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
Conservative Management of Freiberg’s Disease
Key options include immobilization, weight bearing restrictions, NSAIDS, orthotics, padding, and shoe modifications. The first report of osteochondrosis of the second metatarsal head was in a series of six cases presented by Dr. Alfred H. Freiberg at the Southern Surgical and Gynecological Association in 1913. The data was published the following year.
By Kerry Sweet, DPM, FACFAS; Rebecca Omana-Daniels, DPM; and Valerie Marmolejo, DPM
Gait and Balance Dysfunction in Older Adults: Challenges and Interventions
Falls are a significant—yet preventable—health issue among older adults. Each year, 3 million older Americans over the age of 65 are treated in emergency departments for fall-related injuries which often result in disability, loss of independence, reduced quality of life, and death.1 The number of falls is expected to rise as Americans live longer and the number of older adults continues to grow at an unprecedented rate.
By Aisha Cobbs, PhD
Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults Now Available
The 2019 AGS Beers Criteria® includes 5 lists of nearly 100 medications or medication classes to avoid or use with caution for some or all older adults. The American Geriatrics Society (AGS) recently unveiled its latest update to one of geriatrics’ most frequently cited reference tools: The AGS Beers Criteria® for Potentially Inappropriate…
Case: A Woman with Blistering, Erythema, and Scaling of the Feet
What’s causing the worsening signs and symptoms that are eroding the patient’s quality of life? Once that question is answered, what treatment should be pursued? In this case study, we describe the work-up and management of a woman whose illness was characterized by multiple vesicles and pustules and itching, scaling, and redness of the feet (as well as the hands), that progressed over months.
By Carla Benson, DPM
The Invisible Effect of Body Weight on Tendons
While the predominant view on the relationship between an elevated body weight and its effect on tendons, muscles, bones, and joints is grounded in the physical stress effects of body weight, the role of inflammation is becoming better understood.
By Robert Creighton, DPM
Dynamical Properties of Postural Control in Obese Community-Dwelling Older Adults
Does obesity affect balance and serve as an indicator of fall risk in this vulnerable population? The burden of obesity is rising at an alarming rate for older adults.
Excerpt By Thurmon E. Lockhart
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Lower Extremity Review
ShortTakes From the Literature
Science Meets Fun on National Biomechanics Day: April 8, 2020
National Biomechanics Day (NBD) is a worldwide celebration of biomechanics in...
Study Shows Heel Lifts Affect Biomechanics, Muscle Function
Clinicians use a variety of in-shoe heel lifts to treat a range of...
1064-nm Laser Technique Shows Positive Results for Onychocryptosis
By Keith Loria Onychocryptosis, more commonly known as in-grown toenail,...
Custom AFO With Walking Shoes Improves Balance, Reduces Fear of Falling for Seniors
Research shows that one out of every four older Americans falls annually....
Aquatic Walking Relieves Arterial Stiffness in PAD
By Chuck Green Aquatic walking can help relieve arterial stiffness among...
Study Examines Treatment of Chronic Wound Pain with Long-Acting Lidocaine Gel
By Laura Fonda Hochnadel According to 2004 figures, about 6 million people...
Rehab May Improve 1st MTP Arthrodesis Long-term Outcomes
While arthrodesis of the first metatarsophalangeal (MTP) joint is known to...
Are Lateral Ankle Sprains Being Treated Correctly?
By Keith Loria Lateral ankle sprain is the most common injury in physically...
A Foot Forward for Optimum Health
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Industry News & Updates
New Socket Technology Partners with O&P Purchasing Group
Amparo Prosthetics, an innovator in polymer prosthetic technologies, announced...
Amparo Confidence Socket
Stanford University researchers have developed a boot-like exoskeleton that...
Solution to Prosthetic Socks Management
Veterans and other people with lower limb amputations who wear prostheses...
“Growing Shoes” Get a Facelift
What started as a post-university trip to see the world has turned into a...
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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
PIVOT: NEW AND IMPROVED CENTER RIVET
Pivot is an articulated, self-aligning, low-profile AFO hinge newly available from LaunchPad. It is designed to be fabricated similarly to a flexure joint, meaning an alignment jig is unnecessary. Pivot provides the mechanism of movement that allows practitioners to...
VACOcast Diabetic Boot – Vacuum Technology Creates Cast-like Stability
VACOcast Diabetic is your best choice for offloading forefoot and midfoot ulcers. It molds to the foot and offloads like a Total Contact Cast. Optional Locking Kit is available. What makes the VACOcast “Diabetic”? Additional beads for more comprehensive offloading...
Help Prevent Venous Issues with OS1st Graduated Compression Travel Socks
Another 1st! OS1st® has applied our medical grade manufacturing technologies and unsurpassed quality to an increasing consumer health and protection need, travel health and safety. OS1st® TS5™ Travel Socks have medically correct graduated compression for the...
Master Foot & Ankle Biomechanics with New & Improved Class “When the Feet Hit the Ground Everything Changes”
When the Feet Hit the Ground….Everything Changes is a beginner to intermediate live/in person course designed to advance the mastery of foot & ankle biomechanics. As the first point of contact to the ground, the feet play a major role in lower-extremity chain...
Synthetic Bone Graft Substitute
OrthoPediatrics announced the launch of QuickPack, a fully synthetic bone graft substitute featuring high viscosity, calcium phosphate cement that closely mimics the mineral phase of natural bone. The product is supplied in a user-friendly, self-contained, closed loop...
DDR: X-ray that Moves
Konica Minolta Healthcare Americas has unveiled the compact and efficient KDR AU Advanced U-Arm, which has the image-acquisition capability of Dynamic Digital Radiography (DDR). DDR, or X-ray that Moves, provides a cine loop of rapidly acquired, diagnostic-quality...
DARCO MedSurg DUO Shoe
The MedSurg DUO shoe is built to provide patients with hassle-free durability and comfort, while providing pressure relief to the post-op or wound site. According to the company, the DUO shoe is constructed of 2 different densities of EVA to provide up to 40% more...
SilhouetteLite+ by ARANZ Medical
SilhouetteLite+ is a smart phone–based imaging product designed to enable accurate measurements, images, and data capture of soft tissue and skin lesions, such as diabetic foot ulcers. The SilhouetteLite+ system, in conjunction with the suite of Silhouette products,...
Conformis Hip System Features iFit Image-to-Implant Technology
The proprietary iFit Image-to-Implant technology platform from Conformis is used to develop and manufacture joint replacement implants customized to fit each patient’s unique anatomy. The company recently announced US Food & Drug Administration clearance of its...
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