Category Archives: Editor Memo

May 2017

Out on a limb: Healing arts

Healthcare practitioners and artists wouldn’t seem to have much in common, other than perhaps an appreciation of anatomy. But a new book has made me think the two professions also share an appreciation of people.

By Jordana Bieze Foster, Editor Continue reading

April 2017

Out on a limb: Workload roulette in the NFL

A recent study reported that National Football League (NFL) running backs with more than 300 carries in a season are not more likely to miss time with an injury the following season than those with consider­ably fewer carries. For fantasy football players, this is great news. But for sports medicine experts, it’s a reminder that injury risk rarely can be boiled down to a single parameter.

Jordana Bieze Foster, Editor Continue reading

March 2017

Out on a limb: In search of symmetry

Researchers and clinicians who work with unilateral lower limb amputees are increasingly exploring the effects of prosthetic devices on gait asymmetries and joint loading. What’s less well known is that prostheses designed for use above the waist can also have positive effects on gait.

By Jordana Bieze Foster, Editor Continue reading

February 2017

Out on a limb: Her head’s in the game

It’s more difficult to assess the effects of head impacts in female lacrosse players than in their male counter­parts. But it’s no less important, particularly with regard to lower extremity injury prevention.

By Jordana Bieze Foster, Editor Continue reading

January 2017

Out on a limb: Think outside the knee

We hear a lot about various comorbidities associated with knee osteoarthritis (OA), and how addressing those additional conditions can help improve knee pain and function. But a growing body of research suggests one set of comorbidities that knee OA experts may be overlooking are those involving the foot and ankle.

Jordana Bieze Foster, Editor

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November 2016

Out on a limb: Strike pattern revisited

The concept of foot-strike pattern during running—something rarely discussed a decade ago, even in research circles—is now pervasive among runners as well as biomechanics experts and lower extremity clinicians. But that’s not necessarily a good thing.

By Jordana Bieze Foster, Editor Continue reading

October 2016

Out on a limb: Weight loss vs wellness

Obese individuals often spend their entire lives telling themselves how much better their lives would be if only they were thin. But losing massive amounts of weight following bariatric surgery doesn’t automatically make a person a better candidate for total knee arthroplasty (TKA)—any more than it automatically makes a person happy—if underlying issues have been ignored.

By Jordana Bieze Foster, Editor Continue reading

September 2016

Out on a limb: Brains, sprains, & the NFL

National Football League (NFL) players say they worry more about lower extremity injuries than concussions. But a growing body of evidence suggests the latter injury actually increases the likelihood of the former.

By Jordana Bieze Foster, Editor Continue reading

August 2016

Out on a limb: Falling in with feedback

One of the interesting things about LER’s multi­disciplinary perspective is being able to follow a new idea as it is examined and embraced by one specialty after another, each with its own therapeutic goals and challenges.

By Jordana Bieze Foster, Editor Continue reading

July 2016

Out on a limb: PFP pathfinding

Patellofemoral pain’s subgroup situation just got a lot more interesting, thanks to study findings presented in June at the annual meeting of the National Athletic Trainers Association in Baltimore, MD.

By Jordana Bieze Foster, Editor Continue reading

June 2016

Out on a limb: Subjectivity & sensitivity

Listening to what patients have to say is an important part of healthcare. But, 
as research continues to demonstrate, it’s no substitute for objective measurements.

By Jordana Bieze Foster
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May 2016

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 Continue reading

April 2016

Out on a limb: Ingenuity targets activity

Diabetic foot specialists have a range of options for managing diabetic foot ulcers—from offloading devices to skin substitutes to surgical procedures. But sometimes the most effective treatment is the one that compels an active patient to simply slow down.

By Jordana Bieze Foster, Editor Continue reading

March 2016

Out on a limb: An analgesic assist

When it comes to improving outcomes after anterior cruciate ligament (ACL) recon­struction, lower extrem­­ity practitioners need all the help they can get. Fortunately, a recent study suggests they might be able to get some valuable assistance from their colleagues in anesthesiology.

By Jordana Bieze Foster
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February 2016

Out on a limb: Arch triumphs

New research from the University of Western Australia will put some extra spring in a runner’s step – but only if he or she is wearing the right kind of footwear. In discussions of running mechanics, we hear a lot about the spring-like properties of the lower extrem­ities, which are significantly dependent on the…

By Jordana Bieze Foster, Editor Continue reading

January 2016

OUT ON A LIMB: TCCs and possibilities

Lower extremity clinicians have known for decades that the total contact cast (TCC) is the most effective means of offloading plantar ulcers in patients with diabetes. Now research has given us a much better understanding of why—an understanding that could inspire a new generation of more effective prefabricated offloading devices.

By Jordana Bieze Foster Continue reading

December 2015

Out on a Limb: Wins of Change

A common theme among many of the 17 profiles of companies featured in the 2016 issue of the Lower Extremity Review Resource Guide is the changes driven by shrinking Medicare reimbursements and growing possibilities for audits.

By Emily Delzell, Senior Editor

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November 2015

Out on a limb: Hockey gets hip to FAI

Despite evidence of significant lower extremity injury risks associated with ice hockey, even at youth levels, preventing those types of injuries has never been a priority in that sport. But that may be starting to change.

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October 2015

Out on a limb: Smoke signals

My grandmother smoked for decades, and although she did eventually succeed in quitting, she still spent the last few years of her life linked to an oxygen tank. And as a medical journalist, I’m very familiar with the long list of health-related disadvantages of smoking…

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September 2015

Out on a limb: Reading lessons

The Internet and social media have transformed health advocates’ ability to disseminate educational information, which has the potential to substantially improve outcomes across all healthcare disciplines.

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August 2015

Out on a limb: Hands-free therapy

My former company launched a publication called Telehealth in 1998. Nearly two decades later, that magazine no longer exists, and telemedicine hasn’t revolutionized healthcare the way some thought it would. But advances are being made, and researchers are demonstrating that the potential applications for remote healthcare include…

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July 2015

Out on a limb: The NBA takes on fatigue

After a season in which too many of its most market­able stars spent too much time in street clothes, the National Basketball Association (NBA) is making a commitment to injury prevention. Interesting, however…

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June 2015

Out on a limb: 3DP’s material needs

3D printing is no longer some futuristic concept that might someday affect lower extremity healthcare. It’s here, and it’s already changing the landscape more quickly than many had expected.

By Jordana Bieze Foster Continue reading

May 2015

Out on a limb: Coaches as risk factors

Anterior cruciate ligament (ACL) injury experts are increasingly thinking outside the biomechanics box in an effort to better understand the factors that contribute to injury risk, which I think is admirable. But there’s one factor in particular that I wish was receiving more attention.

By Jordana Bieze Foster, Editor Continue reading

April 2015

Out on a limb: Better than average

It happens all the time: The medical literature fails to support the effective­ness of an intervention, even though practitioners know for a fact the intervention actually does have a positive effect in some patients. But a new study suggests some researchers are now starting to look beyond…

By Jordana Bieze Foster, Editor Continue reading