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Pronation Syndrome & Orthotic Inserts 

Pronation syndrome is possibly the most common foot problem and occurs when a foot is misaligned.  There are several causes of these pronation syndromes, such as injury, disease, or congenital defect. 

Underpronation occurs when more weight is absorbed by the outside
of the foot rather than evenly through the foot strike.

This pronation syndrome, often referred to as ‘flat foot’ occurs when there is too much roll on the inside of the foot, consequently distributing the weight and shock of impact more heavily on the inside of the foot rather than evenly throughout the foot.

Underpronation and overpronation syndromes are often treated with orthotic inserts, which are used inside the user’s shoes.  If left untreated, these syndromes can cause pain and misalignment throughout the body, affecting the ankles, knees, hips, back, and neck.  Custom inserts are fabricated from a mold of the person’s foot.  This mold produces a plaster replica of the foot.  This plaster replica is modified to counter the direction of the abnormal pronation.  The custom shoe insert can be made using a variety of materials, including plastic, foam, silicone, and carbon fiber. 

Some of these circumstances may indicate the need for shoe inserts:

·          Pain while standing/walking/running

·          Leg length discrepancy (legs different lengths)

·          Certain conditions, such as congenital foot malformations

·          Bunions, corns, etc…

·          Injury to the feet/legs

·          Standing on hard surfaces for more than 4 hours per day

·          Shoes wearing unevenly (more on the outside or inside of the shoe sole)

·          Knees hitting or bow legs during standing/walking

Anyone interested in a custom orthotic insert should contact a certified orthotist for an evaluation.  Many orthotists offer no-charge evaluations.  The insurance coordinator at the orthotic facility will determine insurance coverage guidelines for particular plans.

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