Biomechanical Assessment - 30-45 minutes
We would recommend this assessment for anyone experiencing foot or lower leg pain when either active or at rest. Also for people with upper body problems that are being caused by the way you are walking.
During the assessment the podiatrist will take a history of the problem, diagnose what structures are injured and why this happened and discuss possible treatment options.
Treatment will be started at the initial appointment and you will be given advice for managing the problem and an ongoing treatment plan.
Running Intro - 60-90 minutes
This assessment is designed to diagnose any injury/pain that occurs during or after running. This can present as foot, leg or upper body pain/discomfort.
The podiatrist will take a history of the problem and diagnose what is injured in the foot or leg and why you are getting the problems. During the assessment we will record a video of you running on the treadmill or carpark. You will then watch this video with the podiatrist who will point out the specific ways that you are moving that are contributing to your pain/injury. We then work out how to change the movement or decrease the damaging load that is being placed on the structure and leading to the pain.
Treatments will include mobilisiations of feet and ankles, exercises for strength and movement pattern changes. As part of this assessment we will look at your running technique and look at how you can change things safely. We may also use orthoses (insoles) to help in the short or long term.
Running performance - 90-120 minutes
This assessment includes everything in the running intro but with much more emphasis and time spent on the running technique changes. This will include introducing running drills to help change the movements. If you are looking at improving your running performance, endurance and speed then this is the assessment for you.
Running Gait Retraining - 60 minutes
This can be done as a stand alone service or added onto the basic assessment when we feel ready to move onto this stage of rehabilitation.
You are videoed on the treadmill or outside and then this is discussed and we look at how to make the changes that we feel are required. This will include specific exercises and running drills. Video feedback is used to show you how you are running and how to make the changes required.
RSScan with Biomechanical Assessment - 75 mins
This assessment is the same as the biomechanical but uses the RSScan mat to provide us with further information. We take a recording of you standing still for 10 secs and also record you walking over the mat a number of times. This will provide us with a baseline reading of a number of things. The main things we can see how is much pressure you put on each foot and how your body weight moves forward over your foot when walking. We can then use this information to help us form a diagnosis and plan a treatment. The baseline information can be kept and used to monitor progress as we progress with treatment.
We can use the information from the dynamic scan to help prescribe the Phits orthoses. These the orthoses that are made to compliment the system.
In-Shoe Pressure analysis with F-scan in-shoe insoles
This uses a thin insole that fits into your shoes and measures where and when you put the pressure through your foot during the standing phase of walking or running. This can provide us with extra information about your gait and how your feet are working whilst in the shoes. It is also good for pre and post testing to see if the treatment we undertake with you is having the desired effect. You can add this service to any of the above assessments.
Glossary of terms
Injury assessment - Assessment of what is hurting and forming a diagnosis of what is wrong and why it has happened
Biomechanical assessment - analysis of how your body is put together and how it works. This involves looking at you in lying position, standing and walking. We look at how your feet and legs move, your flexibility and strength in various positions.
Video running assessment - we look at you running on treadmill or outside and capture this on video using high speed capture. We then go through what we can see with you and explain why you are running as you are and link this to injury / performance, etc. This is then used to see what and how we can change various aspects of how you are moving.
Treatment - once we have discussed what we feel is going on and why you are having the issues you are, we then come up with a treatment plan. This can consist of a number of things; mobilisation of joints in the feet and ankles, soft tissue mobilisation of feet and legs, strapping, orthoses, footwear advice, walking / running gait changes, specific exercises and running drills to address what we find.
Exercises - these are gait specific and will address specific areas of your gait. These may consist of both activation and strengthening exercises.
Drills - these are running gait specific and will address helping you change certain movement patterns by activating certain muscles at specific times during your running gait.
Ongoing plan - This is where plan for future visits to make sure you continue to progress. This could be with the same person or we may recommend you seeing someone else in the team who can work with you to progress your activity.