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Clinical pearls

The idea behind Clinical pearls is to help you become more successful integrating biomechanics with your patients.

124 Topics 2 Followers

Gait Evaluation Gait Evaluation: Part II (Equinus Findings)
12/18/23, 5:17 PM • Richard Blake 12/18/23, 5:17 PM

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Richard Blake
12/18/23, 5:17 PM

There is a lot of discussion about what amount of achilles tendon tightness is pathological, and ...
Gait Evaluation Gait Evaluation: Key to Many Treatment Options (Part I)
12/10/23, 4:57 PM • Richard Blake 12/10/23, 4:57 PM

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Richard Blake
12/10/23, 4:57 PM

Gait Evaluation is standard procedure in the biomechanical world. In training Podiatrists of the ...
Phases of Rehabilitation We Must Follow - sort of
12/4/23, 4:24 PM • Richard Blake 12/4/23, 4:24 PM

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Richard Blake
12/4/23, 4:24 PM

There does not have to be a particular injury per se, but if there is pain that brings a patient ...
Biomechanical Changes We Make
11/27/23, 4:52 PM • Richard Blake 11/27/23, 4:52 PM

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Richard Blake
11/27/23, 4:52 PM

I think it is important to understand the biomechanical changes you are making when treating your...
Treating Moderate to Severe Pronation with the Inverted Orthotic Technique
11/18/23, 7:34 PM • Richard Blake 11/18/23, 7:34 PM

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Richard Blake
11/18/23, 7:34 PM

Moderate to Severe Pronators are attracted to me. My reputation grew in the 1980s after I started...
80/20 Rule of Rehabilitation
11/11/23, 4:03 PM • Richard Blake 11/11/23, 4:03 PM

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Richard Blake
11/11/23, 4:03 PM

I used this rule everyday of my practice life. It concerns both the patient's activity level and ...
Low Back Pain and the Role of the Podiatrist
11/7/23, 11:27 PM • Richard Blake 11/7/23, 11:27 PM

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Richard Blake
11/7/23, 11:27 PM

I practiced in a large multi-disciplinary setting. Low Back pain was a very common complaint I wo...
Rules
11/6/23, 4:09 PM • Richard Blake 11/6/23, 4:09 PM

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Richard Blake
11/6/23, 4:09 PM

Many rules in medicine are just guidelines, and may or may not apply to your patient. You need to...
The Importance of Measuring Achilles Strength (Part 2)
10/10/23, 2:46 PM • Richard Blake 10/10/23, 2:46 PM

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Richard Blake
10/10/23, 2:46 PM

Last week I talked about the relationship of achilles flexibility and achilles strength. Basicall...
The Importance of Measuring Achilles Strength (Part 1)
10/9/23, 6:31 PM • Richard Blake 10/9/23, 6:31 PM

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Richard Blake
10/9/23, 6:31 PM

I will be spending a few posts now on the importance of measuring achilles strength. By far the s...
Limb Length Discrepancy (Part 5)
10/9/23, 5:07 PM • Richard Blake 10/9/23, 5:07 PM

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Richard Blake
10/9/23, 5:07 PM

I would like to finish my brief discussion of Limb Length Discrepancy with answers to the last 7 ...
Limb Length Discrepancy (Part 4)
9/27/23, 1:41 PM • Richard Blake 9/27/23, 1:41 PM

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Richard Blake
9/27/23, 1:41 PM

We have talked about the gait signs and osteopathic measurements for limb length discrepancy, so ...
Limb Length Discrepancy (Part 2)
9/12/23, 2:19 PM • Richard Blake 9/20/23, 12:41 AM

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Richard Blake
9/20/23, 12:41 AM

@Lucy Best Great comment. I will give my approach to pelvic tilts, which I think the lying down o...
Limb Length Discrepancy (Part 3)
9/18/23, 5:40 PM • Richard Blake 9/18/23, 5:40 PM

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Richard Blake
9/18/23, 5:40 PM

How do we determine if someone is unstable? From a pure physics model, instability is a state tha...
Locking the Midtarsal Joint(s)
8/30/23, 4:33 PM • Richard Blake 9/6/23, 1:47 AM

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Richard Blake
9/6/23, 1:47 AM

@Eddie Davis Eddie, thank you so much for your comments. I can go a little "biomechanical crazy" ...
We Own the Subtalar Joint!
8/31/23, 10:23 PM • Richard Blake 8/31/23, 10:23 PM

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Richard Blake
8/31/23, 10:23 PM

I was reminded last night of a famous quote from one of the most influential Podiatrists of all t...
Painful 2nd or 3rd Metatarsal. What are the Components to a Good Orthosis?
6/7/23, 4:58 PM • Richard Blake 8/23/23, 10:06 PM

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Richard Blake
8/23/23, 10:06 PM

@Michele Kurlanski Michele, inspired by your courage to go insurance-less as a health provider!! ...
Rule of 3 in Biomechanics
8/22/23, 2:19 PM • Richard Blake 8/22/23, 2:19 PM

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Richard Blake
8/22/23, 2:19 PM

The Rule of 3 means that it takes 3 stresses on a tissue that can cause it to be injured. When on...
Limb Length Discrepancy (Part 1)
8/22/23, 3:05 AM • Richard Blake 8/22/23, 3:05 AM

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Richard Blake
8/22/23, 3:05 AM

The next 4 posts will be on limb length discrepancy and its place in a clinical biomechanical pra...
Podiatrists role in Achilles Tendon Health
8/19/23, 11:03 PM • Richard Blake 8/19/23, 11:03 PM

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Richard Blake
8/19/23, 11:03 PM

Copied from a Previous Post (this post will be a continuation) The achilles tendon, like the p...

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Clinical pearls

Gait Evaluation Gait Evaluation: Part II (Equinus Findings) 12/18/23, 5:17 PM • Richard Blake 12/18/23, 5:17 PM

Gait Evaluation Gait Evaluation: Key to Many Treatment Options (Part I) 12/10/23, 4:57 PM • Richard Blake 12/10/23, 4:57 PM

Phases of Rehabilitation We Must Follow - sort of 12/4/23, 4:24 PM • Richard Blake 12/4/23, 4:24 PM

Biomechanical Changes We Make 11/27/23, 4:52 PM • Richard Blake 11/27/23, 4:52 PM

Treating Moderate to Severe Pronation with the Inverted Orthotic Technique 11/18/23, 7:34 PM • Richard Blake 11/18/23, 7:34 PM

80/20 Rule of Rehabilitation 11/11/23, 4:03 PM • Richard Blake 11/11/23, 4:03 PM

Low Back Pain and the Role of the Podiatrist 11/7/23, 11:27 PM • Richard Blake 11/7/23, 11:27 PM

Rules 11/6/23, 4:09 PM • Richard Blake 11/6/23, 4:09 PM

The Importance of Measuring Achilles Strength (Part 2) 10/10/23, 2:46 PM • Richard Blake 10/10/23, 2:46 PM

The Importance of Measuring Achilles Strength (Part 1) 10/9/23, 6:31 PM • Richard Blake 10/9/23, 6:31 PM

Limb Length Discrepancy (Part 5) 10/9/23, 5:07 PM • Richard Blake 10/9/23, 5:07 PM

Limb Length Discrepancy (Part 4) 9/27/23, 1:41 PM • Richard Blake 9/27/23, 1:41 PM

Limb Length Discrepancy (Part 2) 9/12/23, 2:19 PM • Richard Blake 9/20/23, 12:41 AM

Limb Length Discrepancy (Part 3) 9/18/23, 5:40 PM • Richard Blake 9/18/23, 5:40 PM

Locking the Midtarsal Joint(s) 8/30/23, 4:33 PM • Richard Blake 9/6/23, 1:47 AM

We Own the Subtalar Joint! 8/31/23, 10:23 PM • Richard Blake 8/31/23, 10:23 PM

Painful 2nd or 3rd Metatarsal. What are the Components to a Good Orthosis? 6/7/23, 4:58 PM • Richard Blake 8/23/23, 10:06 PM

Rule of 3 in Biomechanics 8/22/23, 2:19 PM • Richard Blake 8/22/23, 2:19 PM

Limb Length Discrepancy (Part 1) 8/22/23, 3:05 AM • Richard Blake 8/22/23, 3:05 AM

Podiatrists role in Achilles Tendon Health 8/19/23, 11:03 PM • Richard Blake 8/19/23, 11:03 PM

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Orthotic Control of Over Pronated Forefoot

L1952 vs L1951

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Gait Evaluation Gait Evaluation: Part II (Equinus Findings)
12/18/23, 5:17 PM • Richard Blake 12/18/23, 5:17 PM

Gait Evaluation Gait Evaluation: Key to Many Treatment Options (Part I)
12/10/23, 4:57 PM • Richard Blake 12/10/23, 4:57 PM

Phases of Rehabilitation We Must Follow - sort of
12/4/23, 4:24 PM • Richard Blake 12/4/23, 4:24 PM

Biomechanical Changes We Make
11/27/23, 4:52 PM • Richard Blake 11/27/23, 4:52 PM

Treating Moderate to Severe Pronation with the Inverted Orthotic Technique
11/18/23, 7:34 PM • Richard Blake 11/18/23, 7:34 PM

80/20 Rule of Rehabilitation
11/11/23, 4:03 PM • Richard Blake 11/11/23, 4:03 PM

Low Back Pain and the Role of the Podiatrist
11/7/23, 11:27 PM • Richard Blake 11/7/23, 11:27 PM

Rules
11/6/23, 4:09 PM • Richard Blake 11/6/23, 4:09 PM

The Importance of Measuring Achilles Strength (Part 2)
10/10/23, 2:46 PM • Richard Blake 10/10/23, 2:46 PM

The Importance of Measuring Achilles Strength (Part 1)
10/9/23, 6:31 PM • Richard Blake 10/9/23, 6:31 PM

Limb Length Discrepancy (Part 5)
10/9/23, 5:07 PM • Richard Blake 10/9/23, 5:07 PM

Limb Length Discrepancy (Part 4)
9/27/23, 1:41 PM • Richard Blake 9/27/23, 1:41 PM

Limb Length Discrepancy (Part 2)
9/12/23, 2:19 PM • Richard Blake 9/20/23, 12:41 AM

Limb Length Discrepancy (Part 3)
9/18/23, 5:40 PM • Richard Blake 9/18/23, 5:40 PM

Locking the Midtarsal Joint(s)
8/30/23, 4:33 PM • Richard Blake 9/6/23, 1:47 AM

We Own the Subtalar Joint!
8/31/23, 10:23 PM • Richard Blake 8/31/23, 10:23 PM

Painful 2nd or 3rd Metatarsal. What are the Components to a Good Orthosis?
6/7/23, 4:58 PM • Richard Blake 8/23/23, 10:06 PM

Rule of 3 in Biomechanics
8/22/23, 2:19 PM • Richard Blake 8/22/23, 2:19 PM

Limb Length Discrepancy (Part 1)
8/22/23, 3:05 AM • Richard Blake 8/22/23, 3:05 AM

Podiatrists role in Achilles Tendon Health
8/19/23, 11:03 PM • Richard Blake 8/19/23, 11:03 PM