Overpronation is a term that produces lots of angst among podiatric doctors and running footwear shops because it brings about a whole lot of misunderstandings and debate. Pronation is really a movement of the foot where the ankle rolls inwards and the arch of the foot flattens. This is the normal healthy movement which is essential for normal foot biomechanics and shock absorption. Overpronation is meant to be the phrase useful to explain should there be too much of this normal pronation. The initial aspect in the debate is just what is normal what is actually abnormal and just where could be the threshold of the division between normal pronation and overpronation. There are strong views on all sides of this discussion and there does not look like any resolution in the controversy in the near future.
The key reason why the topic creates a huge amount of debate is that overpronation continues to be considered a key factor in overuse injuries in athletes. Podiatric doctors commonly use foot orthotics to treat the issue and running shoe manufacturers make running shoes to help runners which may have the condition. This suggests there is lots of vested interest in it. The issue arises is that the research evidence shows that, yes, overpronation can be a risk factor for a running injury, however it is not really a major risk factor. It can be additionally complex by a lot of athletes that have rather extreme overpronation and don't develop any issues and don't need foot orthoses or running shoes with the motion control design characteristics. That does not help fix the debate nor help clinicians make decisions re foot orthoses and for running shoe retailers on advice in regards to what ought to be the correct running shoe. It really is dependant on clinicians and running shoe retailer’s individual expertise and experience and making decisions in the context of what is ideal for the individual runner.