LER Cover Story:
Snake Bites to the Lower Extremity Reported to U.S. Emergency Departments
Background: Thousands of snake bites occur in the U.S. each year. Venomous snake bites can produce serious adverse effects, and even bites from nonvenomous snakes may cause adverse effects. Snake bites are often treated at hospital emergency departments (EDs). The objective of this study was to describe snake bites to the lower extremity treated at US hospital EDs.
By Mathias B. Forrester, BS
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Feature Articles
OA knee braces face off against wedged insoles
Two separate studies directly compared valgus knee bracing and wedged foot orthoses for reducing knee adduction moment in patients with osteoarthritis, but came to opposite conclusions. A third study suggests combining the two interventions may be the best solution.
By Barbara Boughton
Self-selected gait speed: A critical clinical outcome
When treating patients who are going through rehabilitation, clinicians may be overemphasizing gait distance and overlooking the importance of gait speed. Clinical assessment of gait speed is simple and inexpensive but can be a significant indicator of functional recovery.
By Heather Braden, PT, MPT, PhD, GCS
Intramuscular manual therapy for heel pain
Intramuscular manual therapy, also known as dry needling, is hypothesized to relieve pain by modifying tension in connective tissue. Limited evidence supports the use of IMT for plantar fasciitis, although further research is needed to rule out a placebo effect.
By Brent Harper, PT, DPT, DSc, OCS, FAAOMPT
Healthcare reform: What it means for your specialty
Despite being upheld by the Supreme Court, the Affordable Care Act remains a subject of debate heading into next month’s presidential election. Meanwhile, government affairs experts are working to determine just how the ACA will affect lower extremity practitioners.
By Shalmali Pal
Ankle bracing: Exploring effects on proximal joints
Research suggests that the ankle’s ability to absorb its share of energy during landing from a jump is altered with the use of an ankle brace. The extent to which this effect might influence risk of injury to other lower extremity joints or soft tissues, however, remains unclear.
By Jacob K. Gardner, MS
Despite few solid studies, ulcer debridement thrives
There are few high-quality studies and no randomized controlled trials documenting its effectiveness, but debridement—from surgical to larval—remains a mainstay of diabetic ulcer care in many practices, and new twists on conventional techniques continue to evolve.
By Cary Groner
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Industry News & Updates
FDA Approves Knee Implant IDE, Clears Bio-Integrative Bone Fixation Implant
The US Food & Drug Administration (FDA) has approved an Investigational...
Cybersecurity Takes Top Spot on ECRI’s Annual Health Technology Hazards List
ECRI Institute (formerly the Emergency Care Research Institute) has published...
Alliance PT Sells LTC Division
Alliance Physical Therapy Management (Alliance PT) , which is backed by GPB...
Reinforcement Learning Expedites Tuning of Robotic Prostheses
When an individual is fitted with a robotic prosthetic knee, a practitioner...
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A Message From the Publisher
Welcome to Lower Extremity Review or LER as we call it. This long awaited magazine fills the lower extremity information gap for practitioners in the fields of Podiatry, Physical Therapy, O&P Pedorthics, and Orthopedics. With over 20 years experience in multi-disciplinary editorial development and publishing, the collaboration of this incredible team has made this publication possible
Rich Dubin
Publisher and Chief Executive Officer
Featured Products
Lower Extremity Review
Össur Unloader Hip OA Brace
Össur announces the launch of the Unloader Hip, a unique brace intended to provide relief for patients with mild-to-moderate hip osteoarthritis (OA). The Unloader Hip is designed to improve mobility by using compression to encourage external rotation and abduction of...
BetterDoctor Websites
BetterDoctor helps healthcare practices create and manage their online presence and builds tools to bring trust, confidence, and transparency to the process of finding a doctor. The company works to fix incorrect contact information across the internet and get reviews...
Structured Memory Foam Footwear
New for spring, Spenco has launched a line of structured memory foam footwear, with the initial softness of memory foam and the added benefit of structural integrity. The new styles that feature memory foam are the Pure Sandal for men and women and the Thrust...
ActivMotion Bar From OPTP
OPTP (Orthopedic Physical Therapy Products) has partnered with ActivMotion to expand its line of therapy and fitness products. Exclusive to OPTP, the new 4-foot, 4.5-lb ActivMotion Bar features internal weighted ball bearings that shift during movement for an unstable...
X-Trac Knee Support
Pro-Tec Athletics is proud to introduce the X-Trac dual-strap knee support. Built to enhance comfort and durability, the X-Trac is designed to stabilize the patella and improve patellar tracking in patients with patellar or quadriceps tendinitis as well as patellar...
FS6 Compression Foot Sleeve
Allied OSI Labs has added the FS6 Compression Sleeve to its growing catalog of products for foot and ankle practices. The FS6 Compression Sleeve is designed to relieve the pain and swelling associated with plantar fasciitis by offering six zones of compression and...
Orpyx SurroSense Rx
Orpyx’s flagship product, the SurroSense Rx, is a wearable tool to help manage and track complications associated with diabetic peripheral neuropathy. The SurroSense Rx system alerts the user via a smartwatch when plantar pressures are detected above a threshold level...
SportsAT 2.0 Software
New from Tekscan, the SportsAT 2.0 software provides essential information for complete balance and concussion assessments. Sports medicine professionals can use SportsAT 2.0 to complete objective baseline and postinjury tests, quickly assess injury risk, identify...
TheraSport Leg Sleeves
Therafirm’s new TheraSport brand introduces TheraSport Athletic Leg Sleeves to round out a product line engineered to improve circulation and help provide energy for greater endurance, enhanced performance, and a speedy recovery. The soft, lightweight sleeves feature...


















