Those who have done one of my Clinical Biomechanics Boot Camps know the dilemma I have of about the pathomechanical link between foot biomechanics and load in the Achilles tendon, and the speculation that it’s potentially a joint moment issue at the subtalar joint and not the ankle joint. Having said that, this new study […]
Tag Archives | overpronation
Barefoot Running and ‘Overpronation’
I previously noted that some barefoot runners claim that the height of the arch of their feet increased after taking up barefoot running; others claim no change and, much to their dismay, some even have reported a decrease in their arch height. Some have documented changes in arch shape with photographs, and others have faked […]
‘Overpronation’ … the quack is strong in this one …
…so is the Dunning-Kruger effect. I have written before on some of the nonsensical stuff that gets written on ‘overpronation’, but most of that is limited to the crankosphere blogosphere, and forums where you can just make stuff up and wish it was true and not provide any citations or evidence to back up the wishful […]
Foot posture (‘overpronation’) and the risk for overuse injury
I hate re-litigating an issue that I have written about so many times before (here, here, here, here, here, here and here) but here goes anyway: Early in my career, ‘overpronation’ was widely considered a problem, but by the late eighties I started to say that ‘overpronation’ was not a problem and since then have […]
Prescribing Running Shoes Based on Arch Height
I think we have known for a while that the data supporting a prescribing of running shoes based on the “pronation” paradigm is either lacking evidence or not supported, not withstanding the largely superficial understanding of the concepts and the superficial interpretation of the various studies and their implications. Some of the studies on this […]
Time to recovery following a running injury
When you are sick you always want to know how long until go are going to get better. The same when you come down with a running overuse injury. The answer to the question of ‘how long’ is somewhat of a loaded one, as if you keep on doing exactly what caused the injury, then […]
‘Overpronation’ and running injury risk
‘Overpronation’ still continues to be misused and misunderstood all the way from the medical literature to the fan boys in the crankosphere blogosphere. For example, there was this study that got a lot of recent mileage in the mainstream media and the blogosphere that claimed to show that foot pronation was not associated with injury risk. It […]
Foot posture and Q-angle and running-related injuries
Here is another one on foot posture and running injury. I previously looked at the nonsense surrounding “overpronation”; how the media and the running blogs and forums fell for a hyped press release on how “overpronation” was not a risk factor (when in reality they removed all the high risk “overpronators” from the study); and […]
The concept of ‘Supination Resistance’
For some time now the link between ‘overpronation’ and overuse injury has been known to be tenuous, but the most recent evidence does suggest that there is a small, but statistically significant risk for injury (but then that depends on how you want to spin that evidence and actually define what ‘overpronation’ even is, but […]
Foot Pronation and Leg Length Differences
This is a disappointing article to write as I been going on about it for more than 15 yrs, have written about it before in several other places and so have a lot of other people, but the myth just won’t go away. The myth is that when there is a leg length difference, the […]
The ‘abductory twist’ during gait
The abductory twist during gait is not a condition and not a diagnosis. It is an observation during gait (specifically at the time of heel off or heel unweighting) that is reasonably common and can be due to a number of underlying entities. In an abductory twist, there is a rapid abduction of the heel, […]
Foot ‘Pronation’ and Anterior Knee Pain in Runners
Anterior knee pain or patellofemoral knee pain syndrome is one of the most commonest injuries seen in runners. Excessive foot pronation, either rightly or wrongly, has long been linked to it. The putative model of the mechanism is that if the foot excessively pronates, then the tibia rotates internally too much causing misalignment at the […]
Foot pronation is not associated with increased injury risk in novice runners wearing a neutral shoe (?)
…or is it? The media are lapping up the press release associated with this study: Researchers explode the myth about running injuries. The title above is the title of the study as it appears in the British Journal of Sports Medicine. I added the question mark at the end for a reason. Does the study […]
Risk of injury from ‘foot type’ – back to ‘overpronation’
The whole understanding of the concept of ‘overpronation’ and what association that it may or may not have with injury in runners continues to evolve. Historically ‘pronation’ was somehow evil and had to be eliminated at all costs as it was the cause of almost every injury that runners got¹. Over time it was becoming […]
Risk of Injury From ‘Pronation’
“Overpronation” and “pronation” are by and large misunderstood and most discussions of it are based on the straw man fallacy and a superficial understanding of it. This means that those discussing “overpronation” and “pronation” are actually discussing something it is not, and then discussing or critiquing that false characterization. I have already done one rant […]