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
OA bracing may bolster prehabilitation protocols
Preoperative exercise has been shown to improve total knee arthroplasty outcomes, but may not be feasible in patients with severe pain. Bracing and other offloading methods may be able to help.
By John Kenney, CO, and Robert Hamblen, MD
Active Stance: Sensory substitution enhances O&P rehab
Rehabilitation science and medicine professionals are realizing that extracorporeal orthotics and prosthetics are sensory as well as functional substitution devices, and that these substitutions are equally important and mutually beneficial. Researchers have identified a high correlation co-efficient between normal body imagery and acquired sensory perception skills with orthotic- prosthetic control and manipulation skills.
By Michael T. Wilson, CPO/LP
Offloading strategies for knee osteoarthritis
Altering joint alignment is associated with decreased pain and improved function. Researchers are working to explain the mechanisms underlying these effects, particularly with respect to bracing.
By Yatin Kirane, D.Orth, PhD; Rebecca Zifchock, PhD; and Howard Hillstrom, PhD
Diabetes experts focus on foot ulcer recurrence
When it comes to diabetic foot ulcers, primary healing is only half the battle. Staggeringly high recurrence rates underscore the need for lower extremity practitioners to continue preventive measures long after the coast appears to be clear.
By Cary Groner
Flip-flops: Fashionable but functionally flawed
Flip-flops might seem to fall under the umbrella of minimalist footwear. But research suggests that walking in flip-flops is far from normal, and that only more structured models can approximate the elusive barefoot-like gait.
By Justin F. Shroyer, PhD, CSCS, NSCA-CPT, and Wendi H. Weimar PhD
Arterial disease: Lower extremity implications
It’s not uncommon to encounter undiagnosed PAD in patients who have come in for a seemingly unrelated complaint. Understanding the risk factors, diagnostic techniques and treatment options is key.
By Steven Miller, DPM
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A Foot Forward for Optimum Health
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Industry News & Updates
FDA Approves Marketing of Device to Treat DFUs
By Laura Hochnadel In December 2017, the U.S. Food and Drug Administration...
New BPCI Program Includes Lower-Extremity Episodes
By Laura Hochnadel The US Centers for Medicare & Medicaid Services (CMS)...
Tennessee Orthopaedic Clinics appoints medical director
By Laura Hochnadel Tennessee Orthopaedic Clinics, headquartered in Knoxville,...
Mary Free Bed, GVSU expand partnership to share motion lab
By Laura Hochnadel Mary Free Bed Rehabilitation Hospital, Grand Rapids, MI,...
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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
SmartTemp Liner
WillowWood’s Alpha SmartTemp Liner brings temperature control to prosthetic liners with Outlast, a heat management technology that was developed for NASA. The product is designed to absorb heat generated by an amputee’s residual limb, which reduces sweating and the...
pHast Legs for DOMS
Rocktape’s new pHast Legs is a new product designed to keep an athlete’s pH levels in balance, reducing the incidence and severity of delayed onset muscle soreness (DOMS) and recovery time. During exercise, respiratory waste products such as hydrogen ions and carbon...
Ped Lite Penny Loafer
Ped Lite is proud to introduce the Scott, an adjustable penny loafer specifically designed for patients with diabetes. With a roomy 6/16" of extra depth, the Scott loafer is designed to be both stylish and affordable. A specially designed tongue allows for easy...
Niagara Custom AFOs
Niagara Brace announces a new line of custom thermoplastic ankle foot orthoses (AFOs). These braces are made from a cast or computer scan using 3D imaging and CAD-CAM technology, with a standard height 1.5" below the fibular head; a white polypropylene shell 3 mm, 4...
Neolon with Silpure
JMS Plastics Supply introduces its Neolon top cover, which incorporates Silpure into neoprene. Neolon with Silpure provides antimicrobial protection against bacteria, mold, mildew, and fungus using advanced silver technology. Silpure also offers lasting freshness,...
Leg Health iPad App
Sigvaris introduces a new iPad app for practitioners who advise patients about their leg health. The app helps explain the circulatory system and leg health conditions to patients in an illustrative way that is easy to understand. It features interactive animations...
Innowalk Mobility Device
Thanks to a new partnership agreement between Ottobock and Norway-based company Made for Movement, Ottobock has exclusive distribution rights in North America for the Innowalk, a motorized medical device that fits patients with conditions such as cerebral palsy, spina...
Comfortable Klogs
Klogs for men and women are designed to mimic the comfort of walking barefoot. A range of individuals—including teachers, chefs, medical providers, outdoor enthusiasts, and senior citizens—can benefit from the comfortable design. The polyurethane formula in the...
Updated F-Scan Software
Tekscan announces the release of new, improved software for its F-Scan in-shoe analysis system. This new software automatically performs an in-depth foot function analysis and generates print-friendly reports at the push of a button. Now practitioners can document the...


















