Excessive pronation or supination
Sounds scary? Pronation and supination are terms that describe, among other things, how our foot positions itself when in contact with the ground. Pronation is the inward positioning of the foot, while supination is the outward positioning. These actions themselves are not harmful because they provide the necessary fluidity and flexibility during walking, but the problem arises when pronation or supination is excessive.
Excessive pronation is a condition where the foot turns inward for too long without the opportunity for supination (the proper foot motion cycle). You may also know this term by another name – the commonly known flat feet. Untreated flat feet can lead to further painful foot deformities, but also affect the entire body!
A pronating foot can be treated with exercises recommended by a physiotherapist, using appropriate insoles, and wearing proper footwear from an early age. Minimalist shoes help strengthen the muscles of the foot, which can prevent flat feet.
Excessive supination, as you might guess, is the too frequent and strong outward turning of the foot. This puts a heavy strain on the joints and can lead to tendon inflammation, including the Achilles tendon. In the case of excessive supination, a specialist can also help choose the right exercises or footwear.

Hammer toes
Hammer toes are a deformity characterized by the contracture, most commonly of the second toe (the longest one). The characteristic feature is the flexion of the toe towards the plantar side at the proximal interphalangeal joint. This contracture can be flexible — meaning the toe can be straightened manually by the examiner — or fixed, where the toe remains in a constant contracture and cannot be straightened. The main cause of this condition is usually wearing poorly fitted, tight, or short footwear. Over time, further painful symptoms can develop.
In the initial stages of treatment for hammer toes, wearing shoes with a wide toe box and flat heels can help. Special toe shields can also be used. In cases of permanent deformation, surgery on part of the bone may be required.
