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
CPO seeks central fab: Finding a match
Charles Kuffel, CPO, of Blaine, MN, knows his limitations. If the clinician and father of four is going to keep his referrals happy, get products to his patients on time and have a life outside the office, it means outsourcing some orthotic orders to a central fabricator.
By L.W. Barnes
For those about to rock, we caution you
Shoes with rocker-bottom soles have long been used to alleviate plantar pressures in diabetes patients and others susceptible to forefoot pain or ulceration. The soles move the apex of the toe rocker behind the metatarsal heads, reducing pressure as the patient’s weight transfers forward over the ball of the foot.
by Cary Groner
Shear Madness: Beyond plantar pressure
Clinicians have known for many years that uneven plantar pressures, combined with the loss of sensitivity caused by peripheral neuropathy, are associated with foot ulcers in diabetes patients. Ulcers often occur in different areas than peak pressures do, however. Shear forces, caused by pressure differentials in the foot, may be more to blame than plantar pressures per se.
by Cary Groner
Drop foot mechanics outweigh etiology
Conditions associated with drop foot are as varied as post-stroke hemiplegia, brain or spinal cord injury, and neuromuscular disorders including multiple sclerosis (MS). Patients with drop foot are unable to use the dorsiflexor muscles to lift the foot clear of the ground during the gait’s swing phase, nor can they control plantar flexion during heel strike. The result is an awkward, unstable gait and a tendency to trip when the toes brush the ground.
by Cary Groner
Finding—and breaking—the ACL-OA link
In recent years, scientific studies have shown that anterior cruciate ligament (ACL) injury in athletes can lead to later osteoarthritis in a large proportion of cases. In fact, some studies have documented osteoarthritis rates of 50% to 100% in former athletes who have experienced ACL injury, when followed for 15 to 20 years.
By Barbara Boughton
The Home Stretch: Paths to pain relief
Stretching and splinting have long been treatment strategies for plantar fasciitis. However, new research and ongoing clinical experience are calling into question older methodologies and providing evidence for some new approaches.
by Cary Groner
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Industry News & Updates
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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
PressureGuardian Data Collector
PressureGuardian, developed by Tillges Technologies, is a compact portable pressure sensor device with a compatible data-collecting app. The information can be used to adjust orthotic and prosthetic devices to offload pressure on a diabetic wound or inside a...
New Options OA Brace
The New Options OA is a pull-up, buttressed, “soft” brace for patients with mild to moderate knee osteoarthritis. The buttressed sleeve aids in knee alignment, provides compression, and is easy to apply. Proximal and distal closures enhance fitting for atypical OA...
Sprained Ankle Software
PhysioTools’ Sprained Ankle training module is an easy-to-use tool, with 120 illustrations and informative text on the management of a sprained ankle, including acute care, taping, and rehabilitation. The material has been developed by Bodynfo in cooperation with two...
Spark Pro Motion Analysis
Spark Motion, maker of portable motion analysis software for use in authentic sports performance and rehabilitation environments, announces a rebranding (formerly Kinesio Capture). The company’s Spark Pro software is designed to help coaches and practitioners evaluate...
Sandalwalk Foot Orthoses
Earthwalk Orthotics introduces Sandalwalk prescription foot orthoses designed to replace the removable footbed in Dr. Comfort’s Open Comfort Collection. The prescription orthoses are discreet, hidden in the cavity of the sole of the sandal. In addition to the Dr....
G&W Sprained Ankle Orthosis
The Sprained Ankle Orthosis (SAO) from G&W Heel Lift is designed to reduce the healing time of common ankle sprains and protect weak ankles from inversion sprains. The SAO is a firm heel cup with a 15° wedge shape, which extends forward for support and tilts the...
Easy Out Ribbon
Brand new from ComfortFit Orthotic Labs is the Easy Out pull-out ribbon. The ribbon—a loop attached to the underside of an insole but accessible when the device is positioned inside a shoe—allows patients to quickly and easily remove foot orthoses from their shoes....
OA Restore Knee Brace
The OA Restore knee brace from Ottobock utilizes a rigid frame and unique hinging to help stabilize the knee, relieve symptoms, and delay more aggressive treatment for patients with mild to moderate medial or lateral knee osteoarthritis, ligament or cartilage damage,...
Aline Systems RTS Insole
Aline Systems announces new RTS foot technology. RTS combines the patented technology from the company’s RT insole with a new memory foam and technical fabric top sheet. The Aline RTS includes a softer feel for improved comfort, grip control bars to stop the foot from...
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