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Clinical pearls

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

186 Topics 4 Followers

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. &...
Arch Irritation from Orthoses and Common Fixes
6/7/23, 5:00 PM • Richard Blake 6/7/23, 5:00 PM

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Richard Blake
6/7/23, 5:00 PM

Any specialist who prescribed custom orthotic devices must know how to adjust when the patient co...
What kinds of simple Forefoot Extensions are commonly utilized?
6/7/23, 4:55 PM • Richard Blake 6/7/23, 4:55 PM

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Richard Blake
6/7/23, 4:55 PM

Forefoot extensions are defined as starting in the front of the plastic, and can be used to: (1) ...
Why is Contact Phase Supination so Bad?
6/7/23, 4:52 PM • Richard Blake 6/7/23, 4:52 PM

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Richard Blake
6/7/23, 4:52 PM

The contact phase of the Stance part of gait is all about internal rotation and pronation of the ...
Heel Padding and Heel Lifts need to be Symmetrical with one Exception
6/1/23, 7:15 PM • Richard Blake 6/1/23, 7:15 PM

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Richard Blake
6/1/23, 7:15 PM

Heel lifts and padding are commonly utilized in orthotic prescriptions for various purposes, an...
What Are Phalanges (Flanges)?
6/1/23, 6:55 PM • Richard Blake 6/1/23, 6:55 PM

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Richard Blake
6/1/23, 6:55 PM

Phalanges, literally meaning "fingers", are used both medially and laterally on a CFO to provide ...
Denton Modification: Incredible Help for the Lateral Column
6/1/23, 6:49 PM • Richard Blake 6/1/23, 6:49 PM

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Richard Blake
6/1/23, 6:49 PM

Designed originally by Dr Jane Denton, it provides incredible support to the lateral column &nbs...

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