This is the second article on shoe selection that I have found that I personally recommend, for your reference. This article is quoted from the WeChat public number of the Medray Center for Minimally Invasive Joint Surgery, with thanks to Tim Huang of the Department of Orthopedics at the Second Xiangya Hospital. New research has found that wearing flat, soft shoes can reduce pressure on your joints and make you feel more comfortable. In a comparative study, Najia Shakoor, MD, attending physician at Rush University Medical Center and associate professor of internal medicine at Rush Medical School in Chicago, evaluated the stress on arthritic knees when wearing clogs, stable athletic shoes, flat-soled walking shoes, flat-soled flip-flops, and walking barefoot, and the results were in favor of flat shoes and soft shoes. Dr. Shakoor said, “We know from previous studies that going barefoot has a beneficial effect on knee loading, so we wondered if different types of shoes would have different effects on the knee. So four different types of shoes and barefoot were compared. The results were quite surprising. The stable shoes and clogs that we originally thought were best and recommended for knee patients had the highest load on the knee. Dr. Shakoor’s team evaluated 31 men and women with knee osteoarthritis and analyzed their gait in clogs, athletic shoes that claimed to have the least amount of internal rotation in the foot, flat walking shoes, flat flip-flops and other types of shoes, the researchers said. Dr. Shakoor measured the inward moment of the knee, which is the strength of the force acting on the knee during walking. She noted that flat walking shoes, barefoot, and flat flip-flops actually placed about the same load on the knee, but clogs and stability shoes placed a 15 percent higher load on the knee. Dr. Shakoor believes that flatness and softness can help. Dr. Shakoor will continue her research, and by working with Rush University and a podiatrist, she hopes to develop a walking shoe for patients with knee osteoarthritis. Jeffrey A. Ross, MD, clinical associate professor of internal medicine and director of the Diabetic Foot Clinic at Ben Taub Hospital in Houston and a spokesman for the American College of Sports Medicine, said he was surprised by the study’s findings regarding the best shoes for knee pain, as he had expected running shoes to be the best, but they were not. But based on the results of the new study, he might still recommend that knee arthritis patients wear soft, low-heeled casual shoes. For patients with knee osteoarthritis, he said, shoes should be able to flex easily and reduce pressure on the forefoot. A “neutral” casual shoe that does not provide motion control or stability features may also reduce the load on the knee. James Christina, MD, director of scientific affairs for the American Podiatric Medical Association (APMA), says that for patients with knee osteoarthritis, shoe selection is a trial-and-error experience, and that many podiatrists recommend shock-absorbing shoes rather than stability or firm control shoes. Knee osteoarthritis patients. The new study has its basis, but the right shoe for one patient with knee osteoarthritis is not necessarily the right shoe for another patient. Foot experts say that flat flip-flops, while not increasing the force on the knee, are not the best type of shoe, especially for older patients with knee osteoarthritis, because they feel backwards and reduce balance, which can increase the risk of falls. Each person has a different arch height, and according to ergonomic testing, a heel height of 15-20 MM higher than the forefoot is most conducive to the natural uprightness of the human spine and leg bones. A small change in shoe wearing habits may allow your joints to be used for decades more, which is a good deal!