Clinical pearls | KRM Forum

Clinical pearls

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

186 Topics 4 Followers

Case Histories: Metatarsal Pain in a Hiker (Biomechanical Approach)
1/3/24, 12:41 AM • Richard Blake 1/3/24, 12:41 AM

1

1
Posts

506
Views

Richard Blake
1/3/24, 12:41 AM

The answers to all questions are at the end of the post. Metatarsal Pain in a Hiker H...
Case Histories: Metatarsal Pain from Crossfit (Using a Biomechanical Approach)
12/26/23, 11:09 PM • Richard Blake 12/26/23, 11:09 PM

1

1
Posts

567
Views

Richard Blake
12/26/23, 11:09 PM

Patient: Metatarsal Pain from Crossfit Workouts History ...
Gait Evaluation Gait Evaluation: Part II (Equinus Findings)
12/18/23, 5:17 PM • Richard Blake 12/18/23, 5:17 PM

1

1
Posts

225
Views

Richard Blake
12/18/23, 5:17 PM

There is a lot of discussion about what amount of achilles tendon tightness is pathological, and ...
Gait Evaluation Gait Evaluation: Key to Many Treatment Options (Part I)
12/10/23, 4:57 PM • Richard Blake 12/10/23, 4:57 PM

1

1
Posts

355
Views

Richard Blake
12/10/23, 4:57 PM

Gait Evaluation is standard procedure in the biomechanical world. In training Podiatrists of the ...
Phases of Rehabilitation We Must Follow - sort of
12/4/23, 4:24 PM • Richard Blake 12/4/23, 4:24 PM

1

1
Posts

316
Views

Richard Blake
12/4/23, 4:24 PM

There does not have to be a particular injury per se, but if there is pain that brings a patient ...
Biomechanical Changes We Make
11/27/23, 4:52 PM • Richard Blake 11/27/23, 4:52 PM

1

1
Posts

313
Views

Richard Blake
11/27/23, 4:52 PM

I think it is important to understand the biomechanical changes you are making when treating your...
Treating Moderate to Severe Pronation with the Inverted Orthotic Technique
11/18/23, 7:34 PM • Richard Blake 11/18/23, 7:34 PM

1

1
Posts

870
Views

Richard Blake
11/18/23, 7:34 PM

Moderate to Severe Pronators are attracted to me. My reputation grew in the 1980s after I started...
80/20 Rule of Rehabilitation
11/11/23, 4:03 PM • Richard Blake 11/11/23, 4:03 PM

1

1
Posts

395
Views

Richard Blake
11/11/23, 4:03 PM

I used this rule everyday of my practice life. It concerns both the patient's activity level and ...
Low Back Pain and the Role of the Podiatrist
11/7/23, 11:27 PM • Richard Blake 11/7/23, 11:27 PM

1

1
Posts

265
Views

Richard Blake
11/7/23, 11:27 PM

I practiced in a large multi-disciplinary setting. Low Back pain was a very common complaint I wo...
Rules
11/6/23, 4:09 PM • Richard Blake 11/6/23, 4:09 PM

1

1
Posts

388
Views

Richard Blake
11/6/23, 4:09 PM

Many rules in medicine are just guidelines, and may or may not apply to your patient. You need to...
The Importance of Measuring Achilles Strength (Part 2)
10/10/23, 2:46 PM • Richard Blake 10/10/23, 2:46 PM

1

1
Posts

386
Views

Richard Blake
10/10/23, 2:46 PM

Last week I talked about the relationship of achilles flexibility and achilles strength. Basicall...
The Importance of Measuring Achilles Strength (Part 1)
10/9/23, 6:31 PM • Richard Blake 10/9/23, 6:31 PM

1

1
Posts

500
Views

Richard Blake
10/9/23, 6:31 PM

I will be spending a few posts now on the importance of measuring achilles strength. By far the s...
Limb Length Discrepancy (Part 5)
10/9/23, 5:07 PM • Richard Blake 10/9/23, 5:07 PM

1

1
Posts

194
Views

Richard Blake
10/9/23, 5:07 PM

I would like to finish my brief discussion of Limb Length Discrepancy with answers to the last 7 ...
Limb Length Discrepancy (Part 4)
9/27/23, 1:41 PM • Richard Blake 9/27/23, 1:41 PM

1

1
Posts

326
Views

Richard Blake
9/27/23, 1:41 PM

We have talked about the gait signs and osteopathic measurements for limb length discrepancy, so ...
Limb Length Discrepancy (Part 2)
9/12/23, 2:19 PM • Richard Blake 9/20/23, 12:41 AM

3

3
Posts

587
Views

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

1

1
Posts

372
Views

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

3

3
Posts

1.4k
Views

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

1

1
Posts

69
Views

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

3

3
Posts

3.5k
Views

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

1

1
Posts

576
Views

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...

1
2
3
4
5
6
7
8 / 10
9
10

Latest posts

What is HFPS?

Latest: Richard Blake 6/23/26, 7:24 AM

Clinical pearls
Pes Planus and Associated Anterior Knee and Low Back Pain

Latest: Richard Blake 6/16/26, 9:38 AM

Clinical pearls
Athletic Taping and the Lessons on Mechanics

Latest: Richard Blake 6/9/26, 9:17 AM

Clinical pearls