LER Cover Story:
Snake Bites to the Lower Extremity Reported to U.S. Emergency Departments
Background: Thousands of snake bites occur in the U.S. each year. Venomous snake bites can produce serious adverse effects, and even bites from nonvenomous snakes may cause adverse effects. Snake bites are often treated at hospital emergency departments (EDs). The objective of this study was to describe snake bites to the lower extremity treated at US hospital EDs.
By Mathias B. Forrester, BS
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Feature Articles
Knee OA, biomechanics, and progression to TKA
The frontal and sagittal plane gait biomechanics associated with progression to total joint replacement in patients with knee osteoarthritis, particularly variables related to sustained loading, may be promising…
By Cheryl Hubley-Kozey, PhD, and Gillian Hatfield, PT, PhD
Tibial stress fractures: an evidence-based approach
Study findings suggest that increased loading rates and tibial acceleration are associated with an increased risk of sustaining a tibial stress fracture. Interventions directed at reducing these impact…
By CPT Jamie B. Morris, DPT, OCS, CSCS, and LTC Donald L. Goss, PT, PhD, OCS, ATC
Fifth met fractures and osteoporosis in women
Given that older women are at increased risk for osteoporosis, an increased incidence of fifth metatarsal fractures with increasing age in women suggests that such injuries could serve as an early point of entry into osteoporosis treatment and fracture prevention.
By David Beck, MD, Justin Kane, MD, and David Pedowitz, MD
Cryotherapy and muscle recovery after exercise
Research utilizing contrast-enhanced ultrasound suggests that, although cryotherapy effectively decreases the pain associated with exercise-related muscle damage, those symptomatic effects are not associated with decreased blood flow in the affected skeletal muscle.
By Noelle M. Selkow, PhD, ATC, and Susan A. Saliba, PhD, MPT, ATC
Surface EMG: A how-to guide for practitioners
With evidence-based protocols in hand, practitioners can feel more comfortable clinically integrating surface electromyography (sEMG) assessment, creating more sophisticated sEMG treatment protocols, and demonstrating the effectiveness of interventions.
By Rachelle Bordlee, sDPT, and Christopher Kevin Wong, PT, PhD
Running modifications to alter PFJ contact force
Patellofemoral pain interventions have increasingly focused on running technique and training approaches—such as utilization of a forefoot strike pattern, a shortened step length, and manipulations to training pace—to reduce patellofemoral joint loading parameters.
By Collin D. Bowersock, BS, and John D. Willson, PT, PhD
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Industry News & Updates
AOPA 2021 National Assembly Set for September 9–12
The American Orthotic and Prosthetic Association (AOPA) announced that its...
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Proteor Acquires Freedom Innovations from Ottobock
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Consensus Document Outlines Treatment for Knee OA Patients by Age, Activity Level
A global panel of over 40 orthopedic-related experts has published the...
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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
Core-Spun by Therafirm Support Socks
Core-Spun by Therafirm Support Socks for men and women look and feel like a soft, comfortable everyday sock with the added benefit of true gradient compression, which improves blood flow. Core-Spun Socks are designed to deliver a controlled amount of pressure which is...
Sigvaris Compreflex Lite
SIGVARIS’ COMPREFLEX® LITE is the ideal compression solution for people with stage I or II lymphedema, chronic venous disease, or post-surgical edema but have dexterity and mobility limitations. The COMPREFLEX® LITE features roll back straps that attach to the garment...
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Darco International Body Armor Pro Term Walker
Darco Introduces the Body Armor Pro Term for TMA, Chopart, and Lisfranc procedure healing. The Body Armor Pro Term is an interim orthosis for conservative treatment following amputations of the forefoot. Features of the device include - built in compression,...
Bandage Replacement System
As reported in the literature self-adjustable tension tabs are 30% faster than bandage wrapping. The Compreflex Reduce Bandage Replacement System from Sigvaris requires 6 simple steps, making it an easy cut-to-fit inelastic product for decongestive therapy, in place...
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Thermal Vent Heel-Rite
The Swede-O Thermal Vent Heel-Rite support is designed to help relieve plantar fasciitis pain and discomfort. Users adjust heel straps to provide optimal support to the plantar fascia ligament. The Heel-Rite fits comfortably in most shoes. The product is engineered...
Zero-Tool Prosthetic Quick
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Performance Block for Fitness
OPTP has launched the Performance Block, a foam support tool for use in fitness training, yoga, Pilates, and physical Therapy. Performance Block’s unique patented “dip” shape supports the user during a variety of exercises and helps promote improved strength and...


















