Why Biomechanics Education Is Essential If We Want To Be The Sports Medicine Experts

Doug Richie Jr. DPM FACFAS
3/18/14 | 7915 reads | 0 comments
I just finished reading a tribute to the legendary orthopedic surgeon, Frank Jobe, MD, written by Bill Shaikin, which appeared in the Los Angeles Times on Saturday, March 8.1 Dr. Jobe had passed away two days earlier at age 88. For those who don’t know, Dr. Jobe pioneered the elbow procedure known as “Tommy John surgery,” which has saved the careers of countless major league baseball players. Read More.

How Do Walking Boots Affect Balance?

Doug Richie Jr. DPM FACFAS
1/24/14 | 1781 reads | 0 comments
We commonly prescribe walking boots, sometimes referred to as controlled ankle motion (CAM) walkers, for the treatment of diabetic foot ulcerations, fractures and tendon injuries of the lower extremity. Clinicians continue to be baffled and frustrated by the fact that, in spite of the significance of these pathologies, patients have very poor adherence in wearing these devices that are a vital part of the treatment plan. Read More.

Kudos To JAPMA On Tackling Fall Prevention

Doug Richie Jr. DPM FACFAS
12/30/13 | 1303 reads | 0 comments
This month, the Journal of the American Podiatric Medical Association (JAPMA) published an entire issue devoted to the subject of the prevention of falls in older people (volume 103, issue 6). This publication represents a landmark contribution from the podiatric profession to this vital public health initiative. After reading all of the articles presented in November/December 2013 issue of JAPMA, I was struck by the following observations. Read More.

Obtaining A Rewarding Surgical Outcome With Plantar Plate Repair

Doug Richie Jr. DPM FACFAS
11/22/13 | 2447 reads | 0 comments
In a podiatric practice, a single rewarding interaction with a patient can easily override any of the negative encounters of the day. I recently had this type of positive experience with a patient who followed up six months after undergoing surgical repair of a tear of the plantar plate of the second metatarsophalangeal joint (MPJ). Read More.

Are Gauntlets A Universal Solution For AFO Intervention?

Doug Richie Jr. DPM FACFAS
10/25/13 | 1778 reads | 2 comments
I often lecture on the topic of clinical indications for ankle-foot orthotic (AFO) therapy. Through interactions with many colleagues around the country, I am amazed at the number of practitioners who favor the use of gauntlet-style AFO devices for bracing the lower extremity. My suspicion is that the handsome reimbursement for these devices may supersede better judgment about patient adherence and improved clinical outcomes. Read More.

Why First MPJ Fusion Is Superior To Implant Arthroplasty

Doug Richie Jr. DPM FACFAS
8/23/13 | 2965 reads | 9 comments
A few weeks ago, fellow Podiatry Today blogger Ron Raducanu, DPM, FACFAS, advocated that he prefers to use implant arthroplasty over arthrodesis when treating hallux rigidus.1 His blog illustrates some concerns I have regarding accurate reporting of the medical literature and the need to utilize evidence-based medicine in the selection of surgical procedures.2,3 Read More.

Are You Treating Heel Pain Like A Specialist?

Doug Richie Jr. DPM FACFAS
7/17/13 | 2893 reads | 0 comments
I often read and listen to colleagues describing their preferred treatment for plantar heel pain. I am surprised at how many podiatric physicians follow the same protocols typical of primary care providers. This raises a question: Why aren’t foot and ankle specialists really practicing like foot and ankle specialists? Read More.

Do Foot Orthoses Cause Muscle Weakness?

Doug Richie Jr. DPM FACFAS
5/23/13 | 4496 reads | 6 comments
One of the many unsubstantiated claims that barefoot/minimalist running advocates make is the assertion that foot orthotics cause muscle weakness in the feet and legs. A simple review of the medical literature reveals the opposite effect. Researchers have measured that foot orthoses actually cause positive trends in muscle activity during gait. Read More.

New Research Warns Of Negative Effects Of AFOs On Balance

Doug Richie Jr. DPM FACFAS
4/23/13 | 2886 reads | 10 comments
Researchers at the University of Illinois recently published a study that adds to the existing findings on the negative effects of ankle-foot orthoses (AFOs) on balance and postural control. Researchers continue to validate that semi-rigid, non-articulated AFO devices will compromise balance, particularly when patients wear the devices bilaterally. Read More.