Why First MPJ Fusion Is Superior To Implant Arthroplasty

Doug Richie Jr. DPM FACFAS
8/23/13 | 3813 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 | 3294 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 | 5639 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 | 3276 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.

Medicare Reverses The Height Requirement For AFO Devices

Doug Richie Jr. DPM FACFAS
2/25/13 | 2746 reads | 0 comments
Thankfully, clear minds have prevailed. Medicare has rescinded its recent policy that would have required ankle foot orthotic (AFO) devices to reach the head of the fibula. Practitioners can still prescribe prefabricated and custom AFOs that extend above the ankle joint without a height requirement. The new bulletin from Medicare reads as follows: “DME MAC Jurisdiction C News Read More.

New Medicare AFO Requirements: Making The Best Out Of A Bad Ruling

Doug Richie Jr. DPM FACFAS
1/24/13 | 3702 reads | 0 comments
Medicare has mandated new height requirements for ankle-foot orthoses (AFO) in a policy statement issued in July 2012. All practitioners must now dispense ankle-foot orthoses that reach a height within 4 cm of the head of the fibula. As a clinician who uses AFO devices regularly, I find this mandate challenging. As an owner of an AFO company, I view this challenge as a bewildering nightmare. Medicare instituted these new requirements without any opportunity for public comment or discussion. The language states: Read More.

Do I Need A New Degree?

Doug Richie Jr. DPM FACFAS
12/31/12 | 4071 reads | 5 comments
After reading a recent blog by fellow blogger, Ron Raducanu, DPM, FACFAS, in which he gave an honest and candid view of his career and professional degree (see http://tinyurl.com/bucdnaq), I found the comments on the blog rather astounding. It is apparent that a few of our colleagues are currently disillusioned with their career choice. They feel that a simple change of professional title will suddenly make them successful and happy. Read More.

Dispelling The Myths And Misconceptions About Hallux Rigidus

Doug Richie Jr. DPM FACFAS
11/29/12 | 3324 reads | 1 comments
I recently read a flurry of postings on another podiatric Web site giving advice on a complication from implant arthroplasty of the first metatarsophalangeal joint (MPJ) in a patient with hallux rigidus. I was amazed by the propagation of myths regarding hallux rigidus, metatarsus primus elevatus and the selection of surgical procedures to treat this disorder. Read More.

Who Is Fact Checking The Podiatric Profession?

Doug Richie Jr. DPM FACFAS
9/27/12 | 5262 reads | 2 comments
With the Presidential Election in less than 60 days, the current tightly contested race has led the candidates to a repetitive and almost desperate distortion of the truth in their speeches. The candidates often blatantly manipulate statistics, previous events and specific responsibility for negative events. I am grateful for the fact checkers in the media and non-partisan organizations that now quickly clarify serious errors or misrepresentations during political campaigns. This begs a question: Who are the fact checkers in the podiatric profession? Read More.