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What is over pronation of the foot? Pronation occurs as weight is transferred from the heel to the forefoot when walking or running and the foot naturally rolls inwards. A certain amount of this is natural but in many people the foot rolls in too much or over pronates. When standing, pronation occurs as the foot rolls inwards and the arch of the foot flattens, hense the term often used to describe someone who over pronates as having 'flat feet'. Pronation is a normal part of the gait cycle which helps to provide shock absorption at the foot.
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.