Are foot orthotics efficacious for treating painful medial compartment knee osteoarthritis? A review of the literature

Are foot orthotics efficacious for treating painful medial compartment knee osteoarthritis? A review of the literature
Issue online:
11 Feb 2004
Paper received December 2002, accepted February 2003
To cite this article: R. Marks, L. Penton (2004)
Are foot orthotics efficacious for treating painful medial compartment knee osteoarthritis? A review of the literature
International Journal of Clinical Practice 58 (1), 49Ò57.
doi:10.1111/j.1368-5031.2004.0084.x
Blackwell Synergy

R. Marks11Department of Health and Behaviour Studies, Columbia University, Teachers College, New York, NY, USA, **Dr R. Marks, Department of Health and Behaviour Studies, Box 114, Teachers College, 525 W 120th Street, New York, NY 10027, USA
Tel.: +1-212-678-3445
Fax: +1-212-678-8259
E-mail: rm226@columbia.edu, L. Penton22Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada

Summary

This work examined the evidence base concerning the efficacy of laterally wedged foot orthotics for improving the symptomatology associated with painful disabling osteoarthritis of the knee medial compartment. To this end, all relevant peer-reviewed publications on this topic published in the English language were retrieved and analysed. In addition, related biomechanical publications were analysed. These data indicate a strong scientific basis for applying wedged insoles in attempts to reduce osteoarthritic pain of biomechanical origin. Further research to substantiate their efficacy in well-designed clinical trials seems warranted.

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