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Aila Bacat / August 17, 2026

Are Your Flat Feet Causing Your Achilles Pain?

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This episode explores the common misconception that flat feet and pronation cause Achilles tendon pain. It reviews scientific research showing that biomechanical factors like pronation are weak predictors of injury, and emphasizes the importance of strength and resilience in preventing and overcoming Achilles pain.

Takeaways

  • Achilles pain is influenced more by the tendon’s capacity and load tolerance than by foot position alone.
  • Pronation is a normal part of running and not a major cause of Achilles pain.
  • Research shows only a tiny difference in pronation between those with and without Achilles pain.
  • Most biomechanical variables, including flat feet, are weak predictors of injury.
  • Strengthening the calf and Achilles tendon is the most effective way to prevent and recover from Achilles pain.
  • Gradually increasing training load allows the tendon to adapt and become stronger.
  • Training consistency and appropriate load management are important for long-term tendon health.
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Disclaimer

I am a Registered Physiotherapist within the province of Alberta, Canada only.

Any online consultations with individuals located outside of Alberta will be in my capacity as a Certified Running Coach. I do not provide Physiotherapy or injury rehabilitation services to anyone located outside of Alberta, Canada.

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