Neutral Pronation, Underpronation, and Overpronation

Neutral Pronation

Neutral pronators have a gait that reflects normal HUMAN alignment.

People with neutral pronation wear universally aligned shoes and use their soles and heel in a harmonized fashion.


Also known as supination, underpronation entails weak foot pronation (hollow foot). When the foot hits the ground, the outside edge or side of the heel hits the ground at a steeper angle, which can create injuries (such as a sprain) and fatigue fractures due to increased shocks. Underpronation can also compromise a person’s running efficiency. For this reason, people with underpronation should wear universally aligned shoes with semi-rigid universally aligned postural control orthotics, as these will help stabilize the heel.


Overpronation occurs when the foot rolls too far inwards while walking or running. As the foot hits the ground, an important amount of weight is transferred to the inner part of the foot. As a result, the person’s bodyweight is put on the edge of the foot instead of the sole. This destabilizes the foot, which attempts to re-stabilize by moving inwards (pes varus), which can cause sprains. In fact, this movement is detrimental to the biomechanical efficiency of the leg, knee, pelvis, and hips. Universally aligned shoes with semi-rigid universally aligned postural control orthotics will stabilize overpronating feet.

To fix your pronation problem, make an appointment with Centre Santé du Pied André Audette in the Outaouais region today! Call us for a free evaluation!