How Podiatric Associations Are Combating The Dispensing Of ‘Custom’ Orthoses In The Retail Setting

Doug Richie Jr. DPM FACFAS
7/9/10 | 4886 reads | 2 comments
Last year, I wrote a blog for Podiatry Today entitled: “Why Podiatrists Should Not Fear Custom Foot Orthotics at Costco” (see http://www.podiatrytoday.com/blogged/why-podiatrists-should-not-fear-cus...). Interestingly, this blog has generated over 6,500 reads. Clearly, this topic of dispensing low-cost foot orthoses in a retail setting has great interest among both the professional and lay communities. Read More.

Are Runners Better Off Than They Were 30 Years Ago?

Doug Richie Jr. DPM FACFAS
5/17/10 | 2944 reads | 1 comments
In the book Born to Run, Christopher McDougall makes the observation that running injuries have not reduced in frequency over the past 30 years despite the perceived technical advances in athletic footwear over this same period of time. He suggests that runners have been ripped off by the hype and false claims made by running shoe manufacturers. While this assertion is partly true (overall running injury rates have not changed much in 30 years), the assumption that footwear has not improved the life of the runner is false. Read More.

Are We Born To Run Barefoot?

Doug Richie Jr. DPM FACFAS
3/30/10 | 5656 reads | 0 comments
I just finished reading Christopher McDougall’s book Born to Run (Alfred A. Knopf, New York, 2009), which one of my patients actually mailed to me as a gift. This best-selling book is a fascinating read and highly recommended for all podiatric physicians. Why? This book has proposed many challenges to current podiatric theories about normal and abnormal foot function. Some of these challenges have merit and some lack scientific foundation. Read More.

Why Did DPMs Miss The Boat On Therapeutic Diabetic Hosiery?

Doug Richie Jr. DPM FACFAS
3/3/10 | 3273 reads | 3 comments
While the incidence of diabetes and foot-related complications continues to spiral out of control in this country, medical professionals need to step back and evaluate their role in preventive medicine. Most of my podiatric colleagues are unaware of the significant role that the Internet and direct-to-consumer businesses have in the care of the patient with diabetes. Today, millions of patients with diabetes turn to the Internet and commercial companies to provide information and products to prevent the complications of diabetes. Read More.

Where Can The Foot And Ankle Surgeon Go For Continuing Education On Biomechanics?

Doug Richie Jr. DPM FACFAS
2/8/10 | 3393 reads | 0 comments
The last time I checked, there were no lectures devoted to biomechanics at the upcoming American College of Foot and Ankle Surgeons (ACFAS) Scientific Conference in Las Vegas (Feb. 22 to 26). I continue to be amazed that our profession would stage a conference that advertises “cutting edge clinical and practice management topics,” and ignores the vital role that biomechanics plays in foot and ankle surgery. Our counterparts at the American Orthopaedic Foot and Ankle Society (AOFAS) devote almost one-third of the lectures at its annual meeting to biomechanics topics. Read More.

What You Should Know About Night Pain And Distal Tibialis Anterior Tendinopathy

Doug Richie Jr. DPM FACFAS
1/8/10 | 6581 reads | 0 comments
How many foot and ankle conditions do you treat that are aggravated by malpositioning of the foot during sleep? Yes, we commonly attribute the classic morning pain of plantar fasciitis to the equinus postioning of the foot during sleep, which presumably tightens the plantar aponeurosis. We also hear significant complaints from patients with Achilles tendinosis when they step out of bed. What about pain during the night? Over the years, I have seen one classic condition in which pain is worse during sleep. This condition is distal tibialis anterior tendinopathy. Read More.

How Much Do You Charge For Foot Orthoses?

Doug Richie Jr. DPM FACFAS
12/4/09 | 11796 reads | 1 comments
How often do patients ask you or your office staff “How much do you charge for foot orthotics?” The answer for most podiatric offices will range from $400 to $600, and will often come as a shock to the naïve patient. After all, how could two pieces of plastic cost that much money? The answer to this question unveils many myths and misconceptions about foot orthotic therapy that exist among podiatric physicians and their patients. Read More.

Automated Technology And Custom Foot Orthoses: What You Should Know

Doug Richie Jr. DPM FACFAS
10/26/09 | 3542 reads | 0 comments
Previously, I discussed the fact that several large podiatric labs commonly provide an orthotic fabricated over a prefabricated mold and sell this device to a doctor under the guise of a “custom foot orthoses.” Read More.

Are You Really Getting A Custom Foot Orthotic?

Doug Richie Jr. DPM FACFAS
8/27/09 | 6347 reads | 3 comments
When you order and pay for a custom prescription foot orthotic from an orthotic laboratory, how sure are you that the device received is truly “custom”? When your patient pays you for a perceived custom foot orthotic, is the patient really getting what he or she paid for? This will be the first in a series posted on my blog, which will explore a potential crisis facing the podiatric profession and the custom prescription foot orthotics industry. Read More.