Cover Story

When Long COVID Walks into the Office: Recognizing Foot and Ankle Manifestations

A Patient walks into the office with generalized foot pain. Taking a history, you learn the patient has fatigue, or myalgias in other muscles, or feels weak all the time. What are the usual diagnoses? Long COVID has changed how I approach foot and ankle pain in these patients. I no longer believe we can safely evaluate lower-extremity symptoms without at least considering its potential role.

Mikel D. Daniels, DPM, MBA, President and
Chief Medical Officer, WeTreatFeet Podiatry

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Feature Articles

Beyond the Squeeze: Why Offloading Pressure Isn’t Enough to Save the Diabetic Foot

Beyond the Squeeze: Why Offloading Pressure Isn’t Enough to Save the Diabetic Foot

In the quiet halls of the Gillis W. Long Hansen’s Disease Center in Carville, Louisiana, the legendary Dr. Paul Brand once faced a clinical mystery. He was conducting a study with a hypothesis that seemed like a mathematical certainty: total bed rest should heal a foot ulcer faster than any other intervention. By removing the variable of weight-bearing pressure entirely, the skin should have had the perfect environment to repair itself.

By Dr. Dennis Janisse

The 2026 Wound Care Tornado: Five Surprising Realities for Mobile Practitioners

The 2026 Wound Care Tornado: Five Surprising Realities for Mobile Practitioners

The current landscape of healthcare regulation is no longer a series of predictable updates. It has evolved into a “tornado” of shifting policies, reimbursement challenges, and administrative complexity. For mobile wound care practitioners, the outlook for 2026 remains promising, provided they pivot from a volume-based mindset to a meticulous, documentation-driven business model. As veterans of regulatory compliance and mobile clinical operations, we outline the essential realities for surviving and succeeding in the coming year.

By Windy Cole, DPM, CWSP, FACCWS, FFPM RCPS (Glasg) and Martha R. Kelso, RN, CWHS, DAPWCA, HBOT

The New AI Playbook for Specialty Practices: Why Podiatry Clinics Are Embracing End-to-End Automation

The New AI Playbook for Specialty Practices: Why Podiatry Clinics Are Embracing End-to-End Automation

For many podiatrists, the workday doesn’t end when the last patient leaves. It continues through documentation, claim reviews, prior authorizations, patient messages, billing questions, and a growing list of administrative tasks that have become as much a part of practice as diagnosing plantar fasciitis or treating diabetic foot ulcers.

By Hersh Solanki, Chief Business Officer, Athelas

AOFAS Annual Meeting and IFFAS 9th Biennial Meeting 2026 Highlight International Advancements and Innovation in Orthopaedics

AOFAS Annual Meeting and IFFAS 9th Biennial Meeting 2026 Highlight International Advancements and Innovation in Orthopaedics

More than 1,260 foot and ankle orthopaedic surgeons, advanced health practitioners, orthopaedic residents, and medical students across the globe attended the American Orthopaedic Foot & Ankle Society® (AOFAS) Annual Meeting and the International Federation of Foot & Ankle Societies (IFFAS) 9th Biennial Meeting on September 16–19, 2026. The meeting was held in-person in Seattle, Washington, as well as virtually.

Why Consistency Is the Foundation of a Great Custom Orthotic

Why Consistency Is the Foundation of a Great Custom Orthotic

For years, I believed that the art of making a great custom orthotic began with experience. The more feet I evaluated, the more I realized that even the best prescription could only be as good as the information I sent to the laboratory. Like many clinicians, I worked through the evolution of plaster casts, foam boxes, and eventually digital scanning. Digital technology made the process faster, but I still found myself asking the same question: Am I consistently capturing the foot in the position I want the laboratory to build from?

By Dr Robert Conenello, DPM

Medication-Induced Fall Risk and Podiatric Interventions

Medication-Induced Fall Risk and Podiatric Interventions

Wild et al. defined “fall” as “an unintentional change in position resulting in coming to rest at a lower level or on the ground.” Falls and fall-induced injuries among older individuals represent a worldwide problem with substantial clinical and public health implications. More than 14 million U.S. adults aged 65 years or older report falls annually, leading to significant morbidity, mortality, and healthcare expenditures.

By Robert G. Smith, DPM, MSc, R.Ph.

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Lower Extremity Review

ShortTakes From the Literature

A Foot Forward for Optimum Health

What Contributes to Tendon Thickness After Stroke–A Commentary

What Contributes to Tendon Thickness After Stroke–A Commentary

April, August, and December are months reserved to address comments made to articles written for “A Foot Forward for Optimum Health”. However, I did not have any comments from May, June and July and I wanted to make some comments and pose clinical questions from the article titled, “Changes in Lower Extremity Tendon Thickness After Stroke Rehab (Balance and Outcomes)” in the series “From The Literature” for June 2026.

By Dr. Jennifaye V. Brown

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Industry News & Updates

Emerging Developments in AFOs

A Three Part Series 

Carbon composite ankle foot orthoses are reshaping how podiatrists approach bracing. Lighter, lower-profile, and easier to fit into everyday footwear, these devices are moving from specialty use to everyday practice. This three-part series covers what you need to know, which patients benefit most, and how to put carbon composite AFOs to work, backed by clinical case studies.

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A Message From the Publisher

Welcome to Lower Extremity Review or LER as we call it. This long awaited magazine fills the lower extremity information gap for practitioners in the fields of Podiatry, Physical Therapy, O&P Pedorthics, and Orthopedics. With over 20 years experience in multi-disciplinary editorial development and publishing, the collaboration of this incredible team has made this publication possible

Rich Dubin, Publisher

Rich Dubin

Publisher and Chief Executive Officer

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Lower Extremity Review

Prosthetic Sleeve Protector with GlideWear Technology

Prosthetic Sleeve Protector with GlideWear Technology

The Tamarack Prosthetic Sleeve Protector (PSP) is designed to protect transtibial prosthetic suspension sleeves from premature failure, while also significantly reducing abrasion, improving comfort for those who rely on suspension socket systems. Built on Tamarack’s...

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Wedge Fixation System for Evans and Cotton Osteotomies

Wedge Fixation System for Evans and Cotton Osteotomies

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The Dr. Brace Knee Compression Sleeve was developed with a focus on targeted comfort and everyday usability. A dedicated support zone around the kneecap is designed to create a sense of stability while allowing the joint to move naturally. Reinforced support zones...

Exercise Book for Parkinson’s Disease Patients

Exercise Book for Parkinson’s Disease Patients

Susha Thomas, PT, DPT, C/NDT, a physical therapist specializing in Parkinson’s and stroke rehabilitation, recently published a book, 100 Exercises for Parkinson’s Disease, a structured collection of illustrated exercises designed for bed, sitting, and standing...

Full-Body Supported Walking Station

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The WalkPort supported walking station is designed to help individuals with significant mobility challenges safely stand and practice walking therapy at home and in clinical settings. It provides consistent full-body support and enables users to focus on proper...

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