Separating foot types into supinators or pronators may provide adequate assessment for treatment.  However, for a more specific treatment plan it would be advantageous to understand the possible abnormalities and pathomechanics of the forefoot and rearfoot (calcaneus).  More importantly, knowledge of these abnomalities/pathomechanics will also prevent deleterious treatment.

For example, providing medial calcaneal mobilizations/releases for the overpronator would be great if the patient has a compensated calcaneal varus.  But if the patient has a compensated forefoot varus the medial mobilization/release would likely worsen their injury. It may sound complicated, but once you understand these 3 foot abnormalities and pathomechanics it will make sense. Continue reading “Pathomechanics of the Foot”