Your feet are the foundation of your body. They support your entire skeleton, and we are always on them. There is a chain reaction of events that happen when the feet lose their supportive arch. The old story of the "shin bone connected to the leg bone". As your feet roll inward at the arch, or pronate, the body compensates by internally rotating the tibia and the femur. This can happen from wearing shoes that have lost their support, putting on an excessive amount of weight (like during pregnancy), working long hours on your feet, running in poor fitting shoes etc.

The body has a need to be in perfect balance, like any structure, and it will do what it needs to achieve that. The compensations due to pronation continue up the body and cause a tilting forward of the pelvis, as well as a hyperextension of the lumbar spine. Eventually this accelerates the degeneration of the lumbar discs. In this position, the piriformis is overstretched and the hamstring muscles are involved.

It is at this point, that the patient thinks that an exercise regime is in order. Think again. Imagine going to the gym and running on the treadmill, or doing any aerobic exercise with this going on. This is asking for an injury. The correct thing to do is correct the misalignments first with your chiropractor then stabilize and balance the alignment with properly fitting Orthotics. By stabilizing and balancing the feet you can reduce pain and increase sports performance.


With proper Orthotics placed in your shoes, you can correct your over pronation. This will align the lower extremities and therefore correct the posture. When you do all this, you can alleviate the mechanical stress and correct the potential degeneration to the weight bearing joints that can occur from the constant wear and tear to them. Ask your healthcare practitioner to evaluate the position of your feet and determine a need for Orthotics. It might make a difference with your knee, hip and back pain.

Take This Test
  1. Do you stand or walk on hard surfaces for more than four hours
  2. Do you participate regularly in any physical sport?
  3. Are you age 40 or over?
  4. Have you had a prior knee injury, back injury, or neck injury?
  5. Do your shoes wear unevenly?
  6. Do you have joint pain while standing, walking, or running?
  7. Is one of your legs shorter than the other?
  8. Do you have knock-knees or bow legs?
  9. Do you have obvious foot problems (bunions, corns, flat feet)
  10. Do your feet “toe out” when you’re walking?

If you said yes to any of the above, ask for an evaluation.

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Office Address

119 West 23rd Street
8th Floor, Suite 800
New York, NY 10011


Office Hours

Tue10am — 1pm
3pm — 7pm
Wed10am — 1pm
3pm — 7pm
Fri10am — 1pm
3pm — 7pm

Transit Information

Subway: Located one block from the 1 and near the F and M. Close also to the N and R.

Map Location