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
Active Stance: Patients with at-risk feet need collaborative care
In a recent editorial in The Lancet Diabetes-Endocrinology,1 Lipsky and colleagues wrote that diabetic foot disease “…is not a one doctor disease—it demands multidisciplinary care. Furthermore, as a notoriously unglamorous problem, the disease depends on…
By Terrence P. Sheehan, MD
Biomechanists explore effect of obesity on falls
Obese patients have an increased risk for falls and fall-related injury, not just because of the loads involved, but also because of the strategies they use to recover from a trip or slip. Findings from a growing body of research will help in developing interventions to minimize that risk.
By Hank Black
Dynamic load analysis for injury prevention
Identifying loading patterns associated with Jones fractures and other common sports-related injuries can assist with the development of custom modifications to footwear, insoles, and training programs to help reduce injury rates and enhance athletic careers.
By Yannick Goeb, Nate Wilcox-Fogel, and Kenneth J. Hunt, MD
Plantar fasciitis: Clinical considerations in runners
Clinicians should advocate for the cost-effective, judicious use of foot orthoses for runners with plantar fasciitis, in accordance with the present body of knowledge.
By Patricia Pande, MClScPT, CSCS, CPed
Plantar fasciitis: Clinical concerns in basketball
Basketball is associated with a high number of lower extremity injuries, often related to footwear and the unique biomechanics and repetitious motion of the sport. This reflects the evolution of basketball from a refined sport to one of extreme physical contact and leverage. At elite levels of competition, the joint loading that comes with…
By Patricia Pande, MClScPT, CSCS, CPed
Running modifications and reducing injury risk
Evidence suggests that no one foot strike style can be expected to decrease injury risk in all runners, and that switching foot strike patterns can have unintended consequences. Using a shorter stride length, however, can be an effective alternative for some runners.
By Elizabeth Boyer, PhD, and Tim Derrick, PhD
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Industry News & Updates
ENGINEERS CREATE THREAD SENSORS THAT SENSE HOW, WHEN YOU MOVE
Engineers at Tufts University have created and demonstrated flexible...
POWERED PROSTHETIC ANKLES CAN RESTORE A WIDE RANGE OF FUNCTIONS FOR AMPUTEES
Researchers from North Carolina State University (NC State) and the University...
FDA GRANTS US MARKETING AUTHORIZATION FOR DEVICE TO IMPROVE GAIT IN MS PATIENTS
The U.S. Food and Drug Administration granted marketing authorization to...
ADAPTTECH SECURES $2.7 MILLION IN NEW FUNDING
Biomedical startup Adapttech, Birmingham, England, announced that it has...
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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
Heel Pain Orthotic Device
Heel pain affects over 25% of the adult population and 20% of the pediatric population. Heel Defender is a patented heel orthotic device for off-loading the painful heel in both adults and children. Heel Defender is designed to remove the impact force from the heel,...
Advisory Book for Parents of Child Athletes Pneumatic Walker
#HeySportsParents is a new advisory book written by Sharkie Zartman and Dr. Robert Weil. The book is intended for parents with children playing sports. The first segment of the book (Sports Parenting 101) covers the basics of parenting a young athlete, including the...
Pro Select Full Shell Pneumatic Walker
The Pro Select Full Shell Air Walker from Elite Orthopaedics, Inc. features a full circumference shell design that provides controlled immobilization of the lower leg, ankle, and foot. A breathable insole, featuring patent-pending technology, allows for air to...
Infinite Socket
Every human limb is different and changes over time, whether due to volume fluctuation, or painful skin breakdown. LIM Innovations now offers a customizable solution to combat volume fluctuation by providing a dynamic socket interface that can be adjusted by patients....
Second Edition of Neuroscience Clinical Guide
The revised second edition of Pain Neuroscience Education: Teaching People About Pain is now available exclusively from OPTP. Written by physical therapists Adriaan Louw, Emilio Puentedura, Steve Schmidt, and Kory Zimney, this clinical guide contains significant...
Microfiber Shades Argyle Compression Socks
Sigvaris offers a new fun and colorful addition to its popular line of Microfiber Shades line of compression stockings – the Argyle. All Microfiber Shades compression socks, including the Argyle, are designed to incorporate advanced microfiber technology to provide...
Bionic Knee Brace
Levitation from Spring Loaded Technology is the world’s first compact bionic knee brace. According to the company, Levitation is the only brace that can significantly reduce pressure throughout the knee while enhancing strength to alleviate pain and improve mobility...
Med Spec Supinator PTT Stabilizer
Med Spec introduces the new Supinator PTT Stabilizer, a comfortable and relatively low-profile brace for the treatment of posterior tibial tendon dysfunction (PTTD). With its patent-pending design, the Supinator reduces overpronation by applying a supinating force....
Mastercare Mini Therapy Table
Mastercare – The Swedish Back Care System, Model Mini is a professional therapy table that can be used to reduce injury risk for runners. The unit strengthens and decompresses the muscles of the back to relieve pressure on the lower extremity joints, as well as the...


















