Overpronation is a term that gets thrown around a lot by psuedo-experts and there is so much written online about it, that it can get very confusing to determine what is legitimate and what is not.
Pronation is a normal motion of the foot that occurs when the ankle rolls inwards and the arch collapses. This is normal. Its not something evil. Overpronation is assumed to be when there is too much
of it. There certainly is debate as to just how much is too much, as some people have large amounts and have no problems, other have small amounts and do have problems. It all comes down to
individual differences and how much force is needed to stop the foot moving. The greater the force, regardless of the amounts of pronation, the more likely it is to be a problem. Some still like to
debate if it is a problem or not. Some studies have shown that its not a problem and other studies have shown it is. If the data from all these studies are pooled, then the conclusion was that, yes,
overpronation is a problem that was statistically significant, but it was only a small risk factor for problems. An associated finding of overpronation during a gait analysis is an abductory
Over-pronation may happen because the tissue that attaches to your foot bones is loose. You may be born with this problem or it may result from injuries or overuse, like from too much running.
Overpronation can lead to injuries and pain in the foot, ankle, knee, or hip. Overpronation puts extra stress on all the bones in the feet. The repeated stress on the knees, shins, thighs, and pelvis
puts additional stress on the muscles, tendons, and ligaments of the lower leg. This can put the knee, hip, and back out of alignment, and it can become very painful.
When sitting, an over-pronating foot appears quite normal, i.e. showing a normal arch with room under the underside of the foot. The moment you get up and put weight on your feet the situation
changes: the arches lower and the ankle slightly turns inwards. When you walk or run more weight is placed on the feet compared to standing and over-pronation will become more evident. When walking
barefoot on tiles or timber floors over-pronation is more visible, compared to walking on carpet or grass.
Non Surgical Treatment
Wear shoes with straight or semicurved lasts. Motion-control or stability shoes with firm, multidensity midsoles and external control features that limit pronation are best. Over-the-counter
orthotics or arch supports can help, too. You know you are making improvements when the wear pattern on your shoes becomes more normal. Overpronation causes extra stress and tightness to the muscles,
so do a little extra stretching.
HyProCure implant. A stent is placed into a naturally occurring space between the ankle bone and the heel bone/midfoot bone. The stent realigns the surfaces of the bones, allowing normal joint
function. Generally tolerated in both pediatric and adult patients, with or without adjunct soft tissue procedures. Reported removal rates, published in scientific journals vary from 1%-6%.