Pronation and Over-Pronation

Pronation is a normal motion that our feet make as they walk. With each step, the heel touches the ground first, then the foot rolls forward to the toes, causing the ankle to roll inward slightly and the arch to flatten out.

That’s normal.

But when that rolling inward becomes more pronounced, that’s over-pronation, which is a big problem.


You can usually see over-pronation by looking at the back of the leg and foot. The Achilles tendon normally runs straight down from the leg to the foot, hitting the floor at a perpendicular angle.

In feet that over-pronate, the Achilles tendon will be at a slight angle to the ground and the ankle bone will appear more prominent than usual.

When the ankles over-pronate, it throws everything out of alignment. The bones in the feet can actually shift over time, and the muscles and tendons in the leg and ankle will twist.  This places repetitive stress on the ligaments, tendons, joints and muscles of the foot, which can cause injury.

If your feet are over-pronating, you may notice your muscles feel unusually tired when you walk or stand, or they may ache. But symptoms will vary by your weight, age and activity.

Over-Pronation Complications

Eventually, over-pronation can lead to a full list of maladies including flat feet, plantar fasciitisplantar fibroma, neuromas, heel spurs, shin splintsanklesprains, bunionshammertoescalluses, and pain in the arches, knee, hip and lower back.

Correcting Over-Pronation

But it doesn’t have to go that far, because there are steps we can take to correct the over-pronation.

In the vast majority of cases, we’ll prescribe custom foot orthotics, which will realign your ankles, redistribute the weight, support the arch and reduce the twisting. Many orthotics will fit snugly into your normal shoes.

Although we’ll also take a look at the type of shoes you wear to see if they are contributing to the problem.

Shoe Guide

Don’t forget to check out our recommended Shoe Guide for shoes that are doctor approved to help you with your feet!

If you are experiencing foot pain, call our office or make an online appointment



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I was frankly shocked at how good they were at EVERYthing. They saw me less than 2 hours after I called. Dr. Barko was ebullient and professional. You can ask them questions via TXT, which is huge. Their offices are spic-n-span and modern. Basically, they're knocking it out of the park. I don't wish for more in-grown toenails, but if it happens, I'm going straight back to Lexington Podiatry.

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I love Lexington Podiatry! The staff is always so helpful, and attentive. I love Dr. Freels. She is top notch, and is always so happy to see me, and listens to me about what is going on.

Amie Castle


Dr. Carter diagnosed and created a treatment plan in minutes- other podiatrists have treated me incorrectly for years. So pleased to have answers and solutions.

Katy Perkins


My left foot had been hurting for a while. The staff and doctors here are all quite knowledgeable and professional, as well as friendly and personable. My diagnosis was promptly made, x-ray completed right there in the office, and I left with the two braces that I needed. No waiting for the mail, trip to brace shop, nada. Most excellent clinic!

Susan Bell

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid or CareSource plans at this time. Visit our New Patient page for more details.