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Conditions

Knee osteoarthritis and the orthotic approach

An overview of symptoms, the process and supportive orthosis options in wear that develops in the knee joint over time.

Knee osteoarthritis and the orthotic approach: Knee orthosis for knee osteoarthritis

What is knee osteoarthritis?

Knee osteoarthritis is an orthopedic condition that arises from the gradual wear of the cartilage in the knee joint and can lead to pain, stiffness and limited movement. The progressive thinning of the joint surfaces can cause difficulty in daily activities.

The approach is usually multifaceted; exercise, lifestyle adjustments and, where considered appropriate, supportive orthoses may be considered as part of the treatment plan. Diagnosis and treatment decisions are made only through a physician's assessment.

What changes in the joint?

In a healthy knee, cartilage forms a smooth, cushioning layer between the joint surfaces. In osteoarthritis, as this layer thins, the load distribution between the bone surfaces may change and pain may arise.

  • Thinning of the cartilage and narrowing of the joint space
  • Pain, stiffness or noise during movement
  • Changes in knee alignment and load distribution over time
Knee osteoarthritis and the orthotic approach: Anatomical view of the knee joint

How may the condition progress?

Osteoarthritis follows a different course from person to person. In the early stage, symptoms may be mild and intermittent, while in later stages pain and limited movement may affect daily life more. Early assessment helps in planning suitable support options.

Knee osteoarthritis and the orthotic approach: Drawing showing the stages of knee osteoarthritis

The cycle of pain and inactivity

Pain can lead a person to avoid movement; reduced movement, in turn, can lead to a decline in muscle strength and joint flexibility. Over time, this cycle can reinforce the complaints. Suitable exercise and supportive solutions aim to influence this cycle in a positive direction.

Knee osteoarthritis and the orthotic approach: Diagram of the pain and immobility cycle

The supportive role of a knee orthosis

Knee orthoses may be considered as part of the treatment plan in order to support the joint. Some orthoses are intended to support comfort by redistributing the load on the joint; others are intended to maintain the alignment and balance of the knee.

  • Contributing to comfort in daily activities by supporting load distribution
  • Supporting the alignment and balance of the knee
  • The orthosis is selected according to the location of the pain, the level of activity and the physician's assessment
Knee osteoarthritis and the orthotic approach: Hinged functional knee orthosis

Supportive approaches

Exercise and movement play a fundamental role in managing knee osteoarthritis. Applications are planned under the guidance of the physician and physiotherapist.

Knee osteoarthritis and the orthotic approach: Strengthening exercise with a resistance band

Strengthening

Supporting the muscles surrounding the knee may help in managing the load placed on the joint.

Knee osteoarthritis and the orthotic approach: Balance exercise with a knee orthosis

Balance and movement

Balance and range-of-motion work is intended to support confidence in daily activities.

Process

The orthosis fitting process

1

Physician's Assessment

Fitting begins with a specialist physician's assessment and a prescription/medical report.

2

Measurement and Planning

The person's condition is assessed; the suitable type of orthosis and the service plan are determined.

3

Fitting and Adjustment

The orthosis is fitted; fit and settings are adjusted for the individual.

4

Follow-up

Use training is provided; follow-up is provided for check-ups and, when needed, modifications.

Frequently asked questions

Does a knee orthosis relieve pain?

Orthoses are a supportive part of the treatment plan; the aim is to support the joint and contribute to comfort in daily activities. Results vary from person to person and are determined by a physician's assessment.

How long should I use the orthosis?

The duration and method of use are determined by the physician according to the person's condition; regular check-ups are recommended.

Should I exercise?

Exercise and movement play an important role in managing knee osteoarthritis. A suitable program should be planned under the guidance of the physician and physiotherapist.

This content is for informational purposes; consult your physician for diagnosis and treatment. Fittings are carried out at our licensed center addresses in line with a specialist physician's prescription/medical report.