January 2020

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Cover Story

Overuse Injuries in Sports Aren’t Wholly Preventable. But They Are Reducible

Empower athletes and work in partnership with them to reduce their risk and severity of overuse injury and keep them at the level of performance they want. Getting better at any sport, at any level, takes practice, commitment—and repetition. Basketball players shoot jump shot after jump shot, soccer players drill footwork, and cross-country athletes log seemingly endless miles.

By Nicole Wetsman


Publisher Memo

Rich Dubin, Publisher
Going Boldly Into 2020…and Beyond

As we enter a new year AND a new decade, it’s important to affirm our foundation and set our sights on new directions. One of LER’s key strengths is the breadth of our multi-disciplinary highly collaborative audience—and we don’t intend to change that.

By Rich Dubin, Publisher

Feature Articles

A Guide to Individualized Management of Foot Drop

Most patients benefit from nonsurgical care of foot drop. Your task is to identify the optimal bracing options and work closely with the patient to understand their personal treatment expectations and goals.

By Jason Wright, DPM, PGY-2, And Marshall G. Solomon, DPM, FACPM, FACAS

A Role for Arthroscopy in Managing Ankle Trauma?

Consider the benefit of arthroscopy for addressing intraarticular pathology at the time initial surgical repair of high-grade ankle fracture is performed. Ankle fractures are a common orthopedic injury. Although surgical repair often yields good results, many cases are nonetheless associated with poor clinical outcome after repair.  

By Kevin Burke, DPM and Jonathan Hook, DPM

EXCERPT: Muscle Cramping During Exercise: Causes, Solutions, and Questions Remaining, Part 1

These authors tap unusual but useful historic data sets to enlighten the search for the mechanisms that cause exercise-associated muscle cramps. Few athletes escape the painful experience of muscle cramps. Cramps that occur during or soon after a bout of physical activity have been termed exercise-associated muscle cramps (EAMC), and these are commonly experienced as a “painful, spasmodic contraction of the…

By Ronald J. Maughan and Susan M. Shirreffs

From the Literature

Aquatic Walking Relieves Arterial Stiffness in PAD

Aquatic walking can help relieve arterial stiffness among patients with peripheral artery disease (PAD), according to results from a clinical trial published in the Journal of Applied Physiology. The study also showed that aquatic walking boosts patients’ ability to tolerate exercise, cardiorespiratory capacity, and muscular strength, and that patients are largely more inclined to maintain this exercise regimen.

By Chuck Green

Study Examines Treatment of Chronic Wound Pain with Long-Acting Lidocaine Gel

According to 2004 figures, about 6 million people suffer from chronic wounds due to bedsores and vascular, inflammatory, and rheumatologic sources, with medical costs for this care reaching almost $10 billion.* Opioids and non-opioid treatments are often used to manage the pain associated with these chronic wounds but come with issues such as the potential for addiction or abuse.

By Laura Fonda Hochnadel

Rehab May Improve 1st MTP Arthrodesis Long-term Outcomes

While arthrodesis of the first metatarsophalangeal (MTP) joint is known to alleviate pain from osteoarthritis in the hallux, long-term outcomes vary, with nearly 20% of patients reporting dissatisfaction with the surgical outcome. “There are a number of patients who have symptoms of pain, metatarsalgia, lateral toe arthritis or…

Are Lateral Ankle Sprains Being Treated Correctly?

Lateral ankle sprain is the most common injury in physically active populations, yet some believe those who sustain an acute lateral ankle sprain may not receive timely formal rehabilitation and are at an increased risk to have subsequent sprains which can lead to chronic pain and instability.

By Keith Loria

Industry News & Updates

Integrity Orthotics Joins LBG Medical/Strive Footwear

Integrity Orthotics has joined the LBG Medical family of companies. Based in the United Kingdom, LBG Medical has been a leading orthotic provider for over 40 years and is the largest custom orthotic laboratory in Europe.

Engineer Receives Grants to Further Develop Utah Bionic Leg

Engineers at the University of Utah (UofU), Salt Lake City, have developed and have been trialing a computerized bionic leg to help amputees walk faster, easier, and with better balance. Now, mechanical engineering assistant professor Tommaso Lenzi, PhD, who heads the project developing the Utah Bionic Leg, has received 2 grants to further advance the technology.

Handheld Fluorescence Imaging Device for Wound Management Receives FDA 510(k) Clearance

MolecuLight, Toronto, Canada, has received 510(k) clearance from the US Food & Drug Administration (FDA) for its i:X handheld fluorescence imaging device for use in the detection of wounds containing bacteria. The MolecuLight i:X enables real time point-of-care visualization of fluorescence in wounds and measures wounds and digitally records all images and area measurements.

Study: Student Athlete Safety Is Not a Priority in US High Schools

A recent study showed that one-third of public and private high schools in the US have no access to athletic trainers and that lack of appropriate sports medicine care is even greater for private schools where parents are traditionally paying for what they perceive as a better and safer experience.

Researchers Land Funding to Further Study Diabetic Ulcer Drug

Researchers at the University of Notre Dame recently received $4.6 million from the US Department of Defense to help fund studies for a drug they developed for the treatment of diabetic foot ulcers. The compound, called (R)-ND-336, is a topical gel. It was developed by Mayland Chang, PhD, research professor in the Department of Chemistry and…

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