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
Strengthening Program to Treat Plantar Heel Pain
Addressing associated reduced muscle function and strength may improve treatment outcomes for plantar heel pain. People with plantar heel pain (PHP) have reduced foot and ankle muscle function, strength, and size, which is frequently treated by muscle strengthening exercises.
By John W. A. Osborne, PhDc; Hylton B. Menz, PhD, DSc, BPod(Hons); Glen A. Whittaker, PhD, BPod(Hons); and Karl B. Landorf, PhD
Severe Work-Related Lower Extremity Injuries Reported to the Occupational Safety and Health Administration
Background: Between two and three million work-related injuries occur in the United States (US) each year. A portion of these injuries involve the lower extremity. The US Department of Labor Occupational Safety and Health Administration (OSHA) collects information on work-related injuries and provides the information in several data sources.
By Mathias B. Forrester, BS
lerEXPO Conversation: Use Material Science to Optimize Clinical Device Performance and Reimbursement
Falls and falls-related injuries are a problem in individuals with chronic ankle symptoms. At last year’s Academy meeting, there was a great paper that talked about how they’re now developing outcome measures for lower limb orthotics, something we’ve had for a while in prosthetics. The author looked at his data and also data from the…
By Gary Bedard, CO, FAAOP(D)
Falls Prevention Interventions for People with Multiple Sclerosis, Parkinson’s Disease, and Stroke
Research has shown that more than half of people with multiple sclerosis and Parkinson’s disease will fall within a 3- or 6-month period, respectively, while nearly 75% of stroke survivors fall within a year of the stroke occurring. Clinical trials evaluating the effectiveness of falls prevention interventions for…
By Nicola O’Malley, Susan Coote, Fiona McCullough Staunton, Eileen O’Connor, and Amanda M. Clifford
Surgical Treatment of Ingrown Toenails Part II: Post-operative Data
Ingrown toenails (onychocryptoses) are one of the most common nail pathologies, yet there is a lack of data to assess the evidence surrounding the nail surgery procedures from which clinicians must choose.
By Victoria Exley, BSc (Hons ) Pod, MSc; Katherine Jones, PhD; Grace O’Carroll, PhD; Judith Watson, PhD; and Michael Backhouse, PhD
Falls and Related Injuries Due to Chronic Ankle Symptoms
Falls are a significant health concern especially among older adults. While falls are associated with osteoarthritis (OA) and persistent pain at the hip and knee, falls have not been investigated in people with chronic ankle symptoms. According to qualitative research on individuals with…
By Munira M. Al Mahrouqi, PT, PhD; Bill Vicenzino, PT, PhD; David A. MacDonald, PT, PhD; and Michelle D. Smith, PT, PhD
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ShortTakes From the Literature
Socioeconomic Status Affects VLU Outcomes
A recent study in the Journal of Wound Care reported on the impact of...
Flip-flops With Custom Insoles Do Not Relieve Pain
A recent study from Brazil evaluated the use of custom-made insoles adapted to...
Talar Neck Non-Unions: Clinical and Radiological Outcomes of 8 Cases
Significant hindfoot deformity and morbidity can result from talar neck...
Ankle Motion During Landing May Impact Knee Injury Risks
A team of researchers from China, Singapore, and New Zealand built a computer...
Texting While Walking Puts Pedestrians in Danger: UBC study
New University of British Columbia research analyzing actual pedestrian...
6-Year Follow-up of Aging Marathon Runner
Source: Romberger NT, Stock JM, McMillan RK, et al. Six-year follow-up of a...
Flat foot Update #1: Strengthening Hip Abduction in Women
Recent research has found that strengthening hip joint stability can...
Flat foot Update #2: Focus on Intrinsic Foot Muscles First in Boys
A small study of 25 boys (age 10-12y) with flexible flat foot (FF) sought to...
A Foot Forward for Optimum Health
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Industry News & Updates
Thai “Exoskeleton Wheelchair” Helps People with Disabilities Sit, Stand, Walk
Associate Professor Ronnapee Chaichaowarat, PhD, faculty of engineering,...
Sensory Neuroprosthesis Aids Stumble Recovery
A sensory neuroprosthesis (SNP) developed by researchers at Case Western...
Smart Sensor Takes the Pain Out of Wound Monitoring
Researchers from Pennsylvania State University (Penn State) and China’s Hebei...
Trial to Determine Most Effective Treatment for Hip Fracture in Older Adults
A new $10.8 million multicenter clinical trial co-led by Gerard Slobogean, MD,...
Exploring 3D printing in Prosthetics
3D-printed Sockets Safe? By Keith Loria There are approximately 2 million people living with an...
Low Cost Insulin Spray Improves Healing of Diabetic Foot Ulcers
By Nicole Wetsman Spraying insulin into an open wound improves the healing of diabetic foot ulcers...
Foot Type Determines Effect of Orthotics on Muscle Activity
By Nicole Wetsman Adding a lateral bar beneath foot orthoses does not significantly alter activity...
Treating Vascular Malformations Without Surgery
By Nicole Wetsman Arteriovenous malformation can be managed non-surgically according to a poster3...
Office-based Toe Amputations Are Safe and Efficient
By Nicole Wetsman As patients seek more affordable care options, moving surgical procedures from...
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
Folding Travel Poles
The Motivator Folding Travel Pole combines the innovative, patented ergonomic Motivator grip with the York Nordic’s renowned travel poles to ensure the ability to continue rehabilitation and walking routines while traveling or on the move. The Motivator Folding Travel...
HCPCS Quick Coder
The 2024 American Orthotic and Prosthetic Association (AOPA) Quick Coder is now available. This redesigned, speedy reference to the Healthcare Common Procedure Coding System (HCPCS) codes for all orthotic, shoe, and prosthetic codes and modifiers also provides...
Staples for Midfoot and First MTP Joint Fusions
Designed to give foot and ankle surgeons ease of use and procedural efficiency, the procedure-specific DynaClip Delta™ and DynaClip Quattro™ bone staples—both with a 4-leg configuration—are pre-loaded on disposable inserters that facilitate quick deployment and...
Atlas of Amputations and Limb Deficiencies
Atlas of Amputations and Limb Deficiencies: Surgical, Prosthetic, and Rehabilitation Principles, Fifth Edition, remains the definitive reference on the surgical and prosthetic management of acquired and congenital limb loss. Developed in partnership with the American...
Protective Athletic Socks
MediCaptain is an innovative sports protection brand that has released multiple sports socks with unique metatarsal padding. This padding offers a pragmatic solution for athletes seeking enhanced foot support. These socks deliver special protection to the metatarsal...
New, Improved Knee Brace for Chronic Pain Relief
Bauerfeind’s new and improved GenuTrain A3 knee brace is designed for people living an active lifestyle who need support for chronic, mild to moderate knee osteoarthritis pain. The newly designed star-shaped patella pad with extra effective zones provides even better...
Rehabilitation System for Adults with Chronic Stroke Walking Impairments
MedRhythms’ InTandem (MR-001) is available by prescription for at-home use to improve walking and ambulation in adults living with chronic stroke walking impairments. This is an evidence-based neurorehabilitation system based on the principles of rhythmic auditory...
Scale that Detects Early Diabetes Complications
Body Pro 2 is a revolutionary device that redefines the nature and use of cellular-connected smart scales. It combines habit-forming user features with a pioneering modular approach to manage chronic conditions within one versatile device. Its core capabilities allow...
Infrared Recovery Compression Socks
Comrad Socks recently unveiled its latest innovation, the Infrared Recovery Compression Socks. The infrared-infused fabric absorbs natural heat and reflects infrared energy back into the body, easing muscle fatigue and reducing swelling. This advanced feature not only...


























