Excessive Pronation
Pronation is a normal movement where the foot rolls inwards when we walk. This inward movement is needed to allow the foot to adapt to different terrain and to also allow the body to progress forwards when we walk.
When your feet roll excessively inward this can place increased stress on foot structures and can result in foot and lower limb pain. Excessive or over Pronation occurs when the arches of your feet flatten excessively in walking or on activity. Excessive pronation is common and often does not require treatment as the body can adapt. Treatment is usually required in cases where symptoms are present, or when the foot/ankle complex adopts a posture of significant pronation.
Symptoms (most common)
- Arch pain
- Plantar fasciitus
- Tibialis posterior tendonitis
- Achilles tendinitis
- Medial/Lateral knee pain
- Neuroma
- Hallux rigidus
- Metatarsalgia
- Sinus tarsi compression syndrome
Causes
- Ligamentous laxity
- Low muscle tone
- Neuromuscular/Genetic conditions
- Trauma to foot/ankle
- Congenital abnormalities
- High BMI
- Aging
- Posterior tibial dysfunction
Treatments
- Foot Orthotics
- Ankle Foot Orthosis (severe flatfoot)
- Suitably supportive footwear
- Foot/ankle strengthening regime
- Activity modification
- NSAIDS (symptomatic structures)
- Orthopaedic referral (severe cases)
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