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
Selection of amputation level in diabetic patients
Not all patients with diabetes and not all ulcerated limbs are amenable to salvage. When salvage is not an option, amputation can help improve patient function, but a number of factors should be considered when deciding how much of the foot—if any—should be retained.
By Cary Groner
Peroneal latency’s role in inversion ankle sprain
A delay in the activation of the peroneus longus and peroneus brevis muscles is thought to contribute to the risk of inversion ankle sprain. New research suggests that ankle taping, in addition to providing mechanical stability, also helps reduce this peroneal latency.
By Adam Knight, PhD, and Wendi Weimar, PhD
Patient race contributes to burden of knee OA
Evidence suggests that the prevalence and symptom severity of knee osteoarthritis are greater in African-American patients, underscoring the need for lower extremity practitioners to implement effective strategies for disease prevention and management in this patient population.
By Kelli D. Allen, PhD
When foot-ankle issues complicate knee surgery
A patient presenting with both end-stage knee osteoarthritis and a painful foot-ankle deformity is not uncommon, but the medical literature offers practitioners little guidance as to which condition should be managed first or whether they should be addressed simultaneously.
by Michael S. Pinzur, MD, and William Hopkinson, MD
Telemedicine technology propels diabetic foot care
Advances in communications technology now make it possible for an expert in one location to assess a diabetic foot ulcer in a patient who is miles away. But telehealth efforts face a number of hurdles, the most daunting of which may be patient privacy.
By Emily Delzell
Orthotic considerations for foot drop after stroke
When prescribing an ankle foot orthosis or neuroprosthesis for a patient with acute drop foot following stroke, lower extremity practitioners should consider the device’s potential effects on neural plasticity and motor relearning in addition to its potential effects on gait.
By Chad Lairamore, PhD, PT, CBISt
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Industry News & Updates
HHS Seeks Public Comment on Draft Strategy to Reduce Health IT Burden
The U.S. Department of Health and Human Services (HHS) has issued a draft...
The Future Is Knocking: Hanger, AT&T Create Network-Connected Monitoring Device for Transtibial Prostheses
Hanger, Inc. (Austin, TX) and AT&T, through its AT&T Foundry...
In Memoriam: Paul Scherer, DPM
Well-known lecturer, author, and educator, Paul R. Scherer, DPM, passed away...
Right Trousers Could Help Mobility Impaired Stay Upright
Researchers at the University of Bristol, England, are leading the development...
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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
OdysseyK2 Prosthetic Foot
The OdysseyK2 from College Park has a curved hydraulic ankle, Intelliweave composite foot base, and customizable dual StrideControl. The ankle provides 12° of smooth hydraulic motion that works in tandem with the foot base. College Park composites provide gait-matched...
Balance Walking Poles
Balance Walking Poles are designed to align the spine during gait, keeping patients comfortably erect and allowing them to walk longer with better form. The poles offer an easy way to increase muscle engagement while decreasing joint loads. The pole action is designed...
Total Vein Boost Hosiery
Total Vein Systems recently introduced Boost, its new line of athletic compression therapy hosiery. The Boost socks use graduated compression to help increase blood circulation and enhance oxygen delivery to working and recovering muscles, in order to accelerate...
iTom-Cat from ComfortFit
ComfortFit Labs, with technology partner Tom-Cat Solutions, is now offering the iTom-Cat, an iPad Air 2-based, full-function foot and ankle scanning system with integrated hardware and software. The system uses a structured sensor to quickly and easily capture a 3D...
Terion K2 Prosthetic Foot
Durable with a 385-lb weight limit and lightweight at just 325 g, the new Terion K2 1C11 from Ottobock is an adjustable, low-profile prosthetic foot with a split-toe design for use by level K2 amputees. The Terion K2 1C11 provides confidence at every step for users...
Endevr StrengthTape
StrengthTape, a new therapeutic elastic tape from Endevr, is designed to be an ideal blend of stretch and stick that supports lower extremity muscles and joints without limiting movement or falling off. StrengthTape provides stability for muscles and joints, and is...
MineralRich Concentrate
Maximum Living Quality Supplements now offers its new Maximum Living MineralRich Concentrate. Designed to be added to healthful smoothies, fresh juice, or water, the liquid supplement provides pH balancing trace minerals as well as vitamin B12 (as methylcobalamin),...
OPTP Pro-Roller Soft
OPTP has introduced a new foam roller to its signature line of Pro-Roller products. The 18" x 6" Pro-Roller Soft is the first of its kind in the Pro-Roller family. The 18" length and compact size make it easy to carry or pack when traveling, going to the gym, or...
Integrated Uprights
MultiMotion contracture management corrective and free motion joints from Allard USA are now available with integrated uprights. Choose from a combination of proximal and distal straight uprights or a T-Bar configuration with proximal straight uprights and a distal...


















