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
AFO users must rethink concept of ‘normal’ gait
Ankle foot orthoses can make a neuromuscular patient’s gait pattern more like that of an unaffected person, but the devices can also be associated with compensations of their own. And in some patients, a more ‘normal’ gait pattern is not necessarily going to be more functional.
by Cary Groner
Foot and ankle exercises in patients with diabetes
Guidelines recommend cardiovascular and strengthening exercises in patients with diabetes, but flexibility exercises focused on the foot and ankle can impart added benefits. Improving range of motion can positively affect gait, pressure distribution, and risk of foot ulceration.
By Pamela D. Ritzline, PT, EdD, and Audrey Zucker-Levin, PT, PhD.
Postop bracing after ACL reconstruction
Bracing is often recommended after anterior cruciate ligament reconstruction, in the interest of controlling range of motion and protecting the graft as it heals. However, few studies have scientifically examined this practice, and the available findings are conflicting.
By Laura Chachula, Kenneth L. Cameron, PhD, ATC, LTC Steven J. Svoboda, MD, and LTC Brett D. Owens, MD
Orthotic intervention for metatarsalgia relief
Research suggests that metatarsal pads and other off-loading techniques can help alleviate painful symptoms in patients with metatarsalgia. Orthotic intervention, in conjunction with correct shoes, can be an important component of improving quality of life for these patients.
by Paul R. Scherer, DPM
Articular cartilage rehab: Guidelines for treatment
A scientifically based approach to rehabilitation of articular cartilage lesions starts with restoration of passive range of motion followed by a progressive resistance training program for muscle strengthening, with particular attention to joint alignment.
By Walter L. Jenkins PT, DHS, ATC, LATC
Therapeutic shoe benefit: It’s complicated
An increasing number of patients with diabetes are taking advantage of a Medicare benefit for therapeutic shoes, but more could make use of the preventive measure to avoid further complications and possible amputation, practitioners say. Posing an obstacle, however, are the increased paperwork demands and looming fee cuts to physicians by the Centers for Medicare and Medicaid Services (CMS).
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Industry News & Updates
PathMaker receives funding for noninvasive device development
PathMaker Neurosystems, Boston, MA, announced it has received a funding award...
OIG to examine billing for OTS orthoses
The US Department of Health & Human Services Office of Inspector General...
FollowKnee to develop 3D-printed artificial knee joints
Brest, France-based FollowKnee has been awarded a €7.9 million grant by the...
Agility Health to sell US assets
Agility Health Inc., Grand Rapids, MI, has agreed to sell 100% of its US-based...
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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
Arcopédico Shoes for Men
Arcopédico USA is venturing into men’s shoes. The company believes orthotic, ergonomic, healthy circulation footwear for men doesn’t have to look sterile. Arcopédico gives men the stylish look of a daily wear shoe with the hidden features for which the brand is known,...
New igli Junior Insoles
Medi USA introduces two new igli Junior carbon insoles in the igli carbon insole series: the Junior Orange and Junior Blue C+ for children. The customizable igli insoles feature a carbon clip on the underside of the insole and adjustable polyurethane postings that...
FootMat Software
Tekscan introduces FootMat software, which allows clinicians to analyze static or dynamic pressure data and generate objective, evidence-based reports for patient education and to document treatment effects. Compatible with both the ClassicMat and MobileMat platforms,...
Performance RX Orthoses
SOLO Laboratories has announced the release of Performance RX, a new material now available as an option for the company’s orthotic products. Performance RX is an engineered nylon plate material that does not fatigue, creep, or settle over time and can be used to...
MiniTrax Pediatric Boot
DJO Global introduces its new MiniTrax pediatric walking boot, designed for small patients with mild to severe foot and ankle injuries. MiniTrax features kid-friendly design elements that make wearing the boot less intimidating for children, which helps to increase...
PolySoft and Gentle Padding
Ambra Le Roy announces the addition of PolySoft stockinette and Gentle Padding to its Lymphedema Care line. The Polysoft stockinette is made from soft, comfortable synthetic fibers with no elastic yarns. It is primarily used as a base layer during complete...
Rocktape Knee Caps
Knee Caps from Rocktape are designed to help protect the knees during complex fitness movements, such as dead lifts, pistols, and squats. Knee Caps are designed to offer compression, warmth, and lateral stability during these movements. Made of 5-mm or 7-mm thick...
Deluxe Gel Bunion Sleeve
Silipos introduces a new option for patients suffering from bunion pain. The Deluxe Gel Bunion Sleeve is a comfortable, elastic sleeve with a soft gel pad that sits easily around the painful and sensitive bony protrusion and provides cushioning and protection. The...
Lunatur 18 Walnut
Nora Systems introduces Lunatur 18 Walnut, an eco-friendly and sustainable material that is soft and highly elastic, with good bedding and resilience characteristics. Nora Lunatur 18 Walnut contains more than 20% finely ground walnut shells, in keeping with the...

















