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 summit examines therapeutic challenges
Newly published proceedings of an interdisciplinary osteoarthritis summit hosted by the Hospital for Special Surgery explore how researchers are working to understand the complexities of the disease and break down the barriers facing the development of new interventions.
By Cary Groner
Clinical management of Lisfranc joint injuries
Indications for operative versus nonoperative treatment of tarsometatarsal joint injuries depend on the specific injury pattern and disruption of normal anatomy, which may be evident on physical examination or radiographs but may also present more subtly.
By Andrew Rosenbaum, MD, John DiPreta, MD, and Richard Uhl, MD
ACTIVE STANCE: Barefoot balance training for runners
Barefoot training and balance training have each been effective in studies of runners, but combining the methods could lead to even better results.
By Emily Splichal, DPM, MS, CPT
The role of proprioception in knee OA management
Demonstrated associations between impaired proprioception and knee osteoarthritis suggest some interventions that help relieve painful symptoms in patients with knee osteoarthritis , such as exercise and bracing, do so by positively affecting joint position sense.
By Barbara Boughton
Lower extremity focus helps cut risk of falls
Falls are common, disabling and costly. Causes are multifactorial but include foot disorders, ill-fitting footwear, and poor balance. Recent research supports a multidisciplinary approach to falls prevention and indicates that lower extremity practitioners can play an important role.
By Hylton B. Menz, PhD, and Martin J. Spink, BPod(Hons)
Taking a team approach to diabetic limb salvage
Hospitals with multidisciplinary diabetic foot care programs have found that adding vascular surgeons to the team makes their amputation prevention efforts more effective, but also adds an extra layer of challenges in terms of coordination and communication.
By Cary Groner
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Industry News & Updates
Sports Medicine Licensure Clarity Act Signed into Law
On October 5, President Trump signed into law the Sports Medicine Licensure...
CMT Experts Launch Nonprofit to Fund Only Treatments and Cures
Two experts in Charcot-Marie-Tooth (CMT), who also have the condition,...
AAOS Provides Tips to Avoid Injuries in Teen and Young Athletes
With the start of a new school year and participation in after-school sports,...
P.W. Minor Shutters Operations
Orthopedic and diabetic shoe manufacturer P.W. Minor, LLC, Batavia, NY,...
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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
CalluStop Cream
CalluStop cream from Dr. Swaim’s Natural Skin Care is infused with keratolytics and essential oils to maximize the moisture content in human skin. Naturally derived urea and lactic acid help soften skin and promote exfoliation while hyaluronic acid works to restore...
JAFO BK Freedom Cover
The BK Freedom Cover from JAFO is a lightweight, easy-on, easy-off custom neoprene prosthetic cover that provides a shapeable foam to replicate the calf on below-knee amputees. The BK Freedom Cover is available in three heights, four socket diameters, and in colors...
Sols Flex Insoles
Sols introduces Sols Flex, 3D-printed customized foot orthoses now available directly to consumers. Sols Flex insoles follow the contours of each wearer’s foot to achieve a fit that is intended to be perfect for the wearer, for his or her shoes, and for his or her...
Triple Action Ankle Joint
Becker Orthopedic is proud to introduce the Triple Action Stance/Swing Control ankle joint. This new component offers high stiffness in the coronal and transverse planes, and is intended for individuals with neuromuscular pathologies. The increased range of...
Levy Diabetic Econ Orthoses
Levy & Rappel introduces the new Levy Diabetic Econ I and Econ II foot orthoses. Both of these custom foot orthoses for patients with diabetes are manufactured using plaster casts, foam impressions, or 3D scans of the patient’s foot. The Levy Econ I is a...
TheraSport Athletic Socks
Therafirm, a brand of Knit-Rite, has launched the TheraSport line of gradient compression athletic performance and recovery socks. TheraSport athletic socks are engineered to improve circulation and provide more energy for greater endurance, enhanced performance, and...
Airshift OA Knee Brace
The new AirShift OA knee brace from Medical Specialties uses an air bladder system to comfortably unload the opposite compartment of the knee. The AirShift is primarily used to treat unicompartmental knee osteoarthritis, but may also be used to offload postoperative...
Heel Entry Pediatric Shoe
KeepingPace Children’s Orthopedic Footwear now offers its new pediatric heel entry shoe. The new pediatric shoe features triple width and double depth, so it can be worn easily with ankle foot orthoses as well as quickly donned and doffed. The pediatric shoe comes...
TaloStabil Ankle Support
The new Bort Select TaloStabil (#054 700) from Bort-Swiss Orthopedic Supply is an active ankle support. Constructed of anatomical 3D knitted fabric, the ankle support provides class II compression and incorporates two structured silicone pads to provide intermittent...

















