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Clinical pearls

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

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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...
Posterior Tibial Tendon Syndrome: Part 3
5/6/25, 9:59 AM • Richard Blake 5/6/25, 9:59 AM

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Richard Blake
5/6/25, 9:59 AM

Like any tendon problem in the lower extremity, you can s...
Posterior Tibial Syndrome: Part 2 Video Presentations
4/29/25, 8:56 AM • Richard Blake 4/29/25, 8:56 AM

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Richard Blake
4/29/25, 8:56 AM

I want to show you several of my YouTube videos today that I send t...
Posterior Tibial Pain Syndrome: Part 1
4/22/25, 4:53 AM • Richard Blake 4/22/25, 4:53 AM

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Richard Blake
4/22/25, 4:53 AM

Posterior Tibial Pain Syndrome refers both to the tendon and t...
Sesamoid Fractures: Part 6 (Individualizing Orthotic Care)
4/15/25, 9:11 AM • Richard Blake 4/15/25, 9:11 AM

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Richard Blake
4/15/25, 9:11 AM

In our discussions on sesamoid care, there were some general rules discussed concerning...
Sesamoid Fractures: Part 5
4/7/25, 1:33 AM • Richard Blake 4/7/25, 1:33 AM

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Richard Blake
4/7/25, 1:33 AM

I hope following these 5 articles that sesamoid s...

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