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Bioabsorbable Borate- Bioabsorbable Update: Care  Wound 9 PERSPECTIVE: 7 STEPS TO INCREASING SPEED 41 State St. • Suite 604-16 • Albany, NY 12207 21 FROM THE LITERATURE 27 WOUND CARE UPDATE: BIOABSORBABLE BORATE- BASED GLASS FIBERS 41 NEW AFO USES WIRE FOR STROKE PATIENTS 45 PAIN REDUCTION FOR PERIPHERAL NEUROPATHY PAID CPC PAID 51 INVENTOR’S CORNER: BIOSENSICS’ WEARABLE US POSTAGE POSTAGE US PRST STD STD PRST SUPPORTS AGING IN PLACE T 800.556.5572 10300 North Enterprise Drive I Mequon, WI 53092 I U.S.A. drcomfort.com I Copyright © 2019 by DJO, LLC I MKT00-8854 Rev A BALANCE. if any, which may be appropriate for you. @drcomfort Dr.Comfort Individual results may vary. Neither DJO Global, Inc. normedical, any of its subsidiaries legal, or any dispense other type medical of professional advice. The advice. contents Rather, of please this sheet consult do not constitute your healthcare professional for information on the courses of treatment, Our new Stability Outsole combines a dual density midsole on the medial side, an EVA and rubber bottom and a wider outsole to aid stability and support. Now available on Roger and Ruth, our newest men’s and women’s athleisure shoe. dr.comfort.com OM19-MKT00-8854-RevA-DRC-Roger-Ruth-LER-Spread-Print-Ad_r3.indd 1 7/8/19 1:43 PM T 800.556.5572 10300 North Enterprise Drive I Mequon, WI 53092 I U.S.A. drcomfort.com I Copyright © 2019 by DJO, LLC I MKT00-8854 Rev A BALANCE. if any, which may be appropriate for you. @drcomfort Dr.Comfort Individual results may vary. Neither DJO Global, Inc. normedical, any of its subsidiaries legal, or any dispense other type medical of professional advice. The advice. contents Rather, of please this sheet consult do not constitute your healthcare professional for information on the courses of treatment, Our new Stability Outsole combines a dual density midsole on the medial side, an EVA and rubber bottom and a wider outsole to aid stability and support. Now available on Roger and Ruth, our newest men’s and women’s athleisure shoe. dr.comfort.com OM19-MKT00-8854-RevA-DRC-Roger-Ruth-LER-Spread-Print-Ad_r3.indd 1 7/8/19 1:43 PM WHAT WE CREATE HERE GETS PEOPLE HERE DEDICATION. INNOVATION. INSPIRATION Join us in creating the best custom orthotics in the business CALL US TO GET STARTED WITH FOOTMAXX 1.800.779.3668 Ler Sept 2.indd 1 9/18/20 11:01 AM October 2020 contents VOLUME 12 NUMBER 10 LERMAGAZINE.COM GUEST PERSPECTIVE COVER STORY WOUND CARE UPDATE 9 SECRETS OF SPEED: SEVEN 27 CAN BIOABSORBABLE BORATE- SMART STEPS TO GETTING BASED GLASS FIBERS SUPPORT FASTER WOUND HEALING? Athletes looking for an edge often With increasing demand for work to increase speed. But there biomaterials that have the ability are prerequisites to maintaining to support wound healing, tissue health while improving fitness. 7 engineers have been challenged tips help achieve that goal. 33 FOOT DROP: A PRIMER to develop innovative bioactive scaffold materials. By Phil Maffetone, DC Foot drop, a complex condition that can have a significant impact on independent ambulation, can By Windy Cole, DPM, CWSP have many causes. These authors provide a review of COVID-19 FRONTLINES the condition from etiology through treatment. By Subhadra L. Nori, MD, and Michael F. LER FEATURES 15 STUDIES SHOW MASKS, Stretanski, DO GAITERS WORK TO PREVENT 45 PAIN REDUCTION METHODS SPREAD OF CORONAVIRUS 41 A New Ankle–Foot Orthosis Using FOR PERIPHERAL NEUROPATHY Two new studies support CDC’s recommendation for Wire for Stroke Patients with Foot As obesity and type 2 diabetes community use of masks, specifically non-valved Drop continue to be growing public multi-layer cloth masks, to prevent transmission of Researchers from Korea have developed a new health burdens, clinicians are SARS-CoV-2. type of AFO that uses neoprene and a novel wire faced with increasing numbers configuration for use with foot drop after stroke. of patients who suffer from their complications, in particular, peripheral neuropathy. These authors AD INDEX By Jung-Hoon Lee, Im-Rak Choi, and review the multiple medications available to help Hyun-Su Choi manage neuropathic pain. 57 GET CONTACT INFO FOR ALL OF By Shana Shetty, DPM PGY3, and Marshall G. OUR ADVERTISERS FROM THE LITERATURE Solomon, DPM FACPM, FACFAS NEW & NOTEWORTHY 21 • Using Shockwave, Foot Core Exercises to Manage Tibialis Posterior Tendinopathy INVENTOR’S CORNER 58 PRODUCTS, ASSOCIATION NEWS & MARKET UPDATES • 5-year Mortality, Costs of Diabetic 53 BIOSENSICS’ WEARABLE Foot Complications Comparable to TECHNOLOGY SUPPORTS AGING Cancer IN PLACE CROSSWORD PUZZLE • Gait Speed as Risk Tool for Falls In response to a very real need, 62 TEST YOUR KNOWLEDGE OF • Improved Patient-Provider BioSensics was founded on using INFORMATION FROM THIS Relationship Boosts Outcomes wearable sensors with medical ISSUE • “Renal Foot” – Angiographic applications to help older adults Patterns in Chronic Limb remain independent as they age. Threatening Ischemia + Renal Disease The views and opinions expressed in this issue are those of the authors and do not necessarily reflect the official policy or position of Lower Extremity Review. “My patients keep thanking me… for relieving their foot problems with PediFix® Medical Footcare Products” “I save valuable time not having to make palliative pads and get excellent results with the PediFix line,” adds another specialist. Your patients will express their gratitude too, for the instant and long-lasting pain relief you’ll provide with Conservative Care Footcare Products from PediFix. Don’t be fooled by imitations. Our proven designs, Congrats exclusive materials and old-world craftsmanship combine to provide you and your patients with durable to Rich devices that really work. For deformity cushioning, prominence and lesion protection, pressure and shear & LER! reduction, choose from these and dozens more ready-made medical footcare products from PediFix®. Budin™ Toe Splints Hammer Toe Crests align crooked, overlapping and support bent-under toes to relieve flexible hammer toes. #8155/57/58 toe-tip irritation, metatarsal pain, make walking easier. Choose Felt, Suede, or Gel. 3-Layer Toe Separators™ Covered PolyFoam™ Toe Caps cushion, soothe and separate. offer full toe protection. #8130 #8134/5 Effective. Economical. Easy. Yes! Please send me: ☐ Free Catalog ☐ Free Product Sample PRODUCT NAME / # ___________________________________________________________________________________ For a free catalog, product sample My Name ________________________________________________________________________ or more information, Practice/Clinic Name ____________________________________________________________ Call: 1-800-424-5561 or 845-277-2850 Address __________________________________________________________________________ FAX: 1-800-431-7801 or 845-277-2851 City ________________________________________State ______ Zip _____________________ Phone ____________________________________________________________________________ E-mail: [email protected] Fax _______________________________________________________________________________ To order, contact your favorite PediFix supplier: Email ____________________________________________________________________________ McKesson In our practice, we see approximately ___________ (#) patients each week. Henry Schein My favorite supplier is ____________________________________________ Gill Podiatry I prefer: to Dispense to Prescribe Patient Direct Order Call for more ☐ ☐ ☐ Mail to: PediFix, Dept. LER819, 301 Fields Lane, Brewster, NY 10509 Fax to: 845-277-2851 Please provide all information requested. Allow 2 weeks for delivery. © 2019 PediFix, Inc. LER819 This offer is for healthcare professionals only. 19113-Quote Ad LER819.indd 1 7/24/19 11:33 AM Lower Extremity Review Mission Showcasing evidence and expertise across multiple medical disciplines to build, preserve, and restore function of the lower extremity from pediatrics to geriatrics. EDITORIAL PILLARS • Biomechanics matter • Injury prevention is possible • Diabetic foot ulcers can be prevented • Collaborative care leads to better outcomes Richard Dubin Publisher and Chief Executive Officer [email protected] | 518.221.4042 EDITORIAL ADVISORY BOARD STAFF David G. Armstrong, DPM, MD, PhD Stefania Fatone, PhD, BPO Bijan Najafi, PhD Professor of Surgery and Director, Professor, Physical Medicine & Professor of Surgery Editor Southwestern Academic Limb Salvage Rehabilitation Director, interdisciplinary Consortium on Alliance (SALSA), Keck School of Northwestern University Advanced Motion Performance (iCAMP) Janice T. Radak | [email protected] Medicine of the University of Southern California, Los Angeles, California Chicago, Illinois Director, Clinical Research in Vascular Surgery Associate Editor Timothy E. Hewett, PhD Windy Cole, DPM Baylor College of Medicine Director, Biomechanics Laboratories & Laura Fonda Hochnadel | [email protected] Medical Director, Wound Care Center, Houston, Texas University Hospitals Ahuja Medical Sports Medicine Research Center Consulting Editor Center Mayo Clinic Antonio Robustelli, MSc, SCS Adjunct Professor/Director Wound Care Minneapolis, Minnesota Sports Performance Consultant John Baranowski | [email protected] Research Applied Sport Scientist/Technologist Geza Kogler, PhD, CO Kent State University College of Podiatric Strength & Conditioning Specialist Graphic Design/Production and Medicine Program Director Salerno, Italy Website Development Cleveland, Ohio MS Prosthetics and Orthotics Anthony Palmeri | PopStart Web Dev Kennesaw State Unversity, Clinical Jarrod Shapiro, DPM Robert Conenello,
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