Why Minimalist Shoes Are A Boon For My Practice

Doug Richie Jr. DPM FACFAS
7/26/12 | 5369 reads | 1 comments
I am fascinated by the postings on this Web site in which colleagues argue about the merits of barefoot running as well as the superiority of minimalist shoes over traditional running shoes. I have been one of many who have challenged the barefoot/minimalist advocates but now I wonder why I should go through any effort at all. The fact is that my own clinical practice has blossomed with new patients presenting with injuries directly attributed to this new type of footwear. Read More.

Still Looking For Documentation That AFOs Effectively Prevent Falls

Doug Richie Jr. DPM FACFAS
6/25/12 | 3520 reads | 5 comments
I am finalizing an upcoming cover story for Podiatry Today’s September issue titled, “Fall Prevention In The Elderly: Can Podiatric Physicians Have An Impact?” After searching the electronic databases, PubMed, Medline, Proquest, CINAHL and Cochrane Controlled Trials, I was astounded to see that more than 5,000 articles have been published that are relevant to the subject of fall prevention. Read More.

Encouraging Signs Of Interest In AFO Therapy At A Podiatric Medical School

Doug Richie Jr. DPM FACFAS
5/24/12 | 3169 reads | 0 comments
This past week was a rewarding time for me in terms of medical education. First, I had the pleasure of giving a lecture to the second-year class of podiatric medical students at the Western University of Health Sciences. Additionally, a third-year resident in family medicine from a nearby teaching hospital finished a two-week rotation in my office. Finally, I had a second-year resident from our Podiatry Surgical Residency (PSR-36) Program scrub three surgeries with me. Read More.

Can Foot Orthotics Relieve The Pain Of Hallux Rigidus?

Doug Richie Jr. DPM FACFAS
4/25/12 | 16322 reads | 2 comments
I am always interested in theories and advice my colleagues post on the Internet regarding the use of custom foot orthoses to treat common pathologies. It is amazing to see the divergence of opinion regarding selection of materials, casting technique and prescription criteria to treat any single condition. Leading the list of pathologies that has the least agreement for orthotic therapy is hallux rigidus. Read More.

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

Doug Richie Jr. DPM FACFAS
3/22/12 | 7078 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 | 7927 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 | 7638 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 | 3520 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 | 3338 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.