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
Ankle-foot orthoses and functional electrical stimulation for foot drop in MS: Pluses, minuses, progress
Assistive ambulation devices for the ankle can bolster walking speed and safety and lessen the risk of injury to the joint. But which of 2 technologies is best for your patient?
By Hank Black
EXPERT OPINION: Advances and alternatives in diabetic ulcer offloading
Diabetic foot ulcers pose life-threatening risks to patients with diabetes. Offloading of high pressure areas of the foot is key to successful treatment. We review various methods here.
By James McGuire, DPM, PT, LPed, FAPWHc, and Tyler Coye, BA
Management of acute ankle sprains: To immobilize or not?
Functional rehabilitation training protocols typically consist of stability and postural control exercises aimed at recovering from the proprioceptive defect that occurs after an ankle injury and preventing recurrent sprains by improving stabilometric results.
By Audris Tien, DPM, Jarrod Shapiro, DPM, FACFAS, FACFAOM, Jonathan Labovitz, DPM, FACFAS, CHCQM
Overuse Injuries in Elite Basketball Players
Equinus is the primary mechanical cause of acquired non-traumatic foot and ankle pathology—plantar fasciitis, AT, and MSS—in running sports. The three most common lower-extremity overuse injuries among those who participate in running-related sports such as basketball have all been linked to the…
By Patrick A. DeHeer, DPM, FACFAS, FASPS, FFPM RCPS (Glasg)
Hamstring: Trends in preventing and treating hamstring-strain injuries
High relapse rate from preseason injuries presents significant challenge for athletes and sports teams. Hamstring strain injuries are among the most common in sports, often leading to recurring problems or future injury. Marcus Elliott, director of P3 Applied Sports Science and a former muscle-injury specialist for the National Football League’s New England Patriots, conducted…
By Keith Loria
Biofeedback aids in resolving the paradox of weight-bearing
Too much? Or not enough? New biofeedback tools help patients with lower-limb fracture in their struggle to understand how much weight to bear on an injured limb. Clinicians whose patients have a lower-limb fracture are faced with a paradox: whether or not to instruct them to place weight on the healing fracture.
By Jill R. Dorson
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Lower Extremity Review
ShortTakes From the Literature
DFCon 2019 Abstract Submissions Due June 15.
The Diabetic Foot Global Conference (DFCon2019) will be held at the Hilton Los...
When It Comes to Exercise, It’s Never Too Late…
By Sharon Reynolds Physical activity reduces the risk of many chronic...
Plantar Mechanical Stimulation Improves Sensation in DPN
By Bijan Najafi and Gu Eon Kang Over 30 million Americans have diabetes and...
Benefits of a Foot Orthosis During a Step-descent Task on Kinematics, Kinetics, and Activation of Muscle
By Sarah Curran, PhD, FCPodMed Foot orthoses are considered to work by...
Concurrent Changes in Eccentric Hamstring Strength and Knee-joint Kinematics
By Matt Greig, MPhil, PhD Hamstring strain incidence in soccer increases...
Delayed Charcot Diagnosis Increases Costs, Hospital Days, Amputations
By Jonathan M. Labovitz, DPM, FACFAS, CHCQM Early recognition and treatment of...
AFOs for Stroke: Early Use Does Not Limit Long-Term Benefit
Stroke often impairs walking, particularly by altering foot clearance during...
Anterior Femoral Ligament Thickening Seen 3 Years Post-ACL Surgery
Osteoarthritis (OA) affects nearly 50% of patients who undergo anterior...
A Foot Forward for Optimum Health
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Industry News & Updates
Lab-Made Cartilage Gel Outperforms the Real Thing
A Duke University-led team said they have created the first gel-based...
FIT360 Community Reaches 2 million Pairs of Custom Orthotics
Since the day FIT360 started in 2017, the focus has been on providing an open...
Making Robotic Assistive Walking More Natural
A team of graduate students in Caltech’s Advanced Mechanical Bipedal...
Study Compares Prosthetic Feet and Functional Mobility Across Procedure Codes
Hanger, Inc. announced results of its Outcomes ASsessment and DISsemination II...
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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
Urea 40% Foot Cream
Tight and uncomfortable shoes, an active lifestyle, and long hours at work can damage the skin of one’s heels. Conceived as a treatment for such harm, PurSources Urea 40% Foot Cream is formulated to heal damaged feet in the quickest amount of time possible. This...
Plantar Fasciitis–Treating Flip Flop
The Healing Sole, a patented flip flop invented by orthopedic foot surgeon Meredith Warner, MD, was fashioned to promote recovery and general foot health by gently stretching and taking pressure off the wearer’s foot so the body can rest and heal itself over time. The...
OS1st WP4 Wellness Performance Socks
OS1st WP4 Wellness Performance Socks are the latest innovation in ING Source’s Socks with Purpose Program. The WP4s are strategically designed for individuals who suffer from diabetes, sensitive feet, edema, neuropathy, and poor circulation. They feature four zones of...
B2Splint, Toe Spacer/Toe Crest Combination
PediFix now offers a new treatment option for bunions and hammer and crossover toe deformities, available for pre-, post-, or non-operative use. The B2, short for bunion and 2nd toe, was developed by Jeff DeSantis, DPM, FACFAS, of Cambridge Foot & Ankle Associates...
Swede-O Fits All Open Patella Knee Support
The design of the Swede-O Fits All Open Patella Knee Support from Core Products is less painful to apply and easier to adjust compared to pull-on style knee supports. This support provides gentle compression and warmth to help relieve aches, pain, strains, and...
Silver AXIS Foam Roller
The newly designed Silver AXIS Roller is now available from OPTP. The roller features a new-to-market moderate density unlike any other roller available. The Silver AXIS Roller is firm enough for myofascial release, yet soft enough to comfortably perform exercises for...
Rebound Foot-Up AFO
Össur’s new Rebound Foot-Up is a lightweight ankle-foot orthosis (AFO) that offers dynamic support for foot drop or related disorders that require dorsiflexion support. The AFO supports ankle dorsiflexion during swing phase. Dynamic support is provided by an elastic...
OP-TEK Flex EVA Sheet in 4 Options
New from Curbell O&P, a division of Curbell Plastics, is OP-TEK Flex EVA Sheet. The material is a soft, flexible ethylene-vinyl acetate copolymer designed to provide patient comfort when used as a flexible inner liner for rigid socket frames and inner boots...
Get a Free Workable Sample of the NEW J-Foam Rigid Fabrication Material!
JMS Plastics Supply has long been recognized for only offering the highest quality fabricating materials. Following in that tradition JMS Plastics now offers you a FREE workable sample of the brand-new J-Foam Rigid fabrication material. This amazing new fabricating...

























