Gait Analysis &

Musculoskeletal Consultation

Podiatry is becoming more and more advanced with biomechanics and the assessment and treatment of how people walk and run.

Traditionally if a foot appeared flat then arch supports were used to help lift the foot. Modern techniques have significantly moved on from this. We look now at what the foot is doing and also at how the entire lower limb functions.

Biomechanical problems are not just applicable to the sports men and women; long term chronic lower limb pain can be attributable to poor biomechanical function.

Using up to date techniques and knowledge we assess the biomechanical structure and function of the lower limb from the feet to the lower back, enabling us to provide a more accurate diagnosis and treatment plan. What exactly is involved will depend on many factors such as the presenting problem & it’s duration. The aim of a biomechanical analysis is to identify the injured structure/s, decide if any of the current movement patterns are contributing to increased stress or load on the injured anatomy, and then formulate an appropriate management plan to reduce these damaging stresses/loads.

Underlying biomechanical issues commonly lead to the development of many conditions such as:

  • Plantar fasciitis

  • Shin splints

  • Hallux Abducto Valgus (Bunions)

  • Metatarsalgia

  • Mortons neuroma

  • Knee ankle and foot osteoarthritis

  • Ankle instability

  • Lower back pain

  • Knee pain

  • Ankle pain

  • Achilles problems

  • Heel pain

  • Arch pain

  • Forefoot pain

 

This involves checking whether there is any tightness or weakness in muscles involved in walking or running or a problem with the range of motion in the joints, such as ankles, knees and hips.  Body posture is also analysed – quite often back, knee and hip pain can relate to poor positioning/function of the feet.

We at times record short video is taken of you walking and then played back in slow motion, showing where the problems are in foot posture and timing of gait.

The resulting information gained from a gait analysis and musculoskeletal consultation will lead to implementing a care plan which may include

  • Rehabilitation programme e.g. stretching/strengthening exercises.

  • Kinesiology tape strapping - we will apply this and show you how you can do this yourself.

  • Orthotic/insole prescription.

  • MLS Class IV laser.

  • Extracorporeal Shockwave Therapy (ESWT).

  • Combination of the above therapies.

  • In some cases, a referral is needed for further investigation e.g. x-ray, MRI scan.  This is usually arranged via your GP.

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