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The 5 Red Flags of Pronation

How Do I Know if My Feet are Pronated?

There are 5 Red Flags or signs of pronation. If these signs are ignored and the causes are left untreated, foot problems can adversely affect the entire body. Moving from the ground up, a person who shows signs of pronation can have imbalances throughout the body, including internal knee rotation, pelvis tilt and a dropped shoulder. This imbalance can lead to larger issues like pain.

Step Up Their Support

Foot Levelers can provide your patients with the comfort and support needed to reverse the effects of protection for a healthier, more stable, more pain-free body. By balancing the 3 arches of the foot using the 3 Arch Advantage™, our custom orthotics align the feet, ankles, knees and pelvis to provide a balanced foundation for the spine.

Foot Levelers custom orthotics are also designed to help prolong the support of your Chiropractic adjustments, thereby improving your patients’ overall structural alignment and posture. Pair your treatments with orthotics, and your patients will feel better and perform better.

1. Foot Flare

All pronators walk with foot flare, or “toe out.”

Foot Flare

2. Internal Knee Rotation

When the feet are flat on the floor, the lower extremity has its greatest distortion with the feet bilateral and asymmetrically pronated.

Internal Knee Rotation

3. Bowed Achilles Tendons

From a p-to-a view, the ankle and foot appear to roll inwards, causing a bowing of the Achilles tendons, which will “plastically deform” over time.

Bowed Achilles Tendons

4. Flat Foot

At mid-stance, the patient will demonstrate the greatest degree of pronation and all 3 arches of the foot will have collapsed.

Flat Foot

5. Uneven Heel Wear

In the typical, bi-lateral, asymmetrically pronated foot, the heel strike will be uneven, creating uneven or asymmetrical heel wear.

Uneven Heel Wear



The 5 Red Flags of Pronation | (703) 464-5597