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The way your feet land when you run can cause serious injuries. Photo Credit iStock/Halfpoint. Underpronation, also known as supination, is a foot-positioning problem encountered by runners and other athletes who run during their sport.
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.