Butler RJ, Marchesi S, Royer T, Davis IS. The effect of a subject-specific amount of lateral wedge on knee mechanics in patients with medial knee osteoarthritis. J Orthop Res. 2007;25(9):1121–7. While using your shoe size to find your best size is a good guide, it is not always foolproof. If you want to guarantee that your insole fit your shoes as closely as possible, we recommend measuring your existing insole and using this as a guide to your size. Since these insoles have so much arch support, it can take some time for flat feet to adjust to them. As a result, Valencia recommends wearing these for an hour a day at first until you're used to them. We did notice that they gradually felt more comfortable throughout the duration of the testing period. Small: 10.25" Medium: 11" Large: 11.5" XL: 12" XXL: 12.5" They are also trimmable with scissors. I'd shoot for the small. Medial wedge insoles are inserts which are wedged along their inner side and placed inside the shoe to reduce over pronation at the foot.

Arnold JB, Wong DX, Jones RK, Hill CL, Thewlis D. Lateral wedge insoles for reducing biomechanical risk factors for medial knee osteoarthritis progression: a systematic review and meta-analysis. Arthritis Care Res (Hoboken). 2016;68(7):936–51.The comparison for subgroups did not show a statistically significant difference ( x 2 = 0.31, P = 0.85, I 2 0%). Two subgroups presented statistically significant reductions: insole ≤5° (SMD –0.22 [95% CI –0.37, − 0.08], P = 0.002) and insole > 5° and ≤ 9° (SMD –0.29 [95% CI –0.53, − 0.05], P = 0.02). However, the subgroup insole > 9° showed no statistically significant reduction (SMD –0.30 [95% CI –0.68, 0.08], P = 0.12). The Egger’s regression test for funnel plot asymmetry was positive (β = − 0.75, standard error (SE) 0.33, P = 0.034), indicating weak evidence of publication bias for the first peak EKAM (see Additional file 3). When using the trim and fill method, no trimming was performed, and the data remained unchanged. Sizes: One size | Arch Type: Not listed | Anti-Odor: Yes | Materials: Terrycloth, foam | Our Overall Rating: 4.2/5 Schardt C, Adams MB, Owens T, Keitz S, Fontelo P. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak. 2007;7:16. The QD Pronation and Supination Wedges are made from durable and lightweight material to improve your condition without discomfort. The insoles are made from the following materials:

None of the subgroups showed a statistically significant reduction of the overall effect, with pooled effect similar between them when compared with the control condition: insole ≤5° (SMD –0.24 [95% CI –0.50, 0.03], P = 0.08); insole > 5° and ≤ 9° (SMD –0.27 [95% CI –0.92, 0.39], P = 0.43); and insole > 9° (SMD –0.32 [95% CI –0.80, 0.17], P = 0.2). Egger’s regression test for funnel plot asymmetry was not statistically significant, indicating weak evidence of publication bias for the second peak EKAM (β = 0.40, SE 0.36, P = 0.306) ( see Additional file 4).These insoles aren't very breathable, causing our feet to feel warm and sweaty. However, we think the trade-off is worth it, as these insoles allowed us to walk for full days in shoes that were previously too uncomfortable to wear. Hinman RS, Payne C, Metcalf BR, Wrigley TV, Bennell KL. Lateral wedges in knee osteoarthritis: what are their immediate clinical and biomechanical effects and can these predict a three-month clinical outcome? Arthritis Rheum. 2008;59(3):408–15.

Sizes: 5 to 15 (Unisex) | Arch Type: High, neutral, low | Anti-Odor: Yes | Materials: Recycled plastic, foam, synthetic | Our Overall Rating: 4.7/5 I have orthodics that have a lateral lift on the left insert and none on the right insert. This has helped with knee pain I have on the medial side of my left knee. Could you sell me a pair of inserts with the lateral lift just on the left insert?Looking for more support following an ankle sprain caused by excessive supination? Consult with your doctor to see if our walking boot is right for you! As an athlete, your body is under more stress than most so it's important to anticipate discomfort before it begins. The Rehband QD Pronation and Supination Foot Wedge Insoles are constructed to compensate for pronation or supination, both of which commonly affect individuals who lead active lifestyles. The wedges not only reduce pre-existing pain, but they can also prevent foot conditions and discomfort before they even begin. What's Included? Bennell KL, Creaby MW, Wrigley TV, Bowles KA, Hinman RS, Cicuttini F, et al. Bone marrow lesions are related to dynamic knee loading in medial knee osteoarthritis. Ann Rheum Dis. 2010;69(6):1151–4. While we love that these insoles conform to your specific foot shape, we noticed that it takes a few wears (up to 10 hours, according to the brand) before they soften and change shape.