LER Cover Story:
Wound Talk with Dr. Windy Cole: Giving Lymphedema the Squeeze: All Things Compression
In traditional medicine, we often treat the vascular, integumentary, and lymphatic systems as separate silos. However, the “Veil Theory,” championed by Dr. Heather Hettrick, reveals that these systems are inextricably linked. At the center of this connection is the endothelial glycocalyx, a microscopic, sieve-like layer within our blood vessels that regulates the movement of fluid and proteins.
By Dr. Windy Cole, DPM, CWSP, FACCWS, FFPM RCPS (Glasg) with Dr. Loan Lam DPM, FAWPHc, FAPWCA, CWSP, CHWS, CLWT and guest Cam Ayala
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Feature Articles
Management of Achilles tendinopathy in runners
Achilles tendinopathy is a common lower extremity injury in athletes as well as nonathletes. The Achilles tendon is often a site of injury in runners and is the second most common running-related musculoskeletal injury, after medial tibial stress syndrome, with an…
By Howard Kashefsky, DPM
Uneven terrain: Tactics for orthotic-device users
Helping patients manage an orthotic device can be challenging, but doing so in the face of uneven terrain is a balancing act between stability, mobility, and strength. Device adjustments and rehabilitation protocols can help patients avoid asymmetries and reduce the risk of falling.
By Shalmali Pal
Foot strike while running and patellofemoral pain
Recent research supports the idea that increased patellofemoral stress is a contributing factor in runners with patellofemoral pain, and that gait retraining to promote a…
By Jenevieve L. Roper, PhD; Deborah L. Doerfler, PT, DPT, PhD; Christine M. Mermier, PhD; and Janet S. Dufek, PhD
Foot rotation during gait in patients with knee OA
Rotating the foot in or out during gait is associated with significant decreases in frontal plane knee load during early or late stance, respectively, and can be effective for reducing pain and potentially slowing the progression of…
By Kevin Alan Valenzuela, ABD, CSCS; and Hunter Jared Bennett, PhD
Radiofrequency-based arthroscopy in the ankle
The results of a retrospective chart review suggest that the use of plasma-mediated bipolar radiofrequency-based arthroscopic microdebridement is associated with notable decreases…
By Renato Giorgini, DPM, FACFAS; Stephanie Giles, DPM; Omer Aci, DPM; and Christopher Japour, DPM, MS
Understanding turf toe: The role of foot orthoses
Turf toe is a common injury in football players competing on artificial turf, but it also occurs in soccer and baseball players on natural grass and other playing surfaces. Turf toe is a sprain of the capsule of the first metatarsophalangeal (MTP) joint; increasing grades of injury may include…
By Patricia Pande, MClScPT, CSCS, CPed
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A Foot Forward for Optimum Health
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Industry News & Updates
Chemical Cocktail Promotes Muscle Damage Repair
University of California, Los Angeles (UCLA) researchers have identified a...
Advances in Flexible Electronics Manufacturing May Improve Prostheses
Engineers from the University of Glasgow Bendable Electronics and Sensing...
FDA Grants Breakthrough Device Designation for Amputee Pain Block System
Neuros Medical, Willoughby Hills, OH, has received Breakthrough Device...
Superfeet Acquired by Private Equity Firm
Superfeet, Ferndale, WA, has been acquired by private equity firm Westward...
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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
British Luxury Footwear Available in U.S.
Created by the founder of shoe brand Lisa Kay London, Sole Bliss uses 5 years of research and development to produce stylish footwear designed to accommodate women who have bunions. The British footwear is now available in the U.S. The patent-pending Juanet Technology...
Apex SelectFlex Rx Adjustable Orthotic
Apex Foot Health Industries introduces SelectFlex Rx, described as the first-ever adjustable orthotic. SelectFlex Rx, powered by iFlex technology, was designed by engineers at Apex Foot Health to relieve foot pain while improving performance. Users can easily adjust...
Sigvaris CompreFlex Reduce Enhancements and Accessories
Sigvaris has launched new accessories and upgrades for its CompreFlex Reduce product portfolio. The CompreFlex Reduce system is designed to be a comfortable, easy-to-don-and-doff, inelastic wrap for patients with medically complex edema, including lymphedema. It is...
kyBoot Swiss Air-Cushion Shoe
The kyBoot Swiss-made air-cushion shoe is designed to create an unprecedented level of comfort during walking. The Walk-On-Air sole provides a floating-like experience due to its soft, springy, air-cushion properties, while allowing the user to feel every detail of...
Performance Graphite Orthotic
Foot Management’s latest technology allows engineered nylon to be blended with carbon graphite to produce Performance Graphite. This blend creates a lightweight shell that offers functional control with less bulk. High tensile strength and flexible modulus means...
JMS Plastics Fiberglass Casting Tape
JMS Plastics Supply, Inc., introduces J-Cast, a new orthopedic fiberglass casting tape that is simple to mold and comfortable to wear. J-Cast is designed to offer excellent ventilation and less irritation than similar existing products and is engineered to be easy to...
Swede-O Inner Lok 8 Ankle Brace
The Swede-O Inner Lok 8 ankle brace features a patented internal figure-eight strapping system, which assures proper strap placement and simulates professional taping. The top strap covers the laces and locks the figure-eight straps in position and offers a...
Cascade Dafo Fast Fit Bug
Cascade Dafo, Inc., 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 shoe insert is designed to control mild to moderate pronation. Partnered with a supportive shoe, the...
Smartroller Guide to Optimal Movement, Second Edition
Smartroller Guide to Optimal Movement, Second Addition, is available exclusively from OPTP. The guide can be purchased alone or as a package set with the Smartroller foam roller, a two-sided foam roller that helps promote balance, awareness, and core strength while...
















