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

When diabetes complicates drop foot

When diabetes complicates drop foot

In patients affected by both diabetes and drop foot, ankle foot orthoses (AFOs) can help restore a more normal gait pattern and reduce the mechanical risks of ulceration. But microtrauma caused by irritation and elevated pressure is also a significant concern in these patients, making device selection and fit critical concerns.

By Larry Hand

OA knee bracing in family practice

OA knee bracing in family practice

Research indicates that primary care physicians are underprescribing exercise as a treatment for knee osteo­arthritis, and experts suggest the same can be said about bracing. “I think primary care physicians probably don’t know much about braces. Being primarily internists, primary care physicians may turn to what they know best, and that’s pharmacological therapy, because that’s what they’re accustomed to doing,” said Nicholas Giori, MD, PhD, an orthopedic surgeon at Stanford University School of Medicine in Palo Alto, CA.

By Larry Hand

Assessing PTTD: Linking the kinetic chain

Assessing PTTD: Linking the kinetic chain

Many studies of posterior tibial tendon dysfunction (PTTD), or adult acquired flatfoot disorder, have focused on foot kinematics and benefits of bracing for pain relief and increased ambulation. But new findings from the University of Southern California in Los Angeles suggest clinicians also look higher along the kinetic chain when determining an effective treatment.

By Christina Hall Nettles

Finding a footwear-AFO fit in kids

Finding a footwear-AFO fit in kids

Finding shoes that fit over ankle foot orthoses (AFOs) is a challenge for thousands of children with neuromuscular disorders that affect walking ability. Parents have waited patiently while custom AFOs were molded and fitted, only to find themselves at wit’s end when trying to finish the morning dress routine.

By Christina Hall Nettles

Maximizing postamputation joint health

Maximizing postamputation joint health

After amputation patients and practitioners tend to focus on the affected side. But the intact limb, or “sound side,” is also worth watching as long-term shifts occur in weight distribution between limbs during gait. This stress can often lead to knee osteoarthritis (OA) in the intact limb.

By Shalmali Pal

The wear and tear of ankle sprains

The wear and tear of ankle sprains

Chronic ankle instability (CAI) has been linked to devel­opment of early ankle osteoarthritis (OA), but questions remain as to how and why the degeneration occurs and how bracing and other interventions might slow the process.

By Larry Hand

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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

Rich Dubin

Publisher and Chief Executive Officer

Featured Products

Lower Extremity Review

Therafirm Ease Hosiery

Therafirm Ease Hosiery

Ease gradient compression hosiery from Therafirm is designed to promote better blood flow, prevent swelling, and relieve tired, achy legs and feet and to be donned with ease by people with limited mobility or dexterity. The soft, breathable garments feature...

Stabilized Heel Cup

Stabilized Heel Cup

Sols has released a new orthotic design with the company’s signature Stabilized Heel Cup. The Stabilized Heel Cup feature, intended for patients who overpronate or underpronate, helps improve ankle stability and alignment by resisting the tendency to roll during gait....

Synxsole Foot Orthoses

Synxsole Foot Orthoses

Designed by Australian podiatrists with more than 22 years of combined experience, Synxsole foot orthoses are slim, shock absorbing, and affordable. Synxsoles’ design delivers increased stability across the forefoot and midfoot, providing a more durable device that...

Heel Lift Ankle Sock

Heel Lift Ankle Sock

G&W Heel Lift now offers the Heel Lift Ankle Sock. This new ankle sock has a therapy pocket concealed inside the sock to hold heel lifts for secure placement while wearing sandals or flip-flops. Because the sock does not cover the entire foot, it can be used for...

TurboToe Overshoe

TurboToe Overshoe

The TurboToe safety overshoe is designed to protect the forefoot from accidental impact. The TurboToe is now available in a new XXS size with a purple toe cover, which fits North American men’s sizes 2-4 and women’s sizes 4-5. TurboToe is also available in XS (grey),...

Book for Patients With Chronic Pain

Book for Patients With Chronic Pain

Patients with complex regional pain syndrome (CRPS) now have a new tool to begin a path to recovery. Why Are My Nerves So Sensitive? is written by three physical therapists affiliated with the International Spine & Pain Institute in Story City, IA: Adriaan Louw,...

Run 2.0 Women’s Sock

Run 2.0 Women’s Sock

Injinji is a sock company dedicated to the health and performance of feet. The company now introduces the Women’s Run 2.0 sock. The Women’s Specific Run 2.0 features material with increased two-way stretch to provide better arch coverage and, in turn, provide more...

Elite Ortho Knee Braces

Elite Ortho Knee Braces

New from Elite Orthopaedics are three knee braces: the Range of Motion Hinged Knee Wrap, the Post Operative Range of Motion Knee Brace Light, and the Post Operative Range of Motion Knee Brace Standard. The hinged knee wrap is intended for most ligamentous...

Queen Cobra Foot Orthosis

Queen Cobra Foot Orthosis

Footmaxx introduces the new Queen Cobra Orthotic, a cobra-cut custom foot orthosis designed to fit in the slimmest, tightest-fitting shoes. Handcrafted, Queen Cobra is a sulcus-length orthotic device with a vinyl top cover for comfort and durability. Because of its...

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