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
Monofilament testing withstands critiques
Experts continue to debate the relative merits of the Semmes-Weinstein monofilament for assessing diabetic foot ulcer risk, including how many sites on the foot should be tested, and which ones. But it’s tough to argue with the technique’s cost-effectiveness.
By Cary Groner
Striking a balance: Foot orthoses in DPN
Preliminary research suggests that impaired balance in patients with diabetic peripheral neuropathy (DPN) may improve with proprioceptive stimulation from foot orthoses. Postural instability is common in patients with diabetic neuropathy, said David Levine, DPM, CPed, who is in private practice in Frederick, MD.
By Katie Bell
Diabetic shoes: Fashion and function
Every day, people willingly trade good foot health for stylish shoes—think stilettos, platforms, and pointy toeboxes. For some time, however, patients who wore diabetic footwear didn’t have the option of worrying about style versus substance.
By Shalmali Pal
Debunking myths: Compression hosiery
Myths abound in discussions about healthcare (just think chicken soup). But when it comes to the use of compression hosiery, some tales can be debunked easily. The benefits of compression hosiery include improved blood circulation for patients with varicose veins, or achy swollen feet—especially helpful for those with diabetes.
By Larry Hand
Custom care: Offloading for foot ulcers
Any time a practitioner applies an orthotic device, such as an ankle foot orthosis (AFO) to offload a diabetic foot ulcer, he or she also has to make sure pressure is not redistributed to the point that a new ulcer is created elsewhere on the foot. Devices have to be constructed with the correct materials and properly fitted to the foot, which leaves a lot of leeway for practitioners.
By Larry Hand
How to “speak” central fab
Outsourcing has become integral to streamlined manufacturing and, in the O&P world, central fabrication services fit the bill. Yet, for practitioners dealing with a customer service rep in a different time zone or an employee in a far-off land, communication isn’t always easy to achieve. Lower Extremity Review checked in with O&P experts on effective ways to communicate with central fab facilities.
By Shalmali Pal
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Industry News & Updates
Clinic Openings
Ageility Physical Therapy Solutions opened four new clinics throughout the...
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Visual Illusion of Altered Knee Size Reduces Pain in OA Sufferers
In a study published July 17 in the journal Peer J, researchers at the...
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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
OA Reaction Web Brace
DJO Global’s DonJoy brand offers the new OA Reaction Web brace as a discreet solution for knee osteoarthritis pain. The brace frame features lightweight silicone hexagonal webbing, with a soft silicone condylar pad and air pockets that gently support the knee using a...
Helli Dynamic Walking Shoe
The Helli Dynamic Walking Shoe from Waldlaufer USA is designed for people suffering from plantar fasciitis, heel spurs, hallux limitus, or metatarsal pain. The mild rocker sole supports the arch while gently propelling the foot through the gait cycle, helping to...
Standard Cyborg Water Leg
The Standard Cyborg Water Leg is a 3D-printed, waterproof leg that a transtibial amputee can use in the shower, at the beach, or in the pool with no need to worry about damaging his or her primary prosthesis. The 30-minute scanning process can be done with a...
LP EmbioZ Socks
La Pointique International offers the new LP EmbioZ Ankle Stabilizer Socks in regular (pictured) and calf lengths. The sock design features a Heel Lock strap to support and stabilize the ankle joint, helping to reduce the risk of ankle sprain. A Power Band provides...
Mephisto Mobils Ergonomic Shoes
The Mobils Ergonomic Collection of all-over padded shoes by Mephisto includes three advanced technological features. All-over soft padding between the lining and the natural leather upper cushions the entire foot. The anatomic removable footbed follows the natural...
APS-500 Polyethylene
The new APS-500 material from Allied O&P Supply is a flesh tone colored, high-strength polyethylene that can be used in place of Sureform and Subortholen when making custom foot orthoses. It is suitable for deep draws and embossing. The new product can be cold...
Coral Chewables Supplements
The new Coral Chewables supplement has a Bavarian cream flavor and delivers 500 mg of bioavailable coral calcium in addition to 73 other minerals. The above-sea coral calcium is intended to help patients reduce the risk of osteoporosis and achieve peak bone mass in...
Arcopedico Boots and Flats
Arcopedico USA offers new comfort boots and flats for fall and winter 2015. Claire is a classic riding boot with a 14" soft leather shaft, a wide toe box, detailed stitching, two adjustable calf buckles, a 1" heel, and an antimicrobial, cushioned insole. The Chelsea...
Becker Ankle Joint
Becker Orthopedic now offers the new Compact Double Action Ankle Joint (Model 725) for orthotic devices, designed to provide a variety of options in one complete small package. The Compact Double Action Ankle Joint comes optimized with pins in the anterior channels...

















