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Your Achilles tendon is usually straight, but with ankle pronation it will bend toward the outside at the ankle. Over time, walking on pronated ankles can twist ligaments and tendons, and lead to heel spurs, plantar fasciitis, sprains and shin splints. There are several exercise that will help with ankle pronation.ver time, walking on pronated ankles can twist ligaments and tendons, and lead to heel spurs, plantar fasciitis, sprains and shin splints. There are several exercise that will help with ankle pronation.
Here is a list of some of the common conditions associated with over-pronation in children: 1  Achilles Pain (back of the ankle) 2  Ankle pain. 3  Arch Pain. 4  Low back pain. 5  Heel Pain. 6  Knee Pain (Runner's knee and Chondromalecia of the patella) 7  Osgood Schlatter Disease (pain below the knee) 8  Shin Splints (pain in the front of the lower leg) Over-pronation does not necessarily mean your child has flat feet. Even though children's arches may be relatively high when they lie down or sit, over-pronation may not be seen until your child is standing. A certain amount of pronation is normal.