Cover Story

Smoking & knee OA: From clinical controversy to therapeutic possibility

Experts say perplexing studies suggesting that smoking may be protective against the development of knee osteoarthritis (OA) should not deter clinicians’ efforts to discourage smoking—even in patients who are at risk for OA.

By Barbara Boughton

Editor Message

Out on a limb: Stumping for SR in sports

Platelet-rich plasma injections. Kinesiology tape. Foam rolling. Compression garments. Blood-flow restriction training. Elite athletes have always been at the leading edge of the latest tech­niques believed to help speed recovery from injury, often long before they’ve been…

By Jordana Bieze Foster, Editor

LER Pediatrics

LER: May PediatricsThe weight problem

Many, many stories in both LER: Pediatrics and its parent publication, Lower Extremity Review, highlight the biomechanical and physiological effects of being over­weight or obese.

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Managing metatarsalgia in athletic populations

Metatarsalgia is a common foot disorder. The term metatarsalgia refers to a pain syndrome in the forefoot and not to a specific diagnosis. Pain is confined to the area across the plantar forefoot, including the second through fourth metatarsal heads.

By Howard Kashefsky, DPM, FACFAS

Skin-care issues related to orthotic device wear

The care and prevention of skin issues may not get as much attention in orthotics as in prosthetics, but such issues can significantly affect patient outcomes. Here, lower extremity experts share the tips and tricks they use to manage dermatological challenges related to orthotic devices.

By Lori Roniger

Using subsensory noise to improve balance, gait

Using specially designed insoles to deliver stochastic resonance to the plantar surface of the feet has the potential to significantly improve static balance, dynamic balance, and gait mechanics in healthy…

By Daniel Miranda, PhD; Wen-Hao Hsu, ScD; and James Niemi, MS

Hip strength asymmetry and patellofemoral pain

Hip strength asymmetry has been observed in patients with existing patello­femoral pain syndrome (PFPS) and poten­tially could be used to screen for at-risk individuals.

By Franklin Caldera, DO, MBA; and Christopher Plastaras, MD