Ankle Pronation

A teenager attends with medial arch pain on standing, walking and running. This is a common complaint from an ankle that excessively pronates on weight-bearing.

This excessively loads and stress through the medial border or inside of the foot where the medial longitudinal arch occurs. It is common for the arch to collapse and for the person to believe that they have a “flatfoot” as a result. The easiest way to identify excessive pronation is to look at the back of the heel.

In this image it shows the ankle excessively pronating and the second image shows the ankle when it is straight as it should be.

The treatment for this is to take a cast of the foot to get the exact foot shape and then to tilt the ankle as many degrees as it leans-in, in the opposite direction. This is called a Corrective Orthotic and it is comfortable to wear and eases the arch pain immediately.