Category Archives: Editor Memo

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.

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…

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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.

Jordana Bieze Foster, Editor Continue reading

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.

Jordana Bieze Foster, Editor Continue reading

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.

Jordana Bieze Foster, Editor Continue reading

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…

Jordana Bieze Foster, Editor Continue reading

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.

Jordana Bieze Foster, Editor Continue reading

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.

Jordana Bieze Foster, Editor Continue reading

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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February 2014

Out on a limb: Independent variables

When more conventional approaches lead to inconsistent or inexplicable findings, researchers sometimes find that assessing the variability of an outcome can provide a valuable perspective. But researchers still have a great deal to learn about how much variability is too much, or too little, with regard to lower extremity issues.

Jordana Bieze Foster, Editor

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January 2014

Out on a limb: Many risky returns

“Something bad is going to happen to Percy Harvin today,” I said to my husband during the first quarter of the January 11 playoff game between Seattle Seahawks and the New Orleans Saints.

Jordana Bieze Foster, Editor

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December 2013

Out on a limb: Tools of the drone age

The most successful companies are never content with the status quo. They’re always thinking outside the box. We were all reminded of that on December 1, when Amazon founder and CEO Jeff Bezos revealed his company’s plans to launch a dronebased delivery service within the next five years.

By Jordana Bieze Foster, Editor

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November 2013

out on a limb: Parsing the pain

You know that saying about how a man with a hammer sees everything as a nail? That’s something those who specialize in biomechanics might want to remember when considering patients with chronic pain.

By Jordana Bieze Foster, Editor

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October 2013

Out on a limb: Beyond offloading

Lower extremity practitioners are constantly being reminded that what they think they know about injury prevention is only part of a bigger picture. This time it’s the diabetic foot care community’s turn to wonder just how much they have yet to learn about the mechanisms underlying ulceration.

Jordana Bieze Foster, Editor

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September 2013

Out on a limb: Benefit without bare feet

The minimalist shoe trend may be fading, but interest in finding ways to reap the benefits of barefoot running without actually going barefoot remains strong.

Jordana Bieze Foster, Editor

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August 2013

Out on a limb: Might as well jump

One of the biggest challenges in sports injury prevention is that the sheer number of potential injuries makes it prohibitive to screen for all of them. But what if there was a single test that could be used to screen for all lower extremity injuries? It’s not as farfetched as you might think.

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July 2013

Out on a limb: Sins of expertness

In journalism, as in much of healthcare, we tend to focus our attention on what is new. But every once in a while we’re reminded that words and ideas published more than a decade ago still have the power to challenge the way we think.

Jordana Bieze Foster, Editor

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June 2013

Out on a limb: Flop watch

Mark Cuban, the brash billionaire owner of the National Basketball Association’s (NBA) Dallas Mavericks, has pledged $100,000 to fund a study to determine if biomechanical analysis can distinguish legitimate falls during a basketball game from “flops.” The perfectionist in me really likes this idea. But the pragmatist in me wonders whether there might be better uses for that money.

Jordana Bieze Foster, Editor

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