Millions of people suffer with foot pain.

You are not alone.

Let’s discover why your feet hurt?

Foot pain limits your activity level and can to lead to:

Weight-gain/Obesity

How can you exercise if your feet are in pain?

Weight-gain/Obesity

can lead to:

– High blood pressure

– Diabetes

– Heart disease

– Stroke

– Certain forms of cancer

Foot pain alters the way you walk.

This can add additional strain

to your knees, hips or back.

What are the leading areas of foot pain?

Foot Pain

Heel Pain-

Plantar

Fasciitis Ball of the foot

-

Metatarsalgia or

“Morton’s Neuroma”

Arch Pain

Flat feet

PTTDBig toe joint

-

Bunion

Stiff Joint

Achilles Tendinitis

Nerve Pain on the bottom of

the foot

-

Neuropathy

Let’s take a closer look!

Heel Pain – Plantar “Fasciitis”

• Pain on the inner-bottom of the heel.

• Typically is worse upon standing after sitting for a while.

• Can take up to a year, or longer to recover.

• Leading cause is over-pronation.

MYTH: Plantar fasciitis is due to an inflammation of the plantar fascia.

Several scientific have confirmed there is no inflammation. The main reason is due to

mechanical over-loading of the plantar fascia from over-pronation.

Pain to the ball of the foot.

• Feels like a bruise or stabbing pain while walking.

• Typically, does not cause any pain unless standing/walking.

• Leading cause is over-pronation.

Inner Arch Pain

• Over-stretching of the main tendon of the inner arch (posterior tibial tendon).

• Associated with a “fallen” arch or flexible flat feet.

• Leading cause is over-pronation.

Big Toe Joint Pain

• Bunion (hallux valgus)

• Limited big toe motion (hallux rigidus)

• Pain is made worse with activity. Usually shoes irritate the big toe joint area.

• Leading cause is over-pronation.

Achilles Tendinitis

• Achilles is the strongest tendon of the foot.

• Over-stretching leads to a contraction of the tendon as a protective mechanism.

• Worse with increase activity level.

• Leading cause is over-pronation.

Numbness or Burning to the bottom of the foot.

• Typically, worse either during or after standing/walking.

• Starts in the toes/ball of the foot can spread into the arch and up the leg.

• Due to compression and stretching on the main nerve to the bottom of the foot (posterior tibial).

• Leading cause is over-pronation.

Looks like the leading cause of foot pain stems from over-pronation!

What is over-pronation?

Basically, it’s a flexible hindfoot misalignment.

Foot pronation -is a complex motion of the hindfoot.

Pronationis the opposite motion of

supination.

Over-pronated Balanced Supinated

During walking, there should only be a slight and short amount of

pronation.

Pronation makes the foot slightly unstable;

it “unlocks” the foot bones to adapt for an uneven ground surface.

“Over” refers to excessive, prolonged,

too much, or hyper.

Over-pronation means there is an excessive and extended duration of

the unlocking of the foot bones during standing, walking or running.

Why is over-pronationsuch a bad thing?

Over-pronation places excessive strain

on the structures within the foot while standing, walking or running.

The more you stand, walk or run means there will

be more strain placed on the structures within your foot.

Do we know what causes over-pronation?

The ankle bone (talus)

partially displaces on the heel bone (calcaneus).

This is an internal dislocation deformity.

NORMAL ABNORMAL

How can we fix that?

Observation

• This structural deformity will not self-repair or go away on it’s own.

• It requires physical intervention.

• Doing nothing is the worse form of “treatment”.

• It doesn’t get better, it gets worse.

Arch supports/Foot Orthotics

• Arch supports – custom or off-the-shelf can be helpful for many foot related conditions…however.

• When it comes to realigning and maintaining the stability of the ankle bone an arch support falls short.

• How can something placed below the heel bone realign and stabilize a bone above it?

Arch Supports – Foot Orthoticswhere is the evidence?

Rearfoot Reconstructive Surgery

• Some situations are so severe that this is the only internal option.

• However, the majority of patients with ankle bone displacement as simply not “severe enough” to under-go this option.

• Typically, they have to suffer from painful feet for decades until their feet have enough damage.

Isn’t there a better option?

Yes! Extra-osseous Talotarsal Stabilization

(EOTTS)

Uh?

EOTTS

• Minimally invasive, internal realignment and stabilization of the ankle bone.

• Insertion of a titanium stent (HyProCure®) into a naturally occurring space.

• This restores the normal amount of pronation within the foot.

Before After

EOTTS – is it safe?

Let’s look at the options

– Do nothing and this condition gets worse.

– Many structures within your foot and also your knees, hips and back are negatively affected.

– Arch supports can’t fix it.

– Rearfoot reconstructive surgery is too aggressive, for most patients, and has many potential complications.

EOTTS - HyProCure®

• Internal option for this internal deformity.

• It stabilizes and realigns the ankle bone while allowing normal motion.

• Has been used in children and adults for over 10 years.

• Many published scientific studies.

• Used by foot surgeons in 45 countries.

• No long-term complications.

To learn more about misaligned feet and the EOTTS- HyProCure®option

please visit:

www.AlignMyFeet.com

Thank you!