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Everything you need to know about flat feet and HyProCure

Flat feet are extremely common; in fact, toddler’s feet often look fat and flat. As we develop, most instances an arch develops.  Flat feet or as they are often called hyperpronation can lead to a plethora of foot and lower leg conditions and ultimately lead to permanent deformities. In most cases, orthotics and insoles can help to control this excess motion; however, in some instances, orthotics cannot resolve the issue or orthotics cannot be tolerated.

A revolutionary minimally invasive procedure is now available that can control this excess motion and allow pain-free normal function without orthotics.

HyProCure is the name of this device; this stands for Hyper Pronation Cure.

Why Choose HyProCure?

HyProCure works differently than other treatment options, which is what makes it so effective. It is placed into a naturally-occurring space in between the ankle bone and heel bone through a small incision below the outer ankle bone. There are no pins, screws or drills required.

Unlike other stents that block your range of motion, HyProCure stabilises the foot and restores natural joint motion. You can move your foot freely so that you can easily perform day-to-day activities. Since the procedure is minimally invasive, patients are typically back into their “normal” shoes within a few weeks, if not sooner.

FDA cleared since 2004, HyProCure has been used by foot and ankle specialists in over 60,000 procedures in 70 countries.

The Main Cause – Anatomical Feet Misalignment

Misaligned ankle bones are responsible for the majority of chronic problems to the foot and ankle. This rather common condition also leads to a chain reaction of destructive forces acting on the knees, hips, and back.

This condition will not resolve on its own. Patients do not grow out of it, and it cannot be adequately treated with exercise or physical therapy. It is an anatomical, internal problem, and only an internal solution can restore proper alignment. The secondary effects of misaligned feet include abnormal strain and pressure on joints, ligaments and bones throughout the body.

EOTTS-HyProCure® procedure can decrease the strain to your feet, knees, hips and back.  Furthermore, this life-changing procedure will help you in so many other ways. For instance, now that your feet are realigned you will be able to walk easier without the limiting pain. This means you will be able to increase your metabolism, and with a proper, healthy diet, you should lose weight. This will reverse the ill-effects of many associated conditions of weight-gain like obesity, diabetes, and high blood pressure.

How does HyProCure® fix this underlying cause of pain?

HyProCure® is a titanium stent that is placed, through a minimally invasive procedure, into a naturally occurring space between the ankle and heel bones. It instantly realigns and stabilises the hindfoot while allowing normal joint range of motion. The overall balance and alignment of the foot/ankle will be improved, and the arch of the foot may appear more normal.

EOTTS-HyProCure® corrects this deformity at its root cause. It is an evidence-based procedure that has been performed on thousands of patients of all ages. When indicated, it is utilised by foot and ankle surgeons globally.

Typically, most patients after the HyProCure® procedure are back to normal walking within a few weeks. The bones, tendons and ligaments throughout the foot and the rest of the body will adapt to the corrected position over the following several months.  The photos below show well-aligned foot after the HyProCure procedure. It stabilises and corrects your internal misaligned joint, therefore fixes the underlying cause.

How does HyProCure work?

The device or stent is known as an extra-osseous talotarsal stabilisation (E.O.T.T.S.). It is a minimally invasive procedure that involves a titanium stent being placed into a naturally occurring space in the foot called the sinus tarsi that sits in between two bones in the rear of the foot.

This sinus tarsi is designed to function within an ideal neutral position, in flat feet the bones bones move excessively and the space closes down.

The EOTTS-HyProCure procedure is typically performed under local anesthesia or IV sedation to relax you during this 20-minute procedure completely. One of the many advantages of this procedure is that it can be performed on both children and adults.

Even when the HyProCure stent is placed into a child’s foot, it is unlikely that it will have to be replaced later in life. The good news is that the procedure is reversible if needed. There is no drilling or fusions of bones or joints. The aim is to realign the foot to reproduce your normal function. The HyProCure stent comes in various sizes, and during the procedure, the correct size is introduced specifically for your foot type and function.

EOTTS-HyProCure® is an evidence-based and minimally invasive procedure, which may help you stop suffering from pain and many side effects of misaligned feet such as knee pain, hip pain, and back pain.  This revolutionary procedure has helped thousands of patient globally.

It must be mentioned that this procedure is not appropriate for all feet and during the initial assessment, a decision will be made as to whether the procedure is suitable for your foot.

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The HyProCure Procedure

The HyProCure procedure is minimally invasive and takes 20-minutes or less. It is often performed in an outpatient setting under “twilight sleep” or local sedation.

HyProCure is placed in the naturally occurring space between your bones to realign and stabilise the hindfoot instantly. HyProCure will not penetrate or be implanted into your bones.

Once placed, it will then allow normal joint range of motion and weight distribution of your body on your feet. Many times HyProCure is performed as a stand-alone, single procedure. However, due to the complex nature of the foot, there may be additional surgical procedures that must also be performed to realign or stabilise other parts of the foot.

What is involved in the recovery after HyProCure flat foot surgery?

The surgery is carried out as a day surgery case, and there is no need for an overnight stay in the hospital. This surgery allows patients to be on their feet immediately following the procedure. In these instances, patients are expected to wear a post-operative protective shoe over their bandaging to protect the surgical site. In the first 3-7 days, patients are expected to rest as much as possible even though they can walk to the toilet or to perhaps make a cup of tea or heat a meal. At your first post-operative review (approximately seven days following the procedure), the dressing is changed, and at two weeks this large dressing is replaced by a very small dressing following a daily saltwater soak. For most patients, a return to regular footwear occurs at about 3 to 4 weeks following the procedure, although this does vary from patient to patient.

When can I drive after the surgery?

It is typically advised to avoid driving while the large dressing is on and you are in the post-op shoe. This will mean you should avoid driving for about 2-3 weeks. This is often for safety reasons.

Is HyProCure surgery painful?

No. One of the main improvements in foot surgery is the marked reduction in pain. Pain is now controlled.

The incisions are very small, and a lot less damage is done during the operation.

The advancements in medication also allow pain not be an issue at all now. Some patients may require more intervention, however many patients experience no pain after the surgery.


Most HyProCured patients are back to normal walking within a few weeks, but this may vary from patient to patient based on their prior physical condition.  The bones, tendons and ligaments throughout the foot and rest of the body will adapt to the corrected position over the following several months.

Listen to HyProCure physicians about how HyProCure has positively changed their patients’ lives.

View these videos below to understand more  Hyperpronation and the HyProCure solution:

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What complications can occur?

HyProCure is classed as a minimally invasive procedure, and complications are now rare, although there are certain risks that patients must be made aware of, regardless of the rarity.

The risks of foot surgery are very similar to those risks posed by having other surgery, such as infection, unexpected pain, anaesthetic complications, contractures of the wound and unexpected scarring and deep vein thrombosis.

There are also risks associated with having certain medicines during and after your surgery, such as the possibility of nausea and vomiting.

There are many very rare complications that can occur; these are very rare; however, they can occur.

Risks associated with surgery are explained to the patient during their pre-operative consultation. You will have every opportunity to ask as many questions as you like during the consultation.

Useful resources:

The Australasian College of Podiatric Surgeons   –

The American College of Foot and Ankle Surgeons –

HyProCure –

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