Today I present you with only the abstract of this article. A systematic review was done of 9 papers encompassing almost 500 patients. The results confirmed wh...
Richard Blake
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Posts made by Richard Blake
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The Effectiveness of Custom Made Functional Foot Orthoses on Forefoot Painposted in Clinical pearls
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Changing walking and running stress to lessen Injuriesposted in Clinical pearls
I want to present a concept that is often used by sports medicine physicians for their running population (and definitely can be used in the walking population) to l...
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Can Changing Gait Help Reduce Pronation?posted in Clinical pearls
When we are treating patients, we discover a huge percentage have signs of over pronation that we can link to the pain or instability or both that they present...
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Deep Dive into Forefoot Varusposted in Clinical pearls
This is a nice study out of Brazil highlighting the relationship of 3 weight bearing measurements: Tibial Calcaneal or Kevin’s Angle (here just called the Rear...
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Treating Chronic Low Back Pain with Orthotic Devices in Patients with Flat Feetposted in Clinical pearls
This article, only in abstract form, makes the excellent correlation between chronic low back pain and pes planus.The treatment with foot orthotic devices show...
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How do we Distinguish between Plantar Fasciitis and Other Forms of Plantar Heel Pain?posted in Clinical pearls
This is a good article attempting to counsel against diagnosing every patient with plantar heel pain as having plantar fasciitis. We all can order functional o...
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Deep Dive into Inverted Orthotic Devices (to start the New Year 2026)posted in Clinical pearls
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...
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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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