Chronic Ankle Pain? Put Os Trigonum Fracture in the Differential

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

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Enthesis: Unique Structure Makes Tendon-to-Bone Repairs Complicated

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

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At All Levels and Categories of Cycling: Correct Poor Crank-arm Fit to Relieve Chronic Knee (and Hip) Pain

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

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A Common Class of Antibiotics Can Lead to Tendon Rupture

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

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Bike Fitting Will Come Out From the Shadows and Into Rehab Armamentarium

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

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Growing Awareness of Unicity Will Drive Sport Science

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

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What’s the Point of 3D Printing Orthotics? Options!

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

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Complimentary Approach Grows, But Some Challenges Remain

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

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Explosion of Analytics Will Fuel Growth of Sports Medicine

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

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