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
No-Nonsense Recap: Orthobiologics and Bone Substitutes: A Primer
Orthobiologics is the science of harnessing and concentrating substances (substrates) that occur naturally in the body. It is theorized that in higher concentrations, biologics may help to enhance (or) improve the healing process. Orthobiologics and bone substitutes represent groundbreaking advancements in regenerative medicine.
By Asim Raja, DPM, FACFAS
Dog-Item-Related Falls Affecting the Lower Extremity Treated at United States Hospital Emergency Departments
Millions of families in the United States (US) own dogs, and with these dogs comes an assortment of dog items (gates, beds, toys, etc.). Tens of thousands of falls associated with dogs are treated at US hospital emergency departments (EDs) each year, a portion of which involve dog items. The objective of this study is to describe dog-item-related…
By Mathias B. Forrester, BS
Top 3 Recommended Therapies for KOA: Knee Orthoses, Hydrotherapy, Exercise
Assessing the clinical efficacy of different therapeutic options for KOA will aid clinicians in treating patients. While clinicians recognize the positive role of physical therapy in improving symptoms and functionality in knee osteoarthritis (KOA) patients, these methods may differ in mechanisms of action, applicability, and efficacy variances.
By Xiao Chen, Yuanhe Fan, Hongliang Tu, and Yuan Luo
Wound Care Update: I Thought I Was Doing Everything Right…Until the Denials Came In
I used to think documentation was the easy part. Write what you saw, describe what you did, keep it clear and detailed. I was trained well. I took pride in good notes—organized, clinical, complete. The kind you’d feel confident handing off to a colleague.
By Cassandre Voltaire, DO, ABWMS
Unique Biomechanical Challenges of the Diabetic Foot
The biomechanics of the diabetic foot are an intricate interplay of physiological and mechanical challenges that necessitate specialized care strategies. Diabetes often triggers changes in foot structure and function as a result of complications including peripheral neuropathy, vascular issues, and obesity.
By James McGuire, DPM, LPT, LPed, FAPWHc
Prototype AFO Focuses on Aesthetics, Comfort, Function
This study highlights the importance of a user-centered design in enhancing adherence to and satisfaction with AFOs. Ankle-foot orthoses (AFOs) are essential in pediatric rehabilitation particularly for children with conditions such as cerebral palsy, drop foot, or neuromuscular impairments.
By Peter Dabnichki and Toh Yen Pang
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ShortTakes From the Literature
Diabetic Foot Infection in Relation to Bacteraemia and Endocarditis
Diabetic foot infections (DFIs) are one of the most important components...
First MTP Joint-Preserving Surgery for Forefoot Deformity in Patients with RA
Arthrodesis of the first metatarsophalangeal (MTP) joint has been the gold...
Diagnostic Advancements in Early Detection of Diabetic Neuropathy
Diabetic neuropathy (DN) is a widespread complication of diabetes, affecting...
Study Compares Clinical and MRI Findings for Midfoot Pain
Midfoot pain is common but poorly understood, with radiographs often...
Why I Want Bunion Surgery—The Patient’s Perspective
Hallux valgus is the most common pathology afflicting the hallux. Surgery is...
Anatomy of Plantaris Tendon and Management of Midportion Achilles Tendinopath
Midportion Achilles tendinopathy (Mid-AT) is a complex condition that may be...
A Novel Reconstructive Approach for Plantar Charcot Midfoot Ulcer
Chronic plantar ulcers in Charcot neuropathic osteoarthropathy (CNO) present a...
Transtibial Amputee: Adaptation Time with Robotic Prosthesis and Gait Symmetry
Below-knee amputations significantly affect quality of life by eliminating the...
A Foot Forward for Optimum Health
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Industry News & Updates
Cleveland Researchers Launch First Major Study to Address Onychomycosis
Athletes are 2.5 times more likely than the general public to develop nail...
Researchers Explore AFOs for Treating Achilles Tendinopathy
In Elisa Arch’s Orthotics and Prosthetics for Enhanced Mobility Lab, at the...
AI “Digital Twins” Help Patients Make Smarter Decisions About Knee Surgery
An artificial intelligence (AI)–powered tool helped patients make more...
DME MACs Expand Coverage for OA Knee Braces
The Centers for Medicare & Medicaid Services and the Durable Medical...
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Post-LAS Walking Boot Use Reduces CAI
*Early Career Winner* This study investigated the effectiveness of care strategies and...
Muscle Contributions Altered During Drop Vertical Jumps in CAI
This study examined the joint loads and muscle forces during landing in individuals with chronic...
The Impact of Supervised Rehabilitation and Re-Injury of LAS
There is an increased risk for re-injury throughout the first 12 months after an acute lateral...
LAS Healthcare Utilization by D-I Collegiate Athletes
Lateral ankle sprain (LAS) is a common injury with a high recurrence rate. Potential inequities in...
A Case of Posterior Ankle Impingement In a Collegiate Level Soccer Player
Background: Posterolateral ankle impingement typically presents as pain on the posterolateral...
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
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Lower Extremity Review
Knee and Ankle Compression Sleeves
FUTURO™ Brand’s reengineered premium compression sleeves for muscle and joint support have a new sleek look, smooth low-profile construction, and ultra-soft fabric with 4-way stretch that delivers an unrestricted comfortable fit, flexibility, and range of motion. A...
Nitinol Implant System for MTP Fusions, Lapidus Procedures
REFLEX® HYBRID combines the compression of a nitinol staple with the stability of a locking plate, offering indication-specific implants designed for metatarsophalangeal (MTP) fusions and Lapidus procedures. When paired with a cannulated screw with a Dynamic Disc, or...
Thermal Imaging Module for MolecuLightDX
MolecuLight recently announced the availability of its new Thermal Imaging Module for the MolecuLightDX™ fluorescence imaging platform. This innovative clip-on module allows clinicians using the DX device to capture informative thermal images simultaneously with the...
Carbon Fiber Insoles
Overpowered Insoles, made from carbon fiber, feature unparalleled strength, an ultra-lightweight design, and cutting-edge technology, all to empower athletes of all levels to achieve new heights of speed, agility, and performance. Overpowered Insoles elevate the...
Guide to Help Patients with Recovery After Knee Replacement
Katy Vincent, who underwent a total knee replacement at age 54, reveals how she took control of her recovery and return to mental and physical fitness in A Joint Decision ... Total Knee Replacement: Your Handbook for Success (published by Balboa Press AU). This...
CBD Topical Pain Relief
Haylex Laboratories has announced the global release of Ortho Freeze Plus, an over-the-counter topical pain reliever combining the power of lidocaine, diclofenac, and a potent 6,000mg dose of CBD extract isolate (NO THC). Recommended by sports medicine doctors,...
Virtual Reality Gait-Training Platform
GaitBetter is a state-of-the-art motor-cognitive virtual reality (VR) intervention for gait rehabilitation and fall prevention. It uses gamification and semi-immersive VR to simulate motor-cognitive challenges that patients experience in everyday life. Clinically...
Adjustable Toe Separators
Tuli’s Soft Moves Adjustable Toe Separators provide customizable comfort and gentle alignment with a patent-pending design made from soft, medical-grade silicone gel. They help relieve pain from bunions, plantar fasciitis, hammertoes, and more while promoting...
Fusion Collection from Waco
Waco Shoe Company’s Fusion Collection is an orthotic-grade footwear line that combines casual designs for those who value support and sporty style. The Fusion Collection for women includes Zest, a strappy sandal; Vitality, a practical clog; Energy, a versatile...
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