Which wedge is indicated for cases of extreme pronation?

When addressing extreme pronation, the use of a medial wedge is an effective approach. A medial wedge contributes to the correction of excessive pronation by promoting a more stable and aligned foot position. By increasing the support on the medial side of the foot, it helps encourage the foot to roll outward and reduce inward rotation, thus providing a corrective effect on the alignment of the ankle and foot.

This corrective mechanism is particularly valuable in cases where individuals exhibit overpronation, leading to various problems such as arch pain, heel pain, or general instability while walking or running. The medial wedge works to redistribute pressure and enhance stability, aligning the foot in a more neutral position and preventing the excessive rolling that is characteristic of extreme pronation.

In contrast, lateral wedges typically serve to accommodate conditions related to supination or to provide support for the outer edges of the foot, which may not address the inward roll resulting from extreme pronation. Rigid wedges can limit the natural motion of the foot and may not provide the necessary correction required for pronation issues. The SACH (Solid Ankle Cushion Heel) foot type is primarily designed for shock absorption and does not specifically target the misalignment caused by extreme pronation.