Blogs2022-09-09T04:45:35+00:00

BLOGS

Dr. Richie is an Associate Professor in the Dept. of Applied Biomechanics at the California School of Podiatric Medicine at Samuel Merritt University and provides regular content relating to clinical issues, as well the podiatric profession as a whole.

BLOGS

Dr. Richie is an Associate Professor in the Dept. of Applied Biomechanics at the California School of Podiatric Medicine at Samuel Merritt University and provides regular content relating to clinical issues, as well the podiatric profession as a whole.
809, 2022

Why aren’t more people choosing a career in podiatric medicine?

By Doug Richie, DPM Considerable Decrease in Podiatric Medical School Enrollment With the beginning of the 2022-2023 academic year, a significant number of available first-year positions at the colleges of podiatric medicine are not filled due to a drastic reduction of qualified applicants.(1)  Conversely,  applications to allopathic medical schools substantially increased by 18% compared to last year. (2) I wrote Part 1 of this blog 8 years ago in 2014. (3) At that time, I was alarmed by the relatively small number of people applying for admission to the nine colleges of podiatric medicine in [...]

1904, 2022

Could enhancing and embracing conservative foot and ankle care decrease malpractice claims?

By Doug Richie, DPM A new study underscores the importance of training and competency in conservative care of foot and ankle disorders.1 Kadakia and coworkers reviewed the Westlaw legal database for medical malpractice lawsuits pertaining to foot and ankle surgery for the years 2008 thru 2018. The reasons for litigation, among the forty-nine cases reviewed included: o   Negligent operative treatment (33 percent) o   Negligent nonoperative treatment (27 percent) o   Unnecessary operation (8 percent) o   Delayed diagnosis (4 percent) o   Lack of informed consent (2 percent) Kadakia, et al found that most of the malpractice claims in [...]

2302, 2022

Referrals from general practitioners to podiatrists: did a new study get it wrong?

By Doug Richie, DPM A recent published study from the Netherlands conducted by Rasenberg and coworkers concluded that referral of patients with plantar heel pain by general practitioners (GPs) to podiatrists for custom orthotic insoles provided no benefit after 12 weeks of follow-up.1 In fact, the study showed that patients given the “usual care” provided by GPs resulted in less pain during activity compared to the group referred to a podiatrist for custom insoles. However, the difference was only one point on an 11-point numerical rating scale and did not meet the standard of minimal clinical [...]

2701, 2022

Is the “rule of thumb” useful in fitting shoes?

By Doug Richie, DPM How do you teach a parent the necessary steps to verify that their child’s shoes fit properly? Is a “thumb’s width” all that is necessary? Does this space requirement change as the child’s foot grows longer? The answers to these questions may surprise you, as recent studies provide interesting insight into the challenges of fitting shoes properly for a growing child. Allowing adequate volume inside shoes worn by children is critical to reduce the risk of acquired deformity which can carry forward into adult life.1-4 In last month’s blog in Podiatry Today, I presented [...]

2710, 2020

Plantar heel pain: an urgency to treat.

By Doug Richie, DPM In my previous blog, I discussed the myth promoted by many authors of authoritative articles discussing plantar heel pain with a promise that “conservative treatment is successful 90 percent of the time.”1 These conservative measures usually include rest, stretching, physical therapy, shoe inserts, nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections.2-5 Most of these authorities do not provide a timeline or criteria for determining “successful” treatment for relief of plantar heel pain. Whether it is home-based or implemented by a clinician, conservative treatment of plantar heel pain does not have a 90 percent success [...]

1109, 2020

The big myth about plantar heel pain

By Doug Richie, DPM One of the biggest myths propagated about plantar heel pain is the perception that 90 percent of all patients will experience cure of their condition with conservative treatment. I just finished writing an upcoming cover story for Podiatry Today reviewing published studies of non-traditional treatments for chronic plantar heel pain. Upon reading over 100 articles on this subject, I was struck by the repetitive proclamation that “conservative treatment will resolve plantar heel pain in 90 percent of all cases.”1-13 This authoritative statement appears in many journals and has been published by multiple disciplines. The authors [...]

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