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

Doug Richie Jr. DPM FACFAS
1/8/10 | 7585 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 | 14275 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 | 3874 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 | 6783 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.

Praising The Diversity Of Topics At The ACFAOM Conference

Doug Richie Jr. DPM FACFAS
8/4/09 | 4766 reads | 4 comments
I recently attended the 2009 annual clinical conference presented by the American College of Foot and Ankle Orthopedics and Medicine (ACFAOM). This was an outstanding meeting which covered the key areas of podiatric medicine: biomechanics, diabetes and surgery. A stellar faculty included Robert Frykberg, DPM, Lee Rogers, DPM, John Steinberg, DPM, David Armstrong, DPM, PhD, Paul Scherer, DPM, and Marc Benard, DPM. Read More.

Kudos To JAPMA

Doug Richie Jr. DPM FACFAS
6/22/09 | 3728 reads | 0 comments
In case you have not had a chance to read it yet, the May/June 2009 issue of the Journal of the American Podiatric Medical Association (JAPMA) is among the best ever in terms of content for the fan of lower extremity biomechanics. Hats off to Warren Joseph, DPM, who has driven this journal to a level of excellence, which is admired around the world. One only has to look at the diverse contributions from international researchers to appreciate that JAPMA is now a stage for publishing landmark articles relevant to all aspects of podiatric medicine. Read More.

Why Podiatrists Should Not Fear Custom Foot Orthotics At Costco

Doug Richie Jr. DPM FACFAS
5/28/09 | 31754 reads | 7 comments
A few months ago, a patient said she saw a service advertised at Costco, which provided custom foot orthotics to customers for a price of $89 per pair. She asked if I was concerned about this “competition” from a mass retailer. I replied that this type of commercial offering of custom foot orthotics would only help drive more patients into the offices of podiatric physicians. Read More.

Can Podiatrists Be The Premier Surgeons Of The Foot And Ankle Without An Understanding Of Current Biomechanics Research?

Doug Richie Jr. DPM FACFAS
4/21/09 | 3375 reads | 2 comments
I recently had the privilege of serving on the faculty of a seminar entitled “Biomechanics for the Foot and Ankle Surgeon,” which was recently held in Oakland, Ca. This conference was sponsored by the California School of Podiatric Medicine at Samuel Merritt University in association with the Prescription Foot Orthotic Laboratory Association (PFOLA). The content of this meeting was certainly the first of its kind in the podiatric profession. The purpose was to update the attendees on recent advances in knowledge in biomechanics, which would have direct application to improving outcome Read More.