Shoe inserts and shoes such as Joggers with a rocker-bottom sole may help. Ankle bracing or a custom fitted splint can be useful. Simple paracetamol and anti-inflammatory medications if tolerated are useful adjuncts.
Cortisone injections act to decrease inflammation and can be useful for temporary relief.
Platelet Rich Plasma Injections
Platelet Rich Plasma (PRP) injections utilise the individuals own chemical mediators harvested from a blood sample. These also act to decrease inflammation and pain. There is currently little evidence PRP reverses osteoarthritis.
The degree and extent of relief varies from patient to patient for both cortisone and PRP.