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Clinical pearls

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

201 Topics 4 Followers

Case Study: Shin Pain in Ballet (Answers at the end)
3/7/24, 3:44 PM • Richard Blake 3/7/24, 3:44 PM

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Richard Blake
3/7/24, 3:44 PM

Patient #19: Anterior Shin Pain &nbs...
Biomechanics 1 Questions and Answers
3/5/24, 12:36 AM • Richard Blake 3/5/24, 12:36 AM

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Richard Blake
3/5/24, 12:36 AM

Biomechanics 1 Q&A There is both intrinsic (built within the plastic) and extrinsi...
Strengthening for Bunion Help: Abductor Hallucis Video
3/4/24, 4:01 PM • Richard Blake 3/4/24, 4:01 PM

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Richard Blake
3/4/24, 4:01 PM

Patients may come into your offices with Grade 1 through 4 Bunions and want help slowing them dow...
Everted Forefoot Deformities: Review and Some Thoughts
2/29/24, 2:49 AM • Richard Blake 2/29/24, 2:49 AM

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Richard Blake
2/29/24, 2:49 AM

A few posts ago I discussed (really just reviewed) the Inverted Forefoot Defo...
Posterior Tibial Tendon Taping for Posterior Tibial Tendon Injuries Posterior Tibial Taping Video
2/26/24, 6:02 PM • Richard Blake 2/26/24, 6:02 PM

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Richard Blake
2/26/24, 6:02 PM

We all see so many posterior tibial tendon injuries. I have attached a video for patients to atte...
Navicular Fracture Case Study: Ankle Pain in a Softball Pitcher (Answers Below)
2/19/24, 5:13 AM • Richard Blake 2/19/24, 5:13 AM

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Richard Blake
2/19/24, 5:13 AM

Patient #20: Dorsal Foot Pain in College Softball Pitcher ...
Forefoot Varus Forefoot Supinatus Peroneus Longus Inverted Forefoot Deformities: Some Thoughts and a Review
2/15/24, 6:45 PM • Richard Blake 2/15/24, 6:45 PM

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Richard Blake
2/15/24, 6:45 PM

As you know many patients have inverted forefoot deformities. This is the rel...
Runners Knee Case History: Medial Knee Pain in a Runner
2/11/24, 10:26 PM • Richard Blake 2/11/24, 10:26 PM

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Richard Blake
2/11/24, 10:26 PM

Case History: Medial Knee Pain in a Runner History and Chief Complaint A long distanc...
Metatarsal Doming Intrinsic Arch Strength Exercise Metatarsal Doming or Arcing: Great Way of Strengthening the Intrinsic Arch Muscles
2/11/24, 4:49 AM • Richard Blake 2/11/24, 4:49 AM

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Richard Blake
2/11/24, 4:49 AM

Please review the following video on Metatarsal Doming. It is a great exercise for patients to st...
Abnormal Pronation Symptoms Rule of 3 Abnormal Pronation: Sore Spots based on Individual's Weak Spots
2/3/24, 10:02 PM • Richard Blake 2/3/24, 10:02 PM

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Richard Blake
2/3/24, 10:02 PM

As I have harped on before, mechanical problems like abnormal or excessive pronation ca...
Peroneal Strengthening Peroneal Tendon Strengthening Video
1/31/24, 2:51 AM • Richard Blake 1/31/24, 2:51 AM

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Richard Blake
1/31/24, 2:51 AM

The following is a video using progressive resistance bands to strengthen the 2 peroneal tendons....
Historical Review Provides Good Clues into Problems
1/27/24, 2:57 AM • Richard Blake 1/27/24, 2:57 AM

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Richard Blake
1/27/24, 2:57 AM

Taking a Good History of the Present and Past can help to steer the course of treatment. In the m...
Posterior Tibial Tendon Strengthening Posterior Tibial Strengthening the Posterior Tibial Tendon
1/24/24, 2:50 AM • Richard Blake 1/24/24, 2:50 AM

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Richard Blake
1/24/24, 2:50 AM

Posterior Tibial Tendon Resistanc...
Gait Evaluation Gait Evaluation Checklist
1/15/24, 8:43 PM • Richard Blake 1/15/24, 8:43 PM

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Richard Blake
1/15/24, 8:43 PM

The following Gait Evaluation form is what I used in practice and teach students with. I am happy...
Case Histories: Achilles Pain in a Triathlete (Biomechanical Approach)
1/7/24, 7:17 PM • Richard Blake 1/7/24, 7:17 PM

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Richard Blake
1/7/24, 7:17 PM

All answers at the end of the blog post Achilles Pain in a Triathlete History and Chi...
Case Histories: Metatarsal Pain in a Hiker (Biomechanical Approach)
1/3/24, 12:41 AM • Richard Blake 1/3/24, 12:41 AM

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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

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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

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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

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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

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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 ...

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Latest posts

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Latest: Richard Blake 9/25/26, 7:20 AM

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Latest: Richard Blake 9/22/26, 10:53 AM

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Achilles Tendon Strength and Flexibility

Latest: Richard Blake 9/15/26, 9:51 AM

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