When lateral wedge orthotics?

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Hi

Can someone please remind me when it is suitable to use a lateral heel wedge for medial knee pain???

Many thanks

 

You do it when you want to reduce the adduction moment at the knee. The lab based kinetic studies are showing good results at doing that, but the clinical outcome studies are not showing such good results.

 

I use a lateral wedge to reduce varus knee moment. It is a nice minimally invasive method to try to reduce medial compartment knee osteoarthritis. Obviously do not use it if the patient's medial knee pain is due to excess knee valgus (such as often accompanies severe pronation).