Pronatos treats


Problems treated with PRONATOS are injuries to the feet, knees, and hips. A foot with a trampled foot arch affects the step not to spring back and develop force in action. It is an essential function for not least athletes to be the difference between succeeding or not in their sport.

It is not uncommon to have one-sided pronation that affects the running step that slowly wears on the body with injuries. Look at the wear on the shoe’s sole. Is it more on the outside of one shoe? Also, look inside the shoe, is it worn inside the heel cap and worn inside above the big toe? The foot does not work as it should.

The loss of power affects the whole body’s biomechanics, which will sooner or later cause injuries that must be treated. A trampled foot arch causes pain in the feet and lower legs, such as heel spurs, plantar fasciitis, osteomyelitis, running knees, Tibialis posterior syndrome, Compartment syndrome, Peroneus syndrome, health problems, and various forms of knee pain, often challenging to diagnose.

We also treat Hammertoe and Hallux Valgus, and these problems are compensatory for the malfunction. The hammer toe comes from the fact that the big toe does not bend in the walking phase, and then the load ends up on the other toe, which becomes overloaded. Hallux Valgus comes from walking “around” our big toe and pushing it outwards because we pull the heel inwards to avoid going over it.

Many surgeons say that the other toe is too long and therefore you get problems, and they want to shorten it. It’s is not possible because you have always had the same length on your toe and have not had issues before.


Constant discomfort from the trampled foot arch is also hip discomfort with Trochanteritis in the hip, and pelvic pain with skew, compensated up in the back.

With increasing age, you often get a trampled foot arch due to overexertion or that you have been lying in bed for a long time. The calf muscles get stiff, which later leads to not lifting the foot when walking. In order not to hit the foot in the street during a walk, you turn the foot outwards (obliquely worn heels). This leads to stepping with an inward rotation of the heel over the big toe and developing Hallux Valgus.

When it has gone so far, you often already have more problems than just Hallux Valgus, but you also have pain of various kinds in the foot with low balance and strength. You usually wake up with pain the first steps in the morning. It shows that there is a fault that irritates the structures even at rest. It will not heal before it is corrected.

The morning pain only subsides after treatment with PRONATOS because what has irritated the foot structures has been corrected. If the healing does not continue, you must examine which structures are still in pain. If pain consists, there may be other inflammatory processes such as bursitis, nerve entrapment (Morton’s neuroma), inflamed tendon sheaths in the foot/ankle (Tendosynovitis). Or the muscles have not been able to regain their function to be able to work normally yet. In these cases, exercises need to stimulate the muscles to start functioning normally again

Trying to correct the errors with insoles means, in the worst case, that you prevent it from healing on its own. Molded soles keep the foot at the fault you have and are difficult to heal.

It feels better with the soles because the weak muscles that do not work are supported, and the pressure below changes against the sole.

If you are not well or better from your treatment problems, there are probably other causes for the problem than trampled foot arch, or the trampled foot arch is due to other underlying diseases.


A trampled foot arch can cause these pain conditions:
Pain around the hip, Sciatica, Trochanteritis, Scoliosis, leg length differences, groin pain, rupture of the posterior thigh muscles, tightness in the IT band, “running knee” / “jumping knee,” Schlatter knee, knee osteoarthritis, osteomyelitis, heel inflammation, recurrent ankle sprains feet, high/low arches, overpronation, Plantar Fasciitis, Heel spur, Hallux valgus, Hammertoe, Morton’s neuroma.

With StretchPower, we perform a treatment called PRONATOS, a new form of therapy that corrects feet. The treatment will regain foot function, which has become incorrect due to overload.

The overload has caused Functional Hallux Limitus and Equinus.


With age, our arches of the foot drop down, the foot becomes wider and the shoes begin to feel cramped and uncomfortable. Why? Well, it’s a natural progression that comes from less exercise and overloads. The foot needs to be trained, but it can also collapse from overload.

Just overloading can cause the big toe not to come up under load and give Functional Hallux Limitus which  then worsens to the next stage which is Rigidus and then Valgus. It may be enough to do a heavy lift for the foot to be overpaid and the arch of the foot to sink down a little. Other reasons can be that you get a back shot or just a sore back so that there is a nerve impact down the leg so that the muscles weaken.

Tight shoes negatively affect the foot, with the toes not having enough space, the foot begins to collapse from the big toe not having room to support the foot properly. This leads to the foot being turned outwards and the arch of the foot collapsing, the big toe is slowly shifted towards the next toe so that these are crossed and you have got Hallux Valgus

How do we go ?

Functional Hallux Limitus is a condition that we compensate for when walking.

There are other reasons why we compensate our steps, such as being stiff in the ankles or being weak in the muscles to our feet.

The compensations wander upwards and give us problems with the knees, hips, back and neck. With a stiff big toe, we are forced to rotate on the foot to get the big toe “out of the way”, then we pull the heel in for the toe to come outward so that we avoid getting straight over it. Then we go on the inside of the toe (medial side), or the side that is towards the midline of the body. This way of walking pushes the toe outwards at the risk of Hallux Valgus, you get calluses on that side of the big toe. This way of walking causes the pant legs to be splashed down on the inside when we go outside in wet weather, as the heel “waves” inwards at the rear position of the step.

Turning out the foot gives an increased pressure on the arch of the foot that does not receive support from the windlass system (the winch that we have in the arch of the foot), and it stresses to conditions such as Plantar Fascit and Heel Spur. This compensation causes  the Tibilais Posterior muscle to  tire out and the support of the arch of the foot to decrease further.

Before this compensatory outward twist that comes at the end of the walking cycle, one often walks on the outside of the foot, so that one balances almost on the outer edge of the foot. This pressure on this weaker part of the foot produces conditions such as tailor’s knot, where the little toe’s joint is stressed and thickened. This also produces a condition called Morton’s Neuroma, where the nerve between the 3rd and 4th toes becomes irritated with tingling, radiation or numbness.

All these compensations need to be worked off by deliberately going right. After the treatment, you get points of reference that you should think about, to get away from a long-term compensated way of walking.

Children and their walking style.

Functional Hallux Limitus that prevents the movement of the big toe can come at a very early age.

There are examples of babies taking their first steps with a big toe that does not move as it should. Then they need to compensate for the step by turning the leg either inward or outward. This compensation leads in children to the fact that the lower leg becomes twisted and stuck in an inward-twisted position. This twist is split at night if it does not return to a straight position. An unfortunately completely unnecessary suffering for the child who could easily have been treated in time.

One often sees children compensating their gait , where they walk over an inwardly rotated foot  and load the outside of the foot incorrectly. You can also compensate by turning your foot outwards. These conditions are treatable and give a quick result on how the child walks.


  • Morton’s Neuroma comes from not being able to step over the big toe and thus overloading the outer part of the foot.
  • Plantar fascit / Heel spurs come from the big toe not coming up and thus not the arch of the foot either, this pulls abnormally in the plantar fascia with each step you take.
  • Hallux Valgus/ Hallux Rigidus is due to the fact that the big toe does not come up when walking. It starts  with Hallux Limitus which we can effectively treat, if it is allowed to continue it becomes a more difficult condition to treat with  Hallux Valgus where the toe begins to  pull outward towards the other toe or Hallux Rigidus where the big toe’s basic joint magpie begins to be stressed and solidified. But we can still get rid of the root cause and the condition can improve.
  • Old man what comes from the big toe not coming up and you stress the calf unevenly when running, it is often the big toe muscle that is damaged by the toe not bending.
  • Achillestendinopathy / Achilles tendonitis, comes from the fact that the two muscles of the calf (Flounder muscle / two-headed calf muscle  ) pull differently in the Achilles tendon, there is an imbalance inside the tendon that attaches to the heel bone. The tendon twists in rotation with the two muscle attachments, which makes it difficult to equalize the stress inside the tendon from the two muscles. With StretchPower, you get an immediate effect on the imbalance and you feel how the pain subsides during the treatment.
  • Nocturnal cramps, swollen calves, come from the muscles not being able to relax due to the wrong loads.
  • Knee and hip problems come from having to twist the foot in the step and the arch of the foot does not come up, which gives an outward rotation of the foot and inward wobble of the knee, the hip joint must rotate in each step which wears out the joint prematurely.
  • Back pain comes from the arches of the foot collapsing and producing different lengths of legs and twists that compensate upwards to the pelvis and back.
  • Tibialis Posterior Tendinitis and Peroneus tendinitis, inflammations of the tendon sheaths around the ankles, come from Hallux Limitus (stiff big toe). When the big toe’s lift to the arch of the foot falls away, the Tibialis Posterior muscle and  tendon are slowly but surely overloaded and, in the worst case, damaged.


There are countless examples of how a trampled arch of the foot affects the body in a chain. Simply explained, you can see the impact to the knee and hip by just rotating your own lower leg inwards, then the knee is shifted towards the middle, which puts a strain on the inner ligament in the knee, the rotation up in the hip is affected by the fact that it is not in the optimal position for the muscles that attach to the femur, these are then weakened.

The trampled arch of the foot makes the leg shorter, with the pelvis lying obliquely with that side lower. Since the pelvis is the base of the back, it tilts and you get a scoliosis in the back that continues up to the neck, where the head is balanced obliquely with muscle tension as a result.


If you have cast insoles in the shoes, you should not use these after Pronatose treatment. The shape and function of the foot changes after the treatment, which means that the soles that were once made after a sick foot should not be used.

Old shoes can also be changed after the foot so that they force the foot wrong again. It can often be seen that the above material of shoes (leather or fabric) has been stretched. They should then not be used.

The most important feature of the foot is that the big toe can extend/get up in the displacement phase. This feature lifts up the arch and gives the foot stability. The only thing that lifts the arch of the foot is precisely this function. This is also the most common error that patients come up with that is related to their problems.

Below is a film of a patient who has been treated for this particular condition and we test how his old arch inserts affected his foot.

We can see that the pressure that the insert makes on the arch stops the ability of the toe to function normally. Instead of supporting the foot, it removes the foot’s ability to become stable.