10-year-old female with pain and swelling of the right foot was diagnosed bilateral pronatory syndrome. The specialist recommended foot surgery for the lengthening of the Achilles tendon and application of retrograde endorthesis screw. The expert disagrees with the necessity of this procedure, and suggests differential diagnosis and conservative treatment that includes pain killers, soft shoes with soft insoles inside and mild elevation of the medial longitudinal arch of the feet.

10-year-old female with pain and swelling of the foot . The diagnose is bilateral pronatory syndrome. The suggested treatment include pain killers and soft shoes with soft insoles inside and mild elevation.