Tuesday, February 27, 2024
HomeNewsCan Foot Pronation Cause Knee Pain

Can Foot Pronation Cause Knee Pain

Fallen Arches Can Cause Many Painful Injuries

Excess Pronation and Knee Pain

Your arches are more than a random design. The gently curving arch supports the biomechanics of your foot, ankle, lower leg, and knee. When you have fallen arches or flat feet, everything in your leg changes.

The pressure from these changes can cause injuries to the tendons and other tissues in your feet, lower leg, and knee. You wont find relief from those injuries unless you fix your fallen arches.

An experienced podiatrist at a podiatry center in NJ can help your feet work the way they should. Visit us in Clifton, NJ or Wayne, NJ to learn how we can help protect your feet so that you can walk through life pain-free.

Foot Dysfunction: How Overpronation & Oversupination Cause Chronic Back Pain

The human body is an intricate machine and everything is connected so when something goes wrong in one area, it can cause problems in other areas. The back carries a lot of the stress in the body so when there is a problem with the hips, knees, or feet, the back can bear at least some of the brunt of the pain and other effects.

This is particularly true with foot problems. When the mechanics of the foot are off it can throw off the alignment of the entire body. Overpronation and oversupination in the foot can lead to serious and chronic back pain.

Does Pronation Matter When You Buy Running Shoes

You know the drill.

The shoe salesman watches how you stand, barefoot or in shoes.

Next you walk back and forth, jog in place, maybe on a treadmill. Barefoot and maybe in your current shoes.

This ritual has been drilled into peoples heads for decades, yet, it may not matter. Or more appropriately, it may matter in that it does not really matter.

A few studies in the last few years have looked at how shoes prescribed based on a persons foot affects injury rates, and results have been quite interesting.

The first study took 81 women categorized as either neutral, pronated, or highly pronated. Next they were randomly given a pair of neutral, stability, or motion control shoes. They then began a 13 week half marathon training program.

Over the course of 13 weeks, 194 missed training days were reported by 32% of the athletes. Those in motion control shoes reported the majority of these days. All of the highly pronated individuals in the motion control shoes reported pain. In pronated feet, the stability shoe wearers reported more pain than those in neutral shoes.

Simply put, The findings of this study suggest that our current approach of prescribing in-shoe pronation control systems on the basis of foot type is overly simplistic and potentially injurious.

Next, a Danish study observed over 900 novice runners for one year, categorizing them into the various foot-types. They were all given a neutral running shoe, regardless of their foot type.

Read Also: What Is Nano Knee Replacement

Lower Extremity Joint Pain

Lower extremity joint pain was determined by the response to the NHANES-type question, On most days do you have pain, aching or stiffness in your ? Lower extremity joints queried included the hips, knees, ankles and feet. Participants response options were: yes, right side only, yes, left side only, yes, both sides, and , no pain on either side. Unilateral and bilateral pain at each site were weighted the same, with responses dichotomized to yes or no.

To evaluate widespread lower extremity joint pain, we created variables of: pain in one lower extremity site, pain in two lower extremity sites, pain in three or more lower extremity sites, and no lower extremity pain .

Foot Arch Pain And Heel Pain

Pin by Jac NcourageU on Plantar Fasciitis

This pain generally arises from a common foot pathology usually known as plantar fasciitis although it has other more specific names which indicate the source of the pathology e.g. plantar fasciosis or plantar fasciopathy. The plantar fascia is a thick band of soft tissue under the skin on the bottom of your foot, made primarily of the protein collagen, that runs from your heel to the base of all your toes. It has an important function in correctly directing the ground reaction forces that travel through your foot when walking, supporting your foots arch structure and facilitating an efficient push off whilst walking and running.

Up to 1 in 10 people in the UK will suffer from this problem over their lifetime and this condition forms up to 40% of all podiatry referrals. People who are:

  • overweight or obese i.e. have a BMI score of 25 and above
  • aged between 40 60 years
  • standing for long periods

are at risk of developing this pain, which generally builds over a period of time, then is worse first thing in the morning and towards the end of the day. Excessive pronation has been closely linked to the exacerbation of plantar fasciitis, if the rolling in movement of the foot continues when it should have ceased then this can sprain the plantar fascia and increase the traction at its attachment on the heel bone.

There are many other causes of heel pain, including:

Read Also: Does Aflac Cover Hysterectomy

Best Overpronation Flat Foot Products:

  • There are usually two phases to the bottom of the foot pain treatment.
  • The two phases of treatment include controlling the acute inflammation and correcting the biomechanics, which led to the problem in the first place.
  • If the tendons and ligaments are inflamed, they are almost frozen in place and cannot function properly.
  • Once the inflammation is decreased, we need to correct the biomechanical causes to ensure that they can never become overworked and inflamed again!
  • This doesnt matter whether its plantar fasciitis, plantar fibroma, the sore bottom of the foot, or even Achilles tendon pain. Treatment is all roughly very similar.

Poor Arch Support Means Overpronation

Most normal feet have an inward roll, but if they angle excessively, you have overpronation. This can cause uneven weight distribution and a rolling in of your ankles.

With excessive pronation, your feet and legs have a harder time absorbing shock, and your body may have trouble with stabilization. Your big and second toes become overstressed. When uncorrected, overpronation can lead to injuries that cause discomfort all the way up the kinetic chain into your knees and hips.

Don’t Miss: Why Do Knees Crack When Squatting

How To Resolve Hip Pain From Overpronation

For those looking to reduce hip pain from overpronation, it is best to target the issue at its source and address overpronation causes.

First and foremost, it is vital to make sure that you have footwear with proper arch support. However, this may not be enough for many, and it is worth it to look into orthotics for knee and hip pain.

Many of these orthotics for hip pain, by design, will give better arch support and stop the rolling motion associated with pronation.

Orthotics can also help reduce the impact shock from walking and running, helping give your hip joints the relief they need to begin the healing process after the damage done through joint stress, improper weight-bearing, and stressful gaits.

Pronation Overpronation & Underpronation: The Simple Definition

3 Critical Exercises For Pronated, Flat Feet. (Causing Foot, Knee & Back Pain) UPDATED

The feet are essential for proper running form and good biomechanics, but they are often neglected by runners.

Trying to run with poor foot mechanics is like trying to build a house on unstable foundations: itll lead to big problems further down the line.

Many runners careers have been cut short by ignoring their bodys biomechanics, so its essential for any runner to learn about pronation and what can be done to help if its causing a problem.

Runners typically fall into one of three categories:




Overpronators have an ankle that rolls inwards when theyre running, sometimes because of flat feet, while underpronators have an ankle which doesnt roll in enough.

Recommended Reading: How Long After Knee Replacement Can You Fly

Are High Arches Giving You Knee Pain

November 16, 2016 by Jean Massé

Here is an image of a person with knee pain in her athletic footwear:

I am likely to find knee pain in this body because of the attitude depicted above at the feet. When the feet and shoes roll outward, weight is no longer distributed evenly through the whole foot as intended at rest. This foot has a resting attitude toward the motion of supination. Supination is the desired movement to lock the foot into a rigid lever during push off when walking or running. An extreme example of supination is a ballet dancer on their toes. When feet rest toward supination like in the photo above, they will not tend to pronate well during upright function. Natural shock absorption of the body will be lost. Forces then pass up the body to the knees, hips and spine. The feet above are less likely to pronate.

The knee can be thought of as a fairly simple hinge joint much like the elbow. When a hinge joint like this becomes painful or worn down, often we will find the more complex and mobile joints above and below the knee, namely the ankle or hip joints, to be the source of the problem. Feet like the ones above will typically have less of the healthy motion allowing the knee to move well over the foot and ankle. This motion is needed to stimulate our big hip muscles like Glute Max. Once the feet and hips are working more efficiently, knee pain often vanishes entirely.

Knee Pain Your Foot May Be The Cause

Are you experiencing some sort of knee pain and are wondering what the cause may be? Here we shall cover the topic as much as we can.

Adults have a higher chance of knee pain due to wear and tear on the joint that can happen due to their daily activities, even from something as simple as walking. Depending on their lifestyle, some people will also be more prone to knee pain due to injury.

Some types of pain will go away after a few days, such as with mild injuries, other types of pain will stay far longer. Long-term knee pain can be caused by an old trauma that was not able to properly heal. Some people experience flare-ups while others just feel physical pain all the time.

Regardless of how often your knee may hurt, it cannot be denied that it can greatly affect the quality of your life and health. Even taking a walk can be a burden.

Read Also: What Rebuilds Cartilage

The Normal Walking Pattern

When you walk the heel strikes the ground and the weight of the body is transferred to the outside of the foot in a rolling motion and then the foot rolls inwards across the ball of the foot to the big toe ready for stepping forwards.

Over time you may develop weak or fallen arches.

Fallen arches are commonly referred to as flat feet.

Flat feet may occur from childhood this could be where the arches of the feet failed to develop properly.

Overpronated feet and fallen arches can develop after an injury, wear and tear of the ageing process, obesity, and arthritis.


Yes, there are, like injuries to ligaments, tendons, bursitis, patella tendinitis, meniscus, and fractures all these can give you knee pain.

Mechanical problems can result in knee pain such as arthritis and gout.

What we are going to focus on for you today is how your feet may cause you to have knee pain.

Pronation Problems: Signs Causes & Ways To Correct These Common Posture Issues

12 Surprising Things That Can Cause Knee Pain

By Jillian Levy, CHHC

Pronation deviations that occur at the feet and ankles called overpronation or underpronation are some of the most common underlying postural problems that adults develop. To one degree or another, collapsed arches may now affect the majority of the adult population living in industrialized nations.

Overpronation is such a prevalent problem due to people wearing unsupportive shoes, having weak legs and walking on flat, hard surfaces. All of these contribute to changes in soft tissue structures of the feet, including loosened joints that cause foot bones to shift.

Considering our feet are usually the only point of contact we have with the ground, its not that surprising to learn that pronation abnormalities of the feet are common source of aches and pains. These problems begin in the arches of the feet and heels, but often spread up to the calves, ankles, knees and even back. People could be searching for low back pain relief without even understanding the source of the pain is the foot. And over- or underpronation during exercise or while playing sports can raise your risk for experiencing injuries, since pronation affects how you stand, run and distribute your body weight.

Read Also: Nano Knee Cost

What Is Neutral Pronation

Neutral pronation implies a healthy, natural gait cycle. A person with a neutral stride rolls their foot only slightly inward to absorb shock while keeping their legs and ankles aligned.

It also helps them prepare for the next step and push off from the ground without putting unnecessary pressure on any one area of the foot or wasting energy while they walk. Generally speaking, neutral pronation makes an individual less inclined to experience foot-related discomforts and common injuries.

When people talk about foot pronation issues, theyre usually referring to overpronation or underpronation. Read on for details and insights about each condition.

How To Spot Pronation Deviations

Even very small changes in the alignment of the ankles, knees and hips can cause visible changes to your posture or straining .

How do you know if youve developed abnormal pronation? To give you an idea of what healthy posture should look and feel like, try observing your posture.

Starting from your toes moving upward, here are several key areas to observe in your stance. These observations can clue you in to overpronation or underpronation/supination issues:

  • Stand with your shoes off, facing straight forward. Place both hands on your thighs and straighten the back upright.
  • Now, check the stance of your thighs, knees, ankles and toes.
  • Both feet and knees should face forward in parallel, or with minor external rotation of the toes outward.
  • Generally, the toes should be aligned in the same direction as the feet and ankle . The ankles and knees should be facing forward, not rolling inward or outward more than very slightly.
  • If the knees appear to roll inward and toes outward, this is called internal pronation. On the other hand, if the knees are facing outward, this is called external supination .
  • You can also draw a line on the front of your legs running from your thighs, through your knees to your ankles. Check if the line is curved in any particular spot.

Don’t Miss: Bioknee Cost

How Do Your Feet Affect Your Knees

Try this simple experiment to see the relationship between your feet and knees!

  • Stand with your shoes off and feet flat on the ground to see the position of your knees
  • Now roll your feet outward so youre standing on the outside of your feet . Notice that your knees move outwards when you stand on the outside of your feet?
  • Now roll your feet inwards and notice that your knees are facing inwards. Notice that when your knees move inwards as they are following the movement pattern of flat feet!

If your feet naturally tend to roll in or out too much, this puts increased stress on the knee joints. With the extra range of movement in the feet, this can cause pain as the foot and leg muscles need to work harder to control your movement.A simple test your Podiatrist may perform is a foot strapping to see if your knee pain or function improves. This can be a quick way of checking whether or not the feet are affecting the knee joints. This testing may also occur to check foot function impact on hip and low back pain.

What Are The Treatments To Be Free Of Knee Pain

Can Foot Orthotics Help Knee Pain? Seattle Podiatrist and Orthotic Specialist

Understand that how your knee pain will be treated depends on the cause of the pain itself. Some may only require physical therapy while others will need surgery in order for their knee to function and gain full range of motion. Here are the most common treatments that might be suggested to patients.

You May Like: Getting Rid Of Fat Around Knees

Does Pronation Cause Running Injuries

When we walk or run we usually hit the ground in some degree of supination. Supination is the opposite movement to pronation. Its the rolling out and raising of the arch. A simplistic summary of foot biomechanics during gait would be:

  • Landing in supination
  • Rolling in to some pronation to cushion the impact
  • Rolling back out into supination to provide a rigid foot to push off with
  • As we land when we run our foot will start to pronate in order to help absorb the impact. There is an internal rotation of the tibia coupled with this pronation. The theory goes that excessive internal rotation of the tibia will create a large torque that will travel up to the knee and hip. This would increase stress in the leg in different places and could lead to injury .

    Now, the question is, does that increase in stress manifest injuries? Well, we know that the body has an incredible capacity to adapt. We need to know if pronation or overpronation just puts so much extra stress through the leg that we cant adapt to that stress and an injury will result. The injury might be a stress fracture or a tendinopathy or runners knee. If pronation or overpronation results in too much stress then runners who pronate or overpronate should be getting more injuries than those who dont right?


    Popular Articles