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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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Limb Length Discrepancy (Part 2)
9/12/23, 2:19 PM • Richard Blake 9/20/23, 12:41 AM

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Richard Blake
9/20/23, 12:41 AM

@Lucy Best Great comment. I will give my approach to pelvic tilts, which I think the lying down o...
Limb Length Discrepancy (Part 3)
9/18/23, 5:40 PM • Richard Blake 9/18/23, 5:40 PM

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Richard Blake
9/18/23, 5:40 PM

How do we determine if someone is unstable? From a pure physics model, instability is a state tha...
Locking the Midtarsal Joint(s)
8/30/23, 4:33 PM • Richard Blake 9/6/23, 1:47 AM

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Richard Blake
9/6/23, 1:47 AM

@Eddie Davis Eddie, thank you so much for your comments. I can go a little "biomechanical crazy" ...
We Own the Subtalar Joint!
8/31/23, 10:23 PM • Richard Blake 8/31/23, 10:23 PM

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Richard Blake
8/31/23, 10:23 PM

I was reminded last night of a famous quote from one of the most influential Podiatrists of all t...
Painful 2nd or 3rd Metatarsal. What are the Components to a Good Orthosis?
6/7/23, 4:58 PM • Richard Blake 8/23/23, 10:06 PM

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Richard Blake
8/23/23, 10:06 PM

@Michele Kurlanski Michele, inspired by your courage to go insurance-less as a health provider!! ...
Rule of 3 in Biomechanics
8/22/23, 2:19 PM • Richard Blake 8/22/23, 2:19 PM

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Richard Blake
8/22/23, 2:19 PM

The Rule of 3 means that it takes 3 stresses on a tissue that can cause it to be injured. When on...
Limb Length Discrepancy (Part 1)
8/22/23, 3:05 AM • Richard Blake 8/22/23, 3:05 AM

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Richard Blake
8/22/23, 3:05 AM

The next 4 posts will be on limb length discrepancy and its place in a clinical biomechanical pra...
Podiatrists role in Achilles Tendon Health
8/19/23, 11:03 PM • Richard Blake 8/19/23, 11:03 PM

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Richard Blake
8/19/23, 11:03 PM

Copied from a Previous Post (this post will be a continuation) The achilles tendon, like the p...
Creating a More Stable Medial Column
7/30/23, 3:24 AM • Richard Blake 8/1/23, 4:03 PM

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Stefan Feldman
8/1/23, 4:03 PM

Great post Dr Blake! Thinking of this process of creating stability from a distal to proximal dir...
Type C: Designed to Make an Everted Heel Markedly Less Everted
7/29/23, 9:33 PM • Richard Blake 7/29/23, 9:33 PM

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Richard Blake
7/29/23, 9:33 PM

The Introduction here has been consistent with all the discussions on orthotic types: With all pa...
Type A: What is your Gold Standard?
7/5/23, 4:59 PM • Richard Blake 7/29/23, 6:01 PM

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Richard Blake
7/29/23, 6:01 PM

@Eddie Davis Great point!! The valgus foot gets neglected, along with the motion of supination, w...
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. &...

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