Category Archives: Feature Article

Featured Issue Article

September 2021

The Future of Bike Fit

With cycling’s growing popularity—as a recreational hobby, an athletic pursuit, and a commuting alternative—making sure the bike fits the rider is key to preventing future injuries. With the pandemic, the past year has seen people of all ages and fitness levels seeking outdoor activities and alternatives to driving and public transport, resulting in a renewed popularity of cycling for health…

By Happy Freedman Continue reading

September 2021

Study Examines Moisture-Management Dressing For Venous Leg Ulcers

Use of an antimicrobial moisture management dressing paired with a gellable fiber technology under a two-layer compression system in the treatment of heavily exudating VLUs improves clinical outcomes and cost savings. Chronic venous insufficiency is the 7th most…

By Windy Cole, DPM, CWSP Continue reading

September 2021

Plantar Flexor Activation in Multi- and Single-Joint Resistance Exercises

These authors hypothesize that calf raises would elicit superior activation of soleus, lateral, and medial gastrocnemius muscles in comparison to leg press.

By Paulo Gentil, Daniel Souza, Murillo Santana, Rafael Ribeiro Alves, Mário Hebling Campos, Ronei Pinto, and Martim Bottaro Continue reading

September 2021

How to Strengthen Your Ankle After a Sprain

Ankle sprain is one of the most common ankle injuries. Every day in the U.S., 25,000 people sprain their ankle. And more than 1 million people visit emergency rooms each year because of ankle injuries. The most common ankle injuries are sprains and fractures, which involve ligaments, tendons, and bones in the ankle.

By Nathan Lloyd, MSc Continue reading

August 2021

Lower Extremity Compression Garments Use by Athletes: Why, How Often, and Perceived Benefit

The popularity of lower extremity compression garments (CGs) amongst athletes continues to increase. Initially CGs were mainly prescribed to patients with chronic venous disorder. Using graduated lower extremity CGs with a degrading pressure from distal to proximal parts of this extremity increases venous flow velocity…

By Thierry P. C. Franke, Frank J. G. Backx, and Bionka M. A. Huisstede Continue reading

August 2021

Wound Care Update: New Uses for Adipose Grafts in Podiatry and Wound Care

Diabetic foot ulcers and the resultant skin defects caused by delayed wound healing are a common and costly challenge for healthcare providers. Recent advances in tissue engineering have given rise to new promising treatment options to help with wound repair and tissue augmentation. Newly available adipose tissue grafts can help clinicians solve troublesome issues…

By Windy Cole, DPM, CWSP Continue reading

August 2021

Effects of Offloading Devices on Static and Dynamic Balance in Patients with Diabetic Peripheral Neuropathy: A Systematic Review

Diabetes mellitus (DM) is a major problem worldwide, especially among elderly. Diabetic patients are prone to develop neuropathy at their feet and ankles. The incidence of diabetic peripheral neuropathy (DPN) among newly diagnosed diabetic patients is approximately 30%.

By Koen Andre Horstink, Lucas Henricus Vincentius van derWoude, and Juha Markus Hijmans Continue reading

August 2021

Common Skin and Nail Conditions of the Lower Extremity: Part 3

Many foot and ankle specialists focus on the musculoskeletal conditions of patients. Skin and nail conditions of the feet, however, are some of the most common complaints that patients have. This 3-part series describes the most common conditions patients present with to my office and provide some effective treatment options.

By Paul J. Betschart, DPM Continue reading

July 2021

The Future of Orthotics Manufacturing

3D printing has been waiting to disrupt the orthotics market for years. Only time will tell if the pandemic’s pause afforded clinicians the opportunity to understand the benefits this technology can bring to their practice and their patients. Recent decades have seen a proliferation of technological advances that promise to transform traditional methods of fabricating in-shoe foot orthoses.

By Cary Groner Continue reading

July 2021

The Coming Renaissance Will Unlock the Innovation Vault in Orthotics

I joined Langer Biomechanics toward the end of 1979. I believe the orthotic industry was about halfway through the first of 3 distinct periods in its evolution: the development phase. The science, education, and product development work of that era created a level of utilization by clinicians that forever altered the previous use of “arch supports” and replaced…

By Jason Kraus Continue reading

July 2021

Embracing the Transformation Brought by a Black Swan

We see the signs of COVID-19 loosening all around us. Protocols are relaxing, stores are opening, social events are happening, and people are traveling again. At a personal level, we are experiencing a series of post-COVID firsts. Some are small, such as a first trip to the store without a mask, first in-person meeting, or first sporting event.

By Gerald Stark, PhD, MSEM, CPO/L Continue reading

July 2021

Now We Know: Virtual Is Real

Lower Extremity Review reminds us of Bob Dylan’s famous line, “the times they are a-changin’,” as we emerge from the COVID-19 pandemic lockdown. But one has to wonder a bit why it took the pandemic to induce 1 very large change we all experienced: the shift from centralized to decentralized workspaces, at least for those of us in academia.

By Paul DeVita, PhD Continue reading

July 2021

2021 “Normal” Same as 2019, Just Different

In 2019, I worked in an office/clinic setting seeing multiple patients per day. On a normal day, I would shake their hand, touch as clinically necessary, fit and adjust prostheses. I would talk with colleagues in the breakroom while reaching for adjoining coffee mugs and exchange pleasantries with the patients of colleagues I passed near shoulder-to-shoulder in the hall.

By Robert Lin, CPO Continue reading

July 2021

Pandemic’s ‘Marathon Journey’ Forces Change

Forcing Change…The intensity, uncertainty, and rolling grip of the COVID-19 pandemic has, without doubt, challenged many of us, both professionally and personally. The arrival of innovative vaccines at the end of 2020 and early 2021 has enabled many countries to slowly return to some degree of normality.

By Sarah Curran, PhD Continue reading

July 2021

Limb Preservation in a Post-pandemic World: Virtually or Physically We’re all in this Together

The past 18 months have proven challenging for everyone; however, those afflicted with diabetes have borne a heavier load than most. The increased mortality associated with diabetes1 has justifiably received much attention.

By Ryan T. Crews, PhD, CCRP; Brian D. Lepow, DPM; and David G. Armstrong, DPM, MD, PhD Continue reading

July 2021

Making the “New Normal” a “Smarter Normal”

The times are definitely changing and will continue to change for the better. As the rest of the world pulls down their masks, we in the medical community will continue to stay masked, prepared, and ready for change.

By Philip Stotter, CEP Continue reading

July 2021

‘Thank You Note’ from the Future Deepens the Meaning of Essential

The COVID-19 pandemic became an unwelcome defining factor of 2020 and into 2021. Now, we’re seeing the light at the end of the tunnel. And this makes it a good time to reflect on the pandemic’s effect on podiatric medicine and surgery. It’s also time to ask how we can be prepared for future events that may affect how we practice.

By Andrew Schneider, DPM Continue reading

July 2021

Pandemic’s Effects Ripple Into Practices Large and Small

The COVID-19 pandemic’s profound effect on the healthcare system will produce a ripple across all healthcare industry sectors, including podiatric medicine and surgery. Some of these changes are obvious and currently taking place, and many are still to be determined.

By Patrick DeHeer, DPM Continue reading

July 2021

Pandemic Changes Paradigm for Where Data Can Be Collected

Throughout the COVID-19 pandemic, the use of telehealth visits has skyrocketed in an attempt to limit the spread of the virus. And due to its popularity, the continued use of telehealth is expected. However, while telehealth can be effective in many areas, there are limitations when it comes to characterizing changes in physical function such as gait.

By Patrick Roscher, MS, and Arnaud Gouelle, PhD Continue reading

July 2021

Pandemic Proves O,P&P Is Nothing If Not Adaptable

As we pass the midpoint of 2021, our great country is slowly but surely reopening and, hopefully, returning to normal (not the overused-to-the-point-of-being-nonsensical “new normal” that we heard about ad nauseum, but the real “normal” that we all remember and long for).

By Erick Janisse, CPed Continue reading

July 2021

Rediscovering Original Purpose

Like many of us, I have had my share of trying times. I remember a quote I read while battling an illness that said, “Sometimes painful things can teach us lessons that we didn’t think we needed to know.” This couldn’t be more meaningful than during the COVID-19 pandemic.

By Rob Conenello, DPM Continue reading

July 2021

The Paradox of Modern Technology: Closer But Less Human

COVID-19 has changed the world in ways that we can’t even imagine as of yet. One thing that this pandemic has done is it caused us to distance ourselves from other people and realize the paradox of modern technology.

By Mark Mendeszoon Continue reading

July 2021

Research During Pandemic Highlights Athletes’ Need for Sleep

Salerno, Italy: The COVID-19 pandemic has opened a Pandora’s box in the world of professional sport: But that’s not all bad. It has prompted a further and definitive qualitative leap in the application of sports science and medicine principles to a more inclusive vision of the human machine.

By Antonio Robustelli, MSc, CSCS Continue reading

July 2021

When Optimal is Not Possible, Go For Sufficient

The field of strength and conditioning encompasses many different career paths and consists of individuals who work with people representing every conceivable part of the human spectrum, from high-performance athletes to the general population to individuals with disabilities or health-related conditions to children and adolescents.

By N. Travis Triplett, PhD, CSCS*D, FNSCA Continue reading

July 2021

Like Athletes on the Field, Pandemic Required Pivots with Limited Input

The past few decades have seen a prioritization of evidence-based practice in athletic training, sports medicine, and all of healthcare. The premise of evidence-based practice is that clinical decisions should be based on a combination of the best available research evidence…

By Jay Hertel, PhD, ATC, and Kathy Dieringer, EdD, LAT, ATC Continue reading