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How Foot Dysfunction Can Cause Exercise-Related Injuries

Regular physical activity is vital for overall health and well-being. However, for many fitness enthusiasts like me, the road to injury-free workouts can be marred by one commonly overlooked factor: foot dysfunction. The intricate structure of our feet plays a significant role in biomechanics, and any issue within the feet can lead to a domino effect of problems throughout the body. Together we'll explore the connection between foot dysfunction and exercise-related injuries, as understanding and addressing these issues is crucial for injury prevention!

Lower body of a runner

The Foundation of Fitness: Our Feet


Our feet are the foundation of our bodies, quite literally. They support our entire body weight during various activities, from walking to running, lifting weights, or playing sports. Proper foot mechanics are essential for maintaining balance, stability, and shock absorption, which are vital aspects of injury prevention during exercise. Poor foot alignment can cause a malfunction in the kinetic chain, creating problems across the body.


  • Flat Feet (Pes Planus): When the arch of the foot collapses or is too low, it can lead to overpronation, where the foot rolls inward excessively with each step.

  • High Arches (Pes Cavus): High arches can cause underpronation (supination), where the foot doesn't roll enough during the walking or running cycle.


The Domino Effect of Foot Dysfunction


Foot dysfunction affects the alignment of the ankles, knees, hips, and even the spine. Misalignment can cause foot pain, knee pain, hip pain, lower back pain, and muscle imbalances. Here are some ways that dysfunction can cause foot pain and other common injuries:


Increased Stress on Joints

Overpronation can cause excessive inward rotation of the shin and create additional stress on the knee, increasing the risk of conditions like patellofemoral pain syndrome or IT band syndrome. Underpronation can lead to a lack of shock absorption, increasing the risk of shin splints, stress fractures, and Achilles tendon problems.


Gait Abnormalities

Foot dysfunction can alter your natural gait pattern, leading to inefficiencies and imbalances that can result in injuries. For example, overpronation can lead to an inward knee collapse during a squat, increasing the risk of ACL injuries.

Reduced Stability

Foot dysfunction can reduce stability during activities that require balance, such as yoga, Pilates, or agility drills, increasing the risk of sprains or falls.


Plantar Fasciitis

One common foot dysfunction injury is plantar fasciitis, which involves inflammation of the thick band of tissue that runs across the bottom of your foot. This condition can cause intense heel pain, making exercise difficult and increasing the risk of further injury.


Addressing Foot Dysfunction for Injury Prevention


Understanding your foot type and gait mechanics is essential for preventing exercise-related injuries. Here are some steps to consider:


Custom Orthotics

Custom shoe insoles can provide the necessary support and alignment correction to improve your performance and prevent injuries. Our custom orthotics service is available to anyone in the San Diego area.


Picking the Right Footwear

Choose appropriate athletic shoes designed for your foot type and the specific demands of your chosen exercise. Narrow, wide, neutral, stiff? What kind of shoes do I wear and when? Picking the right footwear is crucial. Not sure where to start? Check out our video on footwear for the gym!


Strengthening Exercises

You can improve your foot and ankle stability through targeted strengthening exercises. Our expert personal trainers can provide guidance on the best exercises for you.


Consult a Specialist

Consider a gait analysis to identify any abnormal movement patterns and correct them through rehabilitation exercises. At Rehab United we can assess your foot structure and mechanics to provide guidance on how to improve your performance.

Don't Ignore Foot Dysfunction


Your feet are the foundation of your physical activities, and understanding the role of foot dysfunction in exercise-related injuries is crucial for injury prevention. A biomechanical evaluation, custom orthotics, and targeted strengthening exercises can significantly reduce the risk of injuries associated with poor foot mechanics. By addressing foot dysfunction, you'll not only enhance your performance but also ensure a safer and more enjoyable fitness journey. Remember, a healthy foundation leads to a stronger and more resilient body.



Scott Ryan, CSCS, *RSCC, CF-L1, CF-W, BFRC, Director- Fit Societe

A professional coach who specializes in Applied Functional Science, Strength and Conditioning, CrossFit L1, and Olympic Lifting. He attended New England College in New Hampshire obtaining a bachelor's degree in Kinesiology with an emphasis on Biomechanics. He has a passion for injury prevention and coaching, as he was a collegiate athlete who suffered sports injuries. His goal is to get athletes back to optimal shape as well as prevent future injuries.

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