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About Me

San Francisco, CA, United States
I have been a podiatrist for 34 years now and I am excited about sharing what I have learned on this blog. I love to exercise, especially basketball and hiking. I love to travel. I am very happily married to Patty, and have 2 wonderful sons Steve and Chris, a great daughter in law Clare, my new grandson Henry, and a grand dog Felix.

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Saturday, May 28, 2016

A, B, Cs of Diabetes

A simple, but important, reminder for diabetic patients, and those trying to avoid diabetes.

Achilles Tendons Survive Hill Workouts, but there is a Catch!!

This is a great article stating that well trained achilles tendon survive the stresses of running hills (like in my beloved San Francisco). However, achilles and other body parts for that matter, do not like sudden changes in workouts (like adding hills, speed, or distance). So, make each transition gradually and you will do fine!!

Thursday, May 26, 2016

Ankle Sprain Treatment

Please review my video on the initial treatment of ankle sprains. 

Wednesday, May 25, 2016

Foot Stability with Extrinsic Rearfoot Posts: Sexy Title!!

If any of you have orthotic devices, I invite you to comment on them. What they have done for you, what problems you have had? I repeatedly, since I am getting older, have patients express distress that I may retire someday and they will not be able to get good orthotics. I am honored, but it points to how important they are to so many people. I have been given quite a gift in life to be able to help these patients. For that, I am forever grateful to my profession and my mentors. 
     This short video goes over a small, but very powerful, part of the orthotic device called the rearfoot post. I owe Dr Christopher Smith, founder of SuperFeet, and one of my kind mentors, for introducing me to birkocork. Prior to birkocork, the posts I made were very hard. Birkocork posts are so much kinder on the knee and hip joints due to their shock absorption.

Tuesday, May 24, 2016

Sun Screen Needed for Feet!!

Just a reminder to use sunscreen on those feet also this spring, summer, fall, and winter!!

Hiking Boot Lacing for Extra Stability

If you are going hiking this summer, this lacing technique, even with some modification for lower top boots, can be very beneficial at preventing your heel and foot from moving around causing injury producing motions. I must thank our friends at REI for this tip.

Leg Length Discrepancy Treatment

Dear Dr. Blake,
I recently completed physical therapy for a leg-length discrepancy that was affecting an entire side of my body (the side with the shorter leg). The chiropractor prescribed me a 7mm heel lift, but I wanted to know how I could get a 7mm full foot lift that would be good for running. I recently found your post when someone asked a similar question to mine on this link:
Dr Blake's comment: You can use two 4 mm full length flat spenco insoles. That will get you very close. Unless the chiropractor measured exactly by xray, that may be enough. Remember all soft insole give on impact, so 8 mm lifts will only give you 6.5-7.5 mm based on the stresses you are placing on it.

Is the only way for me to get a 7mm full foot lift is by purchasing several 1/8th inch sheets from I'm just afraid to do this because I'm trying to get the lift to be exactly 7mm and if I get two 1/8th inch sheets it's going to be 6.35mm. And would you glue the layers together?
Dr Blake's comment: Typically you go with one layer for minimum of 2 weeks, than the second layer for another 2 weeks. If that is working, you can glue together. 

Also, my second concern is not having enough room at the front of the shoe. I recently got the Clearly Adjustable full foot lift and my toes didn't have any room and I can't wear it. You mention you can cut out the toe, but if I cut out the toe then how is it taking care of the discrepancy? 
Dr Blake's comment: You can ask a shoe repair store to thin out the thickness from the sulcus of the toes to the end of the toes on the lift. You can also use sandpaper. The green side should be facing up, and the black side is easy to thin. If you need more room, you can cut out the toe area completely and then bivel the last 1 inch in length. 
On top of the Clearly Adjustable lift not fitting, it took me a long time to adjust each layer to make sure it fit inside my shoe and the result came out a bit choppy from my scissor job, so I'm afraid to try this again with other lifts.
Would love to hear your thoughts.
Thank you so much for helping patients with leg-length discrepancies and for your wonderful blog! I was very happy to find it.
Clare (name changed due to witness protection).
(if you post this on your website can you use another name for me? Thanks!)

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