Recently my students at Samuel Merritt’s College of Podiatric Medicine received their orthotic devices to begin to break in. I want to go over the orthotic dispe...
Richard Blake
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Posts made by Richard Blake
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Orthotic Dispense Day (for my students and perhaps your patients) Part 1posted in Clinical pearls
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Biomechanics Patient from Start to Finish #1: Second Visit (assessing your diagnosis and treatment plan)posted in Clinical pearls
Last week I started a discussion on a patient with acute plantar heel pain and chronic recurrent achilles tendonitis. I started the conversation as if it was a limited...
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Biomechanics Patient from Start to Finish #1: Initial Visitposted in Clinical pearls
I had just started to write about all the Pathology Based Orthoses offered by KevinRoot Medical, but there seems to be low interest. Therefore, I am going to switch ge...
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P3 Pathology Based Orthoses: Lateral Ankle Instabilityposted in Clinical pearls
It was this design, a functional orthotic device for supinators, that initially drew me into Kevin’s Orthotic Lab (now KevinRoot Medical). Let’s look at th...
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P2 Pathology Based Orthoses: Adult Acquired Flatfoot Designposted in Clinical pearls
Patients with this foot type who present to you may bring a whole bag of unused orthotic devices with them. They have pain in their feet somewhere which brings them to...
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Biomechanics of the Achilles Part 9: Specs and Modifications for P1posted in Clinical pearls
I would love now to end this discussion on Achilles management, and at the same time, begin a discussion on all of the KevinRoot Medical Pathology based orthotic devices lab...
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Biomechanics of the Achilles Tendon Part 8: Case Reportposted in Clinical pearls
Achilles Pain in a Triathlete (based on a 14 point workup protocol) History and Chief Complaint While training for his first Ironman Triathlon in Kona, Hawaii, this 40-year-old man b...
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The Biomechanics of the Achilles Tendon: Part 7 (the role of heel height)posted in Clinical pearls
What is the role of heel height for the stress of the achilles when wearing. Here we are limiting our discussion to wearing a particular shoe while working out...
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The Biomechanics of a Weakened Achilles Tendon: Part 6posted in Clinical pearls
Every day and week you will find patients that have weak achilles tendons. As you have learned, there are actually 2 types of weakness. When the achilles is too tight ...
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The Biomechanics of the Achilles Tendon Part 5: What happens when Flexibility Is Not in a Healthy Range?posted in Clinical pearls
This post is about the marvelous adaptations/compensations that our bodies make when the achilles is not quite right. Let’s start with the easy stuff concerning equinus forc...
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The Biomechanics of the Achilles Tendon Part 4: The Role of Strengthening Exercisesposted in Clinical pearls
Today I would love to discuss the role of strengthening of the achilles tendon in our practices. I think we all know the vital importance of the achilles tendon for no...
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The Biomechanics of the Achilles Tendon: Part 3 More on Flexibilityposted in Clinical pearls
As a follow up to my last blog post on Achilles flexibility Issues, we all know that if we find Achilles tightness (aka Equinus) we should begin the patient on a flexibility progr...
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The Biomechanics of the Achilles Tendon: Part 2 on Flexibilityposted in Clinical pearls
There are so many ways to measure the achilles tendon and I will only show the one method that I have used over the years. I think most methods are fine, so ch...
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The Biomechanics of Achilles Tendon: Part 1posted in Clinical pearls
The Achilles Tendon is definitely something that you could specialize in your practice. Being the strongest tendon in the universe, its effect on the body is immense for allowing us to evolve to an...
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The Biomechanics of Peroneal Tendon Injuries: Part 3posted in Clinical pearls
When a patient presents with peroneal tendonitis symptoms from the lateral fibula to the base of the first or fifth metatarsals, our treatment begins with identification of ...
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The Biomechanics of Peroneal Injuries: Part 2posted in Clinical pearls
Last week I reviewed the mechanics of two complex tendons, focusing on the function across many joints and in many areas. If you count them out, you can easily find 7 common are...
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The Biomechanics of Peroneal Injuries: Part 1posted in Clinical pearls
The peroneal tendons are fascinating and complex. First of all, there are 2 of them which can get injured together, but normally separate. Like the posterior tibial tendon, when it is in over...
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Posterior Tibial Tendon Injury Part 6: Stabilizing the Big Toeposted in Clinical pearls
I really have to thank the famous Oregon Podiatrist, Dr. Ray McClanahan, for bringing this to my attention. Ray is the creator of “Correct Toes™” and...
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Posterior Tibial Tendon Injury Part 5: Video that reviews Posterior Tibial Muscle Testingposted in Clinical pearls
Patients present with medial ankle pain all the time, and typically the location alone gives us a working diagnosis of Posterior Tendon Injury. However, proper muscl...
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Posterior Tibial Tendon Syndrome: Part 4 Medial Tibial Shin Splintsposted in Clinical pearls
One of the reasons that this is a syndrome is due to the same tendon/muscle complex can cause pain in so many places. These include: Arch area Navicular Tuberosity Medial Foot and Ankle Media...
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