Efficacy of Lateral Wedging in Footwear in Medial Compartment Osteoarthritis Knee

Suman Badhal; U.Singh; S.L Yadav; Gita Handa

Volume : VIII, Issue : XI, November - 2019

Efficacy of Lateral Wedging in Footwear in Medial Compartment Osteoarthritis Knee

Suman Badhal, U. Singh, S. L Yadav, Gita Handa

Abstract :

Introduction: In Knee osteoarthritis (OA) Shoe modifications, such as lateral–wedge insoles or shock absorbing shoes with insoles, have been recommended for conservative therapy of mild knee OA but with little objective data on Indian patients. Objective : this prospective study was done to study the effect of lateral heel sole wedging (insole) in the patients of OA of knee (medial compartment) and its relation to function, pain and stiffness parameters status on VAS and WOMAC scale and to see the requirement of the number of Aceclofenac tablets. Methods: 60 patients fulfilling the inclusion criteria were enrolled and divided into intervention group A (30) and nonintervention Group B (30) with random allocation. Paired t–test, Wilcoxon sign rank test and Man Whitney U test were applied at significant p–value of <0.05%. Results: the reduction of mean difference in pain on VAS and WOMAC scale, improvement in Mean difference in function parameters the mean reduction of pain in standing/ walking, bending and ascending/descending at WOMAC scale was significantly higher in intervention group. Also the mean reduction in the need for aceclofenac was significantly lower in intervention group evident from fourth week onward to fifth and sixth week. Conclusion: The lateral wedging in shoes in medial joint osteoarthritis is beneficial and it can be cost–effective conservative treatment modalities in early osteoarthritis patients, particularly in developing countries as it can reduces the requirement of NSAIDS and improve functional level of patients by reducing pain in various activities.