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
Patient Guidance: Bunion Surgery Options
The bunion deformity, technically termed hallux abductovalgus or HAV, is a 3-plane positional deformity of the great toe and first metatarsal and can ultimately lead to pain with shoe wearing and walking. Conservative treatment is always favored first; however, the only way to truly eliminate the deformity itself is by surgical correction.
By Paul J. Betschart, DPM
Biomechanics Basics: The Challenges of Shifting Plantar Pressure
Center of pressure is a critical biomechanical measure of human postural control and gait, particularly in chronic ankle instability. Evidence from biofeedback studies reveals COP may be modified to improve gait and functional movement.
By Danielle Torp, MS, ATC; Luke Donovan, PhD, ATC; Abbey Thomas, PhD, ATC
Falls in People with Multiple Sclerosis, Part I: Risk Identification, Intervention, and Future Directions
Falls are highly prevalent in people with multiple sclerosis (MS) and result in a range of negative consequences, such as injury, activity curtailment, reduced quality of life, and increased need for care and time off work.
By Susan Coote, PhD; Laura Comber, PhD; Gillian Quinn, PhD; Carme Santoyo-Medina, MSc; Alon Kalron, PhD, PT; Hilary Gunn, PhD
Wound Care Update: Surgical Site Dehiscence in the Foot: Risk Factors and Prevention
Surgical site dehiscence is one of the most commonly reported complications seen post-operatively. Surgical wound dehiscence (SWD) is defined as the separation of the margins of a closed surgical incision that has been made in skin, with or without exposure or protrusion of underlying tissue, organs, or implants.
By Windy Cole, DPM, CWSP
Expert Opinion: Principles of Best Diagnostic Practice in Tissue Repair and Wound Healing: An Expert Consensus
Background: Chronic wound treatment currently relies heavily on visual assessment by clinicians; however, the clinical signs and symptoms of infection and…
By David G. Armstrong, DPM, MD, PhD; Karen Bauer, DNP, APRN-CNP, CWS; Greg Bohn, MD; Marissa Carter, MA, PhD; Robert Snyder, DPM, MBA, MSc, CWSP; and Thomas E. Serena, MD, FACS, FACHM, MAPWCA
Achilles Tendon Stiffness in Gout
Inflammation associated with gout may change tissue elasticity. Ultrasound imaging using shear wave elastography (SWE) offers a non-invasive method of quantifying changes in tendon stiffness. These authors sought to determine differences in Achilles tendon stiffness in people with gout compared to controls (non-gout) using SWE.
By Simon Otter, Catherine Payne, Anna-Marie Jones, Nick Webborn, and Peter Watt
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Lower Extremity Review
ShortTakes From the Literature
EPSTEIN-BARR VIRUS MAY CAUSE MULTIPLE SCLEROSIS
Multiple sclerosis (MS) is an autoimmune disease that affects the central...
IMMEDIATE EFFECTS OF FOOT ORTHOSIS GEOMETRY
Foot orthoses (FOs) are used to treat clinical conditions by altering the...
AOPA 2022 CALL FOR PRESENTATIONS
The 105th American Orthotic & Prosthetic Association National Assembly is...
LER BOARD MEMBER HITS PUBLISHING MILESTONE
David G. Armstrong, DPM, MD, PhD, professor of surgery and director of the...
ALTERED GAIT INITIATION FOUND IN EARLY MS
In a study of patients with early-stage multiple sclerosis (MS), French...
USE OF VISCOSUPPLEMENTATION WITH HYALURONIC ACID IN OA
Osteoarthritis (OA) is a significant cause of disability. Considering the...
OBESITY-RELATED BURDEN OF OSTEOARTHRITIS OF KNEE AND HIP
Osteoarthritis (OA) is a leading cause of disability and a source of societal...
EXERCISE BEATS ESTRADIOL AT PREVENTING TYPE 2 DIABETES IN RATS
Researchers from Augustana University in South Dakota sought to understand the...
A Foot Forward for Optimum Health
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Industry News & Updates
NIH Grant to be Used to Develop Advanced Treatment for DFUs
A team of researchers from the Terasaki Institute for Biomedical Innovation...
WillowWood Unveils New Brand Identity
WillowWood® launched a new brand identity to mark its expansion into multiple...
Organ-on-a-Chip Could Accelerate Development of Arthritis Treatments
Researchers at Queen Mary University of London have developed a new...
Software Designs Personalized Treatments for Movement Impairments
A team of Rice University engineers has launched a first-of-its-kind,...
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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
CEP Compression Hiking Merino and Light Merino Socks
CEP Compression’s new outdoor collection includes the Hiking Merino and Light Merino socks designed to enhance the experience for hikers, campers, and outdoor enthusiasts of all skill levels. Tested by hikers around the world, these socks are engineered to provide...
Smart Crutch Tips
ComeBack Mobility’s Smart Crutch Tips and the corresponding physician and patient apps are a dynamic tool to instruct correct weight bearing on a limb after an injury or surgery; simply attach the devices to any round crutches. Built-in force sensors record the peak...
Friendly Excursion Shoes
Friendly Shoes look and feel like modern comfort sneakers but patented Easy Shoe Access zippers make them a functional solution for individuals struggling with shoe donning or fitting AFOs/SMOs. Invented by an occupational therapist, users simply fold open, enter, and...
Game Ready’s Full Leg Boot Wrap
Game Ready’s Full Leg Boot is a wrap that provides compression, cold, and heat therapies in order to help speed recovery. The wrap allows for active pneumatic compression with deeper penetrating cold, plus controllable heat or rapid contrast treatment options for...
Cheetah Xceed
The new Cheetah® Xceed was designed to enhance running symmetry over earlier models, making it an ideal foot for unilateral and bilateral amputee athletes who are participating in professional sports or recreational activities such as long-distance running. It is...
CARESOLE CIRCA KNEE SLEEVES
Caresole’s Circa Knee Compression Sleeve is professionally crafted and designed to relieve knee pain and prevent knee injuries. Made from a soft neoprene material, the sleeve keeps knees warm, helping to lubricate joints and prevent injuries. The contoured fit allows...
CITRESPLINE AND CITRELOCK LIGAMENT RECONSTRUCTION DEVICES
The CITRESPLINE™ and CITRELOCK™ Ligament Reconstruction Devices from Acuitive Technologies are intended to firmly engage tendons and ligaments within a bone tunnel while preserving the integrity of the soft tissue during insertion of the device. These products are...
Roam Robotics’ Ascend Smart Knee
The Ascend smart knee orthosis is designed to help relieve knee pain and support functional improvements, dramatically improving mobility for patients. State-of-the-art embedded sensor technology intuitively senses and supports everyday movements, such as ascending...
THE MOTUS FOOT BY MOTUS NOVA
Motus Nova is a leader in neurorehabilitation technology with a mission to deliver high-quality interventions in every home. Foot drop and other lower extremity deficits contribute significantly to impaired functionality and safety of survivors of neurologic injuries...






















