
Foot Pronation Explained: A Simple Way to Check Your Step
October 28, 2025Over pronation of the foot is a common dysfunction in the foot. One of the most common causes of increased pronation is categorized as a compensated supination of the foot. This occurs when the joints of the mid foot, the bones between the heel and toes, become stiff and lose mobility in the joints between them.
Pronation is a necessary motion that starts at the rearfoot and continues through the mid foot and forefoot that allows the foot to contact the ground and disperse forces efficiently through the foot in the contact and stance phase of gait (walking). When the joints of the mid foot are stiff and do not move correctly, this area of the foot loses it’s ability to pronate. When this occurs, this loss of mid foot pronation is dispersed through the rearfoot contributing to a compensatory over pronation at the rearfoot which increases stress on to the foot and ankle, decreases load dispersion at the foot, and can contribute to increased internal rotation at the knee and hip. Because of this the foot and ankle should be addressed in assessing knee, hip, and back pain.
Test For Overpronation

While standing, feel if you have equal pressure at the inside and outside of your heel. In a neutral rearfoot position you should feel equal distribution of weight at the inside and outside of your foot. If you feel more pressure on the inside of your foot, you may have overpronation of the rearfoot. You can also draw a line down your Achilles tendon and down through the back side of your calcaneus and take a picture from behind in standing. If the line at your calcaneus turns outward, this can also indicate calcaneal pronation.
Treatment for increased pronation due to a rigid midfoot includes soft tissue mobilization and joint mobilizations to the midfoot and rearfoot, neuromuscular re-education to improve dynamic stability of the foot and ankle, and improve motor control to improve efficient loading and movement of the foot and ankle.
If you have foot, ankle, knee, hip, or back pain and you feel that the quick tests indicate you may have a compensated supinated foot you could benefit from a physical therapy assessment with one of our physical therapists and can contact us to schedule an appointment.
Struggling with Pain? Book an Appointment Today!
Looking for expert guidance on relieving foot, ankle, knee, hip, or back pain? Our physical therapists and specialists at Coury & Buehler Physical Therapy are here to help you move, live, and feel better! A representative will be in touch shortly.WANT MORE TIPS?
Latest posts by Brian Frank, MS, PTA, ATC (see all)
- Foot Pronation Explained: A Simple Way to Check Your Step - October 28, 2025
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