LER Cover Story:
lerEXPO Highlights: Fibular Nails–Fad or New Standard?
This article synthesizes the key findings, surgical techniques, and clinical insights from a lerEXPO’s 2025 Gait Keepers Journal Club regarding the use of intramedullary fibular nails for distal fibula fractures. The primary focus is on a retrospective multi-center study published in the Journal of Foot & Ankle Surgery (JFAS) in 2023, which represents the largest cohort of its kind to date.
By Brian Burgess, DPM with Brad Abicht, DPM, FACFAS and Jeff Dikis, DPM
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Feature Articles
Exercise Program Improves Gait Speed in People with DPN
Diabetic peripheral neuropathy (DPN) is associated with decreased muscle strength and physical activity level, as measured by steps per day and reduced gait speed. Studies suggest that motor and sensory deficits and reduced foot-ankle range of motion…
By Renan L. Monteiro, Jane S. S. P. Ferreira, Érica Q. Silva, Ronaldo H. Cruvinel-Júnior, Jady L. Veríssimo, Sicco A. Bus, and Isabel C. N. Sacco
Best Practice Guide Encourages Stretching Moves for Plantar Fasciitis
Plantar heel pain (PHP) is common and can have a negative impact on physical and mental health. Despite this prevalence, existing guidelines lack clear, high-quality recommendations for treating people with this condition.
By Dylan Morrissey, Matthew Cotchett, Ahmed Said J’Bari, Trevor Prior, Ian B Griffiths, Michael Skovdal Rathleff, Halime Gulle, Bill Vicenzino, Christian J Barton
Returning to Exercise After COVID-19: Guidance for Mid-2022
As the world moves into yet another phase of the COVID-19 pandemic, Australian sports experts in public health, cardiology, sports medicine, pediatrics, and sports training issued revised guidance for returning to sport after infection. They noted that the 2022 Omicron variant of SARs-CoV-2 (the virus that causes COVID-19) continues to evolve in clever ways, making evidence-based guidance difficult.
lerEXPO Conversations: Experts Offer Advice on Knee Osteoarthritis
Osteoarthritis (OA) of the knee is a progressive disease caused by a breakdown of joint cartilage and ultimately, the underlying bone. The cartilage of a joint can become thin, cracked, and frayed, allowing the bones of the knee to rub together, which can lead to pain, inflammation, and stiffness.
By Keith Loria and Janice T. Radak
Guideline Update: AAN Updates Guideline for Oral/Topical Treatment of Painful Diabetic Neuropathy
The American Academy of Neurology (AAN) has updated its guideline on oral and topical treatments for painful diabetic neuropathy (PDN). The revised guideline, which was published in the journal Neurology and updates the 2011 AAN guideline, has been endorsed by the American Association of Neuromuscular & Electrodiagnostic Medicine.
lerEXPO.com Conversations: Orthotic Treatments Then and Now
The development of foot orthotics—both their prescription designs and their manufacturing processes—is continuously evolving as new materials and new manufacturing technologies arise to meet the changing demands of today’s medical and sport performance needs.
By Keith Loria
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Lower Extremity Review
ShortTakes From the Literature
Prediabetes Patients Prefer Lifestyle Interventions
In the age of personalized medicine, clinicians are trying to better...
Caprini Risk Score & Varicose Vein Ablation
The incidence of venous thromboembolism after ablation of superficial varicose...
Study to Reduce Incidence of Knee OA Recruitment To Start 2/2024
Osteoarthritis (OA), the leading cause of disability among adults, has no cure...
Yet Another Reason NOT To Be Sedentary
Based on data from nearly 50,000 adults in the United Kingdom, researchers...
Hip Therapy Tempers Low Back Pain, Aids Gait Speed
Hip-focused physical therapy for older adults with chronic low back pain, hip...
Retrospective Review Shows Early Fixation of Talus Fractures Is Safe
Talus fractures are often the result of high-energy mechanisms and can lead to...
Effect of Early Partial Weight Bearing on Sanders IV Calcaneal Fractures
This research explored and analyzed the effects of early partial...
Even Household Chores Help Achieve Physical Activity Targets
Studies show that fewer than 1 in 5 middle-age adults engage in regular...
A Foot Forward for Optimum Health
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Industry News & Updates
Bone Health Technologies Granted 5th Patent for Low Bone Density Treatment
Medtech innovator Bone Health Technologies (BHT), Redwood City, CA, recently...
Universal Controller Could Push Robotic Prostheses, Exoskeletons into Real-World Use
Researchers are working on real-life robotic assistance that could protect...
Researchers Find Better Way to Detect When Older Adults Fall at Home
New research from Binghamton University, State University of New York, aims to...
Research Team Develops New Technology for Robotic Prosthetic Leg Control
A research team led by Professor Sang-hoon Lee at the Department of Robotics...
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The future of orthotic technology
Machining orthoses with desktop cryogenics, or using an open-source “3D printer” that not only...
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
Massage Roller
Compex’ deep tissue Ion™ massage roller targets sore and achy muscles and is easy to travel with and transport from home to the gym. It is designed for consumers who need help loosening their myofascial tissue, which in turn increases blood flow, reduces next day...
MIS Precision Chevron Bunion System
RELJA Innovations’ patent-pending MIS Precision Chevron Bunion System preserves the benefits of the proven chevron osteotomy for bunion correction, while allowing the procedure to be completed precisely and with a minimally invasive technique. It consists of a single...
ReAbility WorkStation
The ReAbility WorkStation™ (RWS) can significantly help physical therapy clinics or health clubs add a new revenue source while improving the health and fitness outcomes of people with moderate to severe physical disabilities. The RWS functional design requires only...
Tech-Infused Athleisure Socks
Hurdle, an innovative footwear brand, announced the launch of its tech-infused, athleisure sock line, MicroGravity Matrix. These socks, which are precision engineered and patented, offer a soft, multi-dimensional support network that offloads weight away from...
Revitalign New Men’s Footwear Line
Waco Shoe Company has announced the inaugural products of the men’s Revitalign® footwear line: the Brewster™, Dundee™, and Siesta™ casual styles. The company designs, develops, and sells Revitalign® lifestyle footwear for all-day comfort built around its innovative,...
Z-Liner Insoles
Z-Liner insoles adapt and form to the shape and pressure points of the wearer’s feet after only 1 week of wear, whether they are flat footed, high arched, or anything in between. They’re also machine washable and anti-bacterial, allowing the wearer to keep their feet...
Amparo Confidence Socket
The Amparo Confidence Socket enables a transformation in how prosthetic sockets are fabricated. By utilizing a never-before-used material, fabricating this lower limb socket is efficient and simple for an experienced prosthetist. Incorporating an innovative...
Thermal Neuromodulation Pain Management
The Soovu™ wearable thermal neuromodulation device was designed to relieve moderate to severe chronic, musculoskeletal, and menstrual pain. Patented HeatWave™ technology delivers pulsed heat at high temperatures to the skin safely and comfortably for effective,...
Auto-Shiatsu Fitness Roller
The Serenity Roller offers self-rolling, auto-shiatsu massage to help with muscle warm-up, recovery, and relaxation. It is designed to ease sore, tender, and aching muscles and joints; to accelerate muscle recovery; and to provide relaxation and self-myofascial...
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