Archive for the ‘Unloader Knee Braces’ Category

Unloader Knee Brace

Unloader Knee Brace

This is the fourth post in a series of articles about bio-mechanical knee braces used to treat osteoarthritis of the knee.

The Premier Reliever Arthritis Brace is a custom knee brace that will be built specifically for each patient’s leg.  It is built from carbon graphite so the shells are rigid and strong.  This unloader knee brace is best suited for patients who are active that require protection, stability, and pain relief.

A prescription is required for this type of orthopedic appliance and it must be fit by a certified orthotist.  Most health insurance policies cover Unloader Knee braces.

If you are active and looking for a conservative treatment option this knee brace will help.  It is indicated for patients with unicompartmental osteoarthritis.



Knee Brace for Osteoarthritis

Knee Brace for Osteoarthritis

This is the third blog post in a series of articles about bio-mechanical knee braces used to treat osteoarthritis.

The Reliever One Unloader Brace is designed for patients with unicompartmental osteoarthritis.  This knee brace is meant to buy time for people looking to postpone surgery.  It provides pain relief and increases function in arthritic knees by opening the damaged joint space.

This unloader knee brace is constructed from aircraft aluminum and is easy to wear.  It is lightweight and low profile.  A certified orthotist must measure and fit your leg for this orthopedic appliance.  Also, a prescription from your doctor is required.

This bio mechanical knee brace does a lot of work.  It is a conservative treatment option that is paid for by most health insurance plans.



Geriatric Unloader Brace

September 10, 2010
Arthritis Knee Brace

Arthritis Knee Brace

The Geriatric Unloader Brace is designed for patients with unicompartmental osteoarthritis.  This unloader knee brace works best for geriatric patients, or patients who only require a mild amount of pain relief.

This knee brace is constructed from neoprene, so it provides circumferential warmth and compression.  There is one hinge in this brace.  It is placed on the side opposite of the arthritis.  The hinge gently opens the joint space to relieve pressure and provide pain relief.

It is easy to put on and take off which is important to patients with arthritic fingers.  Also, this is the only bio mechanical knee brace on the market that does not require a prescription.  This knee brace is more substantial than a neoprene sleeve, but simple enough that a certified orthotist is not required to fit it.  This is a brace you can order yourself by taking one measurement at your knee center.

It is an inexpensive and conservative treatment option for osteoarthritis of the knee.



Unloader Knee Brace

Unloader Knee Brace

Bio Mechanical Knee Braces are used to relieve pain and increase function in knees afflicted with osteoarthritis.  This type of knee brace is called by different names:  off-loading knee brace, unloader knee brace, varus / valgus knee brace, and osteoarthritis knee brace.  This post is the first in a series about bio mechanical knee braces that treat unicompartmental osteoarthritis.

This type of knee brace is a biomechanical solution to a biomechanical disease.  If you are familiar with how a fulcrum works then you can grasp how these knee braces function.  Unloader knee braces apply three-point-pressure to arthritic knees and open the joint space.  This opening reduces the amount of pressure compressing the worn cartilage.

Arthritis knee braces are covered by Medicare, Medicaid, and most HMO’s and PPO’s.  If you have DME coverage on your health insurance policy it is likely you are eligible for an unloader knee brace.

These knee braces do a lot of work and should only be fit by a certified orthotist.  They will change the way your knee moves and functions.



Unloader Knee Brace

Osteoarthritis of the knee effects your anatomy in several ways.  Misalignment of the joint is a common problem. It isn’t possible for medications or topical treatments to correct this condition, so a proven option is to wear a hinged brace. These high-tech, bio-mechanical devices change how your weight is distributed across the knee joint, providing instant relief and reducing pressure.

The brace applies pressure both above and below the knee, opening the joint and reducing friction on the bones. Numerous studies over the last 20 years have proven this type of treatment to be effective in correcting knee alignment and relieving swelling and discomfort in the joint. According to the American Academy of Orthopedic Surgeons, braces of this nature “may provide a significant reduction in knee pain for patients with unicompartmental osteoarthritis when properly fit.”



Arthritis Knee Brace

Arthritis Knee Brace

This post is a continuation of a series of articles from the American Academy of Orthopedic Surgeons’ (AAOS) Full Guideline for the Treatment of Osteoarthritis.

Recommendation 10 – The AAOS is unable to recommend for or against the use of knee braces with varus directing forces for patients with lateral uni-compartmental osteoarthritis of the knee.

The reason unloader knee braces received a “can’t recommend for or against” rating is because there aren’t any published studies on the subject.  The vast majority of patients with unicompartmental osteoarthritis are affected on the medial or inside compartments of their knees.  In rare cases, usually relating to trauma, osteoarthritis can affect the lateral or outside compartment of the knee.

So to date research teams have been unable to get enough people together with lateral compartment osteoarthritis to put together a study.



 

Unloader Knee Brace

Unloader Knee Brace

This article is part of a series of articles from the American Academy of Orthopedic Surgeons’ Full Guideline for the Treatment of Knee Osteoarthritis.

Recommendation 9 – The AAOS is unable to recommend for or against the use of a knee brace with a valgus directing force for patients with uni-compartmental osteoarthritis of the knee.

The evidence for this treatment option is graded as inconclusive because the research team only looked at two studies.  The Kirkley study proved that unloader knee braces reduce pain and increase function in arthritic knees.  The Brouwer study showed that patients do not tolerate knee braces well.

It is because the AAOS looked at one positive study for the use of knee braces and one negative study against the use of knee braces that they decided on a wishy-washy, can’t decide for or against attitude towards knee bracing.  Why didn’t they look at third study and break the tie?



This is a continuation of our series on the Osteoarthritis Research Society International (OARSI) recommendations for the management of hip and knee osteoarthritis published in the Journal of Osteoarthritis and Cartilage.

OA Knee Brace

Unloader Knee Brace

Recommendation VIII

Knee braces can reduce pain, improve stability, and diminish the risk of falling in patients with knee osteoarthritis.

There is clear evidence that physical function, stiffness, and pain are significantly improved in patients with knee osteoarthritis when they use an appropriate knee brace.

Valgus knee braces, also called an unloader knee brace, or off-loading knee braces, or bio-mechanical knee braces are recommended in 8 out of 9 existing guidelines for the management of knee osteoarthritis.

The research team gave this osteoarthritis treatment option a Strength of Recommendation score of 76%.

W. Zhang Ph.D., Moskowitz M.D., et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage. (2008) 16, 137-162.


Unloader Braces Buy Time For Patients

Are you too young to have your knee replaced?  Do you want to postpone your knee arthroplasty for a couple of more years?  Patients with knee osteoarthritis can buy time using bio mechanical knee braces.

Bio-mechanical knee braces, also called unloader knee braces, or off-loading knee braces help patients with osteoarthritis relieve pain and increase function.  The knee brace is not a cure for osteoarthritis but it will help patients defer their surgeries.

Patients that are poor surgical candidates because they are diabetics or are overweight often use bio mechanical knees braces to relieve their pain.  Also patients who experience negative side effects of non-steroidal ant inflammatory drugs (NSAIDs) benefit from these braces.

An arthritis knee brace requires a prescription from your physician and must be fit by a professional credentialed to measure and fit custom orthotics.  Bio mechanical knee braces are covered by Medicare, medicaid and most major HMO’s and PPO’s.



Unloader Brace

Custom Unloader Brace

There are few products available to treat osteoarthritis that offer immediate pain relief.  Custom Unloader Braces make that short list.  These knee braces offer a bio-mechanical solution to a bio-mechanical problem.  Unloaders actually shift your body weight from the damaged cartilage in your knee.  The hinge and shells absorb some of the pressure, and the rest is transferred to the healthy cartilage on the opposite side of your knee.  These braces work.  And for most patients the results are immediate!  Unloader braces have been available for over twenty years and there is a lot of valid science proving their efficacy.  Medicare, Medicaid, and most major HMO’s and PPO’s pay for this type of medical device.  Be sure to be fit by a certified orthotist.  Custom arthritis knee braces should not be ordered over the internet.