Hi Rich, Great article. In depth and you touch on so many things.  May I just add that if it is unilateral, you might want to check for a short leg with equinus. 

This is part 13 of a series that should be read in order.   Key Points:    Review the basics of Med/Lat Orthosis Design Review the Corrections of P and ML orthoses Re...

In several previous posts we discussed the relationship between custom foot orthotics and shoe construction. Orthotic devices and shoes can either enhance the performance of each other or hinder th...

This is part 12 of a series that should be read in order. Key Points:   What is a Medial Lateral Instability Patient? For an M orthosis, do you consider when Rx writing the supinatio...

Key Points:    The simple measurements of RCSP and OCSP are vitally important in our basic understanding of the patient and their orthotic correction Pronatory degrees and pronat...

Key Points:    Review of Many of the Components of a Biomechanical Practice Review of Common Pain Syndromes Quiz on Orthotic Type and Symptom Complaint (answers at the end o...

In prior posts I discussed the relationship between functional orthotics and various types of shoe gear. Heel to toe drop, stack, and shoe lasts, and how they affect the performance of our orthotic...

Key Points   Goals of Typical Treatment of a Patient Reviewed Common Causes of Instabilities our exams should pick up Develop Office Protocols for Data Collection     &nbs...

No doubt many of you read about Dr Rich Blake’s recent journey through the Tuscan Hills of Italy. 26 days of slow walking with this wife for mile after mile every day, all day, until eventual...

  From the computer of Dr. Rich Blake   I have just returned from a wonderful journey through the Tuscan hills of Italy and down to Roma. The adventure was inspired 10 years ago by...

Biomechanics clinicians rightly focus on the relationship between the patient’s anatomy and how it may be positively impacted by use of a corrective device. However, the orthotic device is no...

This is part 11 of a series that should be read in order.   Key Points:   Review of Supination Orthoses Emphasis on avoiding MPP Emphasis that Heel Verticality is not alwa...

wow, amazing!

Previously, we introduced the concept of pairing custom foot orthotics and shoe gear. One component of shoe construction that has a profound impact on the functionality of a custom foot orthotic is...

@Lucy Best Thanks for your comment. This is my orthotic chapter in my next book of the Practical Biomechanics series. The goal is a March 31st, 2025 publishing date.  Yes, the foot is inverte...

This is part 10 of a series that should be read in order.   Key Points:   What is negative about pronating a patient pass their MPP? What are the standard Rx modifications to h...

The decision making process of providing the correct orthotic device for your patient includes a number of factors, including the biomechanical findings of the patient, the body morphology of the p...

Hi Blake, thanks for this pearl. Where can I find information on these codes B1, B2, P1 etc etc? I have never heard of this system.   By the way, the foot is supinated at initial contact (w...

This is part 9 of a series that should be read in order. Key Points:   We need Pronation and Supination of the Subtalar Joint, but at the right time Contact Phase Supination can be v...

Interesting question! I believe that the next step should be increased collaboration between researchers and doctors to ensure that new treatments are introduced as soon as possible. It is also imp...