Foot pain severely affects our quality of life. Take a look at this presentation to find out the painful parts of the foot. More importantly, find out why they occur and what can be done to fix them.

1. Millions of people
suffer with foot pain.
You are not alone.

2. Let’s discover
why your feet hurt?

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

4. Weight-gain/Obesity
How can you exercise if your feet are in pain?

5. Weight-gain/Obesity
can lead to:
– High blood pressure
– Diabetes
– Heart disease
– Stroke
– Certain forms of cancer

6. Foot pain
alters the way you walk.
This can add additional strain
to your knees, hips or back.

7. What are the leading areas of
foot pain?

8. 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

9. Let’s take a closer look!

10. 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.

11. 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.

12. 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.

13. 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.

14. 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.

15. 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.

16. 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.

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

18. What is over-pronation?

19. Basically, it’s a
flexible hindfoot misalignment.

20. Foot pronation -
is a complex motion of the hindfoot.

21. Pronation
is the opposite motion of
supination.
Over-pronated Balanced Supinated

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

23. Pronation makes the foot
slightly unstable;
it “unlocks” the foot bones
to adapt for an uneven ground surface.

24. “Over”
refers to excessive, prolonged,
too much, or hyper.

25. Over-pronation means there is an
excessive and extended duration of
the unlocking of the foot bones
during standing, walking or running.

26. Why is over-pronation
such a bad thing?

27. Over-pronation
places excessive strain
on the structures within the foot
while standing, walking or running.

28. The more you
stand, walk or run means there will
be more strain placed on the
structures within your foot.

29. Do we know
what causes over-pronation?

30. The ankle bone (talus)
partially displaces on the
heel bone (calcaneus).
This is an internal dislocation deformity.
NORMAL ABNORMAL

31. How can we fix that?

32. 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.

33. 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?

34. Arch Supports – Foot Orthotics
where is the evidence?

35. 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.

36. Isn’t there a better option?

37. Yes!
Extra-osseous Talotarsal Stabilization
(EOTTS)
Uh?

38. 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.

39. Before After

40. 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.

41. 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.

42. To learn more about misaligned feet
and the EOTTS- HyProCure®
option
please visit:
www.AlignMyFeet.com

43. Thank you!