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
Insole research explores postural control effects
A growing body of evidence suggests that foot orthoses may be a helpful addition to other therapies for improving balance and potentially reducing the risk of falls. The findings have been mixed, however, and clinical enthusiasm for this type of insole intervention also varies.
By Hank Black
Management of athletes with early-stage PTTD
Posterior tibial tendon dysfunction (PTTD), known also as tibialis posterior tendon dysfunction, is one of the leading causes of acquired flatfoot in adults, but the…
By By Frank Layman, PT, DPT, EdD, MT; and April Wilson, PTA, BS, CI, CKTP, IASTM
Support for dry needling builds among clinicians
Dry needling is gaining momentum as an alternative therapy for myofascial pain, and is supported by a small but growing body of research as well as anecdotal evidence. But the training and expertise required to perform the procedure has become a topic of debate.
By P.K. Daniel
Chronic ankle instability, gait, and muscle activity
New research suggests lower extremity clinicians should consider implementing gait training in combination with targeted strengthening of the peroneus longus and gluteus medius muscles to help restore normal gait patterns in patients with chronic ankle instability.
By Rachel Koldenhoven, MEd, ATC
Reducing postoperative thromboembolism risk
Preventing deep venous thrombosis and pulmonary embolism after lower extremity surgery can involve pharmaceutical therapies or mechanical interventions. The type of prophylaxis used depends on the type of surgery, pre-existing risk factors, and patient preference.
By Barbara Boughton
Step-rate manipulation and foot-strike pattern
In distance runners, step-rate manipulation of at least 10% above a runner’s preferred rate may be an effective clinical gait retraining method to decrease the severity of foot inclination angle at heel strike and…
By Darrell J. Allen, PT, DPT, MS, SCS, CSCS; Hollie Heisler, PT, DPT; and Jennifer Mooney, PT, DPT
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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
Tread Labs Insoles Improve Patient Outcomes and Your Bottom Line
Some of your patients need custom orthotics. Others will achieve equal outcomes, at lower cost, with pre-fabricated insoles. Tread Labs offers semi-custom insoles that provide excellent relief from plantar fasciitis and other foot ailments. They are the perfect...
Z-CoiL Relieves Foot, Leg, and Back Pain Immediately
Z-CoiL shoes feature an innovative spring in the heel. Like shock-absorbers for the body, Z-CoiL’s reduce impact by 50%, enabling the wearer to walk, run, and stand for hours in comfort. Now those suffering from foot, leg, and back pain can reduce pain and injury...
Tread Labs Insoles Improve Patient Outcomes and Your Bottom Line
Some of your patients need custom orthotics. Others will achieve equal outcomes, at lower cost, with pre-fabricated insoles. Tread Labs offers semi-custom insoles that provide excellent relief from plantar fasciitis and other foot ailments. They are the perfect...
Orthofeet Tie-Less Lacing System
Orthofeet therapeutic shoes offer unique functional features: Tie-Less Lacing System offers an easy way of fastening the shoe without the need for lacing up – and ideal solution for patients who have difficulty tying laces. Two-Way Fasting uses straps on both the...
The Neuropathic Walker is your solution
The Neuropathic Walker is a more advanced and comfortable solution to the CROW Walker. The Neuropathic Walker is integrated with custom molded 3/16” solid polypropylene and 1/4” Aliplast lining with the same trim lines as a CROW Walker. We use high-quality leather...
Control Pronation with New Fast Fit Bug Prefabricated Shoe Inserts
Cascade Dafo, creator of the original DAFO (Dynamic Ankle Foot Orthosis), has added the Fast Fit Bug to its line of prefabricated shoe inserts. This low-profile foot orthosis is designed to control mild to moderate pronation with an optimal amount of support and...
Bonapeda FORS-15 Off-Loading Insole
The new FORS-15 Off-Loading Insole from Bonapeda Enterprises is designed to gently and consistently offload targeted plantar surfaces without edge effects. The multilayered Poron insole is durable, elastic, and crush resistant; soft, low-density Poron is closest to...
Hip Surgery Preparation Book
OPTP and author Adriaan Louw PT, PhD, CSMT, have released the latest book in their patient education series: Your Nerves Are Having Hip Surgery is a neuroscience education book that helps prepare patients for their hip surgery; explains how nerves react before,...
Low-Temperature Thermoplastic Made in U.S.
Since its inception in 1981, JMS Plastics Supply has been committed to partnering with its orthopedic customers for product satisfaction, including plastic materials, covering and cushioning materials, and equipment and supplies. New from JMS Plastics is a...

















