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
A Role for Arthroscopy in Managing Ankle Trauma?
Consider the benefit of arthroscopy for addressing intraarticular pathology at the time initial surgical repair of high-grade ankle fracture is performed. Ankle fractures are a common orthopedic injury. Although surgical repair often yields good results, many cases are nonetheless associated with poor clinical outcome after repair.
By Kevin Burke, DPM and Jonathan Hook, DPM
EXCERPT: Muscle Cramping During Exercise: Causes, Solutions, and Questions Remaining, Part 1
These authors tap unusual but useful historic data sets to enlighten the search for the mechanisms that cause exercise-associated muscle cramps. Few athletes escape the painful experience of muscle cramps. Cramps that occur during or soon after a bout of physical activity have been termed exercise-associated muscle cramps (EAMC), and these are commonly experienced as a “painful, spasmodic contraction of the…
By Ronald J. Maughan and Susan M. Shirreffs
Plantar fasciitis: A New Approach to An Old Problem
Introducing the kineticokinematic approach to treating plantar fasciitis. This approach focuses not only on the position of the foot but also on the forces that may be contributing to this highly prevalent foot condition. Heel pain is one of the most common complaints treated by lower extremity specialists, affecting an estimated 10% of the population.
By Pedro Aldape-Esquivel, DPM and Jarrod Shapiro, DPM, FACPM, FACFAS
Medial Tibial Stress Syndrome Remains a Challenge for Clinicians, Painful for Patients
While most agree it is an overuse injury, treating MTSS (aka shin splints) should involve rest, proper diet, and sometimes avoiding NSAIDS. It’s been decades since I had a case of shin splints, but I remember vividly how painful it was. I was 20 years old and overtraining—especially given the sorry state of my running shoes—and I felt as if I had a burning coal lodged along the medial side of my left shank. Every step hurt.
By Cary Groner
IS CHANGE ON THE HORIZON? Congress Proposes Reforms to the Stark Law
Podiatrists are among the providers targeted by efforts to revise regulation of referral for Medicare services. The goal? Modernize governance of a changing healthcare industry. The federal Physician Self-Referral Law (known commonly as the “Stark Law” or, simply, “Stark”) and its regulations generally prohibit physician referrals of Medicare patients for certain designated healthcare services when the physician has a…
By Daniel F. Shay, Esq.
Understanding the ‘odd gait’ of autism
Children with autism spectrum disorder are often described as “uncoordinated” or “clumsy” and many have clear motor control impairments. Early intervention to address motor deficits may improve physical skills and the difficulties with social functioning that are the hallmark of the disorder. Research among children with autism spectrum disorder (ASD) has traditionally focused on impairments in social skills, the condition’s core deficit.
By Keith Loria
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ShortTakes From the Literature
Can Beer Detract From Benefits of HIIT?
With high intensity interval training (HIIT) continuing to gain momentum...
Fear of Falling Prevalence Among Seniors Varies Widely
In a retrospective, cross-sectional study, researchers from the Division of...
Toe-Out Gait Decreases Medial Knee Load
Both toe-out (TO) and toe-in (TI) gaits decrease knee load during walking and...
Strength & Balance Exercises Improve Function in DPN
Diabetic peripheral neuropathy (DPN) contributes to reduced functional status,...
Hearing Loss = ↓Balance, ↓Walking, ↓Endurance
Hearing impairment affects nearly 2/3 of adults over age 70 and is a known...
Falls in Older Adults: Where, When
Researchers from China did a cross-sectional study of older adults with...
Vegans Face Greatest Fracture Risk
Data from the prospective EPIC-Oxford Study show that non-meat eaters,...
Ankle Leads “Problem” List for Female College Athletes
In a study out of Japan, 54 female college basketball athletes filled out the...
A Foot Forward for Optimum Health
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Industry News & Updates
Hanger Announces New CEO
Hanger, Inc., announced that Pete Stoy, formerly the company’s president and...
Bioprinted Scaffold Could Improve Healing of DFUs
Researchers at Queen’s University Belfast have designed a new bandage...
UWF Master of Science in Athletic Training Program Achieves Accreditation
The University of West Florida’s Master of Science in Athletic Training...
Smart Insole to ID, Mitigate Workplace Slips, Trips, Falls
Professor Lim Chwee Teck, PhDm from the National University of Singapore’s...
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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
Podimetrics SmartMat
Podimetrics is a virtual care management company dedicated to preventing diabetic amputations, one of the most debilitating and costly complications of diabetes. The company combines its FDA-cleared SmartMat with wraparound care management to spot early signs of...
Skineez Hydrating Compression Socks
Skineez Skin-Reparative Hydrating Compression Socks are the only gradient 10–20 mmHg mild-moderate compression, hydrating socks on the market. They are infused with 5 key healthy ingredients that hydrate and repair the skin. In clinical trials 80% saw softer, firmer...
Motus Smart Diabetic Foot Stabilization and Offloading System
According to the 2019 International Working Group on the Diabetic Foot (IWGDF) guidelines, the preferred treatment for neuropathic foot ulcers is a non-removable knee-high offloading device, either a total contact cast (TCC) or a removable walker rendered (by the...
Cord-Free, Bluetooth-Enabled In-Shoe Pressure Mapping System
Tekscan has introduced the F-Scan64, an easy-to-use wireless in-shoe pressure mapping system with a quick setup configuration that is designed for clinicians and clinical researchers seeking a simple and fast in-shoe gait analysis solution. Featuring quick-connect,...
Adapttech Introduces the INSIGHT System
INSIGHT from Adapttech is now available in North America through Cascade Orthopedic Supply. The system is designed to improve the socket fitting process involved with lower-limb prostheses. INSIGHT combines a 3D scanner, sensors, wearable technology, and a mobile app...
Warm Series Insoles: Never Get Cold Feet Again
Warm Series insoles from Digitsole are the first connected heated insoles designed to keep feet warm. The dedicated application, available on iOS and Android, allows users to connect their insoles to their smartphones via Bluetooth and regulate the temperature inside...
A CUSTOM AFO MADE TO FIT YOUR PATIENT’S NEEDS
Lightweight, durable, and stable, the Ottobock custom carbon ankle foot orthosis (CCAFO) provides dynamic support during even the most demanding activities. The CCAFO is fully customized to your patient’s height, weight, and activity level, with a molded-to-you inner...
ACTIVATOR MOBILITY AND REHABILITATION POLES
Urban Poling’s evidence-based ACTIVATOR poles were designed by an occupational therapist and gerontologist specifically for rehabilitation and long-term conditions. This patented design enhances strengthening, stability, and off-loading with your clients’ safety in...
STROLLN THERAPEUTIC SHOE BY COYOTE
Strolln by Coyote is a therapeutic mobility shoe that was designed with patented retractable rollers to provide easier toe clearance for patients with foot drop. It is priced appropriately for patients to start using it immediately in therapy. The shoe helps patients...
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