There are a lot of moving parts in a foot, 26 bones to be exact. So pronating and supinating can have many variations. I am using this comparison because most people have a car and should be able to relate. I am going to compare a foot to a tire on a car. On a foot is a shoe and on a car is a tire. Both show wear signs after so much use. Imagine the two front tires as the car’s feet. If you view the tires from the front of the car and the insides show more wear than the center or outside of the tire, this would be pronation. If the tires show wear towards the outside more than the center or inside, this would be supination. If the tires wore evenly throughout this would be neutral or normal. The fixes are similar. With tires you would get an alignment. With feet you get an alignment by using orthotic inserts. Just like a tire you don’t fix this only because your shoes are wearing out faster. If tires are wearing badly it puts unnecessary strains on the suspension which in turns wears it out faster. When feet are out of alignment they put unnecessary strain on the feet, ankles, knees and back. Minor pronation and supination probably won’t be painful but when pronation or supination is severe, it will lead to pain especially as a person ages. Just like our foundation article (another post on our blog). It all starts from the feet up. There are many varieties of shoe inserts to treat the problem. When a foot pronates it is most likely – flat footed. When the foot supinates it most likely has high arches. High arches are harder to find corrective inserts because they are less common. It is not always easy to just purchase an insert off the shelf and resolve the issue, like I said, there are a lot of moving parts in a foot. A foot can start off supinating and end up pronating. The surest way to get a corrective orthotic is to get one that is made from a mold of the foot and having direct conversation with a licensed specialist. The Pedorthist can determine from the mold if the foot pronates or supinates but most important, the specialist will can help resove other issues, like heel pain, activity level, corns, bunions, etc. A tire doesn’t feel pain but our body does.