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Problems Associated With Pronated Feet

When looking at anatomy, pronation is a movement of rotation by the feet. It also references how the weight of the body is distributed during one's gait. There are different types of pronation which are neutral pronation, underpronation, and overpronation. Pronation of the feet regardless of the type can cause numerous problems that affect the ankle, foot, knees, back and hips. There are many common symptoms such as arch and heel pain, feet that are flat, corns and calluses, sprained ankles, shin splints, pain of the knees, hip, and back, and achilles tendonitis.

A Look Into Neutral Pronation

Those who suffer from neutral pronation strike the walking surface with the lateral side of their heel. Upon transfering weight between the toes and metatarsus, their feet roll in a medial direction causing the weight to be spread evenly across the metatarsus. In this gait stage, the knee will usually track exactly atop the hallux. The body naturally absorbs shock through this motion of rolling inward making this pronation the most ideal and effective gait.

Overpronation usually occurs in individuals whose structure of bones details the external rotation at the hip, ankle, or knee. Those with a bone structure that includes internal rotation or central alignment are less likely to display overpronation.The presence of overpronation causes the shoes of the individual to wear away on the inside sole of the shoe close to the toe area, therefore, when selecting a shoe one should choose one with the inside sole and arch made of a strong material.

Underpronation or Supination

 A person with underpronation also known as supination will strike the walking surface with the lateral side of their heel. Their foot does not roll adequately in a medial direction when they are transferring weight between the heel to the metatarsus.The weight is unevenly distributed across their metatarsus allowing for more weight on the fifth metatarsal in the direction of the lateral side of the foot. During this gait stage, the knee usually follows laterally to the metatarsus.

Individuals with underpronation do not efficiently absorb shock because of its rigidness. It has almost no flexibility and as a result the arches and the ankles are nearly motionless through the gait cycle. Those who are underpronated are generally bow-legged in appearance.
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