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
Deformity and diabetes dictate surgical strategy
Offloading devices are the first line of defense in healing and preventing diabetic foot ulcers. But when ulceration-prone areas of the foot are associated with anatomical deformities or biomechanical impairments, surgery may be a more effective option.
by Cary Groner
Inversion ankle sprains: Seeking optimal support
Maximal protection of multiple ankle ligaments following a sprain requires a taping technique or brace that provides restraint of rotary talocrural and subtalar joint displacements within the transverse plane as well as restraint of inward hindfoot motion within the frontal plane.
By Gary Wilkerson, EdD, ATC
Quadriceps strength and risk of knee OA
Evidence from the medical literature suggests that quadriceps weakness may be a potentially modifiable risk factor for incident symptomatic and progressive knee osteoarthritis, although its relative significance seems to be a function of patient gender and malalignment.
By Neil A. Segal, MD, MS, and Natalie A. Glass, MA
Exercise related leg pain: More than ‘shin splints’
Indiscriminate use of the popular term “shin splints” has led to confusion about the true complexities of exercise related leg pain in athletes, which can include medial tibial stress syndrome, chronic exertional compartment syndrome, stress fractures, and tendinopathies.
By Mark F. Reinking, PT, PhD, SCS, ATC
Lymphedema presents therapeutic challenges
Although lymphedema in the past has often been overlooked or misdiagnosed, a growing number of certified practitioners are using the conservative treatment techniques of manual lymph drainage and complete decongestive therapy to effectively treat lymphedema patients.
By Harold Merriman, PT, PhD, CLT
Amputación Parcial de Pie: manejo del Podólogo
Los pacientes con diabetes que han sido objeto de una amputación parcial del pie son los más vulnerables a la re- ulceración. El calzado, las platillas, las prótesis parciales de pie, las ortesis de pie y tobillo pueden ayudar a reducir ese riesgo al mismo tiempo que mejoran la función.
Por: Erick Janisse, CPed, CO y Dennis Janisse, CPed
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A Foot Forward for Optimum Health
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Industry News & Updates
EHI acquires My Foot Doctor; seeks private equity backing
Atlanta-based Extremity Healthcare Inc. (EHI) has acquired My Foot Doctor,...
Open Sandals Accommodate Orthotics
Cabo Comfort Sandals specializes in open sandal, thong, and slider styles that...
AAOP headquarters move to Bethesda
The American Academy of Orthotists and Prosthetists has relocated its...
Therafirm/Knit-Rite receive state award
Therafirm, Hamlet, NC, and its parent company, Knit-Rite, Kansas City, KS,...
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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
Delcam Shoe Software
Delcam Crispin has launched Engineer Ortho, a new version of its Engineer Pro software specifically for the manufacture of orthopedic footwear. One key tool in Engineer Ortho is the multipoint function that makes it easy to transform the style lines of an existing...
NCV Custom Foot Orthoses
Combining 50 years of experience with high quality and a desire to meet the needs of today’s healthcare professionals, Northwest Podiatric Laboratory introduces NCV custom foot orthoses. This all-new material is only 2.5 mm thick and combines the durability and...
Spenco Fall Footwear Line
Spenco announces the launch of its new Fall Footwear Line. Featuring chic leather styles in an ultra-supportive footwear design, the new fall line includes more traditional, everyday styles for men and women. The shoes are designed around an orthotic insole, promoting...
Ottobock 3R60=VC Vacuum Knee Joint
Ottobock announces the 3R60=VC Vacuum Knee Joint for transfemoral amputees. The joint is based on the mechanical principle of the 3R60 EBS (ergonomically balanced stride), with the new feature being the vacuum pump integrated in the upper joint section of the 3R60...
Remedy Pro Offloading Shoe
DJO Global’s ProCare product line now includes the Remedy Pro Offloading Shoe, designed to reduce forefoot pressure and speed healing. The Remedy Pro is indicated for forefoot trauma, postsurgical healing, and diabetic ulcers and wounds. A 15° wedge design promotes...
Sols Foot Orthoses
Sols introduces a new system designed to simplify and enhance the orthotic prescription process and enable practitioners to focus on patient care. Sols’ certified providers receive an iPad equipped with an app to capture images of patients’ feet easily and accurately...
Pedors High-Top
Pedors Shoes has reintroduced the Pedors High-Top, available in an XXW width from a children’s size 1 up to a men’s size 15. The Pedors High-Top is an all-weather boot that features a dorsal stretch panel and a dual touch closure system, is very light weight, is...
UV Shoe Sanitizer
For patients with athlete’s foot, onychomycosis, shoe odor, diabetic skin issues, or other dermatological concerns, as well as for those wanting to prevent these conditions, PediFix offers a new UV (ultraviolet) shoe sanitizer. ShoeZap kills fungus and bacteria...
Transfemoral Infinite Socket
The Infinite Socket from LIM Innovations is a custom, modular, dynamic transfemoral socket engineered to empower both clinician and user. The adaptable socket allows wearers to adjust the fit during day-to-day activities and in response to volume change over long...

















