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,...
Richard Blake
Posts made by Richard Blake
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Case Studies of the Use of Custom Functional Foot Orthotics #3: Basketball Athlete Caseposted in Practical Pearls
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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 paper starts with...
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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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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...




