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Archive for July 19th, 2010

This is a continuation of our series on the Osteoarthritis Research Society International (OARSI) recommendations for the management of hip and knee osteoarthritis published in the Journal of Osteoarthritis and Cartilage.

Walking with a Cane

Walking Aids Help Patients with Osteoarthritis

Recommendation VII

Patients with hip and knee osteoarthritis can reduce pain by using a walking aid.

It is recommended that patients should be given instructions on how to use an assistive walking device in their contralateral hand.  So if their right knee hurts, they should be taught how to use a cane in their left hand.  Studies on how the knee moves supports using canes, and walking sticks in  patients with knee OA to improve their biomechanics.

Randomized Clinical Trials do not exist in regards to walking devices and knee OA.  However there was complete expert consensus that walking aids help reduce pain in patients with hip and knee OA.

The research team gave this osteoarthritis treatment option a Strength of Recommendation score of 90%.

W. Zhang Ph.D., Moskowitz M.D., et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage. (2008) 16, 137-162.