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
The effect of footwear on the management of pain caused by disorders of the knee joint
Clinical studies have demonstrated that properly fitted footwear may alleviate knee pain resulting from osteoarthritis or other joint disease processes, while the wrong shoe can exacerbate the condition. How can practitioners help patients with knee pain make the distinction?
By Keith Loria
Function meets fashion in modern therapeutic devices
Unattractive therapeutic devices do not benefit patients if they won’t wear them. Leading practitioners discuss how, over the past decade, manufacturers have made significant strides in turning the solely functional into the truly fabulous.
By Jill R. Dorson
Is it the foot— or the footwear? Considerations for protecting a diabetic foot
In diabetes, assessing the mechanical properties of the patient’s soft tissues and the properties of footwear and orthoses comes before drafting a management plan.
By Nachiappan Chockalingam, PhD
The effect of sensory stimulation on movement accuracy
The author explores the sensory aspects of the foot, and footwear, on patient movement accuracy, joint stabilization, and perception of pain. An integrative approach to the dynamics of human movement is discussed.
By Emily Splichal, DPM
Implications of asymmetry in the treatment of injured athletes
Given that many uninjured, successful athletes have some degree of asymmetry, how do clinicians interpret asymmetry in athletes recovering from injury?
By Cary Groner
Patient comfort vs diabetic wound healing: confronting nonadherence associated with removeable offloading devices
Patient adherence to consistent use of removeable offloading and immobilization devices is central to promote healing and prevent infection in diabetic foot ulcers, yet the tradeoff of removability easily compromises adherence. Choosing and customizing the right device is key.
By Barbara Boughton
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Lower Extremity Review
ShortTakes From the Literature
Gait Training Can Slow Age-Related Changes in Energy-Cost of Walking
By Chris Klingenberg The aging-induced increase in energy cost of walking can...
Arch Height Does Not Affect Foot or General Health QOL
Foot-arch height does not affect specific foot and general health-related...
3D-Printed Knee Brace To Aid Rehab, Elderly
Researchers from the Georgia Institute of Technology recently detailed the...
Polio-like Illness AFM Strikes Nearly 200 People in 2018
The US Centers for Disease Control and Prevention has confirmed 196 cases of...
New NATA Recommendations Address Patellofemoral Pain
Patellofemoral pain (PFP), one of the most common knee problems in active...
Poor Balance Tied to Visual Acuity–Peripheral Vascular Disease Interaction
Poor vision has long been known as a risk factor for poor balance. This is...
ADA Issues New Guidelines for Youth with T2D
Youth-onset type 2 diabetes (T2D), defined as T2D that develops before 20...
VA Reports Downward Trend in Surgical Adverse Events
In an 8-year quality improvement follow-up study of reported surgical adverse...
A Foot Forward for Optimum Health
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Industry News & Updates
UNCOVERING THE DEGENERATIVE BASIS OF PARKINSON’S DISEASE
Northwestern University investigators have discovered the molecular signature...
DIRK NOWITZKI LAUNCHES SIGNATURE COMPRESSION LINE BY BAUERFEIND
Dirk Nowitzki, a German former professional basketball player who spent his...
EXOSKELETONS WITH PERSONALIZE-YOUR-OWN SETTINGS
Exoskeletons need to interact seamlessly with their user, providing the right...
HANGER, OTTOBOCK REACH ENROLLMENT MILESTONE IN ASCENT K2 CLINICAL TRIAL
Hanger, Inc. and Ottobock announced a critical enrollment milestone has been...
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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
Custom Carbon Fiber AFO
Ottobock’s expertise in custom orthotic fabrication and carbon composites come together to produce an inspiring custom carbon fiber AFO (CCAFO). Crafted from carbon prepreg, this lightweight and low-profile ankle-foot orthosis (AFO) provides a solution for individuals...
Style & function has never looked so good!
As a foot health professional are your patients asking you for: Sandals and shoes that can accommodate orthotics, that don’t look orthopedic Advice on which footwear brands you would recommend If so, you may want to consider revere Shoes. Inspired by fashion and...
First-of-its-Kind Textured Esmarch Bandage
Brand new from Tetra Medical Supply Corp.is a first-of-its-kind Esmarch Bandage with a textured finish that allows for better gripping and easier application when used to control and exclude blood flow during surgical procedures. The innovative and revolutionary Tetra...
First Ever Medical Grade Electronic Tuning Fork Diagnoses DPN at Earlier Stages
Physicians have long known that the 128 Hz tuning fork is the most sensitive of the commonly used neurological screening tests available in clinical practice. The ETF¹²⁸(Electronic Tuning Fork/128 Hz) from O’Brien Medical, builds on this foundation and takes it to the...
See Why Cadence Insoles are #1 Sellers – Free Pair!
Cadence insoles are a high-quality OTC orthotic that offer a unique combination of semi-rigid support and durable high rebound/low compression set polyurethane foam. They fill a fast-growing sweet spot for those who benefit from and prefer semi-rigid support with...
Use Aquajogger Buoyancy Belts for Rehabilitation and Fitness
Thanks to Aquajogger’s signature Buoyancy Belts, users can now combine dynamic and forgiving deep and shallow water exercises with land-based exercises to maximize progress toward treatment, fitness, and wellness goals. The groundbreaking Aquajogger Buoyancy Belt is...
VascuEase Portable DVT System
The VascuEase Portable DVT System by Bio Compression Systems brings a new level of innovation to the pneumatic compression device category. DVT (deep vein thrombosis) prophylaxis has become an important standard of care for post-operative and non-ambulatory patients,...
FlexInFit Sensorized Sole System
FlexInFit, for the evaluation of foot pressure inside the shoe, completes the biomechanical and postural analysis in conjunction with the freeMed platforms and Runtime treadmill from Sensor Medica. With 214 sensors in each shoe, the system precisely analyzes foot...
Visco-GEL 5-ToeBuddy
The soft, anatomically shaped Visco-GEL 5-ToeBuddy from PediFix was inspired by the popularity of the original ToeBuddy. The 5-ToeBuddy separates all five toes, both in shoes, and for shoeless toe stretching. The device helps relieve common toe problems and foot pain,...


























