Would a Brace help my Arthritic knee?

Introduction

Arthritis in the knees can limit your ability to keep doing the things you love and enjoy life. This pushes many to explore various solutions for pain relief and improved mobility. One option often considered is the use of knee braces. I frequently see patients who have used knee braces or ask me if they should purchase one to help with their knee. So, before you strap on a brace let’s explore this topic further weighing up the pros and cons to make an informed decision about their suitability for your arthritic knee.

The Pros of Knee Braces

1. Stability and Support: Knee braces may offer some added support to arthritic joints, potentially helping to reduce the strain on affected areas. This support can be particularly beneficial during physical activities. However, the reality is that there is probably very little useful support given to the knee.
2. Pain Relief: Some users report experiencing pain relief when using knee braces. The compression provided by the brace may reduce inflammation and discomfort associated with arthritis.
3. Improved Functionality: For certain individuals, a knee brace may enhance mobility and function, allowing for more comfortable movement.

The Cons of Knee Braces

1. Dependency Concerns: Relying too heavily on a knee brace may lead to dependency. Both mentally and physically. The muscles around the knee may get used to the support offered by the brace and not work as they should. It’s crucial to maintain and improve muscle strength to help joint function to avoid long-term reliance on external support.
2. Limited Evidence for Long-Term Efficacy: While knee braces may provide short-term relief, the evidence supporting their long-term efficacy in managing arthritis is limited. Other interventions such as Physiotherapy have been proven to help in the management of Arthritic Knees and are more effective in the long run.
3. Discomfort and Chafing: Some users find knee braces uncomfortable, and prolonged use may lead to skin irritation or chafing. Proper sizing and adjustments are essential to reduce these issues.
4. Cost: Braces can be expensive.
5. Worsen symptoms: In changing the forces through the knee a brace can negatively as well as positively impact your pain and symptoms. I’ve had patients report they have tried a brace but have not liked it.

Considering Alternatives

Instead of relying solely on knee braces, consider incorporating alternative approaches for managing arthritic knees:

1. Physical Therapy: Engaging in targeted exercises under the guidance of a physical therapist can strengthen muscles around the knee, providing natural support and improving joint function. My Arthritic Knee Program has everything you need to transform your arthritic knee.
2. Weight Management: Maintaining a healthy weight can significantly reduce the load on arthritic joints, easing pain and improving overall mobility. For help with this visit the Lose Weight – Better Health – NHS website.
3. Low-Impact Exercise: Opt for low-impact activities such as walking, swimming or cycling, which are gentle on the knees while promoting joint flexibility.
4. Medication: This may help you to get more out of your knee whilst you build strength. Discuss with a doctor or pharmacist the best options available.
5. Walking Aids: You might find that a stick or crutch could help to reduce the load on your knee whilst increasing your exercise and improving your confidence. You may want to check out this blog to see if you would benefit from using a walking aid.

What if I already use a brace?

If this is the case then I would advise you to start gradually reducing the use of the brace. While at the same time working to actively improve the strength, alignment and stability of your knee. My Arthritic knee program works not only with exercise to strengthen but also teaches you how best to manage your knee.

I remember one lady who struggled with the thought of going out without her brace. She had been using the brace for quite a while. Gradually she increased the distance of her walks without her brace, at first she used to take the brace with her and put it in her bag. This way she could use it if she felt she needed it – she never did but just knowing it was there if she needed gave her confidence. It was more of an emotional crutch that was no longer needed once she worked hard on her strength and alignment.

Conclusion

While knee braces may offer short-term temporary relief for arthritic knees, it’s essential to consider the potential drawbacks and explore alternative strategies for long-term management. To see long-term improvements to your Arthritic knee you need to work on strength and support through exercise, weight management, and a healthy lifestyle can improve joint health and overall well-being. I cover all of this in the Arthritic Knee program. There are lots you can do to improve your Arthritic Knee so don’t despair with the correct guidance you can achieve a strong and dependable knee and I would love to help.

Take care, Helen

Helen Manders BSc (Hons) MCSP HCPC

Physiotherapist since 2001.