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

Doug Richie Jr. DPM FACFAS
9/22/11 | 3470 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 | 4368 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 | 4042 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.

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

Doug Richie Jr. DPM FACFAS
6/2/11 | 4035 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 | 3661 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 | 8686 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 | 3880 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 | 4294 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 | 4248 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.