Why Conservative Treatment Is The Standard Of Care For Adult-Acquired Flatfoot

Doug Richie Jr. DPM FACFAS
6/2/11 | 3735 reads | 0 comments
There has been recent discussion on this Web site regarding the need or the effectiveness of conservative care prior to recommending or performing bunionectomy surgery (see http://bit.ly/f9x9MM ). I am in agreement with those who believe that conservative care is not necessary before performing bunion surgery in adults. When it comes to children and adolescents, I have seen improvement of symptoms and sometimes improvement of deformity with functional foot orthotic therapy. Therefore, I recommend conservative treatment for this group of patients before performing surgery. Read More.

Questions And Answers On The Pros And Cons Of Corticosteroid Injections

Doug Richie Jr. DPM FACFAS
4/27/11 | 3500 reads | 0 comments
My previous blog, “Do You Inject The Plantar Fascia On The First Visit For Plantar Heel Pain?” prompted a higher than average number of reads and some interesting comments from my colleagues (see http://www.podiatrytoday.com/blogged/do-you-inject-plantar-fascia-first-... ). I want to add a few more insights and hope to get some more feedback on this controversial issue. Read More.

Do You Inject The Plantar Fascia On The First Visit For Plantar Heel Pain?

Doug Richie Jr. DPM FACFAS
3/29/11 | 7940 reads | 8 comments
Over the past 12 months, I have treated three patients who presented with an acute rupture of the plantar fascia. Two of these patients were serious long-distance runners who experienced a crippling “pop” on the bottom of the foot during a run. The other patient tore his fascia pushing an automobile down the street. All three patients had experienced chronic heel pain for several months prior to their acute injury and none of them had ever received a corticosteroid injection. Read More.

Assessing Recent Systematic Reviews On Surgical Treatment For Hallux Rigidus

Doug Richie Jr. DPM FACFAS
3/1/11 | 3749 reads | 0 comments
I recently read an excellent article in Foot and Ankle International entitled “Evidence-Based Medicine: What Is It And How Should It Be Used?”1 The article begins with a brilliant quote from Spindler and colleagues: Read More.

Are You Following The Ottawa Ankle Rules?

Doug Richie Jr. DPM FACFAS
1/13/11 | 4125 reads | 1 comments
Last year, I was appointed to a panel to write a position statement for the National Athletic Trainers Association on the evaluation and treatment of the acute ankle sprain in the athlete. Part of my literature review has covered the Ottawa Ankle Rules (OARs) to determine their accuracy and reliability to rule out a fracture of the ankle after acute injury. It occurred to me that these clinical guidelines are not well known among podiatric physicians and a review of this subject may be beneficial. Read More.

How To Enhance Your Knowledge In Podiatric Sports Medicine

Doug Richie Jr. DPM FACFAS
12/6/10 | 4002 reads | 0 comments
Treating athletic patients can be the most satisfying part of podiatric practice. While people who sustain injury from sports or fitness activities may randomly seek the care of a podiatric physician, few practitioners actively seek referral of these types of patients. Read More.

Why A Sports Medicine Practice Is A Golden Opportunity

Doug Richie Jr. DPM FACFAS
11/5/10 | 3535 reads | 1 comments
Every day, I access a popular podiatric list serve and read numerous submissions from my colleagues who lament about their declining enthusiasm to continue practicing podiatric medicine. Many feel “helpless” as third party payors make regular cuts in reimbursement for services rendered. Others complain about the lack of ”parity” in training, scope of practice and acceptance in the community of podiatric physicians in comparison with our MD counterparts. Read More.

What Is The Best Surgery For Hallux Rigidus?

Doug Richie Jr. DPM FACFAS
9/27/10 | 10294 reads | 2 comments
One of the most common reasons patients present to my office for a second opinion about a proposed treatment from another practitioner is an inquiry about treatment options for hallux rigidus. Read More.

What The Evidence Reveals About Prophylactic Ankle Bracing

Doug Richie Jr. DPM FACFAS
8/19/10 | 5103 reads | 1 comments
At last month’s American Podiatric Medical Association (APMA) National Meeting in Seattle, I had the privilege of moderating a fascinating session titled “Controversies in Podiatric Sports Medicine,” which attracted a standing room only crowd in one of the main lecture halls. Topics such as “When to Operate on a Jones Fracture” and “Management of Second MTP Pathologies in the Runner” stimulated lively debate amongst the panelists. Read More.