This is something I find myself writing about a lot (here, here and here)
In a lot of those articles I refer to Kevin Kirby’s excellent video and you really can’t go past it for a description and an explanation:
It is a common finding, commonly associated with overpronation and also commonly confused with a medial heel whip. There is a lot of confusion between the abductory twist and the medial heel whip, especially in social media commentary. They are not the same thing. They are two very distinct and different phenomenon. The abductory twist is what is in the above video. A medial heel whip is something that occurs after the foot is off the ground.
I have actually given up responding in social media to those who are confused between the two. Move on.
Like the overpronation nonsense that I seem to be fighting all the time, ‘plantar fasciitis’ is another one of those topis that has no much pseudoscience, quackery and mythology associated with it. Not a day goes by in which I do not come across something on plantar fasciitis that is just plain made up nonsense.
Why so much nonsense? My theory is that you can pretty much try anything for plantar fasciitis and due to the nature of the natural history of it, there is a good chance there can be an improvement in symptoms at around the same time the nonsense treatment is used. To try and convince people that their symptoms improved because of the natural history and nothing to do with the quackery is an exercise in futility. I blogged about this issue here: The Problem with the Treatment of Plantar Fasciitis.
This is something that I write about a lot and debate about a lot on social media. It is something that I do not like writing about. It is something that I should not have to write about. It is something that just will not go away. The myths keep on being perpetuated. It does get boring and tiresome.
‘Overpronation’ is a meaningless nonsensical term. It is mostly used by people suffering from the Dunning-Kruger effect who want to pretend that they know what they are talking about when they clearly have no clue. Pronation is normal. We have no idea what is “over” or abnormal. It used to be considered a big risk factor but it was so poorly defined that we really have no idea.
One does get frustrated with not a day going by in which I come across someone talking about “overpronation” in a nonsensical way. When I get time, I will finish on the PodiaPaedia page on overpronation for a ‘fair and balanced; view (as that is the purpose of that website).
Please: it is time for all this to stop (though I know my pleas are not going to make any difference)