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
Targeted Protection Against Friction and Shear Forces
Diabetic foot ulcers and other skin conditions such as blisters, calluses, and general skin irritation pose significant health challenges. These issues often stem from excessive friction and shear forces acting on vulnerable areas of the skin. Individuals who rely on specialized footwear, orthopedic braces and prosthetic devices are particularly susceptible to…
Sensory Input is Needed for Motor Output: The Type of Self-Work for the Best Foot Work Matters
I recently explored and explained the use of mobilization and tactile stimulation (MTS) in the previous article titled, “Sensory Input is Needed for Motor Output–The Foot of the Matter.” In this article, I focus on self-mobilization of the foot and ankle to promote self-efficacy for individuals with lower extremity (LE) sensory impairment resulting in…
By Dr. Jennifaye V. Brown
Pedorthic Toolbox
Consumers of high-end running/walk footwear products are coming to you not only to fit them with footwear, but also to solve problems and enhance their performance, prevent injuries and enhance wellness. Some retail shoe stores, and certainly online direct purchases, do not offer the expertise that is required to provide the solutions the consumer is seeking to justify…
By Teresa Alpert
A New Paradigm in the Doctor
The doctor-patient relationship is dead, at least in the format we were all taught in school and during training. Today, there’s a moment, when you walk into an exam room that just didn’t exist 20 years ago. It’s no longer just you and the patient. There’s a third presence sitting between you. It is the electronic health record (EHR), that often-maligned party…
By Mikel D. Daniels, DPM, MBA, President and Chief Medical Officer, WeTreatFeet Podiatry
Emerging Developments in AFOs: Making Carbon Composite AFOs Work in Podiatric Practice Part III
Advances in ankle-foot orthoses (AFOs) are revolutionizing how podiatrists, physical therapists and O&P clinicians support lower-limb mobility and rehabilitation. In this 3-part series, we explore the latest evidence, cutting-edge materials, and innovative design strategies that are shaping the future of AFOs. This short series offers a look at how today’s breakthroughs are improving function, comfort and compliancy in the lower extremity world.
By Keith Loria
lerEXPO Highlights: 1st Ray Shortening and Elevation Post-Lapidus, How to Address It – A Surgeon’s Guide
Surgery, especially in the world of foot and ankle reconstruction, is like solving a complex, 3-dimensional puzzle. Our goal is to take a structure that has adapted over a lifetime into a painful position and restore its original, functional architecture. One of the most powerful tools we have for this is the Lapidus procedure, which corrects a complex bunion deformity…
By Marie Keplinger, DPM, FACFAS
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ShortTakes From the Literature
Function and Injury Risk in Adolescent Female Volleyball Players with and without CAI
Chronic ankle instability (CAI), a prevalent injury among female volleyball...
Return to Play After Ankle Sprains and Achilles Tendon Ruptures in Tennis
Ankle sprains and acute Achilles tendon ruptures are common injuries among...
The Efficacy of HILT and Stretching Exercises for Plantar Fasciitis Treatment
Plantar fasciitis causes heel pain and functional limitations; conservative...
Device Variability in Plantar Pressure Thresholds and Diabetic Foot Care Decisions
Plantar pressure measurement is used to identify areas of high mechanical...
Comparison of Single Use and Negative Pressure Wound Therapy Devices in LEUs
Annually, 49 million people worldwide are impacted by lower extremity ulcers...
Myofascial Techniques ROM and Flat Foot Efficiency in Adults
Symptomatic flat foot is quite a common pathology in adults. Myofascial...
Botulinum Toxin Type A in the Management of Plantar Fasciitis
Plantar fasciitis is a prevalent cause of heel pain in adults, particularly...
Weightlifting-Associated Lower Extremity Injuries
Weightlifting continues to increase in popularity due to its numerous benefits...
A Foot Forward for Optimum Health
Sensory Input is Needed for Motor Output: The Type of Self-Work for the Best Foot Work Matters
I recently explored and explained the use of mobilization and tactile stimulation (MTS) in the previous article titled, “Sensory Input is Needed for Motor Output–The Foot of the Matter.” In this article, I focus on self-mobilization of the foot and ankle to promote self-efficacy for individuals with lower extremity (LE) sensory impairment resulting in…
By Dr. Jennifaye V. Brown
Industry News & Updates
Dual-Targeted Nanotherapy Accelerates Diabetic Wound Repair
Researchers from Huazhong University of Science and Technology report a novel...
Hanger Inc. Acquires LTI
In March, Hanger Inc. announced the acquisition of Liberating Technologies...
Trulife Receives 2025 Hanger Partner Award for Operational Performance
Trulife has been awarded the 2025 Hanger Partner Award for Operational...
Inform Diagnostics Completes Acquisition of Bako Diagnostics
Inform Diagnostics, a Fulgent Genetics company, announced that the acquisition...
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2024 AJRR Report On Hip and Knee Arthroplasty Released
The American Academy of Orthopaedic Surgeons (AAOS) Registry Program released the American Joint...
Prior Authorization Does Not Reduce THA Costs, Delays Patient Care
Prior authorization (PA) has been implemented by payors in an effort to reduce unnecessary...
Stop GLP-1 Agonists 14 Days Before TJA to Reduce Anesthesia Risks
Glucagon-like peptide-1 receptor agonists (GLP-1A) have advanced the treatment of type 2 diabetes...
THA/TKA Improves Spouses Quality of Life Too!
Hip and knee arthritis is debilitating for patients but the decreased activity level and...
Header Restriction Policy in Youth Soccer Shows Promising Impact on Concussion Rates
Soccer is one of the most popular youth sports in the United States and worldwide. Due to growing...
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
Powered-Ankle Lifestyle Product
The Dephy Sidekick is a new category of bionic footwear designed to help people move farther, longer, and with greater confidence in their everyday lives. Worn at the ankle and integrated into compatible footwear, the Sidekick provides a subtle, responsive boost with...
Foot and Ankle Fixation System Addresses Complex Small Bone Reconstruction
The Brachiator™ Mini-Rail External Fixation System is a platform designed for precise, multi-planar correction, rapid construct assembly, and workflow efficiency for the correction of bone deformities and stabilization of fractures of the foot and ankle. Engineered...
Strategic Protection from Shear Forces
Tamarack Protection Socks utilize GlideWearTM Technology to create a slippery, low-friction zone that protects at-risk areas of the feet from shear forces, which are a major factor responsible for soft tissue damage such as diabetic foot ulcers, calluses, blisters,...
Orthotic-Driven Plush, Suede Boot
The Revitalign® brand recently released the Aspen Fireside. This plush, cozy boot is designed with genuine, water-resistant suede and features an ultra-soft sherpa lining, ensuring that feet remain warm and dry. The style incorporates the Full Contact Comfort®...
3D-Printed Pediatric Supramalleolar Orthosis
Surestep has announced the launch of the SMO3D, a next generation supramalleolar orthosis (SMO) designed to support children with hypotonia and other mobility challenges. Building on Surestep’s clinically trusted, compression-based approach, the SMO3D reimagines this...
Running Sneakers Engineered for Shorter, Everyday Distances
ALLSWIFIT’s Active5K is a streamlined running shoe purpose-engineered for shorter, everyday distances. At the core is an advanced midsole system that delivers a measured balance of softness and responsiveness, producing a 67% high-rebound energy return that absorbs...
Compression Therapy System for PAD
The U.S. Food and Drug Administration 510(k)-cleared ARTAIRA® Arterial Compression Device is a non-invasive intermittent pneumatic compression device that increases blood flow and circulation to the lower limbs to treat patients with some symptoms of peripheral...
Fixation Device for ACL Reconstruction
The QuadLock™ is a new knotless, bidirectional tension-adjustable fixation system for anterior cruciate ligament (ACL) reconstruction. It is designed to securely fixate sutures and tapes, helping surgeons fine-tune graft tension and maintain stability across several...
Targeted Protection from Friction
ShearBan is a patented, low-friction, self-adhesive material that neutralizes friction and shear forces that contribute to the formation of diabetic foot ulcers, blisters, hot spots, and calluses. Conventional treatments commonly involve applying temporary solutions...
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