SOME MEDICAL FACTS
Description of Over Pronation
Those who over pronate tend to push off almost completely from the big toe and second toe. As a result, the shock from the foot’s impact doesn’t spread evenly throughout the foot and the ankle has trouble stabilizing the rest of the body. Additionally, an unnatural angle forms between the foot and ankle and the foot splays out abnormally. It is common even for people who pronate normally to have some angle between the foot and the ankle, but not to the extent seen in those who over pronate. In normal pronation the weight distributes evenly throughout the foot
There are many possible causes for overpronation, but researchers have not yet determined one underlying cause. Hintermann states, “Compensatory overpronation may occur for anatomical reasons, such as a tibia vara of 10 degrees or more, forefoot varus, leg length discrepancy, ligamentous laxity, or because of muscular weakness or tightness in the gastrocnemius and soleus muscles.” Pronation can be influenced by sources outside of the body as well. Shoes have been shown to significantly influence pronation. Hintermann states that the same person can have different amounts of pronation just by using different running shoes. “It is easily possible that the maximal ankle joint eversion movement is 31 degrees for one and 12 degrees for another running shoe.”
Over pronation may have secondary effects on the lower legs, such as increased rotation of the tibia, which may result in lower leg or knee problems. Overpronation is usually associated with many overuse injuries in running including medial tibial stress syndrome, or shin splints, and knee pain Hintermann states, “Individuals with injuries typically have pronation movement that is about two to four degrees greater than that of those with no injuries.” He adds however, that between 40% and 50% of runners who overpronate do not have overuse injuries. This suggests that although pronation may have an effect on certain injuries, it is not the only factor influencing their development.
A quick and easy way to see if you over pronate is to look at the bottom of your shoes for signs of wear and tear. If most of the wear is on the inside sole near the ball of the foot and near the big toe, there’s a good possibility that you over pronate. You may even notice that your shoes tilt inward if you look at them on a flat surface.
Now take a look at your bare feet. Do you have low arches or flat feet? This may be another sign.
People who over pronate also experience a number of symptoms, including:
- heel or arch pain
- flat feet
- corns or calluses
- knee, hip, or back pain
- hammer toes
Another way to tell if you over pronate is to look at your shins. Try following the line of your bone from your knee all the way to your ankle. If this line leads toward the inside portion of your foot, you may be over pronating. Ideally, you want the line of your bone to lead to the first or second toe.
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Corticosteroid or Prolotherapy
Prolotherapy, also called proliferation therapy is an injection-based treatment used in chronic musculoskeletal conditions. It has been characterised as an alternative medicine practice.
Prolotherapy (Proliferative Therapy), also know as Non-Surgical Ligament and Tendon Reconstruction and Regenerative Joint Injection, is a recognized orthopedic procedure that stimulates the body’s healing processes to strengthen and repair injured and painful joints and connective tissue. It is based on the fact that when ligaments or tendons (connective tissue) are stretched or torn, the joint they are holding destabilizes and can become painful. Prolotherapy, with its unique ability to directly address the cause of the instability, can repair the weakened sites and produce new collagen tissue, resulting in permanent stabilization of the joint. Once the joint is stabilized, pain usually resolves. Traditional approaches with surgery have more risk and may fail to stabilize the joint and relieve pain, and anti-inflammatory or other pain relievers only act temporarily. The original term used for this therapy was “sclerotherapy”, coined in the 1930’s when this treatment was discovered, and included both joint and vein injections. Today the term “prolotherapy” is used for joint, ligament and tendon injections, while “sclerotherapy” is used for the treatment of varicose veins, spider veins, hemorrhoids and other vascular abnormalities.
Invasive Surgery “Not Recommended”
There are several possible procedures to forcefully rectify over pronation in children and adults. This type (hyprocure Surgery) in the image to the right of your screen involves screwing a bolt between several of the foots bones just below the ankle.
- Fusing foot or ankle bones together (arthrodesis)
- Cutting or changing the shape of the bone (osteotomy)
- Cleaning the tendons’ protective coverings (synovectomy)
- Adding tendon from other parts of your body to tendons in your foot to help balance the “pull” of the tendons and form an arch (tendon transfer)
- Grafting bone to your foot to make the arch rise more naturally (lateral column lengthening)
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