January 2018

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Cover Story


Patellofemoral pain: More activity means more pain — and then less activity?

People with PFP are less physically active than healthy controls, with regard to both steps per day and minutes of mild, moderate, and intense activity. Increases in activity-related pain may cause…

By Neal R. Glaviano, PhD, AT, ATC; Andrea Baellow, MS; and Susan Saliba, PhD, MPT, Med

Publisher’s Memo


Rich Dubin, Publisher
Publisher’s memo: Fresh opportunities in a New Year

Warm wishes for a peaceful and prosperous 2018! We are making changes to Lower Extremity Review that I know the LER community will find useful.  Let me take a few minutes to explain.

Rich Dubin, Publisher

Feature Articles


The effect of copper- impregnated socks on tinea pedis in football players

In a study of collegiate football players, who are at high risk of tinea pedis due to their training environment, copper-impregnated socks were associated with a high rate of tinea pedis symptom resolution and a low rate of new cases—supporting claims of the socks’ antifungal potential.

By Gary M. Rothenberg, DPM, CDE, CWS

Saying ‘PTTD’ is misleading: It’s time for a new lexicon to distinguish pathologies

The author applies his experience designing ankle foot orthoses to propose that, instead of using diagnostic language to describe medial column ligamentous failure, practitioners learn a new, descriptive language to understand the nature of a patient’s pathology.

By Ian Engelman, MS, CPO

Promoting postsurgical weight loss and activity to address joint pain

Strategies to help patients lose weight and become active after surgery need to be individualized, multifaceted, and re­inforced long-term. Many people who suffer from chronic joint pain are unable to exercise; as a result of this inactivity, they gain weight, which…

By Keith Loria

Can minimalist shoes protect against injury by increasing foot-muscle thickness?

Improvement in abductor hallucis muscle size associated with a gradual transition to minimalist running shoes suggests that this type of strength-based approach can help improve foot structure and stability, which may…

By Nicholas A. Campitelli, DPM, FACFAS; and Scott A. Spencer, DPM

Clinical News

In the Moment: Sports Medicine

Yoga reduces falls in older adults

Participating in a yoga course decreased the number of falls reported by older adults in a rural community in Wisconsin, according to new research published in December.

By Nicole Wetsman

ACL treatment in children varies widely; 90% return to sport after ACLR

Over the past 15 years, the incidence of anterior cruciate ligament (ACL) injury in children and adolescents has increased. And although this population requires special considerations, in part due to their continued musculoskeletal growth, medical management of this condition varies widely.

By Nicole Wetsman

Most volleyball-related ankle injuries occur during blocking

New evidence suggests that most volleyball-related ankle injuries are the result of a rapid inversion during blocking—often due to landing on an opponent or a teammate while attacking—rather than the injury occurring during plantar flexion, as once thought, according to a study published in the January 2018 issue of the British Journal of Sports Medicine.

By Nicole Wetsman

HIP STRENGTHENING: Optimizes PFP treatment

A study published in the January 2018 issue of the Journal of Orthopaedic & Sports Physical Therapy presents new insights and evidence-based suggestions into the addition of hip strengthening to knee strengthening for people with patellofemoral pain (PFP).

By Nicole Wetsman

Industry News

By Laura Hochnadel


New Products


Walking Shoe Collection

The Walking Shoes Collections for Women and Men from Waldlaufer USA provide support and a broad brace to help reduce pronation. Built to provide more room at the ball of the foot while hugging the heel, the Women’s Page Hiroko Walking Shoe is made with…

Waff Balance Tool

New to the market is the Waff, a 3 dimensional-engineered tool that combines stability and mobility to replicate the functionality of a vertebra, producing profound effects on the body. With continued use, the Waff Mini increases balance, as well as foot and ankle joint function, by…

Hands-Free Diabetic Shoes

Quikiks, a hands free-operable, securely fastening footwear line, offers a new stylish diabetes patient-friendly version 25% lighter than the company’s previous models. The shoes are made with a stretchable upper material and an extra-wide elastic band attached to side supports with…

Rheo Knee XC

The Rheo Knee XC from Ossur is a microprocessor-controlled knee designed to support patients from early rehabilitation to full recovery with intuitive and stable functionality. The Rheo Knee XC supports increased mobility including cycling, walk-to-run, and stair ascent.

Pro-Flex XC Torsion Foot

The new Pro-Flex XC Torsion foot from Ossur has been developed to comfortably support the active user who enjoys hiking and jogging, as well as level-ground walking. The Pro-Flex XC Torsion combines the Pro-Flex XC features of energy return and smooth roll-over, with…

Topical Rehab Muscle Recovery

Dr. Swaim’s Natural Skin Care introduces Dr. Swaim’s Muscle Bang, which directly feeds the necessary metabolic building blocks to targeted tissues by topical application. Ingredients maximize cellular repair through optimizing mitochondrial metabol­ism.

K2 Guardian Friction-Brake Knee

College Park Industries launches the K2 Guardian friction-brake knee, a lightweight mechanical knee joint featuring a friction brake for stance control, stance flexion, and extension assist. The knee is best suited as a rehabilitation tool for new patients to learn standing and…

BRD Sport Ankle Brace with Velcro

The BRD Sport Ankle Brace with Velcro closure aids those suffering from arthritis, joint instability, inflammation and swelling, post-traumatic irritation, or sore ankles. The 3-dimensional knit process contours to the user’s foot and ankle, targeting compression to the right areas.