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Clinical pearls

The idea behind Clinical pearls is to help you become more successful integrating biomechanics with your patients.

201 Topics 4 Followers

Type F: When to Really Valgus?
7/2/23, 8:33 PM • Richard Blake 7/29/23, 5:57 PM

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Richard Blake
7/29/23, 5:57 PM

@Eddie Davis Thanks Eddie! Definitely first ray cut out would be great here!! Hope you are well, ...
Type D: The Types of Feet That You Want to Hold Inverted with Your Orthosis (Finale)
7/22/23, 4:13 PM • Richard Blake 7/22/23, 4:13 PM

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Richard Blake
7/22/23, 4:13 PM

So, this post on holding some feet inverted has sort of gotten away from me, so I will attempt to...
Type D: Holding a foot inverted when it can not get to vertical, or should not be there (Part 2)
7/12/23, 4:36 PM • Richard Blake 7/12/23, 4:36 PM

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Richard Blake
7/12/23, 4:36 PM

Here are the 6 types of orthotic devices I prescribe for my patients. This post and last post, an...
Type D: When do we design a heel to held inverted? (Part 1)
7/10/23, 2:44 AM • Richard Blake 7/10/23, 2:44 AM

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Richard Blake
7/10/23, 2:44 AM

Patients present with heels that should be held inverted, not vertical like the Gold Standard (Ty...
Type E: How Do We Valgus Patients?
6/26/23, 6:23 PM • Richard Blake 6/26/23, 6:23 PM

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Richard Blake
6/26/23, 6:23 PM

Valgus Tilts are used to get patients less inverted in RCSP or especially to attempt to stop the ...
Type B: How to Varus 3 or 4 degrees?
6/19/23, 3:52 AM • Richard Blake 6/19/23, 3:52 AM

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Richard Blake
6/19/23, 3:52 AM

Varus Tilts are used to get patients less everted in RCSP or especially to attempt to get the pat...
How is Motion Placed into an Orthotic Device?
6/12/23, 10:30 AM • Richard Blake 6/12/23, 10:30 AM

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Richard Blake
6/12/23, 10:30 AM

How is Motion Placed into an Orthotic Device and Evaluated? The motion of pronation must...
Orthotic Device for Stage 3 or 4 PTTD
6/7/23, 5:47 PM • Richard Blake 6/7/23, 5:47 PM

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Richard Blake
6/7/23, 5:47 PM

Custom made functional foot orthotic devices can be used both pre-op, post -op, or to conservativ...
Thoughts around Orthoses and Achilles Pain
6/7/23, 5:41 PM • Richard Blake 6/7/23, 5:41 PM

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Richard Blake
6/7/23, 5:41 PM

Custom Orthotic Devices can be a crucial adjunct in the treatment of achilles tendon problems. &...
Arch Irritation from Orthoses and Common Fixes
6/7/23, 5:00 PM • Richard Blake 6/7/23, 5:00 PM

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Richard Blake
6/7/23, 5:00 PM

Any specialist who prescribed custom orthotic devices must know how to adjust when the patient co...
What kinds of simple Forefoot Extensions are commonly utilized?
6/7/23, 4:55 PM • Richard Blake 6/7/23, 4:55 PM

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Richard Blake
6/7/23, 4:55 PM

Forefoot extensions are defined as starting in the front of the plastic, and can be used to: (1) ...
Why is Contact Phase Supination so Bad?
6/7/23, 4:52 PM • Richard Blake 6/7/23, 4:52 PM

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Richard Blake
6/7/23, 4:52 PM

The contact phase of the Stance part of gait is all about internal rotation and pronation of the ...
Heel Padding and Heel Lifts need to be Symmetrical with one Exception
6/1/23, 7:15 PM • Richard Blake 6/1/23, 7:15 PM

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Richard Blake
6/1/23, 7:15 PM

Heel lifts and padding are commonly utilized in orthotic prescriptions for various purposes, an...
What Are Phalanges (Flanges)?
6/1/23, 6:55 PM • Richard Blake 6/1/23, 6:55 PM

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Richard Blake
6/1/23, 6:55 PM

Phalanges, literally meaning "fingers", are used both medially and laterally on a CFO to provide ...
Denton Modification: Incredible Help for the Lateral Column
6/1/23, 6:49 PM • Richard Blake 6/1/23, 6:49 PM

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Richard Blake
6/1/23, 6:49 PM

Designed originally by Dr Jane Denton, it provides incredible support to the lateral column &nbs...
Need a Morton's Extension? What are the 4 Main Ones Prescribed?
6/1/23, 6:45 PM • Richard Blake 6/1/23, 6:45 PM

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Richard Blake
6/1/23, 6:45 PM

What type of Morton's Extension are you looking for? Originally, Morton's Extensions were only f...
Heel Cup Heights
6/1/23, 6:33 PM • Richard Blake 6/1/23, 6:33 PM

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Richard Blake
6/1/23, 6:33 PM

I think it is intuitive that the higher heel cups are in a functional foot orthotic devices the m...
Heel lifts for Short Leg Syndrome
6/1/23, 5:39 PM • Richard Blake 6/1/23, 5:39 PM

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Richard Blake
6/1/23, 5:39 PM

Using a heel lift as a treatment for limb length discrepancy is a common practice. At times it ca...
Pain in the Metatarsals: Ask the Patient to Stretch their Achilles
6/1/23, 5:36 PM • Richard Blake 6/1/23, 5:36 PM

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Richard Blake
6/1/23, 5:36 PM

Tight achilles tendons cause tremendous pressure after the middle of mid stance (half way through...
Why are met pads often prescribed on custom shaped orthoses?
6/1/23, 4:40 PM • Richard Blake 6/1/23, 4:40 PM

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Richard Blake
6/1/23, 4:40 PM

Have you ever wondered why you place a metatarsal pad on a custom made functional foot orthotic d...

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