A foot turned a few degrees eased knee arthritis as well as pills
In a year-long randomized trial of 68 people with mild-to-moderate arthritis on the inner side of the knee, a small change in foot angle brought pain relief equivalent to medication and slowed cartilage loss 118.
Researchers from the University of Utah, New York University and Stanford had each volunteer walk on a pressure-sensitive treadmill ringed with motion-capture cameras, then worked out whether turning the toe inward or outward, by 5 or 10 degrees, took the most load off that particular knee. Half the group got a sham version prescribing foot angles identical to their natural walk, so the placebo effect had somewhere to show up. The real-angle group had less cartilage degradation on MRI over the year, and the work appeared in The Lancet Rheumatology 118. It is the first placebo-controlled trial of a biomechanical fix for osteoarthritis.