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
Managing hallux limitus and rigidus in athletes
The terms “hallux limitus” and “hallux rigidus” refer to a degenerative process of the great toe joint that was first described by Davies-Colley1 in 1887 and termed hallux flexus. Cotterill later coined the term hallux rigidus.2 The two terms represent a progression in…
By Howard Kashefsky, DPM, FACFAS
Achilles experts ponder effects of heel elevation
After an Australian study raised questions about the conventional practice of elevating the heel to decrease Achilles tendon load, researchers and clinicians have been revisiting what is known about the many factors—including pain—that can affect tendon load and function.
by Cary Groner
Influence of estrogen on the plantar fascia
Reported effects of estrogen on knee ligaments and the Achilles tendon raise questions about how the plantar fascia might be altered during the menstrual cycle and how those changes might affect injury risk.
By Jerrold Petrofsky, PhD, JD; and Haneul Lee, PT, DSc
The clinical implications of accelerated knee OA
Accelerated knee osteoarthritis (OA), defined by very rapid radiographic disease progression, is also associated with earlier and more severe symptoms than traditional OA. Identification of…
By Jeffrey B. Driban, PhD, ATC, CSCS
Emerging treatments for diabetic neuropathy
Strict glycemic control is the most reliable treatment for diabetic peripheral neuropathy, but expanding knowledge of central and peripheral nervous system processes may help identify therapeutic methods…
By Sarnarendra Miranpuri, DPM, MD; Kush Patel; Gurwattan Miranpuri, PhD; Abhishek Chopra; and Ravinderjit Singh
Plantar fasciitis: clinical concerns in cleated sports
Cleated sports are associated with a high incidence of lower extremity injuries. American football and soccer are particularly troublesome due to unique risk factors involving footwear design, loading patterns, and sport-specific biomechanics.
By Patricia Pande, MClScPT, CSCS, CPed
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A Foot Forward for Optimum Health
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Industry News & Updates
NEUROFEEDBACK CREATES PERCEPTION OF A LIGHTER WEIGHT PROSTHESIS
Although prosthetic legs usually weigh less than half of a natural limb, their...
PREVENTING INJURIES AND IMPROVING RECOVERY WITH MICRO-DOPPLER RADARS
Penn State College of Engineering and College of Medicine researchers have...
HYPERSPECTRAL IMAGING USED TO REVEAL DIABETIC SKIN COMPLICATIONS
A multidisciplinary research team has introduced a diagnostic approach capable...
SELECTFLEX PILOT AT COCA-COLA PLANTS SEES PROMISING RESULTS
US-based companies are paying attention to the ergonomics of everyday tasks....
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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
Össur Formfit Pro 3D Compressive Knit Solutions
Össur has introduced the new Össur Formfit Pro line of 3D compressive knit solutions, designed for people suffering from different musculoskeletal conditions or ailments, yet remain passionate about staying active. Össur‘s Formfit Pro range includes the Formfit Pro...
Data-Gathering Performance Treadmills
Mobius, AMTI’s new line of performance treadmills, comes in two models: one fixed-tilt and one inclinable, capable of a 25% gradient. Both models have two independent 8800N-capacity force platforms, and a frame engineered to achieve the highest possible natural...
Sock Aid
Advanced S.A. International Ltd. now offers the new Sock Aid for easy donning and doffing of socks for people who have difficulty bending or other mobility issues. The cordless unit requires easy one-handed operation and is compact for traveling. For donning, the sock...
Socks with Purpose
ING Source, Inc. of North Carolina is best known for its proprietary application of compression therapy into orthopedic and sports bracing, Compression Zone Technology (CZT). Under its brand OS1st Base Layer Bracing, ING Source, Inc. has announced a new range of...
ShearBan Low Friction Patches: New Bulk and Retail Options
ShearBan is an ultra-thin, self-adhesive, low-friction patch designed to address friction and shear forces that contribute to blisters, corns, calluses, and diabetic foot ulcers. The patches are applied directly to braces, prosthetic sockets, and footwear where a...
Why You Hurt System
The Why You Hurt: Therapeutic Neuroscience Education System by Adriaan Louw, PT, PhD, CSMT, is a tool that clinicians can use to teach their patients what pain is and how it works. Available from OPTP, the system uses illustrated flashcards, discussion topics,...
Instant Ice Wrap Combined Cooling and Compression
Instant Ice Wrap functions as an alternative to bags of ice to provide both cooling and compression to treat lower extremity pains. The treatment alternative helps to reduce swelling and offers joint and muscle pain relief without the risk of frostbite, skin burn, or...
Children’s 3R67 Prosthetic Knee
Ottobock HealthCare’s 3R67 prosthetic knee joint is the first everyday prosthesis with hydraulic swing phase control specifically for children. Children have different prosthetic needs than adults — and the cutting-edge technology of the new 3R67 prosthetic knee joint...
Fracture Sock to Reduce Irritation
New from Elite Orthopaedics is the Fracture Sock, designed to reduce skin irritation while wearing an ankle walker. The latex-free fracture sock is composed of 100% synthetic knit for superior moisture absorption. An improved cross stitch provides better compression,...
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