Ernest (54 years old)

Ernest is a 54-year-old librarian who used to be active and sporty.

In his medical record, the following is noted:

• BMI: 30
• Severe tibio-femoral OA, diagnosed a couple of years ago
• No other illnesses
• No chronic medication

Now the OA-associated pain is increasingly bothering him. He does not want to take any pain medication. However, he read in a magazine about different biomechanical solutions that might help him. He visits you asking for advice.