Category Archives: Editor Memo

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…

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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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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.

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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.

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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.

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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…

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March 2015

Out on a limb: Rethinking pain

Pain doesn’t always behave the way we think it will. An intervention that relieves pain in the majority of patients might not provide relief for a significant minority. But that might mean we need to change the way we think about pain.

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February 2015

Out on a limb: imperfect symmetry

Psychologists tell us that the symmetry of a person’s face influences whether he or she is perceived as attractive. But when it comes to rehabilitation of anterior cruciate ligament (ACL) injuries, some types of symmetry are more desirable than others.

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December 2014

Out on a limb: Critical care

Hopefully none of the practitioners who read LER will ever have to treat a disease as difficult and as deadly as the Ebola virus that has killed thousands in West Africa, as well as a number of doctors and nurses who traveled there to treat those affected by the outbreak.

Emily Delzell, Project editor Continue reading

January 2015

Out on a limb: Muscling in on diabetes

There are already plenty of good reasons for indivi­duals with diabetes to exercise. But here’s one more: Strengthening the intrinsic foot muscles just might reverse the development of diabetic peripheral neuropathy (DPN) even before it becomes clinically apparent.

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November 2014

Out on a limb: In defense of prevention

If athletes knew that decreasing the risk of anterior cruciate ligament (ACL) injury would be accompanied by a slight decrease in athletic performance, how many of them would find that to be a reasonable tradeoff? The findings of a recent study may have lower extremity practitioners asking themselves this question.

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October 2014

Out on a limb: Fashion sense

High fashion typically means bad news for lower extremity health. But that may be starting to change, and in ways that might surprise you.

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September 2014

Out on a limb: Seeing upside in O&P

“You are what your record says you are.” Hall of Fame football coach Bill Parcells said it first, and it’s a saying that applies to many aspects of life. But when it comes to prescribing orthotic and prosthetic devices, clinicians know that the numbers don’t always tell the whole story.

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August 2014

Out on a limb: Taking on Tommy John

Baseball’s approach to preventing arm injuries so far has been to try to limit loads on the arm itself. But more and more evidence seems to suggest some of the prevention efforts should be focused further down the kinetic chain.

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July 2014

Out on a limb: Five-year milestones

In the five years since the launch of Lower Extremity Review, some things about lower extremity healthcare haven’t changed much. Diabetes is still an epidemic. Stem cells are still the next big…

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June 2014

Out on a limb: As Purdy does

As a guest model on The Price is Right, Amy Purdy had little opportunity to showcase her intelligence, her athleticism, or her dancing skills. But—thanks to a very short, very tight red dress—she did have ample opportunity to show off her legs.

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May 2014

Out on a limb: Prevention Whac-a-Mole

Say what you will about FIFA’s political entanglements—soccer’s international governing body has set the standard for developing injury prevention programs that are effective not just in a controlled research setting but also in the real world.

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April 2014

Out on a limb: Teachings from Boston

As emotional as any tragic event is its first anniversary. New Yorkers know. Residents of New Orleans know. The families in Newtown, CT, know. Now it’s Boston’s turn.

By Jordana Bieze Foster, Editor

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March 2014

Out on a limb: Taking schools to school

Those responsible for high school athletes—coaches, athletic directors, district superintendents—would like us to believe the safety of those athletes is a priority. Unfortunately, the facts suggest otherwise.

Jordana Bieze Foster, Editor

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