Why Are We Missing The Boat When Offloading Diabetic Foot Ulcers?

Doug Richie Jr. DPM FACFAS
3/22/12 | 6094 reads | 1 comments
I am presenting a lecture about offloading diabetic foot ulcerations at this year’s Midwest Podiatry Conference. In preparation, I reviewed a recent review paper by Peter Cavanagh, PhD, a respected authority on the subject of offloading the diabetic foot.1 He is also one of the pioneers of research in lower extremity biomechanics. Cavanagh’s findings are astounding. Read More.

The Truth About AFOs And Fall Prevention

Doug Richie Jr. DPM FACFAS
2/24/12 | 7163 reads | 7 comments
Recently, a prominent podiatric company began marketing an ankle-foot orthosis (AFO) as the centerpiece of a fall prevention program targeted at elderly patients. To learn that a commonly used orthopedic device could now be used to prevent a catastrophic medical event would prompt any reasonable practitioner to look for the scientific evidence that could validate such a profound accomplishment. Read More.

Rethinking My Position On Preventive Ankle Bracing In Athletes

Doug Richie Jr. DPM FACFAS
1/26/12 | 5896 reads | 0 comments
I have a special interest in the debate over preventive ankle bracing in athletes. In fact, I have voiced my opinion several times over the past two years in articles and blogs in Podiatry Today (see http://bit.ly/cs4JkR and http://bit.ly/qdlUJ9 ). Most of my previous opinions about preventive ankle bracing have remained consistent. However, I have begun to rethink recommendations I have made in previous articles because of two recent studies. Specifically, I have changed my mind about recommending preventive ankle bracing for adolescent athletes. Read More.

Are New Surgical Gadgets Really Better Than ‘Old’ Technologies?

Doug Richie Jr. DPM FACFAS
12/23/11 | 3329 reads | 4 comments
I recently returned from the Windy City Podiatry Conference in Chicago, which was co-hosted by the Podiatry Institute and the Illinois Podiatric Medical Association. Marking the first collaborative effort between these two organizations, the meeting had an exceptional turnout and was among the best I have attended in many years. I was honored to be part of an exceptional faculty who taught me so much in just two short days. Read More.

What Happened To Continuing Education For Podiatric Biomechanics?

Doug Richie Jr. DPM FACFAS
11/18/11 | 3039 reads | 4 comments
While doing background research for this blog, I originally intended to focus on the reasons why topics relating to biomechanics have vanished from presentations at major podiatric conferences around the country. I wanted to review the lecture schedules from last year as well as upcoming meetings in 2012 to make sure that I was correct regarding the dearth of biomechanics lectures. Read More.

Massacre In Seal Beach: The Shooting Rampage In My Office Building

Doug Richie Jr. DPM FACFAS
10/20/11 | 3971 reads | 0 comments
Seal Beach is one of the most charming and peaceful communities on the California coastline. I am lucky enough to have practiced podiatric medicine here for 30 years. Located on the famous Pacific Coast Highway, my office is situated just two blocks from the ocean and is part of a unique commercial center that contains a combination of professional offices upstairs and restaurants and beauty salons downstairs. Our center is a vibrant community of private business and professionals who know each other well and commonly refer clients to one another. It is truly an idyllic place to work. Read More.

What A Lecture Trip To England Revealed About The Country’s National Healthcare System

Doug Richie Jr. DPM FACFAS
9/22/11 | 3330 reads | 5 comments
During my recent trip to England, I participated as a faculty member at two podiatry and physiotherapy meetings. This was my third trip to the country in the past five years, giving me the opportunity to lecture and interact with colleagues. My experiences this time ran the gamut from dismay about the healthcare system in the United Kingdom to awe and respect for the level of care many of our colleagues offer in this country. Read More.

My Search For A New Associate

Doug Richie Jr. DPM FACFAS
8/29/11 | 4201 reads | 4 comments
I have just completed a six-month search for a new associate to join my practice. This process has been an eye-opening experience in revealing the problems we have created in preparing residents for a career in podiatric medicine. I just read the new blog (see http://bit.ly/nTcUGF ) by Christopher Hyer, DPM, FACFAS, and could not agree more with his observations that underscore my own recent experience. It appears that today’s post-graduate podiatric residency programs are training individuals for a sub-specialty that has little demand or opportunity in the real world. Read More.

How Can DPMs Prevent Falls In The Elderly?

Doug Richie Jr. DPM FACFAS
7/12/11 | 3789 reads | 0 comments
Later this month, I will have the privilege to present two lectures at the Annual Meeting of the American Podiatric Medical Association in Boston (see http://members.apma.org/Members/Events/TheNational.aspx ). My first lecture will cover the controversies of preventive ankle bracing. I have previously discussed this topic on my blog (see http://www.podiatrytoday.com/blogged/what-evidence-reveals-about-prophyl... ). Read More.