If I try to correct Pronation-Distortion Syndrome with all the known methods and get them to align without pronating, will this cause the knee joint to straighten against it's normal alignment and affect the screw-home mechanism and cause potential damage to the knee and elsewhere in the kinetic chain? Also, once someone's ligaments in the arch of foot are flattened, can they be changed or altered to have an arch and will inserts, orthotics and/or a more stable shoe (something with more medial support and stability) help? And is it safe for me to recommend an insert and/or a more stable shoe (that is, if they do help) if they don't want to go to a podiatrist for orthodics?
- Correcting over pronation will not cause the knee any damage. Pronation Distortion Syndrome is characterized by OVER or excessive pronation, therefore by correcting or eliminating the excessive pronation you allow the joints to pronate with the proper amount motion.
- Depending on the degree of ligamentous damage (prolonged stretching from a flattened arch), the ligaments' structure may be permanently altered. If this is the case, a licensed medical practitioner should make that judgment. What a trainer can do is utilize the proper core and balance (Neuromuscular Stabilization Training) exercises to see if the arch regains any stability and improves enough to increase their performance.
- A trainer should never be involved in the discussion of medically relevant information with a client. Always refer them to a medical practitioner for advice!!
- Pronation Distortion Syndrome is extrapolated from literature concerning functional anatomy and functional biomechanics. These references refer to the notion of pronation and the interconnected nature of the lower extremity joints. Therefore, if joint motion is altered, the other effected joint will also be altered.
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