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
CAGA 101: The 12 Dirty Truths of Foot Mechanics
We all know we will not live forever, but perhaps a good goal would be to not outlive your health. We also know that there are elements of our health we can control and those we can’t. Aging is a simple fact, though we often don’t consider it at the functional microscopic level. We can’t do much about the ending, but we have much to say and…
By Jay Segel, DPM; Sally Crawford, MS
3D Scanning vs. Plaster Casting–Evolving Techniques in Orthotic Capture
Over the last few decades, clinicians have debated the merits of traditional plaster casting versus modern 3D scanning in orthotic capture. Amid continuing discourse, 1 principle holds: the clinician’s grasp of anatomical data and its impact on device design is critical to success. Equally as vital is the orthotic lab’s role in translating clinical intent into design.
By Dr. Dean Hartley (Podiatrist & Adjunct Engineering Fellow–University of Queensland)
Melted Boundaries: Regenerative Orthobiologics in Lower Extremity Medicine–The Rise of Orthokine® (Autologous Conditioned Serum) and Enhanced PRP Therapy for Joint Pain
Orthokine® is the proprietary name for a German-developed autologous conditioned serum (ACS) therapy now advanced in musculoskeletal medicine for joint pain. In scientific literature and clinical contexts, Orthokine is used interchangeably with the generic designation autologous conditioned serum (ACS), with…
By Dr. Hooman Mir, DPM, MSci, FAPWCA
UTRGV, School of Podiatric Medicine
Department of Podiatric Medicine, Surgery & Biomechanics
CAGA 101: The 12 Dirty Truths of Foot Mechanics
Each one of these so-called “Dirty Truths” has its specific reason, or reasons, for making the list. This one gets most of its “dirtiness” educationally and clinically. Many patients are familiar with the term “pronation,” though their understanding may vary. A clear explanation of body planes and planes of motion is important for an accurate understanding of this concept.
By Jay Segel, DPM; Sally Crawford, MS
lerEXPO Highlights: AFO Coding Compliance and Documentation Best Practices
Ankle-Foot Orthoses (AFOs) play an essential role in the management of various lower extremity conditions. Coding and compliance accuracy and proper documentation can pose a challenge. Providers must accurately explain why the specific AFO is needed. This is not just a box-ticking exercise but a fundamental element to avoid audit failures.
Leading the Shift: How We Made 3D Printed Polypropylene a Reality
I am regularly asked, “Why 3D printed?” There are obvious environmental and manufacturing benefits, although speaking from my clinical perspective–it is the design freedom that is most important. The ability to have an unrestricted design envelope, being able to design and manufacture devices lighter, thinner, fully-custom and quicker are just a few of the benefits.
By Dean Hartley (Podiatrist & Adjunct Engineering Fellow–University of Queensland)
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ShortTakes From the Literature
Exergame Program Improves Gait in People with Parkinson’s Disease
Gait impairments are among the most common and disabling symptoms of...
Diagnostic Musculoskeletal Ultrasound for Plantar Fascia
The plantar fascia is composed of fibrous connective tissue that forms a band...
Ozone Successful Treatment of Venous Leg Ulcers and Diabetic Foot Ulcers
Venous leg ulcers (VLUs) and diabetic foot ulcers (DFUs) are chronic wounds...
Achilles Tendon Stiffness and Jumping: Comparative Study of Soccer and Basketball Athletes
Tendon properties influence athletic performance, and Achilles tendon (AT)...
Plantar Pressure in Recreational Athletes Running in Maximal and Traditional Shoes
Running is a popular competitive and recreational activity with numerous...
Is Local Steroid Injection Predictive of Patient Response to Endoscopic Plantar Fascia Release
Plantar fasciitis is a very common issue with many treatment options. The...
Indoor VS. Regular Custom-Made Footwear for Diabetics at High Risk Of Foot Ulceration
Custom-made footwear designed specifically for indoor use increases footwear...
Partial Nail Avulsion With or Without Phenolization for Ingrown Toenails
Ingrown toenails, a common and often painful condition, frequently require...
A Foot Forward for Optimum Health
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Industry News & Updates
Noninvasive Spinal Stimulation Enables Patients with Paraplegia to Regain Stepping Control
Spinal cord injury (SCI) rostral to the lumbar locomotor center disrupts...
Plant Compound Found to Treat Diabetic Wounds, Foot Ulcers
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Cleveland Researchers Launch First Major Study to Address Onychomycosis
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Researchers Explore AFOs for Treating Achilles Tendinopathy
In Elisa Arch’s Orthotics and Prosthetics for Enhanced Mobility Lab, at the...
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Venous Leg Ulcers and Concomitant Lymphedema
By M. Mark Melin, Caroline Fife, Marlin Shul, Monika Gloviczki, Adelaide Herbert, Heather Barnhart...
Natural Zinc Ion Based Technology for Next Generation Compression and Wound Care Devices
By Cristina Acevedo, PhD; Ian Crane; Rohit Kankaliya; Rajib Mondal, PhD; Albert Ortega; Kevin...
Chronic Lipodermatosclerosis in a Patient with Functional Venous Disease
By Preshy Varghese, MBBS, MMed, FRCS, FRACGP Case Report 70-year-old man with a BMI of 57.1...
Innovative Compression Technology May Reduce Hospital Visits and Improves Self-Care in Venous Leg Ulcer Patients
By Andreas Nilsson and Josefin Damm The cost of treatment, such as nursing time required for...
Return-to-Sport Following Deltoid Ligament and Syndesmosis Repair in a Division 1 Football Defensive Back
Background: A 22-year-old, Division I male football defensive back, with no previous history of...
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
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Lower Extremity Review
Red Light Therapy for Joint Pain Relief
MOVE+ is an at-home, highly-targeted laser red light therapy device that was developed for individuals who struggle with chronic joint pain, helping them recover more quickly by restoring damaged tissue. The device uses LED lights and medical-grade laser technology to...
Bioresorbable Wick for Tendon Repairs
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Mushroom-Based Roll-On for Muscle Relief
Xtreme Roll-On, part of the Xtreme Wellness product line, mixes a blend of reishi mushroom peptides with its proprietary BioHeat Matrix to help improve circulation to calm inflammation, and accelerate localized muscle relief in smaller/harder-to-reach areas. The...
Virtual Reality Gait-Training Platform
GaitBetter is a state-of-the-art motor-cognitive virtual reality (VR) intervention for gait rehabilitation and fall prevention. It uses gamification and semi-immersive VR to simulate motor-cognitive challenges that patients experience in everyday life. Clinically...
Lightweight, High-Rebound Insoles
OrthoLite® has expanded its range of insoles with the introduction of OrthoLite® Float. This product combines exceptional lightness with high-rebound support, adding comfort and high energy underfoot across all categories of footwear. With a resilience of >38%,...
Circular Frame Hinges for Knee, Ankle Applications
Orthofix Medical’s TrueLok™ Phantom and Tornado Hinges, from the company’s Orthopedics TrueLok circular frame portfolio, are designed for use with TrueLok circular frame offerings, including the TrueLok EVO Ring Fixation System. The TrueLok EVO System is a circular...
Smart Boots for DFU Treatment
The Foot Defender+ powered by Sensoria is designed to help heal diabetic foot ulcers (DFUs) and reduce the risk of amputations for extended quality of life. The solution combines the Foot Defender Smart Boot with Sensoria Core microelectronics and the Sensoria Patient...
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