Over Pronation (Flat Feet) or Hyper Pronation
Diagnosis & Treatment

Pronation is the movement of the subtalar joint of the foot (between the talus and calcaneus) into:

  • Eversion (turning the sole outwards)
  • Dorsiflexion (pointing the toes upwards) and
  • Abduction (pointing the toes out to the side)


The problem with pronation is when it is excessive, here the term overpronation (or hyper-pronation) is used. This is quite a common problem and can lead to a number of injuries, especially in runners, including:

  • Shin splints
  • Anterior compartment syndrome
  • Patello-femoral pain syndrome
  • Plantar fasciitis
  • Tarsal tunnel syndrome
  • Bunions (Hallux valgus)
  • Achilles tendonitis

  Hyper Pronation, Vancouver Orthotics

With over pronation the foot is rolling in. This causes the lower leg to turn inwards which puts the knee and hip out of alignment, ultimately causing pain or discomfort.

Dr. Michael Horowitz offers a 5-Step process to successfully treating Hyper Pronation.  He can help evaluate & diagnose your condition and recommend the best course of action for you. Call Vancouver Orthotics at 604-737-3668 for more information.


  • What is the most effective treatment for hyper pronation?
  • What exercises & stretches do you recommend for hyper pronation?
  • What other symptoms are most commonly associated with hyper pronation?  
  • What shoes are best for hyper pronation?   
  • Where can I get medical hardware for hyper pronation?
  • Why is the pain so chronic?

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