Pronation In Kids – Everything You Need To Know

by Aculbertson


pronation in kids blog header

As a parent, it’s almost impossible not to play the comparison game. Is my child ahead of the curve? Right on track? Behind?

When milestone deadlines come and go, questions aren’t far behind. There are many reasons a child faces developmental delays.

One is pronation. And there’s definitely something you can do to help.


What Is Pronation?

Pronation, often called flat feet, flexible flat foot, or overpronation, refers to the inward roll of your child’s ankle.

Although the problem is easily visible in the middle of the foot thanks to the disappearance of arches, it actually begins in the heel. The calcaneus (a fancy word for heel bone) rotates inside. Body weight then shifts in also, causing your child to walk and stand on the inner part of his or her foot.


examples of supination, neutral, and pronation

What Causes Pronation In Kids?

There is more than one cause. But for kids with low muscle tone, ligament laxity is a common culprit.

Ligaments, the flexible fibers that connect bones or joints, serve as your child’s checks and balances system. They make sure joints don’t move beyond the normal range of motion. But if these ligaments are overly relaxed, joints move too far. And in the case of pronation, the heels rotate inward.


What Problems Does It Cause?

You may see the effects of pronation even before your child starts walking. Developmental delays with pulling to stand and cruising are common.

And then there are the clumsy steps. The gait (way of walking) of pronators is often sloppy or immature compared to other kids the same age. Additionally, your child may be slow to master gross motor skills such as:

·         Running

·         Bending over

·         Jumping

·         Climbing stairs

·         Standing on one foot

Pronation can also leave your child exhausted. His or her muscles work harder due to the body’s poor positioning. Kids who pronate may be more inclined to sit rather than run and play.

Keep in mind that pronation isn’t just a foot problem. It starts a chain reaction. That inward roll can cause your child’s knees, hips, and back to shift out of alignment. If left untreated, expect pain in all three areas.

List of problems caused by pronation

What Should I Do If My Child Pronates?

First off, remember that a little pronation is normal. A toddler’s body is always growing and changing. A slight roll in the ankle doesn’t mean you need to rush off to a doctor.

What you should keep an eye out for is pronation that is excessive and symptomatic. This means watch for pain, fatigue, clumsiness, and developmental delays. They’re all symptoms of excessive pronation.

For kids who fall into this category, start with a pediatrician. He or she can get you moving on to the next step, which could be physical therapy or a trip to an orthotist. If a little education or convincing is needed, you can direct your doctor to a variety of helpful resources found on the Surestep site.


How Do I Treat Pronation?

One highly effective treatment is the revolutionary Surestep SMO. These little braces are custom-made pediatric orthotics designed to correct pronation. With uniquely flexible plastic, it provides the stability and comfort your child needs.

To understand how the SMOs work, think about training wheels. When learning to ride a bike, kids tip back and forth. They’re still pedaling and using their own muscles. Training wheels just provide that necessary stop. With practice, kids don’t need them anymore.

It’s the same with Surestep SMOs. They provide stability and won’t let the foot/ankle slide into that excessive position. But your child’s muscles continue to do all the work. With enough repetition and muscle memory, the SMOs can be taken away without your child being dependent on them.

Surestep SMOs help kids enjoy the playground


How Do Surestep SMOs Fight Pronation? Why Are They Unique?

This gets a little confusing but stay with us.

Pronation is triplanar. This means it happens in three planes of motion. More simply, you can think of it as affecting three parts of the foot:

·        Back (the heel bone rolls in)

·        Side (the arch flattens out)

·        Top (the forefoot pushes out, creating a boomerang shape)

Surestep SMOs treat pronation in all three of these planes. We start at the source. By moving the heel bone back into place, the arch reappears naturally. And Surestep’s unique trim lines (as opposed to full footplates) help move the forefoot back into position.

Most other orthotic devices try to take a shortcut by simply forcing the arch back up. But this doesn’t address the root problem. It’s like taking medicine to fight symptoms rather than the disease itself. And many kids who use this type of product still pronate. They’re just pronating on top of an orthotic.

This is one of many reasons why it’s important to ask for Surestep SMOs by name. You don’t want an inferior substitute.

Learn more about Surestep SMOs