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

Can Biofeedback Improve Biomechanical Factors Associated with CAI?

Can Biofeedback Improve Biomechanical Factors Associated with CAI?

Restoring correct ankle biomechanics is essential for maintaining long-term joint health of the ankle in patients with chronic ankle instability. Lateral ankle sprain (LAS) is 1 of the most common musculoskeletal injuries in athletes and the general public. Incomplete recovery and inadequate restoring of function due to lack of appropriate rehabilitation can lead to chronic ankle instability (CAI). Loss of passive ligamentous stability and deficits in neuromuscular control and…

By Seyed Hamed Mousavi, Fateme Khorramroo, Hooman Minoonejad, and Johannes Zwerver

Varicose Veins of the Lower Extremities: A Primer Part II

Varicose Veins of the Lower Extremities: A Primer Part II

Varicose veins affect nearly one third of the adult population and are considered early warnings of the more serious chronic venous insufficiency. Early recognition and prevention are key to suppressing potential life-threatening damage and maintaining patient quality of life. Varicose veins (VVs)—those bulging, twisted blood vessels typically seen on the legs—are more than an esthetic issue. They can be painful and affect patients’ quality of life; left untreated, they can lead to life-threatening chronic venous insufficiency and venous ulcers and warrant a clinician’s attention.

By Angela Kelley, PA-C, MSM

Shopping Cart-Related Lower Extremity Injuries Treated at United States Hospital Emergency Departments

Shopping Cart-Related Lower Extremity Injuries Treated at United States Hospital Emergency Departments

Tens of thousands of shopping cart-related injuries are treated at United States (US) hospital emergency departments (EDs) each year. This study described shopping cart-related lower extremity injuries treated at US hospital EDs. Methods: An analysis was performed of shopping cart-related lower extremity injuries reported to the National Electronic Injury Surveillance System during 2000-2023. 

By Mathias B. Forrester, BS

Varicose Veins of the Lower Extremities: A Primer Part I

Varicose Veins of the Lower Extremities: A Primer Part I

Varicose veins (VVs)—those bulging, twisted blood vessels typically seen on the legs—are more than an esthetic issue. They can be painful and affect patients’ quality of life; left untreated, they can lead to life-threatening chronic venous insufficiency and venous ulcers. And when seen or mentioned, will always warrant a clinician’s attention.

By Angela Kelley, PA-C, MSM

Comparing Aquatic-based and Land-based Exercises for Balance

Comparing Aquatic-based and Land-based Exercises for Balance

Aquatic-based exercises are used as an alternative to land-based exercises for older adults who have lower levels of physical activity or neuromuscular disorders that impact their balance function. Balance plays a crucial role in the daily activities of older adults. Aquatic-based exercises (AE) are widely conducted as an alternative to…

By Ying Deng, Zheng Tang, Zhengting Yang, Qi Chai, Wenting Lu, Yunshi Cai, Yiting Luo, and Yongzhao Zhou

A Case Report: Hypertonia of the Big Toe Revealing Parkinson’s Disease

A Case Report: Hypertonia of the Big Toe Revealing Parkinson’s Disease

Despite being less commonly discussed than other motor symptoms, such as tremors and bradykinesia, hypertonia of the hallux holds diagnostic and prognostic significance in Parkinson’s disease (PD). This motor anomaly is dissected within the context of the broader clinical spectrum of PD symptoms…

By Houssam Mahla, Abdelilah Rhoul, Mohammed Gartit, Souhail Yachaoui, Ahmed Amine EL Oumri

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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

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