Do I Need a Knee Brace? Everything You Should Know

Do I Need a Knee Brace? Everything You Should Know

A common misconception among folks with sore knees, is that they should be able to locate and wear a knee brace that will immediately reduce their pain/discomfort.  Of course, having no knee pain would be an ideal result from a brace,  but not all knee braces are designed with pain relief at the forefront. 

The primary functions of most of today’s knee braces are to provide support/stability to an unstable knee joint or to change the alignment of a particular less-than-ideally aligned component of the knee joint.   Improved support and alignment can reduce the chance of future degenerative joint changes.   AND – a potential bonus to wearing a knee brace, is a reduction in pain.

Some knee braces are more likely than others to reduce knee pain.  For example, a brace with a solid hinge designed and worn to support to the medial knee joint (for a torn medial collateral ligament), may also end up reducing medial knee joint pain.   Similarly, a brace that helps to change the position of a improperly tracking patella (knee cap) can also provide pain relief of the cartilage between the patella and the femur.   

Most common types of knee braces

Patellar tracking brace:

Usually a sleeve created of neoprene or a similar stretchy fabric

Two common options:

  1. one that changes the alignment of the patella by pulling it in a different direction (usually medially, for patellar femoral syndrome or patellar tendinitis)
  2. one with a buttress/reinforcement to hold the patella in place (for a dislocating/subluxing patella) 

Ligament Brace:

  • Provide support to the knee joint not provided by compromised ligaments
  • Choices are off-the-shelf (OTS) or custom (more expensive but better fit ensured)
  • Both OTS and custom can be constructed with a solid/hard shells or stays, increasing support by decreasing the potentially harmful movement that an unstable knee joint provides
  • A less expensive OTS option is a soft shell (often neoprene) sleeve with metal hinges
  • A wrap around style of OTS (versus a pull on sleeve) is often easier to get into position
  • Typically, you get what you pay for! 

Patient’s Knee bracing courtesy of Maximum Physiotherapy

Osteoarthritis brace:

  • Often custom, but can be off-the-shelf
  • The only ones worth considering have solid/hard shells to effectively change the alignment of the lateral or medial knee joint 
  • Designed to “unload” one side of the joint to decrease further degeneration (and potentially pain) 

Compression sleeve:

  • Tight fitting sleeve to offer general compression but mild stability of the joint
  • Can help diffuse swelling and increase confidence with mild support
  • often has reduced compression over patella to avoid articular cartilage irritation
  • The best ones offer medical grade (15-20 mmHg) compression and require a bit of effort to slip on

Since there are a variety of indications for a knee brace, health professionals need to have a solid understanding of the condition and symptoms of the individual requesting the brace.  The more information identified, the better the chance of providing the safest and most effective knee brace possible.

OA Knee Brace courtesy of Maximum Physiotherapy


This appointment is your opportunity to tell us what hurts and discover whether physiotherapy or chiropractic care is a good fit for you! During this session, you will talk with a physiotherapist or chiropractor on a phone call (or online) and create the right care plan specifically for your pain. There is no obligation on this session is to find out whether physiotherapy or chiropractic care can help you getting back to doing the things you love in life.

Frequently Asked Questions

Often, but not always, a knee brace will diminish knee pain, but it depends on the cause of the pain and the purpose of the brace. 

A brace designed to reduce knee joint pain will usually provide pressure on one side of the knee to “open up” the degenerative joint on the opposite side of the knee.

It is beneficial to find a good knee brace specifically designed to help with patellar femoral (PF) pain, to reduce further PF joint irritation.  The Knee-o-trakker brace is amazing!

About Sue Underhill

Maximum Physiotherapy Collingwood On Physiotherapy Sue

Sue has a Masters degree in Physical Education from the University of Alberta and a BSc. in Physiotherapy from McMaster University. She has practised in Collingwood since 1994 and loves the community she’s become involved with. Busy with an active family, a farm near Creemore and a business, Sue makes time each day for an activity with “the girls”: cross country skiing, biking, swimming, CrossFit or running. Her passion for activity is not just personal; Sue thrives on inspiring others to remain or become active both through her professional life and her volunteer choices.

Medical Disclaimer:

The information presented in this blog post is for educational purposes and should not be interpreted as medical advice. If you are seeking medical advice, treatment or a diagnosis, consult with a medical professional such as one suggested on this website. The Clinic Accelerator Inc. and the author of this page are not liable for the associated risks of using or acting upon the information contained in this article.

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