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
Embrace Mobile Technology to Meet Challenges of a Growing Older Population
Modern day times not only see us living longer, but enjoying a wide array of advances in lifestyle, medicine, health, and social care, as well as the fast-paced changes in technology. Currently, 13% of the global population is over age 60, a figure which is increasing by 3% each year.1
By Sarah A. Curran, PhD
Harnessing Emerging Technologies to Standardize Prosthetic and Orthotic Clinical Care Into the Future
Prosthetic and orthotic clinical care involves using custom-made devices to assist in the rehabilitation of people with physical impairments and disabilities. As such, it has long relied on the craftsmanship of prosthetists and orthotists. Although the results of such craftsmanship can be of tremendous benefit to the patient…
By Stefania Fatone, PhD, Ryan Caldwell, CP, FAAOP, and Julia Quinlan, PhD
BRIEF NATURAL HISTORY: The Essential Human Pedal Arch
The foot ranks high among the most ill-constructed elements of the modern human musculoskeletal system—an observation that necessarily begs the question: Why is this so? Upright, bipedal gait is the defining characteristic of our lineage; humans and our immediate ancestors have been practicing it for at least 5 million years. Why hasn’t evolution perfected this hallmark adaptation?
By Bruce Latimer, PhD
Is Medical Cannabis an Appropriate Treatment for Joint Pain?
While many states have rushed to legalize cannabis, evidence for its medicinal use remains ‘paltry.’ However, physicians must be willing to talk with patients who want to use it. With medical and recreational cannabis legal across most of the United States and Canada, patients are turning to the drug as an alternative treatment for a wide range of ailments, including arthritis and other types of joint pain.
By Nicole Wetsman
EXCERPT: Do alterations in muscle strength, flexibility, range of motion, and alignment predict lower extremity injury in runners: a systematic review
Strategies for preventing running-related injury are lacking. These authors examine the evidence supporting use of musculoskeletal clinical assessments to predict runners at risk. Injury in runners is common, affecting 19.4 to 94.4% of runners annually.
By Shefali M. Christopher, Jeremy McCullough, Suzanne J. Snodgrass, and Chad Cook
Therapeutic Shoes Work for People with Diabetes. Why Doesn’t Every Patient Use Them?
Patients are unaware or reluctant, and some providers hesitate to engage in what can be a burdensome prescribing and procuring process—helping explain why uptake of this valuable preventative is disappointing. As allied healthcare professionals, we are, of course, acutely aware of the ever-growing diabetes epidemic in the United States.
By Erick Janisse, CO, CPED
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Lower Extremity Review
ShortTakes From the Literature
Skateboarding Survey: 70% Suffer Lower Extremity Injuries
In a web-based survey of 197 Spanish skateboarders (mean age 24.4 years; 89.3%...
Cooling Insoles Offer New Approach to Diabetic Foot Ulcer Prevention
Adults who suffer from pain due to diabetic peripheral neuropathy of the feet...
Orphengesic Forte, New Opioid-free Pain Med, Approved for Musculoskeletal Pain
Galt Pharmaceuticals, Atlanta, GA, announced that the US Food & Drug...
Abbott’s Personalized Chronic Pain Therapy App Approved by FDA
Abbott, Abbott Park, IL, has received approval to use its iOS-compatible St....
Cooling Insoles Offer New Approach to Diabetic Foot Ulcer Prevention
A new cooling insole developed by UT Southwestern scientists reduced the foot...
Sjogren’s Musculoskeletal Pain Not Related to Enthesitis
An assessment of entheses involvement using ultrasonography has found that...
Starting with gait retraining: an analysis of changes in impact over time
By the Biomechanics of Human Movement research group of Ghent University The...
Fragility Fractures, Bone Health Management, and Caregiving
By Joanna Sale, PhD Patients who have fragility fractures may experience a...
A Foot Forward for Optimum Health
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Industry News & Updates
Using Fungus to Measure Gait
Biomaterials, such as mycelium bound composites, present a promising...
Illinois Tech Professor Funded to Develop Treatment for DFUs
Illinois Institute of Technology (Illinois Tech) professor of biomedical...
Finding, Keeping the Perfect Fit for a Prosthetic Leg
University of Washington (UW) Professor Joan Sanders, PhD, and her team are...
Researcher Awarded $1.2M for Studies on DFUs and Fall Prevention
The National Institute of Diabetes and Digestive and Kidney Diseases awarded...
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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
ULTRASOUND FOR DIAGNOSTIC AND INTERVENTIONAL PRECISION
Konica Minolta ultrasound systems provide the power, clarity, functionality, and ease-of-use to support ultrasound-guided procedures. According to the company, the SONIMAGE HS1 Compact Ultrasound System and the SONIMAGE MX1 Portable Ultrasound System are designed with...
PHYSICAL THERAPY MEASUREMENT APP
Mobile Measures is a mobile app that offers physical therapists and other providers access to outcome performance measures that assess fall risk, risk of hospitalization, frailty, and more. The app guides users to the best test for more than 40 different patient...
Amphibious Prosthetic Limb
In an effort to restore aquatic mobility and independence to lower limb amputees, a team of researchers and doctors at the Feinstein Institutes for Medical Research at Northwell Health, Manhasset, NY, developed a state-of-the-art, 3D-printed amphibious prosthetic limb...
IntelliSense Temperature-Regulating Custom Orthotics
Foot Levelers has introduced IntelliSense custom orthotics. These smart insoles add comfort while the phase-change top cover helps keep feet regulated in a temperature-controlled comfort zone through the changing seasons. This means feet are kept warm in the winter...
New C-TEK MODStiff Material for Orthoses
When fabricating orthoses, many clinicians and technicians have sought a material with a flexural modulus (stiffness) between modified polyethylene (MPE) and copolymer polypropylene (copoly), with a 52 kpsi stiffness and 200 kpsi stiffness, respectively. In response,...
NeoRelief for Muscle Cramping and Restlessness
NeoRelief for Muscle Cramping and Restlessness is a 97%-natural pain relief gel that is formulated to relieve muscle spasms, cramping, tingling, and symptoms associated with restlessness. This patent-pending blend of botanicals and minerals is clear, non-staining, and...
FitTrack Dara Smart Scale
The FitTrack Dara Smart Scale offers insight into the user’s day-to-day and long-term health. Using Advanced Dual BIA [Bioelectric Impedance Analysis] Technology, FitTrack provides a complete body composition analysis that syncs to the free connected FitTrack Health...
Comb O&P Launches iPhone Scanning App for O&P Professionals
Comb O&P, Cleveland, OH, an orthotic and prosthetic (O&P) shape capture company, has announced that its Comb 3D Scanner App is now available on the iPhone App Store. The state-of-the-art app leverages the iPhone’s TrueDepth camera, powered by KNOCKOUT 3D™, to...
RunGoo Protective Foot Cream
Active feet sweat and swell, and even the best footwear does not fit everyone perfectly under all conditions. RunGoo is a barrier cream, formulated to prevent blisters in the harsh environment of a boot or shoe. By forming a protective layer on the skin’s surface,...
























