Shoe Inserts Found Ineffective for Pain of Medial Knee Osteoarthritis

A meta-analysis of randomized trials examining the value of lateral wedge shoe insoles as a treatment for knee osteoarthritis failed to demonstrate a benefit to the therapy beyond a placebo effect. It had been theorized that the angled wedge transfers some of the load on the knee away from the internal compartment of the joint in medial osteoarthritis, and the shoe inserts have been popular as a conservative treatment for pain from the condition.  The clinical implications of the findings, reported in the August 21 issue of the Journal of the American Medical Association, are for healthcare practitioners not to recommend lateral wedge insoles and for patients not to buy them. Read the research abstract here.


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