Supination of the Foot: Causes and Treatment

Supination, also known as underpronation, occurs when the foot rolls outward during movement. This rolling motion is a natural part of the walking or running cycle, as the foot strikes the ground and then lifts off. However, in a supinated foot, this outward roll is exaggerated. Instead of the weight being distributed evenly, it is concentrated on the outer edge of the foot. This can lead to uneven wear on shoes, discomfort, or injury over time.
 
Supinated feet become rigid and inflexible. In addition, this condition can cause the outer leg muscles and tendons to become tight, as well as lead to back and hip pain. Supinated feet increase the risk of developing other painful conditions affecting the feet and lower legs, such as plantar fasciitis, metatarsalgia, and Achilles tendinopathy.

Some signs you are experiencing supination include:
 
Foot pain: Pain along the outer edge of the foot or in the heel can be a telltale sign of supination.

Uneven shoe wear: One of the most noticeable signs is the wear pattern on your shoes. If the outer edges of your shoes are more worn out, it could indicate supination.

Tightness in the lower legs: If you notice that your Achilles tendon and calf muscles feel tight, it could be a result of supination.

Ankle sprains: Frequent ankle sprains or rolling can suggest that your foot is not properly balanced.

Knee, hip, or back pain: Supination can affect your overall posture and gait, leading to pain in other joints in your body.

Often, the structure of your foot and how it moves are inherited, meaning that supination can be genetic. High arches, for example, are commonly associated with supination. Furthermore, past injuries to the foot, ankle, or leg can alter your gait and lead to supination as your body compensates for the weakened area.
 
In addition, the shoes you wear make a difference. Wearing shoes that do not provide adequate support or cushioning can cause or worsen supination. It is essential to choose footwear designed for your foot type. For athletes, improper training techniques or a sudden increase in physical activity without proper conditioning can lead to supination.
 
Other causes of supination include a sedentary lifestyle, stiffness caused by arthritis, and standing for long periods of time. If you notice signs of supination, it’s important to see a specialist promptly to address the issue before it causes further concerns.

If you suspect you have supination, there are several steps you can take to reduce your symptoms:
 
Choose the right footwear: It’s best to choose quality shoes with good cushioning and ample arch support to minimize supination.

Orthotic inserts: Custom orthotic inserts are used to redistribute pressure and correct your gait.

Stretching: Regular stretching of the calves, Achilles tendon, and plantar fascia are beneficial for enhancing flexibility and reducing the risk of injury.
 
While minor cases of supination can often be managed with proper footwear and stretching, some cases need to be evaluated and addressed by a professional. If the pain in your foot, ankle, or other parts of your leg persists despite using supportive footwear and home remedies, it’s time to consult a podiatrist.

In addition, it’s best to see a podiatrist for supination if you experience:
 
Recurrent injuries: If you commonly experience ankle sprains or other injuries related to imbalance, you should speak to a specialist.

Difficulty in daily activities: If supination affects your ability to perform everyday activities like walking, standing, or running, it’s important to see a podiatrist for support in managing your symptoms.

Visible deformities: Noticeable changes in the shape of your foot or the development of severe calluses and corns should be evaluated by a doctor.
 
For comprehensive podiatric care, schedule a visit to Bay Area Foot and Ankle Associates. Our team provides top-notch services to help you maintain optimal foot health and mobility. For more information, contact us or schedule an appointment online. We have convenient locations to serve you. We serve patients from Walnut Creek CA, Brentwood CA, Concord CA, Pleasant Hill CA, Pittsburg CA, Antioch CA, Alamo CA, Danville CA,  Oakley CA, and surrounding areas.