Over Pronation of Foot: Causes, Symptoms, and Treatments

Over pronation of foot is a common condition that occurs when the foot rolls inward excessively during walking or running. This can lead to various complications, including pain and discomfort in the feet, ankles, and even up to the knees and lower back. Understanding the causes, symptoms, and treatment options for over pronation of foot is essential for effective management.

Causes of Overpronation

Several factors can contribute to the development of over pronation of foot. These include:

• Family history or genetic factors
• Hypermobility (low muscle tone)
• Health conditions such as arthritis and diabetes
• Foot or ankle injury
• Damage, dysfunction, or rupture of the tibialis posterior tendon
• Nervous or muscular diseases (e.g., muscular dystrophy, cerebral palsy, spinal bifida)
• Pregnancy

Symptoms of Overpronation

The symptoms of over pronation of foot can vary from person to person, but common signs include:

• Foot fatigue
• Aching or painful feet, particularly in the heels and arches
• Swelling of the inside bottom of the feet
• Ankle pain
• Shin splints
• Knee pain
• Lower back pain
• Visible loss of arch contour when bearing weight
• Rapid wear on the heels of shoes

Treatment Options for Overpronation

Addressing over pronation of foot involves a combination of treatments aimed at alleviating symptoms and correcting the underlying issues. Some effective treatment options include:

• Strapping/Taping to help reduce abnormal pronation
• Exercises to improve strength and flexibility of associated lower limb muscles
• Supportive footwear designed to provide better arch support
• Orthotics (medical shoe inserts) to control abnormal pronation and support the foot, with recommendations from a podiatrist based on individual assessment
• Proper weight management to alleviate symptoms, especially in obese patients
• Physical therapy to address pain and improve function
• Custom-made insoles or arch supports for additional support
• Avoidance of high-impact activities that exacerbate symptoms
• Regular monitoring and follow-up with healthcare professionals to assess progress and adjust treatment as needed

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