Over Pronation

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The foot has evolved to provides stability for your entire body weight, while being able to provide propulsion on almost any surface.  One of the body's adaptations for this is pronation. Pronation is when the foot turns inward, this is to allow the foot to adapt to the surface you are walking on.


Over pronation is when your foot turns inwards too much, which happens to be one of the most common foot conditions. Over pronation is one of the foremost common causes of foot and leg discomfort.  With over pronation the arch flattens and can even collapses. The soft tissues at the base of the foot (Plantar fascia) stretches. This causes the joint surfaces to operate at unnatural angles. When this happens, joints that ought to be stable become terribly loose and versatile. At first, over pronation might solely cause fatigue in the foot and lower leg. However, if this condition is not treated the symptoms will become much worse, extra strain on the muscles, tendons, and ligaments of the foot and lower leg will cause permanent issues and deformities.


SYMPTOMS OF OVER PRONATION


Symptoms can manifest in many different ways. The associated conditions depend on the individual lifestyle of each patient. A classic sign of over pronation is abnormal wear on the heel of your shoes. You may also develop knee pain when you are active or involved in athletics. The knee pain will slowly decrease as you rest. When you are standing one or both of your knee caps turn inward and your heels lean inwards too. If it remains untreated many other problems which have been listed below:-


1. Hallux Abducto Valgus (bunions)
2. Hallux Rigidus (stiff 1st toe)
3. Arch Pain
3. Heel Pain (plantar Fasciitis)
5. Metatarsalgia (ball of the foot pain)
6. Ankle sprains
7. Shin Splints
8. Achilles Tendonitis
9. Osteochondrosis
10. Knee Pain
11. Corns & Calluses
12. Flat Feet

13. Hammer Toes


 

 

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Orthotic Proof Sources and Safety Data.

The use of foot orthotics has been researched and tested by leading institutions around the world, and is widely accepted in the medical community. Foot orthotics/ foot insoles are used in both public and private hospitals and clinics.

Clinical studies and field research verify the value of orthotics in preventing and treating arch pain while improving the structural integrity of the ligaments and muscles around the ankle. Flexible orthotics control foot motion without restricting function and creating compensatory movement in other structures.

Sources:

American Academy of Orthotists and Prosthetists

Anthony RJ (1991) The Manufacture and Use of Functional Foot Orthoses.

Valmassey R (1998) Clinical Biomechanics of the Lower Extremity.

Whing W , Zernicke R(1998). Biomechanics of Musculoskeletal Injury.

Journal of Applied Biomechanics

Traditional Treatment

Over pronation insoles have been used for years to help people with over pronation. Traditionally when we think of insoles or orthotics we think of a hard plastic insert that is placed in the shoe. It cups the heel and supports the arch but because it is not flexible it does not extend the full length of the foot. This tends to make this type of orthotic uncomfortable, and ineffective for many people. It also repositions the arch using "brute force." Because it is not flexible it forces the arch into it's correct position but does nothing to relieve the pressure that is forcing the arch to collapse, causing over pronation, in the first place.

This type of hard plastic orthotic can actually cause increased pain in patients, which is the reason why we have recommended the Dr Foot's Sport Insoles for the treatment of over pronation. They provide a flexible yet incredibly supportive and stable treatment for over pronation.

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