Category Archives: Feature Article
October 2019
Plantar fasciitis: A New Approach to An Old Problem
Introducing the kineticokinematic approach to treating plantar fasciitis. This approach focuses not only on the position of the foot but also on the forces that may be contributing to this highly prevalent foot condition. Heel pain is one of the most common complaints treated by lower extremity specialists, affecting an estimated 10% of the population.
By Pedro Aldape-Esquivel, DPM and Jarrod Shapiro, DPM, FACPM, FACFAS Continue reading
October 2019
Medial Tibial Stress Syndrome Remains a Challenge for Clinicians, Painful for Patients
While most agree it is an overuse injury, treating MTSS (aka shin splints) should involve rest, proper diet, and sometimes avoiding NSAIDS. It’s been decades since I had a case of shin splints, but I remember vividly how painful it was. I was 20 years old and overtraining—especially given the sorry state of my running shoes—and I felt as if I had a burning coal lodged along the medial side of my left shank. Every step hurt.
By Cary Groner Continue reading
October 2019
IS CHANGE ON THE HORIZON? Congress Proposes Reforms to the Stark Law
Podiatrists are among the providers targeted by efforts to revise regulation of referral for Medicare services. The goal? Modernize governance of a changing healthcare industry. The federal Physician Self-Referral Law (known commonly as the “Stark Law” or, simply, “Stark”) and its regulations generally prohibit physician referrals of Medicare patients for certain designated healthcare services when the physician has a…
By Daniel F. Shay, Esq. Continue reading
September 2019
Understanding the ‘odd gait’ of autism
Children with autism spectrum disorder are often described as “uncoordinated” or “clumsy” and many have clear motor control impairments. Early intervention to address motor deficits may improve physical skills and the difficulties with social functioning that are the hallmark of the disorder. Research among children with autism spectrum disorder (ASD) has traditionally focused on impairments in social skills, the condition’s core deficit.
By Keith Loria Continue reading
September 2019
Autism Linked to Between-Limb Asymmetries Across the Gait Cycle
Recent findings from the University of Nevada, Las Vegas (UNLV), add to a growing body of evidence that autism spectrum disorder (ASD) is associated with significant gait asymmetry, suggesting movement quality should be part of the diagnostic and treatment processes for ASD.
By Keith Loria Continue reading
September 2019
Quantitative Gait Assessment in Children With 16p11.2 Syndrome
Neurodevelopmental disorders are frequently associated with motor impairments including locomotion. These study findings highlight the importance of using precise measures to differentiate motor dysfunction in neurodevelopmental disorders.
By Sylvie Goldman, Aston K. McCullough, Sally Dunaway Young, Carly Mueller, Adrianna Stahl, Audrey Zoeller, Laurel Daniels Abbruzzese, Ashwini K. Rao, and Jacqueline Montes. Continue reading
September 2019
Early Orthotic Intervention in Pediatric Patients, Part 2: Down Syndrome, other neurological conditions, and toe walking
Down Syndrome is associated with a long list of compensatory gait symptoms due to hypotonia, triplanar foot and ankle misalignments, sagittal and coronal compensation at the knee, proximal weakness, and equinus contractures, all of which need to be treated. How early depends on the individual child.
By Cary Groner Continue reading
August 2019
Early Orthotic Intervention in Pediatric Patients, Part I: Cerebral Palsy
Children with cerebral palsy (CP) typically encounter a host of gait- and balance-related issues associated with spasticity, dyskinesia, and weakness. How severe these are depends on CP type and the individual case. As a result, experts have long debated how early to intervene with bracing strategies that include ankle-foot orthoses (AFOs), and how long to maintain those interventions.
By Cary Groner Continue reading
August 2019
Healthcare Provider-Implemented Foot Evaluations for Walking Exercise Programs
Encouraging exercise and appropriate footwear selection may be key in helping patients maintain healthy activity levels. Exercise is recommended for the majority of patients regardless of age, gender, or physical disability. The 2008 Physical Activity Guidelines for Americans1 recommended that all adults perform 150 minutes…
By Audris Tien, DPM, Brad Franklin, DNP, RN, FNP-C, FAANP, and Jarrod Shapiro, DPM, FACFAOM, FACFAS Continue reading
August 2019
Chronic Ankle Pain? Put Os Trigonum Fracture in the Differential
This overlooked, often-left-undiagnosed ankle pathology causes long-term pain and instability. Appropriate treatment protocols, applied in a timely manner, can get patients back on their feet. The ankle presents an interesting dichotomy of strength and frailty: Whereas the ankle supports body weight, makes sharp twists and turns, and keeps the body from falling…
By Scott Pensivy, PT, LAT, ATC Continue reading
July 2019
Enthesis: Unique Structure Makes Tendon-to-Bone Repairs Complicated
Formed during development, this efficient attachment system cannot be recreated during healing. Many common injuries, such as Achilles tendon and rotator cuff tears, require surgical procedures that reattach the affected tendon to the bone. Stavros Thomopoulos, PhD, director of Carroll Laboratories for Orthopedic Surgery at Columbia University in New York, compares it to trying to attach a rope to a piece of cement.
By Nicole Wetsman Continue reading
July 2019
At All Levels and Categories of Cycling: Correct Poor Crank-arm Fit to Relieve Chronic Knee (and Hip) Pain
Consider recommending installation of shorter crank arms on a bike when a cyclist complains of knee or hip pain. After years of bike-fitting, here’s why we’ve concluded that this modification is invaluable. One of the biggest problems in bicycling, I’ve found, is that pain is considered normal. I (RS) am a master bike fitter and an elite cycling coach.
By Rick Schultz, MBA, DBA, and Amy Schultz, PT, DPT, CSCS Continue reading
July 2019
A Common Class of Antibiotics Can Lead to Tendon Rupture
Despite Black Box warning for risk of tendinitis and tendon rupture, clinicians continue to prescribe fluoroquinolones. Half of the musculoskeletal injuries in the United States each year involve tendons and ligaments, and of the tendon injuries that can occur, those that strike the Achilles tendon are the most common. Higher rates of participation in…
By Nicole Wetsman Continue reading
June 2019
Patient Perspective – Beyond Bunions: Feeling Footloose and Fancy Free 6 Years After Surgery
I’ve never been one to gaze admiringly at my toes while lounging at the beach – or heaven forbid, take pictures of them with a tropical sea background to post on Instagram. I was cursed with ugly feet – wide and stubby (thanks Dad!) – and because of that, I’ve never bothered to try and adorn them with pedicures and polish.
By Karen Bakar Continue reading
June 2019
Inclusion In the Exam Room, In the Locker Room, On the Field
What does an athlete look like? There was a time when the answer to this question was largely homogenous, but today’s athletes have broken every mold and stereotype. They can be tall, short, lean, thick, strong, nimble, brawny, brainy, quick, or deliberate.
By Sarah Kogod Continue reading
June 2019
Bike Fitting Will Come Out From the Shadows and Into Rehab Armamentarium
Many readers may not have heard of it yet, but by the time LER turns 20, I predict it will be a common prescription…at least I hope it will be. I’m talking about bike fitting, of course. The number of individuals choosing cycling as transportation, hobby, sport, or community activity—whether it’s competitive or recreational—is increasing annually—up from around 43 million in 2014 to 47.5 million in 2017.
By Happy Freedman Continue reading
June 2019
Growing Awareness of Unicity Will Drive Sport Science
Like the athletes we study, the field of sport science is always in motion. When combined with medicine, it is a rich and growing environment in which the interaction between daily practice and clinical research contributes to an overall progression in understanding of human performance and biological adaptations.
By Antonio Robustelli, MSc, CSCS Continue reading
June 2019
What’s the Point of 3D Printing Orthotics? Options!
Recently, on the Facebook page of Craig Payne, creator of Podiatryarena.com, there was discussion about a published study that compared running biomechanics and perceived comfort between a 3D-printed orthotic and a traditionally manufactured orthotic. The study showed there were no differences between the two devices.
By Bruce E. Williams, DPM Continue reading
June 2019
Complimentary Approach Grows, But Some Challenges Remain
Lower Extremity Review can be both proud and excited about its 10th anniversary and its participation in all aspects of sports medicine and podiatry, rehab, fitness, and wellness. As for what the next decade holds, I predict implementing the input and expertise from all the medical specialties, along with educators, trainers, and therapists of all backgrounds, will continue to grow.
By Robert A. Weil, DPM Continue reading
June 2019
Explosion of Analytics Will Fuel Growth of Sports Medicine
The field of Sports Medicine has undergone exponential growth over the last few years, but still remains in its infancy. So much research and technology have been added to clinical practice since the simple days of “RICE” (Rest-Ice-Compression-Elevation). The catch phrase for some of this phenomenon is “analytics” and it covers a variety of topics. This is where I believe Sports Medicine is going in the future.
By Howard Osterman, DPM Continue reading
June 2019
Technology Is Inevitably Reinventing Orthotics and Prosthetics
Devices and patient care have changed dramatically through the history of the O & P profession. At first, devices were carved of wood, based on visual inspection, then sewn with leather and bent metal; today, we cast in plaster and pull plastic. If history tells us anything, it’s that, first, newer technology will continuously become…
By Jacob Praga, MSBME Continue reading
June 2019
Objective Data Will Lead the Transformation of Treatment
The future isn’t coming—it’s arriving at an incredible pace! Technology and the data it can supply have reshaped the planet and those who fail to adopt it will be left in the dust. The need for objective data in treatment decisions will become mandatory both by payers and patients alike.
By Kendon Howard Continue reading
June 2019
Proper Diabetes Care Can Reduce Rising Lower Extremity Amputation Rates
In a recent article in the Philadelphia Inquirer, reporter Stacey Burling wrote, “Amputation rates among people with diabetes in the United States dropped for about 15 years, but recent reports issued by the U.S. Centers for Disease Control and Prevention highlight a disturbing trend: Amputation rates have been rising in people under 65 with diabetes since 2009.
By Mark Hinkes, DPM Continue reading
June 2019
Tech Innovation Has Nudged Podiatry Forward More Than Any Other Force
Although it’s difficult to predict future developments, one might extrapolate, to some extent, large changes to a specialty of medicine by looking back on the history of the field and combining it with recent developments and trends.
By Jarrod M. Shapiro, DPM Continue reading
June 2019
To Improve Patient Outcomes, Measure What Matters
Mobility and balance deficits in patients with lower extremity impairments are significant factors for decreased quality of life. To improve outcomes for these patients, clinicians need measures that are evidence-based and scientifically validated; in other words, there is a need to measure things that matter.
By Michael Rowling, BS Continue reading
