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

Doug Richie Jr. DPM FACFAS
10/20/11 | 4177 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 | 3531 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 | 4470 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 | 4172 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 | 4136 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 | 3742 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 | 9143 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 | 3949 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 | 4366 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.