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Knee Pain Runner's knee and Chondromalecia of the patella Osgood Schlatter Disease pain below the knee Shin Splints pain in the front of the lower leg Over-pronation does not necessarily mean your child has "flat feet.
A certain amount of pronation is normal. During normal walking or running "gait cycle"the heel strikes the ground and the foot rolls inward to absorb shock and adapt to the surface. This gait cycle is even more important if the running surface is uneven.
Over-pronation refers to pronation occurring at the wrong time in the gait cycle. Just before the foot pushes off, it should become a rigid lever as the arch rises and the ankle straightens. If instead, the arch remains flattened and the ankle remains turned inward, muscles and tendons will be stressed and the foot will undergo excessive wear and tear.
This can cause the foot bones to shift position, which results in additional stress of the bones and joints above the pronated foot. Over time, it is this stress that causes pain in the knees, ankles, feet and back. Over Pronated Feet Extreme Pronation of feet- notice Achilles tendon is angled outwards and inside of ankle is leaning towards the floor.
Arch Supports Over the Counter Arch supports may reduce over-pronation and provide enough support to be helpful for most children. Arch supports fit inside of your child's shoes and sneakers full length and provide more support to the arch See pictures below for examples.
Arch supports are available in pharmacies, sporting goods stores or can be ordered online. Custom Made Orthotics Orthotics custom-made are the most successful treatment for over-pronation.
Made from high-impact plastics, orthotics fit comfortably in your child's shoes and sneakers.
The use of orthotics eliminates the painful symptoms of over-pronation. Orthotics can also be molded from plaster casts of the feet in their corrected position. The casts are used in a laboratory to fabricate orthoses that precisely control the mechanics of your child's gait cycle.
Some newer orthotics are made after a computer assessment of gait and foot function.
With this method, your child walks on a pad, and a digitized readout of the foot pressure is displayed on a monitor. The computer is not actually used to make the device, but only to capture the impression of the foot.
Custom orthotics are made by podiatrists specialized foot doctors. Orthotics will last approximately 3 years. Soft-soled, lace-up walking shoes or good running shoes made for pronated feet may help relieve symptoms of over-pronation.
Lacing shoes and sneakers tight will provide more ankle support and decrease pain. Ideally, orthotics should be worn all day to provide the greatest relief of pain. Orthotics can be switched between everyday shoes and sports sneakers.
Babies have excessive fat in the arch area, so it appears as if they have flat feet.DBT Skills Training Modules Handouts & Worksheets DBT Skills at a Glance DBT Skills Quick Reference Sheet (by Rachel Gill) Core Mindfulness Skills States of Mind Handout (by Rachel Gill)Mindfulness Skills Overview (by Rachel Gill) 6 Levels of Validation Handout & Worksheets (By Rachel Gill) .
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