Pronation is the natural inward rolling motion of the foot as it lands while running. This movement absorbs shock and helps the foot adjust to the ground. Problems can develop when the foot rolls inward too far, called overpronation. The foot can also roll inward too little, known as underpronation or supination. Either pattern can change how force travels through the feet, ankles, and legs. Some runners experience no symptoms, while others develop arch, heel, or ankle pain. These may also affect the knees or shins as the body adjusts to poor foot movement.

Several factors can contribute to pronation problems in runners. Flat feet, high arches, and weak foot muscles can affect how the feet move. Running form and training habits can also place added stress on areas. Shoes that lack proper support or do not match a runner’s foot type can worsen discomfort. Signs include uneven shoe wear, repeated foot injuries, and pain after exercise. However, shoe wear alone cannot confirm an abnormal gait. A podiatrist can watch the patient walk or run and examine the foot’s structure. This evaluation can show whether pronation contributes to pain or another condition is responsible.

Treatment depends on symptoms, foot structure, and activity level. A podiatrist can recommend supportive running shoes with suitable cushioning. Custom orthotics may be prescribed to improve foot alignment and distribute pressure more evenly. The podiatrist can also assess training patterns and suggest safe changes to running distance or intensity. When an injury is present, treatment can focus on reducing pressure and protecting the area. Follow-up visits allow the podiatrist to check whether symptoms and movement have improved. Addressing pronation problems can help runners move efficiently and reduce stress on the feet. It can lower the risk of repeated pain that interrupts training. If you have foot pain during or after running, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you have any concerns about your feet, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle pain when walking can make simple activities feel difficult. The ankle supports the body and helps the foot move with each step, so pain in this area can affect balance and movement. Ankle pain can develop after an injury, but it can also have other causes. Sprains, tendon problems, and issues involving the bones or joints can all contribute to ankle discomfort. Pain may occur on one or both sides of the ankle, and can range from mild soreness to sharp or severe discomfort. Swelling, stiffness, or difficulty putting weight on the foot can also occur. A podiatrist can examine the ankle and determine what could be causing the pain.

A podiatrist can assess the ankle by checking its movement, strength, and areas of tenderness. The examination helps determine whether the pain is related to an injury, a tendon, or another part of the foot and ankle. Treatment depends on the cause and severity of the symptoms. Care can include protecting the affected area, reducing stress on the ankle, and using treatment designed to improve movement and function. A podiatrist can also assess how foot structure and walking patterns affect the ankle. This can be helpful when pain continues or returns after activity. 

Ankle pain while walking should receive prompt attention when it is severe or makes it difficult to put weight on the foot. Significant swelling, a change in the shape of the ankle, or severe pain after an injury can also require careful evaluation. A podiatrist can determine whether imaging or additional treatment is appropriate based on the findings. Identifying the cause of ankle pain can help guide care and reduce the chance of continued problems with movement. An evaluation is also useful when ankle pain continues without a clear injury. If you have ankle pain while walking, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Orthotics are specialized shoe inserts designed to address foot, ankle, and lower body issues, offering relief from pain and structural imbalances. While generic orthotics are available at various stores and online, custom-made versions tailored to one's feet provide the most effective solutions for specific foot concerns. Custom orthotics can significantly boost athletic performance, especially for those with foot problems due to regular exercise. These tailor made inserts distribute weight evenly, offering unparalleled support during intense activities, reducing foot pain stemming from imbalances or conditions such as hammertoes and bunions. Additionally, they can help in injury prevention, especially for athletes prone to over or under-pronation, and can expedite injury recovery by ensuring optimal foot and ankle support. Long distance runners may especially benefit from orthotics as they maintain foot alignment, reducing fatigue and enhancing performance. If you are considering custom orthotics, it is suggested that you make an appointment with a podiatrist who can ensure a precise fit and maximum comfort for improved performance or other foot needs.

Custom orthotics can be an important solution for reducing foot pain by targeting its structural causes rather than just the symptoms. When the feet are misaligned, excess strain develops in the muscles, tendons, and ligaments, often resulting in discomfort in the arches, balls of the feet, or toes. Orthotics are designed to match each foot’s natural shape, supporting proper alignment and evenly distributing pressure to ease pain and improve movement.

Foot pain is commonly caused by overuse, wearing improper footwear, or biomechanical issues that place added stress on sensitive areas. By stabilizing the foot and restoring natural motion, custom orthotics help reduce strain, calm inflammation, and promote healing. Many patients experience lasting relief and greater comfort while walking, standing, or exercising.

Created from a detailed assessment using advanced imaging or casting, each pair of orthotics is tailored to your individual needs. If you are experiencing ongoing foot pain, it is suggested that you contact our office for an evaluation and treatment.

If you have any questions, please feel free to contact one of our offices located in Issaquah, WA .