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Ask any new medical student and they’ll tell you that learning the language of medicine is a tough job. As young doctors, they soon come to learn that it’s essential for doctors to have descriptive terms to use when diagnosing and communicating with peers and patients. Foot care is by no means exempt from needing a language to describe how the foot and ankle works. Two of the most common biomechanical terms used in foot care are pronation and supination. Let’s talk a bit about these terms.
Supination is the term used to describe the motion that creates an arch. A
supinated foot is a foot with a high arch. To supinate means that the foot is rolling
out and gaining an arch.
Pronation, on the other hand, refers to a foot that is rolling
in and flattening the arch. A pronated foot is a flatfoot. You can try this yourself. Simply put your foot on the floor, and keeping the sole of your foot on the floor, roll the foot from the inside to the outside. There you go. Now you’re pronating and supinating.
A pronated or supinated foot is neither a good or a bad thing. A foot that is mildly
supinated may work for a lifetime without symptoms while a foot that is very
supinated can indicate many different types of problems. Rigid, supinated feet in young adults may indicate
Charcot-Marie Toothe Disease. In older adults, a supinated foot may be due to a
tendon rupture of the
peroneus longus tendon. Typically, supinated feet are a rigid foot type.
Pronated feet, on the other hand, are usually flexible in children and grow to
be progressively stiffer in adults. The high arch in a supinated foot can be difficult to treat when foot problems occur.
Once the terms pronation and supination are understood, they become an effective way to communicate with others regarding foot problems. One example is when you go to the shoe store to shop for shoes. You know the feeling; you walk into the running store and there, facing you are dozens of shoes with bells and whistles like air bladders and springs. How can you tell them apart from one another? What makes for a good choice? Well now that you know about pronation and supination, you have a jump on the average shoe customer. Here's why. Most pronated feet will loose the normal curvature of the foot from the heel to the toe, while supinated feet will increase in curvature. When I say curvature, think of the footprint you'd make when you get out of the pool. Is it straight or curved? When shopping for running shoes this is important due to the fact that running shoes come in different types of lasts. The last defines the curvature of the bottom of the foot. So a pronated foot requires a straight last shoe while a supinated foot requires a curved last shoe. Shopping for shoes can become much easier once you’re familiar with these two terms. Supination and pronation are the two most common terms used when discussing the biomechanical properties of the feet.
For more information on this topic, stop by your local running store, podiatrist's office or local pedorthics facility.
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Nomenclature:
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Anatomy:
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Biomechanics:
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Symptoms:
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Differential Diagnosis:
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Products Recommended for Supination:
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This article was written by Jeffrey A. Oster, DPM and last updated 2/8/13. No additional information is available for this topic. |
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