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Underpronation (Supination)

The arch of our foot is composed of a thick band of fibrous tissue called the plantar fascia.  In theory, it is strong enough to maintain that optimum arch shape that is crucial to keeping our gait and balance in check as we walk, run, or stand.  Underpronation is a condition caused by having too high arches.  When the arch is abnormally high, it becomes more difficult to stabilize the body and absorb shock efficiently.  High arches cause the ankles to roll outwards, putting extra pressure on the structures within the foot that try to compensate for the imbalance.  However, not all people with high arches overpronate.  It is important to have your specific situation assessed by a medical professional to ensure an accurate diagnosis.  Underpronation is one of the most rare foot conditions; whereas overpronation (flat feet) is the most common.  Though it is uncommon, it is just as painful as overpronation and can cause just as many problems.  Excessive underpronation often causes plantar fasciitis, a painful condition that causes the plantar fascia in the foot to become irritated and inflamed from overwork.  Also, because of the disturbance caused by supination, the body's alignment is thrown off.  This can cause an abnormal posterior tilting of the pelvis, ankle strain, ligament damage, and knee damage. 

Excessive long-distance running can be very taxing on the body and subjects it to a great deal of unnecessary wear and tear.  The human body is, in general, very durable and adept at compensating.  But there comes a point when even a regenerating, healthy body cannot keep up with continuous abuse.  Wearing incorrect footwear can lead to many arch problems as well.  Both flat feet and high arches can disturb the normal functioning of the feet, which is detrimental to the fasciae.  The components making up your feet and allowing them to move automatically try to compensate when the arch is too high or low, the feet roll inward or outward, or when the Achilles tendon is too tight, but this often leads to overworking the tissues running along the bottom. 

Physical therapy is an important part of correcting excessive pronation problems.  Expert physical therapists will treat the condition in a manner that will not only improve the condition and relieve the pain without surgery, but also protect your foot from getting any worse. As every patient's condition is different, the physical therapist will treat each patient according to his or her needs, body type, symptoms, medical history, occupation and any other factors. They will tailor exercise routines to your specific situation, working to strengthen the tendon, while also increasing flexibility.  Strengthening the injured fascia and the structures around it are both very important to fully recovering.  This releases pressure from the damaged area and allows it to heal.  Working with an expert physical therapist throughout the rehabilitation process ensures a safe and healthy recovery.  Without physical therapy, the arch can take a very long time to heal and strengthen on its own, and it may not heal correctly.

If you think you are suffering from underpronation, call us now to make an immediate appointment (212 986-3888).  Delaying treatment can cause it to worsen and cause many other painful ankle conditions.  Our office is conveniently located in Midtown Manhattan, Madison Avenue and 40th Street.  Most insurance covers underpronation treatment.

Schedule an appointment today.

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