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Flat Feet, High Arches & Alignment Disorders

Overpronation & Supination

Causes, symptoms, and treatment for overpronation and supination, with care at 15 clinics across Middle Tennessee.

Part of Flat Feet, High Arches & Alignment Disorders

Understanding overpronation and supination and your options.

Pronation is the normal inward roll of the foot as you step. Overpronation means the foot rolls in too far. Supination, or underpronation, means the foot rolls too little and stays on the outer edge.

Both can change how force travels through your feet and legs. Runners and active people often notice them first.

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Overpronation & Supination care

Symptoms

Signs of overpronation and supination.

If you notice these signs, an exam can give you clear answers.

  • 01

    Sore arches or heels after activity

  • 02

    Shin, knee, or hip aches

  • 03

    Shoes that wear down on one side

  • 04

    Frequent ankle rolling or shin splints

Why it happens

What can cause overpronation and supination.

  • 01

    Flat or high arch shapes

  • 02

    Tight calf muscles or weak foot muscles

  • 03

    Worn-out or poorly fitting shoes

  • 04

    Running on hard or uneven surfaces

Care groupFlat Feet, High Arches & Alignment Disorders

Diagnosis and care

How we treat overpronation and supination.

Step 1 · Diagnosis

We watch how your foot lands and pushes off while you stand and walk. We look at your shoes for wear patterns. X-rays are used if we suspect a bone problem behind the pain.

Step 2 · Treatment

Shoes matched to your foot type make a large difference. Custom orthotics guide the foot toward a steadier motion. Calf stretches and foot strengthening build support, and physical therapy can help with running form. Ice and rest calm overworked tissues.

Surgery is rarely needed for pronation problems. It is only considered when a structural issue such as a collapsing arch is causing steady pain.

Recovery

What to expect over time.

Many people feel better in a few weeks after changing shoes and adding inserts. Full comfort may take a few months as your body adapts.

When to book

Do not wait it out.

See a podiatrist if pain keeps returning or if you have repeated injuries. Come in sooner if pain limits your usual activity.

Call 615-220-8788

Related care

More in Flat Feet, High Arches & Alignment Disorders.

FAQ

Your questions answered.

How do I know my foot type?

Wear patterns on your shoes offer clues, but an exam gives a more reliable answer.

Do I need custom orthotics or store-bought inserts?

Some people do well with store-bought ones. Custom devices are made for your foot and may help when those fall short.

Get help with overpronation and supination.

Request an appointmentCall 615-220-8788

Where we treat it

Overpronation & Supination care at 15 clinics.

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