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
Peripheral neuropathy in Lyme disease patients
Reported cases of Lyme disease have been rising steadily over the past 30 years, but its diagnosis can be challenging. Left untreated, patients with Lyme disease can go on to develop neurological symptoms, including those that are characteristic of peripheral neuropathy.
By Greg Gargiulo
An eccentric approach to hamstring injuries
The effectiveness of eccentric training for the prevention and rehabilitation of hamstring strains has been established in the medical literature. The next step is to identify an eccentric hamstring exercise that addresses the limitations of existing…
By Karl F. Orishimo, MS, CSCS, and Takumi Fukunaga, DPT, ATC, CSCS
Chronic ankle instability: effects on quality of life
Patient-reported outcomes can be used to monitor health-related quality of life in patients with chronic ankle instability, and lower extremity practitioners can design rehabilitation approaches to specifically target physical impairments that are known to contribute to quality of life.
By Megan N. Houston, PhD, ATC, and Matthew C. Hoch PhD, ATC
Knee OA brace experts revisit persistent issues
Systematic reviews and meta-analyses show that bracing for knee osteoarthritis (OA) is associated with significant benefits with regard to pain and function. But links to disease progression remain elusive, and the challenges of patient compliance are becoming even more complicated.
By Larry Hand
Achilles rehab: focusing on insertional tendinosis
Research supports eccentric strengthening for treatment of midportion Achilles tendinopathy, but a new study suggests the same approach…
By Lisa H. Jain, DPT, OCS; Kevin J. McCarthy, MD; Michael Williams, PT, OCS; Marie Barron, PT, OCS; Nick Bird, MPT; Brian Blackwell, PT, OCS; G. Andrew Murphy, MD; David R. Richards, MD; Susan Ishikawa, MD; and Margaret Kedia, PhD, DPT
Sensory-targeted ankle rehabilitation strategies
Current treatments for chronic ankle instability (CAI) may be ineffective in reducing its development and recurrence. To help address this issue, the authors have proposed a new treatment paradigm based on …
By Patrick O. McKeon, PhD, ATC, CSCS, and Erik A. Wikstrom, PhD, ATC, FACSM
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Industry News & Updates
AFO Puts Spring-cam Back into Stroke Patients’ Steps
A research group from Tohoku University in Japan has developed a new,...
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UT SOUTHWESTERN SCIENTISTS DEVELOP COOLING INSOLE
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SIMPLE TEST HELPS TO PREDICT, PREVENT FALLS
The “enhanced paper grip test,” validated by researchers from the Centre for...
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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
SmartCast Scanning System
SmartCast is a new, all-inclusive system designed by Chris Smith, DPM and Northwest Podiatric Laboratory to simplify and improve the process of prescribing custom orthotic devices. With patients comfortably seated in an exam chair, practitioners follow a simple...
Decompression Foot Sleeve
New from OS1st, the OS1st DS6 Decompression Foot Sleeve simulates therapeutic taping, delivering six zones of compression to improve circulation and help relieve the painful symptoms of moderate to severe plantar fasciitis, heel pain, foot swelling, and other arch and...
Unloader One Lite Brace
Össur has launched its Unloader One Lite Brace for patients suffering from mild to moderate knee pain associated with osteoarthritis and degenerative meniscal tears. The Unloader One Lite is based on the technology behind the original Unloader brace, including the...
ProtecTozz Cleat Guard
New to the market is the ProtecTozz Cleat Guard, developed and field-tested over five years by Mark Tozzi, DPM, and his son Michael Tozzi, former captain of the John Carroll University football team in University Heights, OH. Made of polycarbonate material, the...
Dr. Comfort Cara Chukka
New from Dr. Comfort, the women’s Cara chukka boot features a roomy, protective toe box to help prevent skin irritation and toe stubbing. With a firm heel counter, this stylish lace-up ankle bootie provides extra medial and lateral support and stability. Natural suede...
OPTP Joint Distractor
OPTP has introduced a new product for use as an adjunct to manual therapy methods: the OPTP Joint Distractor. The product’s hook-and-loop strap design fastens a patient’s ankle securely in place, allowing for complete isodynamic joint distraction for the lower...
Silhouette Wound Imaging
Aranz Medical has announced the availability of Silhouette version 3.19, a camera and software package for lower extremity wound imaging, 3D measurement, and documentation. The three-part Silhouette package includes SilhouetteStar (a lightweight image capture...
Fillauer AllPro Foot
The AllPro prosthetic foot from Fillauer crosses all boundaries, combining high flexibility and dynamic performance to allow the user to work and play like a pro. This “do-it-all” foot easily transitions from the gym to tennis and basketball courts, as well as soccer,...
Pediatric Triple Action Joint
Developed by Becker Orthopedic, the Pediatric Triple Action Ankle Joint is designed to provide control of the lower limb through all phases of gait. This advanced orthotic ankle joint is engineered to keep pace with active patients—particularly those who may benefit...


















