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Reducing pain in patients with osteoarthritis of the big toe

Date:
December 7, 2015
Source:
Wiley
Summary:
Prefabricated foot orthoses and rocker-sole footwear (in which the sole of the shoe is curved) are effective at reducing peak pressure under the big toe in people with a condition called first metatarsophalangeal joint osteoarthritis, but new research shows that they achieve this through different mechanisms. Also, rocker-sole shoes exhibited lower peak pressure under the lesser toes and midfoot, while orthoses increased peak pressure in these areas.
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Prefabricated foot orthoses and rocker-sole footwear (in which the sole of the shoe is curved) are effective at reducing peak pressure under the big toe in people with a condition called first metatarsophalangeal joint osteoarthritis, but new research shows that they achieve this through different mechanisms. Also, rocker-sole shoes exhibited lower peak pressure under the lesser toes and midfoot, while orthoses increased peak pressure in these areas.

Investigators found that both were similarly effective for relieving big toe joint pain in patients; however, prefabricated foot orthoses may be the intervention of choice because patients were more likely to use them, and they were less likely to cause back pain, discomfort, or impaired balance.

"Osteoarthritis affecting the big toe joint is a common and disabling condition," said Prof. Hylton Menz, lead author of the Arthritis Care & Research studies, which were funded by the National Health and Medical Research Council of Australia, "Our research suggests that footwear and orthoses may help alleviate pain by altering the distribution of load under the foot when walking."


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Journal Reference:

  1. Hylton B. Menz, Maria Auhl, Jade M. Tan, Pazit Levinger, Edward Roddy and Shannon E. Munteanu. Biomechanical Effects of Prefabricated Foot Orthoses and Rocker-Sole Footwear in Individuals With First Metatarsophalangeal Joint Osteoarthritis. Arthritis Care & Research, 2015; DOI: 10.1002/acr.22743

Cite This Page:

Wiley. "Reducing pain in patients with osteoarthritis of the big toe." ScienceDaily. ScienceDaily, 7 December 2015. <www.sciencedaily.com/releases/2015/12/151207164335.htm>.
Wiley. (2015, December 7). Reducing pain in patients with osteoarthritis of the big toe. ScienceDaily. Retrieved May 28, 2017 from www.sciencedaily.com/releases/2015/12/151207164335.htm
Wiley. "Reducing pain in patients with osteoarthritis of the big toe." ScienceDaily. www.sciencedaily.com/releases/2015/12/151207164335.htm (accessed May 28, 2017).

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