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Thursday, December 21, 2023

Secrets to Keep Moving: A Holiday 50% Off Offer from Dr Rich Blake

I am pleased to add a 50% off offer on my book Secrets to Keep Moving. This will be for the first 25 using the code GD5YR4 from today to midnight 12/31/23. 

Wednesday, December 20, 2023

Sesamoid Injuries

I have a lot of information to help you manage your sesamoid injury within the pages of this blog. Please go through the Labels/Index to find information. Here is a wonderful comment I just received. Rich

You’re a true gem of a human and doctor. My sesamoid pain began two months ago and it’s stopped me from doing my favorite activities like drumming and climbing. In only a few days of following your advice, I can already feel my foot healing. It’s motivating and giving me the confidence needed to overcome this. I’m surprised and grateful to find a doctor sharing so much knowledge freely and consistently for as long as you have. Thank you Dr. Blake and happy holidays.

Wednesday, December 13, 2023

Secrets to Keep Moving: Page 1 upcoming 2nd Edition

Secrets to Keep Moving: 

A Guide from a Podiatrist


Richard L Blake DPM MS

2nd Edition: Proposed 2025


     I am happy to embark on a daily adventure to write the 2nd Edition of Secrets to Keep Moving, first published in 2016. As I finish each page of this 200 plus book, I will publish that page on my blog, including this page. The goal of the book is to update, shorten to make it less expensive, and make it center around self help (within reason). I hope to publish it in 2025. I am excited about getting your feedback on pages (comments to each blog post) so I can make multiple revisions before going to publication. I want this book something that you would want to give to a friend with knee pain, or understand all the self treatments for bunions. I am so excited that since this aspect is electronic, I can include videos of techniques or further explanations. Let’s get started.

General Book Organization

      I will have to break the book down into easy to digest injury chapters. These are:

  1. Foot Pain

  2. Leg Pain

  3. Knee Pain

  4. Thigh and Hip Pain 

  5. Low Back Pain

Of course, as a Podiatrist, I can only discuss problems above the leg that I treat conservatively.

Tuesday, December 12, 2023

The Effect of Foot Orthotic Treatment in Posterior Tibial Tendon Injuries

Foot orthoses, together with exercise programs, seemed to improve the effect of orthotic treatment. Foot orthoses with personalized internal longitudinal arch support were more effective than flat insoles or standard treatments in reducing pain.

Sunday, December 10, 2023

Good vs Bad Pain

What are First Line Agents to Help Nerve Pain when Diagnosed?

     Here is a good article summarizing the progression of medicines used to treat nerve pain in patients. We will focus on the first line therapies to help calm down the pain. Here is a summary from the abstract:

"Multidisciplinary conservative care and non-opioid medications (tricyclic antidepressants, serotonin norepinephrine reuptake inhibitors, gabapentanoids, topicals, and transdermal substances) are recommended as first-line therapy."

The TCAs most commonly prescribed today include: Anafranil (clomipramine), Asendin (amoxapine), Elavil (amitriptyline), Norpramin (desipramine), and Pamelor (nortriptyline).Two of the most common SNRIs are duloxetine and venlafaxine. Clinically used gabapentinoids include gabapentin, pregabalin, and mirogabalin, as well as a gabapentin prodrug, gabapentin enacarbil. Additionally, phenibut has been found to act as a gabapentinoid in addition to its action of functioning as a GABAB receptor agonist. There has recently been a warning not to use gabapentinoids in patients with respiratory problems. Common topicals are a myriad of compounding formulations with or without Ketamine. OTC topicals I use most are Neuro Eze and Neuro One both with L-Arginine in concentrated form. The transdermal product I use is 5% Lidoderm patches. 
Many patients try other nerve desensitizing treatments first, before drugs, with neural flossing or gliding, Acupuncture, TENS, and Quell units. 

Friday, December 1, 2023

Response Regarding Possible Contact

Congratulations Dr.Blake on your new Biomechanics Book. Coming across your website has given me hope of figuring out a chronic sesamoid(I think) issue. I have Charcot-Marie-Tooth Type1a which I believe is making matters worse for recovering from this. Absolutely no one has been able to help me. Is there any way I could get in touch with you directly? Look forward to hearing back. Thanks!

Response from Dr Blake:
     I am presently working a little with Dr Ajitha Nair in Oakland, California due to my recovery from Open Heart Surgery. She can be reached by email at Her and I discuss cases once or twice a month also. I hope this avenue can help you. Rich 

PS. Chapter 6 in Book 2 has a detailed description of possible treatments for Big Toe Joint Pain. Some may apply to you. 

Great Article on Choosing Cleats by Dr Spitalny

Link to my Kevin Root Medical blog posts

     I have been taking a break this year for 4 things. One is to write a blog post each week for one of the best orthotic laboratories in America. It has been my honor, and has taken a lot of my time. I have attached a link to that medical forum above. The second reason for my break was I needed to have open heart surgery on Oct 11th, 2023. I had my first of 36 cardiac rehab sessions today, so the next 3 months will help build back my strength. I am so happy to be alive. My aortic valve was failing and I literally had 3-4 months left before I would have died. I have known about this for 16 years, but I finally went into heart failure at the beginning of this year. To those who knew about this, thank you for all your prayers and good thoughts. The 3rd reason for my break was I published Book 2 and Book 3 of my Practical Biomechanics for the Podiatrist. Book 1 also came out this year in Spanish. So, I have been busy with things I love. The 4th and best reason for my break was for trips and other celebrations (one in England's Sussex County) with my family. Today is December 1st, 2023. It is the day I vowed to start my blog again. If you will join me, I am grateful. Rich Blake