Knee Treatments & Fittings

Orthotics Plus provides a range of knee treatments at our clinics in Melbourne.

Our qualified Orthotists start by assessing the patient’s pathology, then implementing an appropriate knee-rehabilitation plan. Knee treatments can include:

  • Corrective supports for biomechanical issues (i.e. ligament tears or muscle weakness)
  • Protective equipment such as knee braces
  • Pain management and education

Please learn more about knee conditions and rehabilitation below.

Knee Rehabilitation Assessment

We will start by performing the appropriate subjective and objective assessment of that person’s knee. We assess the relevant physical attributes of the knee, including:

  • Strength
  • Range of motion
  • Pain levels
  • Any swelling or bruising
  • Gait issues
  • Walking speed
  • Lower Limb alignment (hip to toe)

We also look at capability in the affected lower-limb compared to the unaffected side. This may help to highlight any deficits or differences.

At follow up appointments, we re-examine these elements and adjust the rehabilitation plan accordingly.We also evaluate the patients progress with other health professionals to ensure we are all aligned allowing the best outcomes for the patient.

We consider our knee rehabilitation to be a holistic approach, as we monitor and help people improve their pain levels, confidence in movement, capacity, general comfort and how these contribute to improved quality of life.

Our Knee Orthotics


There are a few different types of unloader knee braces. All function to offload one side of the knee, which is generally arthritic. The two different types of unloader knee braces are:

  • Unloader fit (mild to moderate arthritis)
  • Unloader one (moderate to severe arthritis)

There is also a custom made version of the unloader one available if there is an unusual leg shape. These braces can be worn for heavy-duty work, walking and a variety of sports. They can be bulky, but
extremely effective in reducing pain levels and avoiding/delaying the requirement for knee surgery.

Most people feel the difference the instant that they try the brace on. Our clinicians will determine the best version of the brace for your level of activity, leg shape and severity of arthritis.

This knee brace is a general knee support which provides compression and a feeling of stability. It cups the knee cap well and doesn’t cut in around the back of the knee. It fits well underneath clothing
and is extremely slim line.

It doesn’t provide any side-to-side stability or limited range of motion, but is extremely beneficial for those with general knee pain.

This knee brace is used for ligamentous injuries requiring more immoblisation than a softer knee brace. It is made from a thin aluminum frame which provides extra stability.

The straps within the brace can be adjusted depending on the type of ligamentous injury. It is relatively lightweight and minimally bulky. It can be worn for functional activities including physical work
and sports.

This knee brace is a slim line limited range of motion knee brace. The joint that is used can be adjusted depending on the knee range of motion required. As well as limiting range of motion, it also
provides side-to-side stability.

This is used for more severe ligamentous injuries which require more restricted movement.

This knee brace is a compressive sleeve with side bars and joints. It controls swelling whilst providing side-to-side stability, which is perfect when a ligamentous injury has occurred.

The Genutrain S is a snug fit and does fit well underneath most pants. It also doesn’t limit range of motion so it is classed as a very functional knee brace.

This knee brace is used post-operatively or post-injury when NO knee movement is required. It is a wrap-around knee brace with 5 to 6 straps which secure to the knee to ensure minimal movement around the
knee.

This needs to be fitted correctly as the metal uprights can be adjusted to ensure the brace doesn’t slip and functions appropriately.

This knee brace is used post-operatively or post-injury when limited movement of the knee is required. The joint that is used can be adjusted as rehabilitation progresses.

This needs to be fitted correctly as the metal uprights need to be adjusted to ensure the brace doesn’t slip and functions appropriately.

At Orthotics Plus we cater for patients who have general knee pain or require general knee support as they return to their sport of choice. These braces are generally slim line and very functional.

The braces that we commonly use include the Genutrain knee brace and the Genutrain S knee brace. These provide some stability and compression to control swelling.

We do have access to many different knee braces which we can order if a different or custom made brace is required.

At Orthotics Plus we work with multiple Orthopaedic knee specialists, Sports Doctors and Physiotherapists. Patients are often referred for bracing due to arthritic knee conditions.

We often see patients who are trying to delay knee replacement surgery or who aren’t an appropriate candidate for surgery. For these patients, a knee brace is often a good option. There are two general types of knee braces for treatment of arthritis:

  • General knee sleeve
  • Offloading knee brace

The general knee sleeve we use is the Genutrain knee brace which is appropriate for persistent pain and swelling. For those with “bone on bone” on one side of the knee joint, the Unloader one/Unloader fit knee brace is a great option to offload one side of the knee joint.

We do have access to many different knee braces which we can order if a different or custom made brace is required

At Orthotics Plus we work with multiple Orthopaedic knee specialists, Sports Doctors and Physiotherapists. Patients are often referred for bracing due to ligamentous and soft tissue injuries, including:

  • Medial/Lateral Collateral Ligament Injury
  • Anterior/Posterior Cruciate Ligament Injury
  • Medial/Lateral meniscal injuries

There are times when surgery is not an option/not required and bracing is the definitive treatment. These braces generally fall into two categories:

  • Short term bulkier knee braces
  • Functional lighter weight knee braces

The short term bulkier knee braces are those similar to the pre/post-op knee braces. The functional lighter weight knee braces may include the Genutrain S knee brace, form-fit range of motion knee brace or Secutec Genu knee brace.

We do have access to many different knee braces which we can order if a different or custom made brace is required.

At Orthotics Plus we work with multiple Orthopaedic surgeons who specialise in knees. Sometimes patients who are having knee surgery require bracing pre or post-operatively.

There are generally two different types of pre-/post-operative knee braces:

  • Range of motion knee brace
  • Locked knee brace

Your knee specialist will specify which brace is required and the range of motion allowed. The braces we generally use are the GII Hinged Knee Brace , Formfit Hinged Knee Brace and the Zimmer Knee Immobiliser. These are pre-made braces, which need to be customised/shaped to correctly fit the contours of your knee. If this doesn’t occur the knee brace will not be comfortable and will not control the knee correctly.

We do have access to many different knee braces which we can order if a different or custom made brace is required.

Knee Braces as Part of Rehabilitation

There are many types of knee braces. At Orthotics Plus we assist people to find the right one to suit their circumstances.

It is very important to find the correct style of brace, and this will depend upon many factors, some of which include:

  • The injury or area of concern
  • Leg shape
  • Activities to be undertaken
  • Patient tolerance

After an injury, braces are typically used to limit range of motion. They either lock the knee or limit movement to the desired  range of motion while the problem (for example a torn ligament) has an opportunity to heal.

Postoperatively, bracing is used in a similar way. Often surgeons will have very specific prescriptions for braces that are to be used for post-surgery rehabilitation.

Braces can also be used as a protective measure for particular activities. For example, when a skier has recovered from an injury and now wants to return to skiing or a motocross rider wants protection against impacts and deforming forces.

 

Knee Treatment FAQ


Yes.

When a patient presents with general knee pain it may be appropriate to fit them with a compressive sleeve to support the joint. A minimalist-type brace will be most appropriate so that it does not interrupt the knee’s function.

In many cases it will be appropriate for them to see a Physiotherapist as well. General knee pain can be indicative of weakness in the surrounding muscles, so a strengthening program can be helpful.

For general knee pain, we also carry out a foot examination. Knee pain can be related to foot and ankle posture, so it is important to look at the whole picture when determining what the problem is and – importantly – how to solve it.

Evidence demonstrates that knee bracing is effective for reducing pain associated with Osteoarthritis, especially when combined with clinically-appropriate rehabilitation exercises.

For example, we know that movement and impact are very important stimuli for bone health and thus, can be very beneficial for those living with the condition.

We know that someone is more likely to rehabilitate effectively (and continue with ongoing therapy) if they are feeling comfortable and are growing in confidence. A brace can reduce pain and help someone to feel comfortable while maintaining activity levels.

More modern styles of orthosis, can effectively reduce load through a particular compartment of the knee. This generally reduces pain very quickly and may also serve to influence OA progression.

As such, we consider a knee bracing to be an important consideration for those living with Osteoarthritis.

Muscle strength in the lower limb contributes to stability in and around the knee.

Those with reduced muscle strength have an increased likelihood of injuring the knee during physical activity and may suffer from reduced mobility. Stabilisation at the knee is one of the key factors to ensuring maximum mobility, safety in standing, improved efficiency during gait and overall body health.

We can assist by developing custom-made braces, including more complex neuromuscular devices such as a knee-ankle-foot orthosis (KAFOs), to compensate for these weaknesses or instabilities and also provide recommendations for ongoing physical rehabilitation.

We are primarily contacted to assist with referrals relating to:

  • Osteoarthritis (including patellofemoral, medial or lateral tibiofemoral)
  • Acute injuries (i.e. ligament tears)
  • Post-operative recovery
  • Disability or chronic muscle weakness (ie: MS or stroke)