The osteoarthritis affected cartilage is located between two bone ends and serve as a so-called elastic protective layer. The cartilage prevents the bones from rubbing against each other and distributes the load evenly over the joints.
Joints are internally lined with a joint membrane and enveloped from the outside by a joint capsule. In the joint membrane is the synovial fluid, which acts as a kind of additional shock absorber for the cartilage. In addition, the synovial fluid nourishes the cartilage with important nutrients.
The optimal interaction of all components of the joint allows a smooth movement without any pain or disability.
The cartilage can be damaged for various reasons, such as by misalignment of joints, overweight or incorrect load such as anatomically incorrect footwear. This causes the cartilage to become soft, thin and cracked.
When a cartilage substance is lost, the synovial membrane reacts with inflammation. This inflammation results in pain, swelling and restrictions in the musculoskeletal system. In the worst case, the cartilage may even dissolve completely. As a result, bony changes occur that cause deformation of the joint. Especially often the joints in the knee and hip area are affected. However, the right shoes can slow down the progression of osteoarthritis. More below in the text.
There is a distinction between primary and secondary osteoarthritis . In primary osteoarthritis, the cause of the disease is not detectable. In secondary osteoarthritis, various factors are effective. It develops from causes such as:
- High heel shoes
- occupational or sports overload
- genetic predisposition
- orthopedic deformities
- other underlying diseases such as rheumatism, gout or diabetes mellitus
As the first symptoms sufferers only occasionally feel pain, for example, after heavier loads when the joint was heavily used.
In the course of the disease symptoms occur even with slight movements and even at rest. It can even lead to permanent pain and restricted mobility.
Inflammation can cause swelling of the joint. As a result, the circumference of the joint increases, so that the joint looks visually larger.
To date, there is no cure for osteoarthritis . However, there are ways to relieve the pain and thus limit any restrictions that may occur in everyday life as much as possible. Therefore, it is important to take action as soon as possible.
The right shoes for osteoarthritis – what do you need to pay attention to?
The most common types of arthrosis include knee and hip osteoarthritis. With orthopedic measures you can keep the symptoms as low as possible. Depending on which joint is affected walking aids, thumb rails, bandages or orthoses can help. In general, however, the choice of the right shoes for osteoarthritis is enormously important . For example, the following things can help:
- orthopedically adjusted footbeds
- Shoe outer edge increases
- Buffers with ramps
- heel wedges
All these measures are designed to relieve your joints and thus reduce the extent of osteoarthritis.
No-Gos for shoes for osteoarthritis
High heels mean stress on the joints. Even a slight heel causes more pressure on the kneecap. Especially the knee and hip joints are affected because they are placed in an unnatural flexion and thus the wrong joint areas are charged. As a result the supply of articular cartilage is disturbed. Shoes with a flat heel are therefore recommended, which allow full extension of the hip joint. Therefore, women who, for example, can not do without heeled shoes for professional reasons, should always have flat shoes at hand to change . The heeled shoes should only be worn for a few hours.
Properties for shoes in osteoarthritis
The right shoes for osteoarthritis should have soft, shock-absorbing soles. Too tight shoes are also harmful and should be replaced with shoes in the appropriate shoe width. For example, shoes in the width H are especially suitable. These provide the feet with enough space in the shoe and ensure that the feet are properly loaded. In addition, care should be taken that the shoes have removable footbeds . So these can be replaced by the orthopedically adapted footbeds .