Excellent interview. I have know Dr. Gurnick for many years, but this interview really looked into his soul. Thank you! Rich Blae
Richard Blake
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Posts made by Richard Blake
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A Conversation with Keith L. Gurnick, DPMposted in Clinical orthotics and biomechanics
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Pediatric Flatfeet: Key Points from this Article (Part 1 of 4)posted in Clinical pearls
This is a great article with so much information for us to talk about. I will do it over 3 or 4 posts so I can take ample time discussing 1 or 2 key points for our...
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An Understanding of Posterior Tibial Tendon Dysfunction: When are Orthotic Devices Appropriate?posted in Clinical pearls
This article highlights the treatment of the 4 Stages of Posterior Tibial problems. Stage 1 and 2 are acceptable for orthotic treatment with devices. Stage 3 c...
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Plantar Fasciitis: Seen through the Eyes of Primary Care Physiciansposted in Clinical pearls
This is a great article on diagnosing and treating plantar fasciitis and worth the read. It is fun to see how Primary Care Physicians may see things somewhat differe...
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Pediatric Flatfoot: Article suggesting Only Prescribing Orthotic Devices When There Is Painposted in Clinical pearls
We have all read these articles. At least this one gives credit to orthotic devices helping children with pain related pronation. Having treated my...
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What is HFPS?posted in Clinical pearls
Most plantar heel pain according to Occam’s Razor is plantar fasciitis. Occam’s Razor means that the simplest solution is probably the correct solution. Occa...
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Pes Planus and Associated Anterior Knee and Low Back Painposted in Clinical pearls
There are many things I like about this article. First, it goes with my functional classification of deformities into mild, moderate and severe categories. We should be able to lo...
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Athletic Taping and the Lessons on Mechanicsposted in Clinical pearls
This article has 3 good mechanical points that I want to review. The main goal of most ankle athletic taping is to prevent ankle sprains, therefore it helps pr...
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Reducing Plantar Pressures in the Heel and Midfootposted in Clinical pearls
This is a simple article which highlights how adding a soft material under the heel on a custom orthotic device helps lower heel plantar pressures, and also lowers midfoot pressure. It wa...
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Lipstick Works the Best: What is your favorite shade?posted in Clinical pearls
I have some lipstick in all of my office patient rooms for this exact purpose and they can be a game changer. They make a predictable mark for an impressio...
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Can Shoes and Orthotic Devices Produce Normal Motion in a Patient with Structural Hallux LImitus?posted in Clinical pearls
Patients will present with Functional and Structural Hallux Limitus all the time. The basis of this study is to attempt to compare barefoot, minimalist shoe Orthotic #1, and minimalist shoe...
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Treating Growing Pains in Children with Custom Orthotic Devicesposted in Clinical pearls
Treating children with “growing pains” with custom orthotic devices is very common. Podiatrists focus on the abnormal biomechanics as in adults and desig...
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Can Orthotic Devices Actually Help Bunion Development?posted in Clinical pearls
I never felt comfortable with my patients in the early part of my practice to tell them that my foot orthotics devices would help straighten their bunions. I w...
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Achilles Tendonitis with Medial Instability across the Subtalar Jointposted in Clinical pearls
This simple article, here presented only as an abstract, draws the connection between achilles problems and medial instability or over pronation in the foot. T...
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A Study in Muscles and Orthoses when a Patient has PTTDposted in Clinical pearls
Here I am just presenting the abstract of an article that looked at our common diagnosis of PTTD. As the foot collapses, the ankle and knee joints have greater stress, along with over contr...
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The Effectiveness of Foot Orthoses when Treating Runners with Lower Extremity Painposted in Clinical pearls
For those of us who have treated lower extremity pain in our runners, this article comes to no surprise. Running is very stressful, but its health be...
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Give Orthotic Devices, then Teach Short Arc Foot Exercisesposted in Clinical pearls
I love metatarsal doming aka short arc foot exercises. The video below is demonstrating these. This article backs up my previous one showing an improvement in both static, and now, dynami...
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The Use of Foot Orthoses for Ankle Sprainsposted in Clinical pearls
One of the most brilliant Podiatrists that I have ever known here presents an article on their use in the management of ankle sprains. Dr. Doug Richie, of Rich...
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The Relationship between Foot Pronation and ACL Injuriesposted in Clinical pearls
I have had plenty of experience treating ACL injuries, both in the subacute phase when surgery is not being considered right now, or in the chronic stage. The ...
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Pregnancy: How does it affect a woman's foot?posted in Clinical pearls
Pregnancy is a 9 month challenge to the human body and then over and done. But is it? Are there long term effects from this normal, but radically different, pe...
