What are the ACR recommendations for use of assistive devices in the treatment of osteoarthritis (OA) of the knee?

Updated: Jun 10, 2020
  • Author: Carlos J Lozada, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

For knee osteoarthritis, guidelines recommend appropriate footwear as part of self-management. However, a randomized trial by Hinman et al that compared shoes designed to unload the knee versus new conventional shoes found that both groups showed comparable improvement in pain with walking as well as other benefits. In the trial, the intervention group received walking shoes with triple-density, variable-stiffness midsoles and mild lateral-wedge insoles designed to unload the medial knee and worn daily, while the control group received supportive lace-up walking shoes. [128]


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