Saturday, March 12, 2022

Pronation Syndrome: The use of varus wedges for treatment and diagnosis

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1/4 inch varus wedges applied to several OTC insert A closer look at the varus wedge applied along the medial aspect of the insert      Pro...
3 comments:
Friday, March 11, 2022

Beware of Subtle Xray Signs in the Foot

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This image is of the 2nd toe (right) and 3rd toe (left).      If you look at the major joint demonstrated (called the proximal interphalang...
Thursday, March 10, 2022

Hallux Rigidus: Surgery, No Surgery, or In Between

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Here is the right big toe joint of someone whom has some minor DJD (Degenerative Joint Disease AKA Wear and Tear) Here is the left big toe ...
Saturday, February 26, 2022

Please Pray!!

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Sunday, January 30, 2022

Adding Stiffness to the front of a Shoe: Help for Many Problems in the Front of Our Feet

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     My retired partner, Dr Jane Denton, known world wide of the Denton Modification for over supination, continuously used this metatarsal...
3 comments:
Monday, January 24, 2022

Chemotherapy Can Destroy Nails and Hair: Ice to the Rescue

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https://myhealth.alberta.ca/health/AfterCareInformation/pages/conditions.aspx?hwid=acj1006 Many of my patients have had to have chemotherap...

Squeaking Orthotics: JSuede helps

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My small lab at Saint Francis Memorial Hospital has a roll of JSuede, from JMS Plastics, for the patients complaining of squeaking from the...
Sunday, January 23, 2022

Virtual Walks are really fun!!!

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Totals after the first 5 days (out of 9) in this Virtual Walk      The last 9 days I have been virtually walking from Canterbury England to...
1 comment:
Friday, January 21, 2022

Adding Stiffness to the Front of an Orthotic Device

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https://jmsplastics.com/product/j-suede/      The image above was taken after I applied a very thin piece of suede leather. This is stretch...
Wednesday, January 19, 2022

Good Rx: A Good Way to Get Some Prescriptions at a fraction of the cost

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https://www.goodrx.com/how-goodrx-works      This company has saved hundreds of my patients a lot of money while buying prescriptions. Plea...
Tuesday, January 18, 2022

Free Covid Test Kits from US Postal Service

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https://special.usps.com/testkits
Monday, January 17, 2022

Sunday Night Musings of a Personal Nature

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A View of Sunset in San Francisco from my walk tonight!      I am working on a book for the last five years. Months will pass and not a wor...
Sunday, January 16, 2022

Lecturing: A Way of Giving Back

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     Of course, I am the handsome guy to the left as you look at the photo!!LOL Why am I showing you this? I am at the end of my career, an...
Thursday, January 13, 2022

Common Foot Pads used to Off Weight Sore Areas

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Adhesive Felt used to off weight ball of foot Typically the padding is placed on the undersurface of the shoe insert Adhesive Felt used to ...
Wednesday, January 12, 2022

MRIs: Their Usefulness in Patient Care of the Foot

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     Those of you whom regularly read my blog know that I love MRIs and even serial MRIs when I am following an injury. Unfortunately, the ...
Monday, January 10, 2022

LEMS: Shoes for Wide Feet

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LEMS are great shoes for Wide Feet https://www.lemsshoes.com/
Sunday, January 9, 2022

Happy Birthday Me!!

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     Yes, it is my birthday today. If I was born yesterday, I could of shared Elvis Presley's big day. But no, I got Richard Nixon. It w...
Saturday, January 8, 2022

Customizing an OTC Insert: The list is endless and limited by our Imaginations!!

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Sole is one of the common OTC arch supports I recommend in my office In this case, the front was just too hard for the patient so I removed...
1 comment:
Thursday, January 6, 2022

Bunion Protection in Tight Shoes

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Here is 1/4 inch adhesive felt (which can be used for 3-4 days) is placed behind the bunion prominence (never over) while wearing shoes    ...
Wednesday, January 5, 2022

Metatarsal Pads: Proper Placement

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Hapad Longitudinal Small Metatarsal Arch Pads are my preferred Pad. These pads spread the weight over a large area and can be thinned by pe...
Sunday, January 2, 2022

Soccer Cleat and Foot Pain

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     One of the common problems I see when treating soccer players is that the painful area is right over one of the cleat positions. I nee...
Saturday, January 1, 2022

Plantar Plate Injuries Algorithm

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  https://www.zenmindmap.com/docs/view/gP8V4y1aK5AxdQGw5Wvz

How Are We Built to Function? Loose and Unconnected, Perfect, or A-little of Both

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     Daily in my evaluation of the structure and function of patients that present to my office, the patients can feel something is off. It...
Monday, December 27, 2021

Very Tight Tendons: Consider Heat Ice Prolonged Stretching

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This patient has a very tight achilles tendon. The prolonged heat ice routine is based on a study done at Temple University years ago. The ...
Sunday, December 26, 2021

Nerve Pain: Where Does It Come From?

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     This image is of a T1 MRI section across the front of the right foot. Above my sensor marker, there is an obvious Morton's Neuroma...
Sunday, December 19, 2021

Podiatric Question #1

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Practical Biomechanics Question #1: What position is the ankle in when it is the most relaxed, or the least stressed? The ankle is the most ...

Plantar Fascia Healing of Partial Tear: 3 MRIs (6 months apart)

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Sept 2020 Medial Slip Plantar Fascia Partially Torn April 2021 Some Darkening (Consolidation Beginning) of Plantar Fascia But Tear Remains ...

Big Toe Pain: Email Advice

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Hi Dr. Blake,      I found your blog after dealing with chronic toe pain for the past 4 years. It started in 2017 when I was trying to stay ...
Monday, December 13, 2021

Posterior Tendon Dysfunction: Email Advice

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Hi Dr Blake, I’ve been reading your blog all day, thank you for proving this invaluable resource. I’ve been doing lots of research into post...
Monday, November 29, 2021

Treating Nerve Pain at the Foot: Algorithm

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https://www.zenmindmap.com/docs/view/8M7Vl4zbqV8kdprOZqEg      I treat many patients with nerve pain, some as the primary injury like Morto...
Sunday, November 28, 2021

Plantar Fasciitis: Treatment Algorithm

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https://www.zenmindmap.com/docs/view/X90Gz3YaOELBdxqlW142      The treatments are typically non-painful stretching as outlined in this vide...
Tuesday, November 23, 2021

The 1 Day and 2 Day Pain Level Increase Rules of Rehabilitation

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     When I am rehabilitating a patient, we always talk about good and bad pain. It is so important for the patient to know the difference. ...
Saturday, November 6, 2021

Big Toe Area Pain: Years after Healing Sesamoid Injury

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Hi Richard, I wanted to write to you because of pain in my big toe that has been bothering me for the past few weeks (about 5 weeks). Unfort...