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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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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...
Sesamoid Fractures: Part 4
3/31/25, 11:25 PM • Richard Blake 3/31/25, 11:25 PM

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Richard Blake
3/31/25, 11:25 PM

Today we should discuss treatment of sesamoid fractures from an orthotic st...
Sesamoid Fractures: Part 3
3/24/25, 7:52 PM • Richard Blake 3/24/25, 7:52 PM

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Richard Blake
3/24/25, 7:52 PM

I have been discussing a challenging problem in sesamoid ...
Sesamoid Fractures: Part 2
3/17/25, 8:36 PM • Richard Blake 3/17/25, 8:36 PM

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Richard Blake
3/17/25, 8:36 PM

Today I will be going through the diagnosis dilemmas we face when treating sesamoid injuries, and...
Sesamoid Fractures: Part 1
3/11/25, 12:01 AM • Richard Blake 3/11/25, 12:01 AM

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Richard Blake
3/11/25, 12:01 AM

I treat many sesamoid fractures under the first metatarsal head with a small perc...
Podiatry Bread and Butter: Plantar Heel Pain Part 3 - Mechanical Considerations
3/2/25, 8:00 PM • Richard Blake 3/2/25, 8:00 PM

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Richard Blake
3/2/25, 8:00 PM

In the last 2 posts, I have talked about how plantar fasciitis presents and does ...
Podiatry Bread and Butter: Plantar Heel Pain Part 2
2/25/25, 12:13 AM • Richard Blake 2/25/25, 12:13 AM

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Richard Blake
2/25/25, 12:13 AM

Last week we started talking about plantar fasciitis as the cause of 50-80% of all plantar ...
Podiatry’s Bread and Butter: Plantar Heel Pain Part 1
2/18/25, 9:01 AM • Richard Blake 2/18/25, 9:01 AM

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Richard Blake
2/18/25, 9:01 AM

If you treat feet, patients come in wave after wave with plantar heel pain. We start with an hist...

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