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
Cell Phone-Related Lower Extremity Injuries While Walking
Background: Ninety-seven percent of people in the United States (US) own a cell phone. Consequently, millions of people are at risk of cell phone-related injury, including when using or carrying a cell phone while walking. This study described cell phone-related lower extremity injuries while walking that were treated at US hospital emergency departments (EDs).
By Mathias B. Forrester, BS
Your Video Telehealth Patients Are Watching…And Making Judgements
These study findings suggest you can improve patient trust and satisfaction with telehealth visits by minding your video background. The COVID-19 pandemic prompted rapid adoption of telemedicine. Most physicians had no training on effective webside manner, including their physical environment.
By Nathan Houchens, MD; Sanjay Saint,MD, MPH; Latoya Kuhn, MPH; David Ratz, MS; Jason M. Engle, MPH; Jennifer Meddings, MD, MSc
Clinical Perspective: Posture and Autism: Sitting. Standing, and Toe-Walking Behavior
The other day, Anka (not her real name), a 19-year-old woman with Autism Spectrum Disorder (ASD) came to our clinic for her regular follow-up visit. While she walked independently, she exhibited severe Toe-Walking Behavior (TWB). She was accompanied by her father and an…
By Dalia Zwick PT, PhD
LEREXPO Conversations: Emerging Radiolucent Technologies and Bone Grafting Techniques
Radiolucent technologies are gaining traction in foot and ankle surgeries due to their significant benefits over traditional methods. These innovations, particularly the use of carbon fiber reinforced polyetheretherketone (PEEK), are revolutionizing how surgeries are performed, offering clearer imaging and…
By Brad Abicht, DPM, FACFAS
Physical Characteristics Inducing Sever’s Disease in Junior Gymnasts
Sever’s disease can be painful and limit young athletes in competitive endeavors. These authors sought to find physical characteristics that could identify those at risk. Sever’s disease, also known as calcaneal apophysitis, is an inflammation of the growth plate in the heels of growing children, typically adolescents.
By Kazuaki Kinoshita, Yuichi Hoshino, Naoko Yokota, Masayuki Fukuda, Mika Hirata, and Yuichiro Nishizawa
Analysis of Ankle Instability and Posterior Malleolus Fractures
Posterior malleolus fractures have been associated with ankle instability because the ligament pull that follows such fractures can lead to movement of the fracture fragment and consequently disrupt the weight-bearing surface’s integrity. Posterior malleolus fractures have a reported prevalence spanning 10% to 44% of all ankle fractures and are known to be associated with ankle instability and a heightened development of complications like traumatic arthritis.
By Jichong Ying, Jianlei Liu, Hua Wang, Yunqiang Zhuang, Tianming Yu, Shuaiyi Wang, and Dichao Huang
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ShortTakes From the Literature
Optimizing Outcomes for Lisfranc Injuries
Lisfranc injuries, once described fracture-dislocations of the tarsometatarsal...
Joint Preserving Surgery Yields Positive Outcomes in RA Forefoot Deformity
A new retrospective study evaluated 74 feet in 57 rheumatoid arthritis...
Individuals with Charcot-Marie-Tooth Disease
Impaired balance and functional deficits are common in individuals with...
Meta-Analysis Shows Chinese Therapeutic Massage Is Safe & Effective for CAI
Ankle sprains are among today’s most common injuries. They can range from mild...
A Novel Scoring System Predicts Mortality and Morbidity After BKA
Patients undergoing below-knee amputation may experience considerable...
Effects of Footwear Design on Women with Plantar Heel Pain
Footwear is often recommended in the management of plantar heel pain (PHP),...
Intra-articular Knee Injections and KOA
At least 10% of all patients with knee osteoarthritis (OA) undergo treatment...
Building Core Outcome Set for Foot & Ankle in Rheumatic and Musculoskeletal Diseases
The foot and ankle are frequently affected in rheumatic and musculoskeletal...
A Foot Forward for Optimum Health
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Industry News & Updates
New Fabrication Approach May Improve Wearable Sesnsors
A team led by researchers at Pennsylvania State University (Penn State)...
Smart Bandage with Plant Power Heals Chronic Wounds
A multidisciplinary team from Nanjing Forestry University, Nanjing Medical...
Osseointegrated Bionic Knee Can Restore Natural Movement
Massachusetts Institute of Technology (MIT) researchers have developed a...
AI-Enabled Wearable Monitors Joint Torque
Researchers from the University of Oxford and University College London have...
IMPACT OF FRAILTY ON WOUND HEALING
Few studies suggested that frailty may increase inflammation, which in turn may negatively impact...
DPN FOUND IN 4/5 PATIENTS IN SAUDI STUDY
This study aims to evaluate the prevalence of such a common and morbid neuropathy complication in...
PREDICTING HEALING OF DFUS WITH MULTISPECTRAL IMAGING
Guidelines recommend adjunctive therapies for diabetic foot ulcers (DFUs) without >50% wound...
E-STIM FOR PREVENTION OF ICU-ACQUIRED WEAKNESS IN COVID-19 PATIENTS
Prolonged immobilization may inevitably lead to complications such as muscle dysfunction and...
lerEXPO Conversations Patient Engagement Vital to Diabetes Prevention
By Keith Loria The American Diabetes Association estimates that 34.2 million people—10.5% percent...
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
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Lower Extremity Review
Lidocaine and Collagen Wound Care Products
MPM Medical’s TripleHelix™ Collagen is a 100% Type I bovine collagen that has the ability to reduce erythema and edema, as well as provide a greater reduction in wound size when compared to the standard wound dressing. It is available in powders, pads, and rope...
Revitalign Elevated Essentials Collection
Waco Shoe Company recently introduced the Revitalign® Elevated Essentials collection, which features the Laurel, Malibu penny, and Maple Mary Jane loafers, each designed to seamlessly blend style with orthotic-grade support. This loafer collection is more than a...
OA Knee Brace
DonJoy® ROAM™ OA knee brace was designed to unload the pressure of unicompartmental osteoarthritis (OA) and shift weight away from the affected knee to relieve pain and improve stability and mobility. Designed for conservative care and for pre- and post-operative knee...
Dermatonics Dry Skin Cream
Whether it’s cracked heels, dry feet, or dry hands, Dermatonics Dry Skin Cream is clinically proven to nourish skin back to health while providing a barrier to lock in moisture so skin stays soft. All Dermatonics products contain natural ingredients such as Manuka...
Wound Therapy Device
The Wound Express advanced wound therapy device is designed to be used in conjunction with standard treatment techniques and has been shown to significantly reduce the size of both hard-to-heal wounds of venous and mixed etiology in some patients, and other wounds...
Muscle Retention Cream
Skin healthcare company EX Healthcare recently announced the launch of dermaFIT, a muscle retention cream. This revolutionary body cream combats muscle loss by harnessing the power of the body’s own microRNAs. This cutting-edge product utilizes the power of exosomes...
New Publication Addresses Knee Pain
6-Minute Knee Pain Cure: The Simple Science of Relieving Knee Pain and Restoring Comfort in Walking, Running, Squatting, and Beyond, was written by Jonathan Su, DPT, C-IAYT, CSCS, a physical therapist, yoga therapist, and fitness coach, who drew from his own...
Compression Massage Boots
The Recovery Pro Full Leg Compression Massage Boots (FT-091A&FT-109A) offer powerful and upgraded features to cater to a wide range of needs. Whether it’s for a pre-workout warmup or a post-workout quick recovery, these boots deliver precise and comfortable...
Rapid Crack Repair Cream
SkinIntegra’s Rapid Crack Repair Cream has received the Seal of Approval from the American Podiatric Medical Association (APMA), which recognizes worthy products that can contribute to foot health. Originally developed for people with diabetes suffering from...


























