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...
Richard Blake
Posts made by Richard Blake
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Biomechanics of the Achilles Tendon Part 8: Case Report
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The Biomechanics of the Achilles Tendon: Part 7 (the role of heel height)
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 6
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?
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 Exercises
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 Flexibility
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 Flexibility
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 1
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 3
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 2
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 1
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 Toe
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 Testing
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 Splints
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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Posterior Tibial Tendon Syndrome: Part 3
Like any tendon problem in the lower extremity, you can successfully treat posterior tibial tendon problems with the mnemonic BRISS. The letters stand fo...
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Posterior Tibial Syndrome: Part 2 Video Presentations
I want to show you several of my YouTube videos today that I send to my patients following appropriate timing in their treatment of posterior tibial tendon problems.&n...
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Posterior Tibial Pain Syndrome: Part 1
Posterior Tibial Pain Syndrome refers both to the tendon and the many places pain can be located when the patient presents to you. The posterior tibial tendon works...
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Sesamoid Fractures: Part 6 (Individualizing Orthotic Care)
In our discussions on sesamoid care, there were some general rules discussed concerning orthotic therapy. These rules are: With the use of a dancer’s pad (reverse Morton’s Ex...
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Sesamoid Fractures: Part 5
I hope following these 5 articles that sesamoid sufferers can be treated with higher sophistication. Let’s follow a common flow of mechanical cha...
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Sesamoid Fractures: Part 4
Today we should discuss treatment of sesamoid fractures from an orthotic standpoint. KevinRoot Medical has its Pre-set device for this called the P14 which emphasizes the medial...