, Confusing, Inconsistency or Inconsistent Results are the reason why BioMechanics is Considered in General by Many to be “Not Practical” and Subsequently “Not Relevant” by many Practitioners, but factually speaking, nothing could be or is further from the truth as the Long Standing Effects of your Patient’s Faulty Mechanics Comprise Practically all that you Treat in your Practice! 
 
Furthermore, When you have a Surgical Failure, A Wound Care Failure, an Orthotic Failure or a Shoe Failure – to What Degree did your Patient’s Mechanics Play In That Failure?  That is, how does the way that Your Patient Walks Place Additional Force, Stress, Sheer or Pressure Directly into the Various Segments of the Forefoot, Rearfoot or Ankle?
 
 And even if you know this to be Completely True, What EXACTLY do you do about it?   
 
The Solution – Become a Mechanics Expert!
Our solution is that you become a Mechanics Expert!  Because when you Know Everything about your Patient’s Mechanics, you can Predict – Predict how things will go before you Provide any of the Services or Modalities that You Offer in your Practice.  
 
  • Prediction Leads Directly to Consistent Results and Consistent Results Leads Directly to Confidence
  • Confidence Leads to Doing More In and With Your Existing Practice
  • And besides… Confidence is Fun – Confidence Puts the Fun Back Into Practice!
 
Becoming a Mechanics Expert Opens the Door to Opportunities within your existing Practice and Patient Base! 
 
You will immediately stop wasting time on the 10 percent of your patients who ultimately give you 90 percent of your Problems!
 
Conversely, you will spend more time with the much larger percentage of patients that you really can help.  This of course gives you a much higher success rate and these patients are ultimately the ones who act as walking advertisements for you and your practice!   Spending more time with the patients you can predictably help is great for both your patients and your practice!
 
Becoming a Mechanics Expert Augments all that you do In Practice and:
 
  • It Requires no Additional Staff
  • No Additional Space
  • No Additional Equipment and
  • No additional Patient Volume to See Immediate Results as You Already Have These Patients in Front of You in Your Current Existing Practice!
 The Immediate Benefits of Increasing Your Ability to Predict Include:
  • Practically No Wasted Time
  • No “Free” Office Visits
  • Never taking on “Problem Patients” which translates into Not Offering Certain Services or Modalities to Patients who will Predictably NOT do well with them!
  • Greater Confidence
  • Effective Patient Screening
  • Consistently Great Results Which in Turn Yields Repeat Business
  • And Cash Based Profit Services Based on Usual and Customary Fees
 This is to say that services not paid for by insurance can be offered to your patients with your Total Confidence that it will benefit them and their Chief Complaint!  And Most Importantly – Knowing Exactly What to do in Any Situation with Any Given Patient without any Guess Work or Wasted Time What So Ever!
 
So, What exactly is a Mechanics Expert?  
 
A Mechanics Expert can Quickly, Accurately and with Total Confidence, Do the Following Seven Actions:
 
  • Quickly and Thoroughly get the Relevant Mechanical History from the Patient.
  • Spots Any Faulty Mechanics. 
  • Instantly “Connect the Dots” Between the Faulty Mechanics and the Patients Chief Complaint.  
  • Immediately Knows Exactly what to do to Address the Faulty Mechanics. 
  • Effectively Manipulates the Mechanics to Resolve the Underlying Cause or Etiology of the Patient’s Chief Complaint.   
  • Knows and Achieves the End Point of all BioMechanical Treatment for Any Given Patient in the Immediate Short Term. 
  • Manages the Patient over Time by Making Spot on and Accurate “tweaks” to their Mechanics Until the End Point of all BioMechanical Treatment for That Patient is Stably Achieved!
The End Point to All BioMechanical Treatment Defined!
 
 The End Point to all Podiatric BioMechanical Treatment is a Measurable and Quantifiable point when the patient is visualized to be stable and as symmetrical as that patient can possibly be at that point in time.
 
More Specifically and Clinically Speaking, The End Point to All BioMechanical Treatment is:
 
  • A Stable Pelvis and
  • Symmetrical and Stable Rear Foot Pronation
When you Achieve This End Point, Your Patient Predictably Gets well Quickly, Regardless of the Service or Modality You are Using!Note however that The End Goal is Not to Make them Perfectly Symmetrical - It is to make them as Symmetrical as Possible – Stably – and Ultimately that takes time!Lastly, This End Point Gives You a Well and Happy Patient Who:
  • Refers Friends and Family
  • Writes Moving Testimonials
  • Pays Cash for Services Not Covered by Insurance
  • Is a Walking Advertisement for Your Practice and
  • Returns to You if the Need Arises PRN
 

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