Foot and Ankle Problems By Dr. Richard Blake

Welcome to the Podiatry Blog of Dr Richard Blake of San Francisco. I hope the pages can help you learn about caring for foot injuries, or help you with your own injury.

Thursday, December 2, 2010

Top 100 Biomechanical Guidelines #28: Look for Asymmetry in Shoe Wear or Insert Wear Patterns

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Which side pronates more (arch collapse)? Learning to read the wear patterns of shoes and inserts can tell alot about how someone walks and...
Tuesday, November 30, 2010

Top 100 Biomechanical Guidelines #27: Understand Dominance in Gait

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See the Limb Dominance to the Left When you watch someone walk or run, if they have a tendency to spend more time on one side vs another, t...
Sunday, November 28, 2010

Treatment of Short Leg Syndrome: Email Advice

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Hi Rich I have been avidly reading your postings and I have two things!: 1 Love, love, LOVE your blog! Thankyou for all your pearls - I ...

Foot Strengthening Exercises: Playing the Piano

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Foot strengthening exercises are extremely important for almost everyone. Since we spend our lives in shoes, our feet get weak over time...
Friday, November 26, 2010

Gait Evaluation with Emphasis on Knee Position

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The above video emphasizes 3 common gait findings when focusing on the knee joint area: Normal Knee Alignment and Patellar (Kneecap) Tra...
Wednesday, November 24, 2010

Top 100 Biomechanical Guidelines #26: Know Gait Findings for Short Leg Syndrome

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When evaluating gait and looking for signs of a possible leg length discrepancy, look for these findings: Asymmetry Rules Leg Dominance ...
Tuesday, November 23, 2010

Iliotibial Band Tendinitis: 3 Common Stretches

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The above video demonstrates the 3 common iliotibial band stretches I show patients suffering from this common running injury. It is alm...
Monday, November 22, 2010

Top 100 Biomechanical Guidelines #25: Understand the 3 Measurements taken on a Standing AP Pelvic Xray

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Standing AP Pelvis Xray with shoes and orthotic devices      Look at: Heights at the Acetabulum, Sacral Base, Heights at the Iliac Crests ...
Sunday, November 21, 2010

Top 100 Biomechanical Guidelines #24: Understand the 3 Common Landmarks for Palpation in assessing Short Leg Syndrome

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    The 3 common landmarks used in standing evaluation of leg length discrepancies are: Iliac Crests (top of the pelvis) Anterior Superi...
Saturday, November 20, 2010

Basics for Gait Evaluation

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     Gait Evaluation, or the process of watching someone walk or run , is one of the most crucial components to the understanding lower e...
Friday, November 19, 2010

Top 100 Biomechanical Guidelines #23: Sacral Base Crucial Measurement for Short Leg Syndrome

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Right Side Left Side The Sacral Base is at the base of the spine where the 5th Lumbar Vertebrae meets the sacrum. In the photo above, th...
Wednesday, November 17, 2010

Foot Strengthening: The Basics of Metatarsal Doming or Metatarsal Arcing

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     Foot strengthening has finally hit mainstream. It has been ignored by podiatrists, personal trainors, physical therapists and...
9 comments:
Tuesday, November 16, 2010

Top 100 Biomechanical Guidelines #22: Evaluate Leg Length Differences with Standing Palpation or Standing AP Pelvic Xrays

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You can see from the standing AP Pelvic Xrays that left side is higher (side marked with the label upright). The patients are told to stand...

Shock Absorption Tools: Simple to Complex Approaches

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     The above video demonstrates further the basic approach to many sports medicine injuries and pain syndromes: advancing the treatment...
Monday, November 15, 2010

Top 100 Biomechanical Guidelines #21: Internal Shoe Lifts have many Variations

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When using internal shoe lifts, several generalizations are important to know: Up to 3/8 " of lifts can be placed in tie-on shoes (es...
Sunday, November 14, 2010

Top 100 Biomechanical Guidelines #20: Full Length Lifts are more stable and mechanically reliable than Heel Lifts

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Heel lifts for the treatment of short leg syndrome are simple, but many times ineffective. They are less problematic for shoe fit than ful...
Saturday, November 13, 2010

Taping for Arch Support

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Blog Stats: 6,954 visits, 5,055 visitors, 21,650 page views, 37 followers, and now 100 Countries !! Kinesio Taping is a common help in pr...

Top 100 Biomechanical Guidelines #19: Always Think about LLD (Leg Length Discrepancy)

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Limb Length Difference: When is it a Problem? Lean to left seen typically with long left leg Several Important Generalizations: A history ...
Friday, November 12, 2010

Top 100 Biomechanical Guideline #18: Follow KISS (whenever appropriate) but know when to be more aggressive

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Here are examples of Simple vs Complex treatments for the 5 Common Mechanical Abnormalities Limb Length Discrepancies Simple Means       ...
Thursday, November 11, 2010

Foot Stress Fractures: Answers to an Email

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Hello Dr. Blake, I'm not sure if you remember, but I emailed you a couple of weeks back about Vibram Five Fingers for my school newsp...
2 comments:
Wednesday, November 10, 2010

Short Leg Syndrome: Video showing Lift Manufacturing

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Here is a first for the blog with me actually doing something!! I am in my little lab at the Center For Sports Medicine at St. Francis Memor...
Tuesday, November 9, 2010

Short Leg Syndrome: Video showing Examination

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I hope this video brings out several key points: Leg Length evalualtion should be done standing Blocks of measured thicknesses are used ...
Monday, November 8, 2010

Top 100 Biomechanical Guidelines #17: Understand when Simple Treatments may be Best (KISS)

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Sole inserts (see www.yoursole.com ) are a simple and effective treatment for many pronation related symptoms with arch collapse. The health...
Sunday, November 7, 2010

Top 100 Biomechanical Guidelines #16: Develop an Understanding between Simple and Complex Needs of the Patient

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Kinesio Tape is a Simple but Effective Arch Support It takes a health care provider awhile to understand when to use simple means to accomp...

Short Leg Syndrome: Video showing Limb Dominance

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This short video shows the shift in body weight called "Limb Dominance" which helps the examiner discover a possible short leg. Th...

Hip Replacement Complication: Short Leg Syndrome

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A common problem after hip replacement surgery that I have to deal with is short leg syndrome . I am asked by the doctors involved, or the ...
1 comment:
Saturday, November 6, 2010

Top 100 Biomechanical Guidelines #15: Know the Gait Patterns for Mechanical Problems

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     I have been talking about the 5 most common mechanical problems health care providers who deal with foot and leg biomechanics normally ...
Friday, November 5, 2010

Top 100 Biomechanical Guidelines #14: Know the Symptoms Related to Excessive Pronation

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Inward Collapse of Left Shoe with Over Pronation There are many well known problems related to the abnormal motion of pronation or the abn...
Thursday, November 4, 2010

Top 100 Biomechanical Guidelines #13: Know the Symptoms Related to Excessive Supination

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Blog stats: 6,259 Visits, 19,307 Pageviews, 4, 538 Visitors, 96 Countries, 36 Followers  These shoes with 200 miles of wear are already l...
Wednesday, November 3, 2010

Top 100 Biomechanical Guidelines #12: Know the Symptoms related to Forefoot Abnormalities

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      This is a common podiatry problem. When patients present with specific forefoot structural abnormalities, like bunions and hammertoes,...
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