Custom knee bracing

Knee Bracing

Custom and off-the-shelf knee braces for knee osteoarthritis, ligament injuries and meniscus tears. We also brace knees after surgery and for contact sport.

We brace knees for:

  • Osteoarthritis of the knee
  • ACL, PCL, MCL or LCL injuries
  • Meniscus tears and repairs
  • Recovery after knee surgery
  • Contact sport and injury prevention
OssKin Evoke custom 3D printed knee brace for knee osteoarthritis, worn on the leg

Inside your knee

Your knee is where your thigh bone meets your shin bone. Knowing the parts helps you understand your knee problem and how a brace can help.

  • Cartilage is a smooth, slippery layer on the ends of the bones. It lets the joint glide.
  • Meniscus. You have two. These rubbery, C-shaped cushions sit between the bones and soak up shock.
  • Ligaments are strong bands that hold the bones together. The ACL and PCL cross inside the knee and stop the shin bone from sliding forward or back. The MCL and LCL run down the sides and stop the knee from bending sideways.
Front view of the knee with labels: thigh bone, cartilage, meniscus, shin bone, ACL and PCL, LCL and fibula.

Front view. The kneecap is not shown so you can see inside. The MCL runs down the inner side.

Osteoarthritis of the knee

With osteoarthritis, the cartilage in the knee slowly wears thin and rough. The space in the joint gets smaller, and bone can rub on bone.

It often wears one side of the knee more than the other. This is common with bowed legs or knock knees. It can also affect the joint behind the kneecap.

Signs of knee osteoarthritis

  • Pain with walking, stairs or kneeling
  • Stiffness in the morning or after sitting
  • Swelling, grinding or clicking
  • A knee that feels weak or gives way
X-ray of a knee with osteoarthritis. The joint space on one side is narrow.
Without a brace
X-ray of the same knee in an unloader brace. The joint space opens up.
In an unloader brace

The circle shows the worn side of the knee. In the brace, the space opens up. Images: Össur

How an unloader brace helps

An unloader brace presses on three points of the leg. This gently shifts weight away from the worn side of the knee and onto the healthier side.

This can ease pain and help you walk farther. It works best when osteoarthritis is mostly on one side of the knee.

An unloader knee brace with circles on its three points of pressure.

Three points of pressure. Image: Össur

What does spring-loaded mean?

A spring-loaded brace has springs built into the hinge. The springs only work while your knee is bending.

  • As you bend, the spring loads up and takes some weight off the whole knee joint, including behind the kneecap.
  • As you straighten, the spring pushes back. This helps a weak thigh (quad) muscle, so stairs, slopes and getting out of a chair feel easier.
  • When you stand still with a straight knee, the spring does not take weight off the knee.

That is why it suits people who walk and move a lot, and people with quad weakness. It helps less if you stand in one spot most of the day.

How a spring-loaded knee brace works. 1. As the knee bends, the spring loads up and takes weight off the knee. 2. As the knee straightens, the spring pushes back and helps a weak thigh muscle. 3. Standing still with a straight knee, the spring does not take weight off. 1. Bending2. Straightening3. Standing still Spring loads up andtakes weight offSpring pushes back andhelps a weak quadStraight knee: noweight taken off Spring
A spring-loaded brace only works while the knee bends.

Ligament injuries

A ligament injury is called a sprain. A mild sprain stretches the ligament. A bad sprain tears it. A torn ligament can make the knee feel loose or give way.

Two knees side by side. Left: a healthy ACL in the middle of the knee. Right: a torn ACL.
  • ACL. The most common ligament injury in sport. It often happens with a sudden stop, a quick change of direction or a bad landing. Many happen with no contact at all.
  • PCL. Usually from a hard hit to the front of a bent knee, like hitting the dashboard in a car crash or falling on a bent knee.
  • MCL. On the inner side of the knee. Often from a hit to the outside of the knee, like a tackle. It is one of the most common knee injuries.
  • LCL. On the outer side of the knee. Less common. Usually from a hit to the inside of the knee.

ACL brace or PCL brace?

A ligament brace helps do the job of the hurt ligament. Where the brace pushes depends on which ligament is hurt.

  • ACL brace. The ACL stops the shin bone from sliding forward. An ACL brace holds the shin back with a rigid shell on the front of the shin.
  • PCL brace. The PCL stops the shin bone from sagging back. A PCL brace has a rigid shell behind the calf that supports the shin from behind. Some, like the Össur Rebound PCL, let us adjust the push as swelling changes.
  • MCL and LCL. Strong hinges on both sides of the brace stop the knee from bending sideways.
Left: an ACL brace with a rigid shell on the front of the shin that holds the shin back. Right: a PCL brace with a shell behind the calf that pushes the calf forward.

OssKin Provoke ACL (left) and Provoke PCL (right). Images: OssKin

Meniscus tears

The meniscus can tear in two main ways.

  • Sport injury. A sudden twist or turn while your foot is planted. This is more common in younger, active people.
  • Wear and tear. With age, the meniscus gets weaker. It can tear with a small twist, like getting up from a chair. This often goes along with osteoarthritis.

Signs include pain, swelling, a catching or locking feeling, and trouble bending or straightening the knee.

How a brace can help

  • After a meniscus repair, a post-op brace limits how far the knee bends while it heals.
  • With a worn meniscus and osteoarthritis, an unloader or spring-loaded brace can take weight off the sore part of the knee.

Surgery, sport and prevention

Football, hockey, rugby and other contact sports put the knee at risk. So do sports with quick stops and turns, like soccer, basketball and skiing.

  • After surgery. A post-op brace protects the knee after ACL surgery, a meniscus repair or other knee surgery. The hinges are opened up bit by bit as you heal.
  • Back to sport. After a ligament injury, a custom ligament brace can help the knee feel steady when you return to play.
  • Prevention. Some athletes, like football linemen, wear a brace to help protect a healthy knee from hits to the side.

Research is mixed on whether a brace prevents injury. A brace works best with strength and balance training. We talk through the choice with you and your care team.

Two football players collide in a tackle on the field.

Photo: Makai Conner on Unsplash

Types of knee braces

We fit custom and off-the-shelf braces. The right one depends on your knee problem, your leg shape and what you want to do. Here are some we often use.

For osteoarthritis

OssKin Evoke custom 3D printed unloader knee brace for knee osteoarthritis

OssKin Evoke

A custom unloader for osteoarthritis on the inner or outer side of the knee. Most unloader braces only push on the knee. The Evoke also moves the thigh bone back toward its natural spot, then takes weight off the worn side. It is 3D printed from a scan of your leg and is thin enough to wear under pants.

Learn more about the Evoke

Example photo: OssKin

Össur Unloader One X knee brace for knee osteoarthritis

Össur Unloader One X

A light, slim unloader for osteoarthritis on one side of the knee. Two straps wrap around the knee and shift weight off the worn side. It comes off-the-shelf or custom.

Learn more about the Unloader One X

Example photo: Össur

Bauerfeind GenuTrain OA unloader knee brace worn on the knee

Bauerfeind GenuTrain OA

A soft knit unloader for osteoarthritis on the inner or outer side of the knee. It uses three points of pressure, like a hinged unloader, with a BOA dial to adjust how much it unloads. A good choice if you want a softer, low-profile brace.

Learn more about the GenuTrain OA

Example photo: Bauerfeind

Spring Loaded knee brace for knee osteoarthritis

Spring Loaded

For osteoarthritis in any part of the knee, including behind the kneecap. Springs in the hinge take load off the knee as it bends, then help power your leg as you straighten. It works while the knee bends, not when you stand still. It is a good fit for quad weakness, such as after a knee replacement or with some nerve and muscle conditions. Made in Canada.

Learn more about Spring Loaded

Example photo: Spring Loaded Technology

Icarus Medical Ascender knee brace for knee osteoarthritis

Icarus Ascender

A whole-knee unloader for osteoarthritis behind the kneecap or in more than one part of the knee. An adjustable tension system takes up to 40 pounds of pressure off the joint as you move. It weighs about one pound. In a 2026 study of people with kneecap pain, most had less pain after 4 weeks.

Learn more about the Ascender

Example photo: Icarus Medical

For ligament injuries and sport

OssKin Provoke ACL knee brace with a rigid shell on the front of the shin

OssKin Provoke

A custom brace for ACL injuries and non-contact sports like skiing, soccer and running. A rigid shell on the front of the shin holds the shin back. The hinge follows the way your knee really moves, and a built-in stop keeps the knee in a safe range while it heals. It weighs about half as much as other ligament braces.

Learn more about the Provoke

Example photo: OssKin

OssKin Provoke PCL knee brace with a rigid cuff behind the calf

OssKin Provoke PCL

Made for PCL injuries and for knees with more than one hurt ligament. A rigid cuff behind the calf supports the shin from behind. Like the Provoke, it is 3D printed from a scan of your leg.

Learn more about the Provoke PCL

Example photo: OssKin

OssKin Juno custom pediatric ligament knee brace

OssKin Juno (for kids)

A custom ligament brace made for children under 16. It is used for ligament injuries and osteochondritis dissecans (OCD). It is light and low-profile, so kids can keep playing.

Learn more about the Juno

Example photo: OssKin

OssKin ExoStab knee brace fitted over a below-knee prosthesis

OssKin ExoStab

For people who wear a below-knee prosthesis and have a loose or unstable knee, such as after an ACL, MCL or LCL tear. It is made to fit both your thigh and your prosthetic socket.

Learn more about the ExoStab

Example photo: OssKin

Össur CTi custom ligament knee brace worn outdoors

Össur CTi

A custom carbon fibre brace for ligament injuries and sport. It is strong and light, with hinges that glide with the knee. It comes in models for everyday wear and for high-level sport.

Learn more about the CTi

Example photo: Össur

Össur Rebound PCL knee brace with a padded shell behind the calf

Össur Rebound PCL

Made for PCL injuries, with or without surgery. A padded shell behind the calf gently pushes the shin forward so the PCL heals at the right length. We can adjust the push as swelling changes.

Learn more about the Rebound PCL

Example photo: Össur

DonJoy Defiance custom ligament knee brace for contact sport, worn on the knee

DonJoy Defiance

A heavy-duty custom brace for football, hockey and other contact sports. Its strong carbon frame is made to fit your leg. It protects a knee after a ligament injury or surgery, and some athletes wear one to help protect a healthy knee.

Learn more about the Defiance

Example photo: DonJoy

For the kneecap

Bauerfeind GenuTrain P3 patella knee brace worn on the knee

Bauerfeind GenuTrain P3

One of our favourites for kneecap pain. A two-part pad and an adjustable strap guide the kneecap back to the centre. Soft knit compression helps with pain and swelling. Good for runner’s knee, jumper’s knee, IT band pain and a kneecap that tracks off centre.

Learn more about the GenuTrain P3

Example photo: Bauerfeind

Breg 20.50 patella knee brace with a rigid frame and kneecap buttress

Breg 20.50 Patella

A rigid hinged brace for sport, for a kneecap that slips or dislocates. A firm pad with an air bladder presses on the outer edge of the kneecap. It holds tightest between 20 and 50 degrees of bend, where the kneecap is most likely to slip.

Learn more about the 20.50

Example photo: Breg

After surgery and everyday support

Hinged post-op knee brace with adjustable range of motion, used after knee surgery

Post-op brace

Worn after knee surgery, like ACL surgery or a meniscus repair. Dials on the hinges set how far the knee can bend. The brace is opened up bit by bit as you heal.

Example photo: Össur

Bauerfeind GenuTrain knee sleeve worn on the knee

Bauerfeind GenuTrain sleeve

A soft knit sleeve with a cushioned pad around the kneecap. It gives gentle support and squeeze for mild osteoarthritis, swelling and sore tendons. A good choice when you do not need a hinged brace.

Learn more about the GenuTrain

Example photo: Bauerfeind

And many more

These are some of the braces we fit most often. We work with many other makers too, so we can match the brace to your knee, your sport and your funding.

Need more support? A KAFO goes from the thigh to the foot. Is the problem lower down? An AFO supports the ankle and foot.

Our clinicians help you find the right amount of bracing. Your knee gets the support it needs, and your muscles still do as much work as they can.

Watch: knee braces in action

OssKin Asymmotion hinge

Your knee does more than bend. It also glides and twists a little. The OssKin hinge is built to follow that natural motion. Watch the short hinge animation on the OssKin website. It opens on their website.

Icarus Ascender: with and without the brace

A clinician with knee pain tried the Ascender. He rated his pain 4 out of 10 without the brace and 0 with it. This is one person. Results are different for everyone.

Video: Icarus Medical

Playing hockey at 85

This 85-year-old still plays hockey with a Spring Loaded knee brace.

Video: Spring Loaded Technology

We work with many brands

We are not tied to one company. We choose the brace that fits your knee, your goals and your funding.

  • OssKin
  • Bauerfeind
  • Össur
  • Spring Loaded
  • Icarus Medical
  • DonJoy
  • Breg
  • And many more

What to expect

Your knee brace journey, step by step.

Start with your healthcare provider

Many insurance plans need a prescription for a knee brace. You can book your consultation and assessment before you have one.

Consultation and assessment

We talk about your pain, activity and goals. We watch you walk and check how your knee lines up, moves and holds steady. Then we measure or 3D scan your leg. We can also view your knee X-rays through eHealth Saskatchewan.

Made for you

We choose the brace with you, based on the assessment and your funding. Custom braces are made from your measurements or a 3D scan.

Fitting appointment

We fit the brace, watch you walk in it and make any changes. We show you how to put it on and take it off.

Follow-up

We set a wear plan with you. Swelling goes down and muscles change, so we check the fit and adjust the straps when needed.

For doctors and specialists

We work with orthopedic surgeons, sports medicine physicians, physiatrists and family doctors.

To refer, use your own prescription pad or our online prescription form, and fax to 1 (306) 912-7807. Include the diagnosis, which knee and what you would like the brace to do. We contact the patient to book.

A prescription is required before a custom knee brace is made and dispensed. For SAIL funding, the prescription must come from a specialist, such as a sports medicine physician or a clinician in the hip and knee pathway. SAIL may cover up to $500 of a knee brace. The rest is paid by the patient or their insurance.

Common questions

Do I need a prescription?

You can book a consultation and assessment without one. A prescription is needed before a custom knee brace is made and dispensed. Many insurance plans also ask for one.

Will insurance cover my knee brace?

SAIL may cover up to $500 of a knee brace when a specialist writes the prescription. The rest is paid by you or your health plan. Many health plans pay for all or part of a knee brace, and some need a prescription first. Funding may also come from programs like WCB, SGI, NIHB or Veterans Affairs Canada. Call us and we can help you check.

Can a knee brace help knee osteoarthritis?

Yes, for many people. An unloader or spring-loaded brace can take weight off the sore part of the knee, ease pain and help you stay active. A brace does not cure osteoarthritis or regrow cartilage. It works best along with exercise and strength work.

Which brace is best for a torn ACL?

It depends on your injury, whether you had surgery and what you want to get back to. After surgery, most people wear a post-op brace first. Later, a custom ligament brace can help when you return to sport. We help you choose at your assessment.

Custom or off-the-shelf: which do I need?

Off-the-shelf braces come in set sizes and suit many people. A custom brace is made from a scan or measurements of your leg. It may be the better choice if a ready-made brace slips, if your leg has an unusual shape, or if your knee needs firm control. We help you decide at your assessment.

Can I wear a knee brace for sport?

Yes. Many people wear a ligament brace for sport after a knee injury, and some wear one to help protect a healthy knee in contact sport. Research is mixed on whether a brace lowers the risk of injury or of hurting the knee again. A brace does not replace strength training. We talk it through with you and your care team.

How long will I need to wear it?

It depends on why you need it. A post-op brace is often worn for a few weeks after surgery. An osteoarthritis brace may be worn for walks and activity for years. We set a plan with you and your doctor.

Get the right amount of bracing

A Certified Orthotist is a clinician trained in bracing. We find the support that fits your knee and your goals.

Call 306-566-4666, email [email protected], or request an appointment online.