I have had the pleasure and privilege of working with great minds in the attempt to understand why my Inverted Orthotic Technique works so well. I have also ha...
Richard Blake
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Posts made by Richard Blake
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Deep Dive into Inverted Orthotic Devices (to start the New Year 2026)posted in Clinical pearls
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Video for Exercises Post Ankle Sprainsposted in Clinical pearls
When patients sprain their ankles, there is an immediate shutdown of the muscles in the ankle area to due pain. Then, the ankle with weakened ankles, heals adequatel...
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The effect of pes cavus on foot pain and plantar pressureposted in Clinical pearls
Depending on our individual criteria, pes cavus foot type will present to our offices 10-20% of the time. This article clearly describes the higher plantar pre...
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Can Foot Exercises Actually Work to Improve Pain and Arch Height?posted in Clinical pearls
I love to treat feet and the lower extremity with exercises. Exercises are a great way of alleviating pain and supporting the arch. They should be coupled with any...
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Medial Shin Splints and Biomechanicsposted in Clinical pearls
Play the article here: There are many causes of shin splints and many types. This article deals with medial shin splints along the medial border of ...
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Position Paper on Hallux Rigidus by Richard Blake DPMposted in Clinical pearls
Many of us treat Hallux Rigidus and Limitus conservatively, but also should inform our patients of the surgical treatments. This was a position paper I was ask...
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Medial Knee Compartment Disease: Lateral Wedging with or without Orthotic Devices?posted in Clinical pearls
This is a study I could have done in my youth. I was tasked by our orthopedic team to valgus wedge patients with medial knee compartment disease. I would say...
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Case Studies of the Use of Custom Functional Foot Orthotics #3: Basketball Athlete Caseposted in Practical Pearls
Dear Dr. Feldman, great presentation of a patient that does not have the ability to unwind from this lateral instability. His subtalar joint eversion is very limited to 2 and with the tibial varum,...
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The Role of Orthotic Devices and Patellofemoral Painposted in Clinical pearls
Now 8 years ago, this paper from 2017 quietly validated the use of orthotic devices in patients with knee pain, particularly patellofemoral joint pain. The p...
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The Metatarsal Arch Deformation and Forefoot Movement in Gait: A Study of the Kinematics (Motion)posted in Clinical pearls
This study is excellent in describing the forefoot motion during contact/midstance and then propulsion. The authors are able to separate the forefoot into 3 segments: ...
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The Planus Foot and First Ray Hypermobilityposted in Clinical pearls
First of all, Drs.Hillstrom are my friends so I want to shout out to them. This article is a a fine example of their excellent work which I will summarize here. The instruments alone are worth the ...
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How long do I have my patients stretch?posted in Clinical pearls
Athlete Stretching the Lower Hamstrings This published article (I only copied the Abstract for you) brings up a couple of great points that we can use in our daily practices. These ar...
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Heel Lifts in Your Practiceposted in Clinical pearls
@Robert Shor Bob, Thanks for your knowledge. I have not been happy with straight poron under the heel, so your combo approach sounds great. Rich
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The Effects of a Medial or Varus Posted Insole on Adult Acquired Flatfoot Patientsposted in Clinical pearls
I love varus posting for my pronators, and valgus posting for my supinators. Yet, as basic as that seems, it should be used more. This simple, but eloquent article, goes ove...
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First Ray Hypermobilityposted in Clinical pearls
This week I am going to review this fine article on the topic of first ray hypermobility. It has long bothered me that anyone who overly-pronated was labeled as having...
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Heel Lifts in Your Practiceposted in Clinical pearls
It seems like I am using heel lifts more and more in my practice. My office buys big sheets of 1/8 and 1/4 inch rubber cork from JMS Plastics for my use. I love to cut...
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Midtarsal Joint Locking (or is it just getting more rigid?)posted in Clinical pearls
I want to highlight this article by Okita and Meyers, et al, from 2013 on Midtarsal Joint Locking. We have all learned that foot pronation in the early stages of gait ...
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Orthotic Dispense Day (for my students and perhaps your patients) Part 1posted in Clinical pearls
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...
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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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