Apos® Demonstrates 43% Reduction in Healthcare Utilization and Costs for Patients with Knee and Back Pain

A recent study published in the Journal of Healthcare Economics Outcomes Research1 highlights the substantial impact of Apos® on healthcare resource utilization (HCRU) in patients with knee OA and low back pain. The study, which analyzed 585 patients before and after using Apos®, found a 43% decrease in overall costs of care (1).

One in 7 US adults has knee osteoarthritis (OA), and almost two-thirds of them suffer from low back pain. OA is the third most rapidly rising condition associated with disability and leads to a significant burden on the healthcare system and society.

Key Research Findings:

  • 79% Reduction in Diagnostic Claims: Patients experienced fewer diagnostic procedures, indicating improved symptom management.
  • 70% Decrease in Outpatient Services: The need for outpatient visits dropped significantly, reflecting enhanced patient outcomes and convenience.
  • 22% Decrease in Non-Operative Treatments: Non-surgical treatment interventions substantially declined.
  • 61% Decrease in Pain Medications: Including an impressive 85% reduction in opioid use, demonstrating better pain control with fewer pharmaceuticals.
  • 44% Decrease in Intra-Articular Injections: The need for joint injections was significantly minimized.

“These findings highlight and strengthen the remarkable effectiveness of Apos® in reducing pain, enhancing patient function (2), and significantly lowering healthcare costs (3). This offers substantial value to insurance providers aiming to optimize their cost of care. Our non-invasive, drug-free approach delivers significant benefits for patients and the entire healthcare system,” said Cliff Bleustein, MD, MBA, CEO of AposHealth.

The study highlights Apos®’s potential to revolutionize the management of knee and back pain, offering a viable alternative to traditional treatments that often involve higher costs and greater risks.


1. Josh Mark, Shirley Shema-Shiratzky, Joel Sommer, Tim Nolan, Ganit Segal. Reduction in Healthcare Resource Utilization Following Treatment With a Home-Based Footworn Device in Patients With Knee Osteoarthritis: A Retrospective Claims Analysis. J Health Econ Outcomes Res. 2024 May 16;11(1):134-140. doi: 10.36469/001c.117155.eCollection 2024. https://pubmed.ncbi.nlm.nih.gov/38765914/

2. Reichenbach A, Felson DT, Hincapi CA, Heldner S, Butikofer L, Lenz A, da Costa BR, Bonel HM, Jones RK, Hawker GA, Juni P. Effect of Biomechanical Footwear on Knee Pain in People With Knee Osteoarthritis. The BIOTOK Randomized Clinical Trial. JAMA 2020;323(18):1802-1812. 

3. Shema-Shiratzky S, Mor A, Elbaz A. Non-Invasive Biomechanical Intervention Leads to Low Rates of Total Knee Replacement and Reduced Utilization of Healthcare Resources among Older Adults with Chronic Knee Pain: A 5-Year Follow-Up study. Journal of Musculoskeletal Disorders and Treatment 2023, 9(1):121. DOI: 10.23937/2572-3243.1510121.  

Don’t let knee or lower back pain hold you back any longer.

Many insurances cover Apos completely.

Schedule a quick call with our experts to learn if you qualify and how Apos® can help.