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
Charcot-Marie-Tooth: AFO mechanics and gait patterns
Patients with Charcot-Marie-Tooth disease showing the greatest increase in speed appear to respond to and utilize the energy storing and releasing properties of a carbon fiber composite ankle foot orthosis differently from those who had smaller increases in walking speed.
By Janet S. Dufek, PhD; Edward S. Neumann, PhD, PE, CP; M. Cameron Hawkins, PhD; and Brendan J. O’Toole, PhD
Exploring treatment options for intermittent claudication
Despite the documented benefits of supervised exercise in patients with claudication, its effect on actual clinical practice has been disappointing due to a lack of reimbursement. But practitioners and researchers have been investigating other options, with encouraging preliminary results.
By Cary Groner
The brain: A new frontier in ankle instability research
Transcranial magnetic stimulation research suggests cortical excitability may be able to help differentiate healthy, previously injured, and functionally unstable ankle joints, and underscores the need to clinically target both mechanical and proprioceptive deficits in patients with FAI.
By Alan R. Needle, PhD
Variable amputation rates in patients with diabetes
Studies show that lower extremity amputation rates in patients with diabetes vary widely, sometimes even within individual healthcare systems. What’s more difficult to determine is why these variations exist and what can be done to improve access to care for all patients.
By Larry Hand
Epidemiology of Achilles tendon rupture in the US
The etiology of Achilles tendon rupture is multifactorial, but the injury occurs most frequently in the athletic population. Clinicians still miss 24% of ruptures acutely, particularly in older patients, those in whom sports was not the causative mechanism, and those with high BMIs.
By Steven M. Raikin, MD
Knee injury prevention: Hip and ankle strategies
Many knee injury prevention programs do not focus on ankle dorsiflexion range of motion and hip adductor activation, but research suggests both distal and proximal variables contribute to alterations in frontal plane knee biomechanics and could affect injury risk.
By Darin A. Padua, PhD, ATC, and Micheal A. Clark, DPT, MS, PES, CES
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Industry News & Updates
Sensor Medica Opens First US Biomechanical Clinic in Idaho
Sensor Medica USA has opened its first biomechanical clinic at its North...
Battery-Powered Headgear Could Short-Circuit OA Joint Pain
Hyochol “Brian” Ahn, PhD, ANP-BC, an associate professor with Cizik School of...
Virginia Tech Researchers Developing Smart Prosthetic Socket to Improve Comfort, Performance
A Virginia Tech research team, led by Associate Professor Michael Philen, PhD,...
CMS Adds New L-Code for 2020; Updates Therapeutic Shoe Modification Codes
The Centers for Medicare & Medicaid Services (CMS) have announced 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
Dr. Harvey’s Herbal Motion
Dr. Harvey’s Herbal Motion is a new cream developed by New York orthopedic surgeon Harvey Manes, MD, to help soothe aches and pains with all natural ingredients as an alternative to anti-inflammatory drugs and chemical-based creams. The formula includes capsaicin,...
PDE Orthosis From Fabtech
Fabtech Systems offers the new PDE (posterior dynamic element) Orthosis, an advanced below-knee composite orthosis utilizing the PDE modular composite spring system for a range of orthotic applications including ankle and calf weakness. The orthosis facilitates...
Abeo Biomechanical Footwear
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Support the Foot Quick Tape
New from Support the Foot is Quick Tape, a one-piece foot tape that offers a convenient alternative to low Dye taping. Clinicians can now ditch the scissors, adhesive spray, and different sizes of tape for one easy and efficient Quick Tape application. The tape has a...
STS Trans-Tibial Molding Sock
The STS Company has announced the addition of a new molding sock to its family of casting materials. The Trans-Tibial sock, developed as a part of a postoperative rigid dressing system introduced recently in Australia, is suited for obtaining a negative model of a...
Tetra-Flex Clip-Free Bandage
Tetra announces the Tetra-Flex CF (clip free) Woven Elastic Bandage. Tetra-Flex CF is a premium weave of Spandex and selected long-staple cotton providing maximum compression and durability, and its new self-closure system now makes it easy to apply and adjust. Up to...
SPIO Lower Body Orthosis
The SPIO Lower Body Orthosis is designed to assist with gait and stability in pediatric patients with spastic diplegia, hypotonia, Down syndrome, ataxia, autism, and sensory processing disorder, as well as other diagnoses. The specially milled fabric is lightweight,...
Anti-embolism Stockings
Sigvaris offers a new generation of anti-embolism stockings to help prevent deep venous thrombosis and provide the benefits of graduated compression for patients transitioning from recovery to early rehabilitation. Available in calf-length and thigh-high styles, the...
Travel Shoes for Spring & Summer
Arcopedico USA introduces new fun and flirty travel shoes for Spring/Summer 2017, designed to be packable, lightweight, breathable, and circulation-supporting. The new Stripe shoe is a ballerina-style slip-on with a sculpted satin/cotton upper in a whimsical...


















