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
Posture-specific strength and landing mechanics
Recent research suggests that training designed to maximize strength at deeper knee flexion angles during landing may be warranted, especially in female athletes, to help reduce the risk of anterior cruciate ligament injury without inadvertently compromising jump height.
By Boyi Dai, PhD; Jacob S. Layer; and Taylour J. Hinshaw
Treatment of distal toe calluses and ulcerations
When calluses or ulcers develop on the distal aspect of the lesser toes, offloading pressure from the distal end of the digit is essential for healing to occur. Research suggests that toe crest pads offer an inexpensive but effective means of offloading and healing these distal wounds.
By Monica Melo, DNP, RN, ACNS-BC, CWOCN, CFCN
Managing metatarsalgia in athletic populations
Metatarsalgia is a common foot disorder. The term metatarsalgia refers to a pain syndrome in the forefoot and not to a specific diagnosis. Pain is confined to the area across the plantar forefoot, including the second through fourth metatarsal heads.
By Howard Kashefsky, DPM, FACFAS
Skin-care issues related to orthotic device wear
The care and prevention of skin issues may not get as much attention in orthotics as in prosthetics, but such issues can significantly affect patient outcomes. Here, lower extremity experts share the tips and tricks they use to manage dermatological challenges related to orthotic devices.
By Lori Roniger
Using subsensory noise to improve balance, gait
Using specially designed insoles to deliver stochastic resonance to the plantar surface of the feet has the potential to significantly improve static balance, dynamic balance, and gait mechanics in healthy…
By Daniel Miranda, PhD; Wen-Hao Hsu, ScD; and James Niemi, MS
Hip strength asymmetry and patellofemoral pain
Hip strength asymmetry has been observed in patients with existing patellofemoral pain syndrome (PFPS) and potentially could be used to screen for at-risk individuals.
By Franklin Caldera, DO, MBA; and Christopher Plastaras, MD
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A Foot Forward for Optimum Health
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Industry News & Updates
New Arize Custom Orthoses to Help Podiatrists Relieve Foot Pain for Millions
Arize Orthotic Solution enables podiatrists and orthotists to prescribe custom...
OTTOBOCK APPOINTS NEW CEO/REGIONAL PRESIDENT
Ottobock, Duderstadt, Germany, has appointed Marc C. Lundeberg as the new CEO...
BIONESS ACQUIRED BY BIOVENTUS
Bioness, Valencia, CA, has been acquired by Bioventus, Durham, NC, a global...
DJO Acquires MedShape
DJO, a subsidiary of Colfax Corporation and a global provider of medical...
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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
Matplus Adjust-A-Heel
Matplus’ Adjust-A-Heel lift is a fast and simple solution to correct leg length discrepancy and can also be used to treat plantar fasciitis, Achilles tendonitis, and heel spurs. The lifts are constructed of ultra-durable, firm MP sponge layers; the peel away layers...
Ultralight Walking Shoe Collection
The new Ultralight collection of Walking Shoes from Waldlaufer USA is made with soft, water-resistant nubuck or leather for breathability and durability. The shoes feature a weather-covered footbed that is cushioned and feather-light for maximum comfort, and it is...
Soft Density Massage Ball
OPTP has added a foam massage ball to its product lineup. The PRO Soft Release Ball features a soft density for comfortable massage and stretching, suited for physical therapy, tension release, and exercise recovery. The massage ball is created from the same foam and...
Swede-O Joint Wrap
The Swede-O Joint Wrap from Core Products International comfortably surrounds painful, inflamed joints with cold therapy. The adjustable straps provide compression and secure the pack to the painful area to help provide long-lasting, drug-free relief. The plush fabric...
JMS Plastics New Fiberglass Casting Tape
JMS Plastics Supply proudly introduces J-Cast, a new orthopedic fiberglass casting tape. The new J-Cast fiberglass casting tape is described by the company as simple to mold and comfortable to wear. The newly introduced orthopedic product is designed to offer...
Custom-molded shoes and AFOs for every walk of life
[wc_box color="primary" text_align="" margin_top="" margin_bottom="" class="coupon"] Tru-Mold Shoes Take $50 off the next AFO order* Print and clip this coupon and include with your next order of a Niagara Brace AFO One coupon per customer per order Offer Expires:...
Breakthrough HV3 Bunion Bracing Sleeve
OS1st Base Layer Bracing announces its breakthrough bracing sleeves for Bunions. Shown here is the HV3 Bunion Bracing Sleeve for Hallux Valgus pain and re-alignment. This Patent Pending bunion splint design is truly a breakthrough. HV3 offers patients a comfortable...
A Major Breakthrough In Heel Pain Relief
We've got the solution to your heel pain issues after countless hours of research and development. The Heel Defender heel orthotic has been predicted to become the premier option for relieving heel pain in adults and children. Unlike other heel orthotics which are not...
Hatchbacks Orthopedic Shoes Introduces Larger Sizes
Hatchbacks Footwear offers children and young adult orthopedic approved shoes that look great, are extra wide, and fit easily over AFO braces. No need to buy expensive customized shoes or spend hours at the mall trying to find extra wide shoes. Hatchbacks is now...

















