pronated Over supinated means that, as your child walks they are "over rolling" their feet outward. This foot condition is often identified by an in toeing gait (style of walking).

This can cause long lasting damage if not fixed quickly.

A common symptom of supination is knee pain; this symptom is also common in adults of all ages.

"It can be corrected back to completely normal if caught early".
BACK your child's feet are "over supinated"

pronated medical child supinated images BONE STRUCTURE: OVER SUPINATION OVER SUPINATION OVER SUPINATING RIGHT FOOT

pronated medical Description: SUPINATION of the foot occurs when your weight rolls onto the outer edges of your feet. Over supination occurs when your rear-foot doesn’t roll in far enough, or seems to roll outward. When this happens, your foot no longer properly absorbs the shock of each step. As part of a normal stride, your rear-foot should roll inward slightly after your heel hits the ground, cushioning the impact and helping you adapt to uneven surfaces.

Supination is part of every stride you take. However over supination places extra stress on your foot and leg that can cause problems elsewhere. This is because the shock wave from your heel strike isn’t absorbed properly and the outside of your foot bears the full force of your step’s impact.
SOME MEDICAL FACTS

pronated medical Cause: OVER SUPINATION: or under-pronation, is common among people with high arches or tight Achilles tendons (the stretchy bands of tissue that connect your calf muscles to your heels).

The following are other related causes:
• an inherited problem with the foot structure; it may ran in families
• prior injury to the foot causing damage to tendons and muscles
• improper shoes; loose fitting shoes, soft soled shoes
• bow leg causing excessive outward roll
• a leg length difference
• sports related activity
SOME MEDICAL FACTS

#1 Symptoms: SUPINATION: If the bio mechanics of your foot are a slightly off, it can throw off the alignment of your entire body. Excessive or over supination of your feet will eventually lead to the following symptoms:

• chronic lateral ankle sprains
• daily lateral knee pain
• lateral thigh pain (olio-tibial band)
• calluses on the outer lateral aspect of the foot
• 4th and 5th toes contracted and twisted
• shoe midfoot aspect stretched wider
SOME MEDICAL FACTS

pronated medical Pathophysiology: The specialized soft tissue at the heel functions as a shock absorber. The subcutaneous structure consists of fibrous lamellae arranged in a complex whorl containing adipose tissues that attach with vertical fibers to the dermis and the plantar aponeurosis.

The heel can absorb 110% of the body’s weight during walking and 200% of the body’s weight during running. The plantar fascia is a multilayered fibroaponeurotic structure that arises predominantly from the medial calcaneal tuberosity and inserts distally through several slips into the plantar plates of the metatarsophalangeal joints, the flexor tendon sheaths, and the bases of the proximal phalanges of the toes.

Dorsiflexion of the toes applies traction stress at the origin of the plantar fascia. A contracture in the triceps surae, a pes cavus, or a pes planus can increase the traction load at the origin of the plantar fascia during weight bearing activities.

Other anatomic factors that can have similar effects are overpronation, discrepancy in leg length, excessive lateral tibial torsion, and excessive femoral anteversion. However, overuse, not anatomy, is the most common cause of plantar fasciitis in athletes. The pain of plantar fasciitis is caused by collagen degeneration associated with repetitive microtrauma to the plantar fascia

An inflammatory response and reparative process can double the thickness of the plantar fascia, which is normally approximately 3 mm. Biopsy specimens reveal collagen necrosis, angiofibroblastic hyperplasia, chondroid metaplasia, and calcification.

The heel pain can also have a neurologic basis. The tibial nerve, with nerve roots from L4-5 and S2-4, courses in the medial aspect of the hindfoot, through the tarsal tunnel, under the flexor retinaculum, and over the medial surface of the calcaneus. The calcaneal branch, arising directly from the tibial nerve, carries sensation from the medial and plantar heel dermis.

The tibial nerve divides into lateral and medial plantar nerves, which proceed into the plantar aspect of the foot through a foramen within the origin of the abductor hallucis muscles, which forms the distal tarsal tunnel. The first branch of the lateral plantar nerve changes course from a vertical to a horizontal direction around the medial plantar heel. It passes deep to the abductor hallucis muscle fascia and the plantar fascia and is the nerve supply to the abductor digiti minimi. The tibial nerve and its branches in the hindfoot can be involved with compressive neuropathies. A valgus heel can stretch in the tibial nerve.
SOME MEDICAL FACTS

pronated solution Note: A trained '2ft Orthotics' technician will ensure the child's orthotics are not over correcting or under correcting. It is important that the Orthotics are adjusted every 6 months. '2ft Orthotics' designed to control excessive outward rolling of the foot upon heel strike.
Customized metatarsal arch to realign forefoot and guide the foot through toe-off.
child solution

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DESCRIBE YOUR CHILD’S PAIN TO OUR SENIOR CONSULTANT

This section of the 2ft Orthotics website allows you to describe your child’s pain locations to our senior consultants who will then email you relevant information about the cause and solution.

Here is how it works:

Step 1: Identify your child’s foot pain.

Step 2: Locate the pain areas on the pictures below

Step 3: Pinpoint the areas of pain using the grid reference
For example;  Pain in the heel;  D:11
Pain on the inside archD:17.

Step 4: Complete the form (below)

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