Podiatry Services

Biomechanical assessments

Podiatry clinic Biomechanical AssessmentThe main reason to undertake an assessment is to identify if there is a link between how you function (walk / run) and the injury (pain) that you have. There is often an underlying reason why you have acquired an injury and this is often a result of how your body is functioning. Our podiatrists will look to identify what structure it is that is hurting and why it is being subjected to an excessive force that is damaging it. As podiatrists we understand feet very well and have a good knowledge of the anatomy of your foot and so can identify what is hurting, we also understand the complex movements that happen in feet when you walk or run and so can understand the link between how your feet work and the effect this will have on, not only, the structures in the foot but also throughout the rest of your body.

For more information on what happens during a Biomechanical assessment click here

But in summary the podiatry clinic will;

  • look at you non-weight bearing and in standing, this will enable us to examine the range of motion in your joints, look at your muscle strength and see what happens to your feet and body when you stand.
  • We will also look at you walking barefoot in the clinic.
  • If you are running or using running as training then we can look at your running style on a treadmill.
  • We can record using high speed video and / or in shoe pressure analysis system from Tekscan to see what is happening in your shoe.
  • We will then discuss with you what we think is happening and why you are getting your problems.
  • We will then discuss the best ways to remedy the problem.

We do not only off this assessment for when you have an injury but are seeing an increasing number of people to see if there are any potential problems that may be due to the way you function. It makes sense to use our skills of indentifying what has gone wrong by giving advice on any potential problems that we think we can identify.

Orthoses prescription

Orthoses are one method of treatment that we are able to use. Orthoses are insoles that fit in your shoes and are designed to change your function in some way. They may be a simple premade arch support or a custom made device that is designed to alter one aspect of your walking or running style without causing a potentially damaging knock on effect. Our orthoses can be used for all ages groups 2 – 102 (or above) and all levels of activity.

We have a range of premade and custom made orthoses and will discuss with you what we think you need and more importantly why we think it will of benefit. We will also explain what we what it do and what will be the benefit to you whilst wearing it.

For more information on our range or orthoses click here

Foot mobilisation techniques (FMT)

This is a specialist service that is carried out by Colin Papworth who has undertaken further training in the skills to use these techniques. During the assessment we often find that certain joints in the foot can become stuck or locked. This can be known as joint subluxation. This will often mean that muscles that cross the joints do not work properly and may appear to be ‘weak’. With the correct treatment of the joint there is often an immediate improvement in the pain symptoms and the muscles will work more effectively. This treatment will usually consist of a number of treatments over a short period and will be complimented by home exercises and stretching. FMT can be used for all ages and activity levels.

To find out more about FMT click here

Natural running sessions

Our attitude to which running style is best is that there is not one correct style but variations that will suit you as an individual. Natural running implies that you are trying to let your body work in a way that involves no help from either shoes or any orthoses of any kind. Some of you will be strong enough to allow this to happen for some of us we will need help from footwear or even orthoses. This will depend on firstly how strong we are but also on our activity levels. So if you are not very strong but do not do very much you are probably going to be ok, if you are running marathons then you will need to be stronger. Once your activity levels go beyond your current strength then you will be at risk of injury – you will then need to either get stronger and/or seek help from either footwear or orthoses or both.

Our natural running sessions aim to give you the information so you can train certain aspects of your running style. We aim to give you what we feel is the best running style for natural running and how to become strong enough to run in this way. It is up to you then to train your body to do this. Some of you will be ok for how far and fast you want to run and some of you will get to a point and then not be able to go further or faster without some intervention. Not everyone will have the same style and you will find that you will naturally adapt as you train. The aim being to become stronger and train these areas not hide away from them.

For more information on Natural Running click here

For more information on running style and drill sessions click here

Conditions that will benefit from a podiatry clinic assessment:

Heel pain Plantar fasciitis Arch pain
Achilles tendon problems Forefoot pain Metatarsalgia / neuromas
Ankle sprains Shin splints Knee pain
Illiotibial band problems Hip pains Lower back pain
Walking problems Balance Posture problems

The podiatry clinic are also able to undertake a preventative assessment to identify any possible problems that you may be at risk of. This will usually result in advice on footwear changes, gait style changes by specific training advice or we may discuss the options of using either short or long term orthoses.