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Foot cavus increases when the forefoot is pronated. If cavus is present, the first step in the manipulation process is to supinate the forefoot by gently lifting the dropped first metatarsal to correct the cavus. Once the cavus is corrected, the forefoot can be abducted. Pronation of the foot also causes the calcaneus to jam under the talus.
Derek Roach, owner of Flow Feet Orthopedic Shoes, says choosing the right shoes for your flat feet can "improve your gait, reduce discomfort and provide better support for long-term foot health." FAQS
Pronation is a natural movement of the foot that occurs during foot landing while running or walking. Composed of three cardinal plane components: subtalar eversion , ankle dorsiflexion , and forefoot abduction , [ 1 ] [ 2 ] these three distinct motions of the foot occur simultaneously during the pronation phase. [ 3 ]
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The ankle and foot naturally pronate and supinate by about 5 degrees while walking or running. The red arrows indicate excessive pronation. In general, overuse injuries are the result of repetitive impact between the foot and the ground. With improper running form, the force of the impact can be distributed abnormally throughout the feet and legs.
Walking gait cycle starting with the left leg demonstrated. The loading cycle is where foot pronation naturally occurs. Achilles tendinitis is a common injury, particularly in sports that involve lunging and jumping, occurs both laterally and bilaterally, and is often induced in a single ankle by trauma.
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