Inward turned ankles, or supination, can be caused by several factors, including structural issues such as flat feet or high arches, which affect the alignment of the foot. Weak or imbalanced muscles around the ankle can also contribute to instability. Additionally, improper footwear and certain activities that put excessive strain on the ankles may exacerbate the condition. Injuries, such as sprains, can also lead to altered mechanics, resulting in inward turning.
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