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Clinical pearls

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

186 Topics 4 Followers

Orthotic Dispense Day (for my students and perhaps your patients) Part 1
9/19/25, 12:40 PM • Richard Blake 9/19/25, 12:40 PM

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Richard Blake
9/19/25, 12:40 PM

Recently my students at Samuel Merritt’s College of Podiatric...
Biomechanics Patient from Start to Finish #1: Second Visit (assessing your diagnosis and treatment plan)
9/16/25, 9:32 AM • Richard Blake 9/16/25, 9:32 AM

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Richard Blake
9/16/25, 9:32 AM

Last week I started a discussion on a patient with acute plantar he...
Biomechanics Patient from Start to Finish #1: Initial Visit
9/9/25, 6:43 AM • Richard Blake 9/9/25, 6:43 AM

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Richard Blake
9/9/25, 6:43 AM

I had just started to write about all the Pathology Based Orthoses ...
P3 Pathology Based Orthoses: Lateral Ankle Instability
9/2/25, 6:49 AM • Richard Blake 9/2/25, 6:49 AM

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Richard Blake
9/2/25, 6:49 AM

It was this design, a functional orthotic device for supinators, th...
P2 Pathology Based Orthoses: Adult Acquired Flatfoot Design
8/25/25, 1:21 PM • Richard Blake 8/25/25, 1:21 PM

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Richard Blake
8/25/25, 1:21 PM

Patients with this foot type who present to you may bring a whole b...
Biomechanics of the Achilles Part 9: Specs and Modifications for P1
8/19/25, 7:38 AM • Richard Blake 8/19/25, 7:38 AM

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Richard Blake
8/19/25, 7:38 AM

I would love now to end this discussion on Achilles management, and at th...
Biomechanics of the Achilles Tendon Part 8: Case Report
8/5/25, 8:37 AM • Richard Blake 8/5/25, 8:37 AM

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Richard Blake
8/5/25, 8:37 AM

Achilles Pain in a Triathlete (based on a 14 point workup protocol) History and Chief ...
The Biomechanics of the Achilles Tendon: Part 7 (the role of heel height)
8/5/25, 7:00 AM • Richard Blake 8/5/25, 7:00 AM

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Richard Blake
8/5/25, 7:00 AM

What is the role of heel height for the stress of the ach...
The Biomechanics of a Weakened Achilles Tendon: Part 6
7/29/25, 8:38 AM • Richard Blake 7/29/25, 8:38 AM

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Richard Blake
7/29/25, 8:38 AM

Every day and week you will find patients that have weak achilles t...
The Biomechanics of the Achilles Tendon Part 5: What happens when Flexibility Is Not in a Healthy Range?
7/22/25, 6:50 AM • Richard Blake 7/22/25, 6:50 AM

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Richard Blake
7/22/25, 6:50 AM

This post is about the marvelous adaptations/compensations that our bodies make...
The Biomechanics of the Achilles Tendon Part 4: The Role of Strengthening Exercises
7/15/25, 8:51 AM • Richard Blake 7/15/25, 8:51 AM

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Richard Blake
7/15/25, 8:51 AM

Today I would love to discuss the role of strengthening of the achi...
The Biomechanics of the Achilles Tendon: Part 3 More on Flexibility
7/8/25, 10:19 AM • Richard Blake 7/8/25, 10:19 AM

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Richard Blake
7/8/25, 10:19 AM

As a follow up to my last blog post on Achilles flexibility Issues, we all know...
The Biomechanics of the Achilles Tendon: Part 2 on Flexibility
6/30/25, 8:44 AM • Richard Blake 6/30/25, 8:44 AM

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Richard Blake
6/30/25, 8:44 AM

There are so many ways to measure the achilles tendon and...
The Biomechanics of Achilles Tendon: Part 1
6/24/25, 9:22 AM • Richard Blake 6/24/25, 9:22 AM

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Richard Blake
6/24/25, 9:22 AM

The Achilles Tendon is definitely something that you could specialize in your practice. Being the...
The Biomechanics of Peroneal Tendon Injuries: Part 3
6/17/25, 12:21 PM • Richard Blake 6/17/25, 12:21 PM

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Richard Blake
6/17/25, 12:21 PM

When a patient presents with peroneal tendonitis symptoms from the latera...
The Biomechanics of Peroneal Injuries: Part 2
6/10/25, 11:19 AM • Richard Blake 6/10/25, 11:19 AM

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Richard Blake
6/10/25, 11:19 AM

Last week I reviewed the mechanics of two complex tendons, focusing on the fu...
The Biomechanics of Peroneal Injuries: Part 1
6/3/25, 8:23 AM • Richard Blake 6/3/25, 8:23 AM

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Richard Blake
6/3/25, 8:23 AM

The peroneal tendons are fascinating and complex. First of all, there are 2 of them which c...
Posterior Tibial Tendon Injury Part 6: Stabilizing the Big Toe
5/27/25, 8:19 AM • Richard Blake 5/27/25, 8:19 AM

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Richard Blake
5/27/25, 8:19 AM

I really have to thank the famous Oregon Podiatrist, Dr. Ray McClan...
Posterior Tibial Tendon Injury Part 5: Video that reviews Posterior Tibial Muscle Testing
5/20/25, 7:05 AM • Richard Blake 5/20/25, 7:05 AM

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Richard Blake
5/20/25, 7:05 AM

Patients present with medial ankle pain all the time, and typic...
Posterior Tibial Tendon Syndrome: Part 4 Medial Tibial Shin Splints
5/13/25, 7:55 AM • Richard Blake 5/13/25, 7:55 AM

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Richard Blake
5/13/25, 7:55 AM

One of the reasons that this is a syndrome is due to the same tendon/muscle complex can cause pai...

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