Ultimate Runner's Guide to Pronation

Whether you are a beginning runner or a pro, you have probably at least heard of pronation. The degree to which someone pronates can have a tremendous effect on their ability to run comfortably, as well as the overall health of their bodies. With this guide, we'll try to provide a deeper understanding of the different levels of pronation and its effects on the body.
Updated February 24, 2022

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Pronation vs Neutral vs Supination

Pronation is a process that we hear a lot about within the running community. Usually referenced negatively, pronation is actually a perfectly natural process that is critical for helping our bodies absorb the forces of striking the ground. While running or walking, our arches collapse inward when our feet hit the ground, distributing the energy of the impact safely throughout the body. This collapsing of the arch is what we refer to as pronation. Although pronation is necessary for running, it can occur at vastly different levels in each runner, the extremes of which can be problematic.

Runners whose arches barely collapse are referred to as supinators, while those whose arches collapse excessively are called overpronators. If your arch collapses within a normal range, then you are said to be a neutral runner. As you can see by the visual below, the level at which someone pronates has a major influence on how the foot and ankle (left foot in the photo) progress through the gait cycle. Unfortunately, the excessive collapse of the arch (overpronation) can lead to the development of pain and discomfort in other parts of the body: like the ankles, Achilles tendons, shins, outside knee, outer hip, arches, and heel.

Overpronation can cause excessive ankle roll

Woman Stretching before run

Determining Your Level of Pronation

Understanding your body's unique running mechanics and identifying your foot's level of pronation can be very important to your training success, as well as your health. Simple tests like the Wear Test or the Wet Foot Test are effective ways to get insight into how your foot and ankle move, but the most effective way to diagnose your foot's pronation level is to have a specialist analyze your gait. Running Warehouse Europe offers expert gait analysis from the comfort of your home. All you need to do is follow the link below and submit a short 15-20 second video. A footwear specialist will then analyze your foot and ankle to diagnose the level at which you pronate. No matter what test you use to evaluate your feet, it is always good to grow a deeper knowledge of your body's unique movement patterns. With this information, you can better craft your personal training program and prehab/rehab exercises, as well as purchase the proper equipment (shoes) to accommodate your body's needs and stay healthy throughout all your training.

The Wear Test

The Wear Test is the easiest way to determine your level of pronation. To do this, you will need a pair of running shoes that you've already run in fairly extensively. Simply look at the bottom of the shoe and see where the most wear is.

The wear test can help you determine your level of pronation
Overpronate The shoe shows excessive wear from the ball of the foot, along the inner edge, and toward the big toe
Supinate The shoe is most worn down on the outer, pinky toe side of the foot
Neutral The shoe is most worn down in the center

The Wet Foot Test

The Wet Foot Test allows you to determine pronation by looking at your footprint. To do this, wet your foot and then step onto a piece of cardboard. Then match your footprint to the corresponding level of pronation, as shown in the graphic below.

The wet foot test is a simple way to gauge your level of pronation

Women's Warming Up to Run

Corrective Exercises for Pronation

Many runners suffer from the effects of overpronation, but there are a lot of things runners can do to help mitigate the discomfort created by this mechanical inefficiency. Targeted muscle activation and mobility exercises can help correct overpronation and reduce the loading forces on the body at ground impact. These exercises can improve the efficiency of your gait and help you feel more comfortable while you run. Hip CARS, Clamshells, Lateral Band Walks, Glute Bridges, Calf/Ankle Raises, and Lunges are all exercises that can help prevent or alleviate pain caused by overpronation. Also, training smaller muscle groups in the foot and performing Short Foot exercises can help strengthen the arch to prevent it from collapsing at excessive levels (overpronating) while running.

The Best Running Shoes for Overpronators

Along with corrective exercises, one of the best ways to avoid the discomforts caused by overpronation is by wearing the correct type of shoes to meet your specific needs. Neutral runners and those who supinate may be comfortable in nearly any kind of shoe, but overpronators can benefit greatly from wearing a shoe with added stability. Stability running shoes contain special features that prevent the arch and ankle from rolling excessively inward, thus avoiding potential pain and injury. There are numerous types of stability shoes featuring various midsole technologies that offer anywhere from minimal to maximal support.


Recovery Footwear

Recovery shoes can be another helpful tool in the fight against overpronation. Brands like HOKA ONE ONE, OOFOS all make recovery footwear that can be useful when trying to avoid the pains caused by overpronation. They focus on providing protective cushioning to help relieve stress on the foot post-run. Again, recovery footwear will not magically cure the effects of overpronation, but it can certainly be another valuable tool that can benefit excessive pronators who need as much help they can get.