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
Enthesis: Unique Structure Makes Tendon-to-Bone Repairs Complicated
Formed during development, this efficient attachment system cannot be recreated during healing. Many common injuries, such as Achilles tendon and rotator cuff tears, require surgical procedures that reattach the affected tendon to the bone. Stavros Thomopoulos, PhD, director of Carroll Laboratories for Orthopedic Surgery at Columbia University in New York, compares it to trying to attach a rope to a piece of cement.
By Nicole Wetsman
At All Levels and Categories of Cycling: Correct Poor Crank-arm Fit to Relieve Chronic Knee (and Hip) Pain
Consider recommending installation of shorter crank arms on a bike when a cyclist complains of knee or hip pain. After years of bike-fitting, here’s why we’ve concluded that this modification is invaluable. One of the biggest problems in bicycling, I’ve found, is that pain is considered normal. I (RS) am a master bike fitter and an elite cycling coach.
By Rick Schultz, MBA, DBA, and Amy Schultz, PT, DPT, CSCS
A Common Class of Antibiotics Can Lead to Tendon Rupture
Despite Black Box warning for risk of tendinitis and tendon rupture, clinicians continue to prescribe fluoroquinolones. Half of the musculoskeletal injuries in the United States each year involve tendons and ligaments, and of the tendon injuries that can occur, those that strike the Achilles tendon are the most common. Higher rates of participation in…
By Nicole Wetsman
Patient Perspective – Beyond Bunions: Feeling Footloose and Fancy Free 6 Years After Surgery
I’ve never been one to gaze admiringly at my toes while lounging at the beach – or heaven forbid, take pictures of them with a tropical sea background to post on Instagram. I was cursed with ugly feet – wide and stubby (thanks Dad!) – and because of that, I’ve never bothered to try and adorn them with pedicures and polish.
By Karen Bakar
Inclusion In the Exam Room, In the Locker Room, On the Field
What does an athlete look like? There was a time when the answer to this question was largely homogenous, but today’s athletes have broken every mold and stereotype. They can be tall, short, lean, thick, strong, nimble, brawny, brainy, quick, or deliberate.
By Sarah Kogod
Bike Fitting Will Come Out From the Shadows and Into Rehab Armamentarium
Many readers may not have heard of it yet, but by the time LER turns 20, I predict it will be a common prescription…at least I hope it will be. I’m talking about bike fitting, of course. The number of individuals choosing cycling as transportation, hobby, sport, or community activity—whether it’s competitive or recreational—is increasing annually—up from around 43 million in 2014 to 47.5 million in 2017.
By Happy Freedman
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Lower Extremity Review
ShortTakes From the Literature
Sleep Deprivation & Performance
Source: Cullen T, Thomas G, Wadley AJ, Myers T. The effects of a single night...
Strength & Balance Training Improves Function in DPN, But Not HRQoL
The most common neuropathy associated with diabetes mellitus is distal...
Stair Gait in Younger and Older Adults
Older people have an increased risk of falling during locomotion, with falls...
Increased 1st-Trimester Exercise May Reduce Gestational Diabetes Risk
Pregnant women who exercise more during the first trimester of pregnancy may...
Orthotic Insoles Improve Gait and Pain in Lower Limb Discrepancy
Orthotic insoles significantly improved gait symmetry in the pelvis in the...
Prickly Pear Fruit Juice Improves Mobility
The Nopal or Prickly Pear Cactus is a staple across the southwestern United...
Snowblower Injuries From 2003 – 2018
Power snow blowers allow for easier, quicker snow removal at homes and...
Corrective Insoles Improve Leg Muscle Activation
Rice farming is conducted in slippery and viscous muddy soil, which leads to a...
A Foot Forward for Optimum Health
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Industry News & Updates
Thailand University Develops Dynamic Prosthetic Feet
A research team from the Faculty of Engineering, Chulalongkorn University,...
Researchers Work to Improve Accuracy of Markerless Gait Analysis
A team of researchers from the Faculty of Science and Technology, Tokyo...
Contactless Screening Tool for Chronic Wound Treatment
A thermal-imaging tool to screen for chronic wounds, such as venous leg ulcers...
Implantable Shock Absorber Relieves Knee Pain, Delays Knee Replacement
The results of a recent clinical trial showed that an implantable device can...
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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
OS1ST DEBUTS DYNAMIC TT3 TURF TOE/HALLUX LIMITUS SPLINT
OS1st has debuted the TT3 Splint, a partial foot sleeve that pairs medical-grade compression with a dynamic splint to target turf toe and hallux limitus, metatarsalgia/sesamoiditis, flexor tendonitis, bunion pain, and ligament sprains. The TT3’s strategic compression...
NEOFECT SMART BALANCE
The Neofect Smart Balance is a lower-limb rehabilitation device that uses games to encourage regular practice for patients recovering from stroke, traumatic brain injury, spinal cord injury, or other musculoskeletal disorders. The gamification makes rehabilitation...
DONJOY X-ROM POST-OP KNEE BRACE
The X-ROM Post-Op Knee Brace is designed to help patients recover from anterior cruciate ligament repair and other knee surgeries. It features DonJoy’s most advanced range of motion protection and an improved user-friendly design. Post-op application and adjustment is...
WINTER BOOTIES FOR NEWBORNS AND NEW WALKERS
Stonz fleece-lined winter booties are perfect for babies and early walkers (0–2.5 years) who need soft non-slip shoes for all weather conditions and wide toe boxes for working on balance. The 600D coated nylon construction ensures no cold gets in, and bootie liners...
ÖSSUR INTRODUCES BALANCE FOOT PROSTHESES
Össur has introduced 2 prosthetic feet for less-active people with lower limb loss. Balance Foot S is a lightweight, waterproof, comfortable fiberglass prosthetic foot featuring a wide sole blade, innovative high-performance foam base that spans the length of the...
PRO-POINT MYOFASCIAL RELEASE TOOL
OPTP has unveiled its exclusive new Pro-Point Myofascial Release Tool. This portable self-massage tool measures 3" in diameter and 2-1/8" high. It is described as ideal for applying targeted, sustained pressure to help relieve tension and release trigger points...
ZENTOES ANKLE COMPRESSION SOCK SLEEVES FOR SUPPORTING ACHING ANKLES
ZenToes’ Ankle Compression Sock Sleeves are designed to support the arch, heel, joint, and top of the foot to provide pain-relieving pressure that improves circulation and blood flow. These compression ankle sock sleeves can be worn to help relieve inflammation caused...
CLIPPERPRO OMEGA SELECT TOENAIL CLIPPER
The Clipperpro Omega Select Toenail Clipper was designed by a team of 3 orthopedic surgeons to improve and modernize the basic nail clipper and to help provide a solution for people who suffer with arthritis in the hand. By combining their decades of experience using...
Tuli’s Plantar Fasciitis Insoles
Medi-Dyne has added Plantar Fasciitis Insoles to its Tuli’s brand product line. According to the company, these high-quality, yet affordable full-length replacement insoles were created for people who suffer from plantar fasciitis. Made from EVA material, Tuli’s...
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