Cause and Symptoms of pronation or supination syndrome

Cause of Abnormal Biomechanics of the Foot - Pronation Syndrome
The leading cause of simple pronation of the foot is weakness of the foot.  If your foot is weak then you must have well constructed shoes to brace your weakened foot.  If you wear shoes with weak counters, improper lacing of shoes, or not lacing the shoes at all.

Pronation Syndrome is happening at an earlier age
What you're going to find coming into your office now are kids that are 16, 17 even 15 years old and they're coming into your office with these hip-hop type of styles.  They have their shoes not laced, their shoes are loose fitting, they're wearing the various different types of soft leather shoes that have weak counters and they're walking around lazily and they're tired.  They don't feel like studying, they don't feel like going to sports; they don't feel like doing anything.  So you have to evaluate when this aging process occurs.  Does it occur when we decide to look in the mirror and we have some wrinkle forming in our eye area or does it occur at age 13 or 14 ?  the accelerated aging process of arthritis, cardiovascular  disease can occur at any age.   Counters are the sides of the shoes. 

Symptoms of Pronation Syndrome or Abnormal Biomechanics of the Foot
Now, some of the symptoms of this very common problem are foot and ankle symptoms, foot and ankle pain.

• Plantar Fascitis , which is pain in the bottom of the foot – your feet hurt. 

• History of a heel spur or just a heel spur in general. 

• Cracking ankles or crepiditis in the ankles.  In the knee and calf you;'re looking at the pain, especially after sitting for long periods of time.  The reason for that is the illiosolis muscle acts as if it is a … the illiopsoas muscle is along the side of the thigh and when people sit down for a long time.  Ihe illiopsoas muscle can telescope the hip into the acetabulum, causing more further arthritic pains as well as it jams the knee.  Crepitus, especially when walking up stairs, in the knee.  That's a result of the knee cap is no longer in the troclear groove.  It's banging against the sides of the troclear groove and getting a cracking sound.  A lot of patients will describe this cracking sound when they[‘re waking up in the morning.  They have to bend down, grab the knees in order to get the knees working again.  Maybe some of you doctors have that type of problem.  Also cramps. 

• Calf Cramps - My calves are cramping.  Cramping.  The calf cramp is obviously not a good thing especially  when We're talking about  a patient who has some sort of 4:04 cardiovascular  problem.  There is a lack of good circulation in the calves.  Cold feet as well.  they hip and thigh we're talking about the legs as well. “my legs just ache, I don't feel like doing anything.  When I get home from work, I just want to sit down.  I don't want ot do anything.  Maybe the wife or husband will say, “Let's go out dancing.”.  “No, I don't feel like it, my legs hurt, my legs ache.”  Also, they have leg cramps. 

• Illiotibial Band Syndrome - We have to look at the illiotibial band, which we'll look at in a minute.  They have illiotibial band pain.  My hips are in pain all the time, especially when I do this.  They describe it to you in your office, and they have a history of hip arthritis. 

• Hip Pain and Arthrosis of the Hip - Now, I'll tell you something.  There are patients that are coming into my office that have no hip pain.  When we take an x-ray, there are considerable arthritic changes in the hip.  Why is that happening? Because it happens over a long period of time.  And it happens as a result of faulty biomechanics  of the lower extremities.  That's how it happens. So, if you can pick up on this disease quickly, you can help the patient avoid unnecessary hip operations and the lack of activity that will come on as a result of that hip operation.  How many of your patients will do a marathon after a hip operation?  If they do, they're making the newspaper.

• Lower back pain. Insidious low back pain -   We're talking about a patient who did not have an injury or the patient who has lower back pain from an injury.  What happened was the patient was at work, he lifted a box and he just lifted it the wrong way and his legs snapped.  I disagree with that.  What I'm saying to you is this – when that patient comes to my office, I know – a lot of the times, 99% of the time when I evaluate the patient they have faulty biomechanics below the lower back that actually predispose the patient to the lower back injury. So in reality, the back was ready to go, it was ready to fail, but it was just looking for the right time.  They could have picked up a paper clip or they could have picked up a pencil off the floor and the back was ready to go.

• Chronic Fatigue - Patients are fatigued all the time – They are so tired, they have no energy.  A lot of times your patients are taking green tea in the morning, sucking down a 4 shot Vente Vanilla Latte in the afternoon and then they're going to take an Effedra tablet before their training program because they just don't have the energy.  You can supplement these patients until you're blue in the face.  You're not going to get any results.  Negative Laboratory Workup The negative laboratory workup on these patients that have fatigue, then you go ahead.  You use your gut instincts on these, because what you're usually going to find is a negative laboratory workup.  However, I am not going to discourage you from doing a laboratory work up, but if you have found patients that you see that have chronic fatigue, achiness, and they're depressed and you do a laboratory work up and you can't find any positive findings, then I suggest you look to the biomechanics.