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Archive for July 21st, 2010

In my younger days, I used to go on long, extended runs through the rural streets of my hometown. At the time, it never occurred to me to wear appropriate footwear or pay attention to my gait; running was simply a means of exercise and personal enjoyment. And while I love to reminisce about those worry-free days of my youth, I’m afraid I’m paying for it later in life.

My joints have begun to deteriorate quickly in recent years, a phenomenon which was surely expedited by the carefree nature of my youth. Now when I exercise I make sure to wear the proper shoes and utilize a treadmill or track, but the pain in my joints simply won’t go away. I’ve decided to heed the advice of some of my friends and take a joint health supplement in an effort to reverse the trend.  I don’t have time for knee pain in my life.



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.

Footwear Is Important

Footwear Is Important

Recommendation IX

Every patient with hip and knee osteoarthritis should receive advice about appropriate footwear.

There is a lot of information available about footwear and how it relates to hip and knee osteoarthritis.  Lateral wedged insoles are recommended in 12 out of 13 existing guidelines for the management of knee OA.  Three observational studies conclude that lateral wedged insoles can provide symptomatic pain relief.  However three randomized controlled studies do not support the use of lateral wedged insoles.

There haven’t been any controlled trials that supports the use of sports shoes or footwear with shock absorbing soles for treating knee osteoarthritis.

The expert opinion of the research team directs that every patient with hip and knee osteoarthritis should get advice on appropriate footwear.

The research team gave this osteoarthritis treatment option a Strength of Recommendation score of 77%.

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.