The American College of Sport Medicine in their journal Medicine & Science in Sports & Exercise Vol. 43 No 9in 2011 recently looked at which patients would benefit from prefabricated orthotics for patellafemoral pain or  knee cap pain. The study demonstrated that  >78% of participants showed a “marked improvement” when they had 3 out 4 of the following factors:

  • Ankle Dorsiflexion <41 degrees with knee flexed (ie calf flexibility)
  • Single Leg Squat reduced pain with orthotic
  • Usual Pain Levels in mild to moderate range
  • Wear Poor Footwear (ie loafers, sandals, non rigid shoes )

There were limitations to this study but it provides patients with a low cost option as compared to custom orthotics that are generally significantly higher in cost and typically not covered by insurance. This study did not have a control group therefore it is unclear if some of the patients would improve by the end of the 12 week time period with simply the passage of time. Here is  a link to the orthotics used in the study http://tinyurl.com/3rjgfdq.

Foot Orthotic

Foot Orthotic

I feel it can be  a good compliment to the physical therapy program when its indicated.  If you are unsure whether you are candidate for orthotics  contact us at Apex Orthopedic Rehabilitation for a complimentary evaluation  This is open for former patients and  anyone from the Paramus, Ridgewood and the greater Bergen County.