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Musculoskeletal and Video Gait Analysis

Podiatry is becoming more and more advanced with the musculoskeletal/biomechanical system of the lower limb. 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 during the gait cycle (walking) as well as how the entire lower limb functions.

 

Biomechanical problems are not just applicable to 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 are able to assess the Musculoskeletal/biomechanical structure and function of the lower limb from the feet to the lower back.  This enables us to  provide a more accurate diagnosis and treatment plan.

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

  • Plantar fasciitis

  • Shin splints

  • Hallux Abducto Valgus (Bunions)

  • Metatarsalgia

  • Knee ankle and foot osteoarthritis

  • Ankle instability

  • Lower back pain

  • Knee pain

  • Ankle pain

  • Achilles problems

  • Heel pain

  • Arch pain

  • Forefoot pain

  • (this list is not exhaustive)

Musculoskeletal Consultation

A half hour appointment which provides an initial assessment and diagnosis of a foot related problem.  This is usually pain in any part of the foot e.g. heel, arch, big toe joint.  


Initial advice is given on the most likely cause of the problem and the ways in which you can reduce the pain.  

Video Gait analysis (includes Musculoskeletal Consultation)

Hour appointment which allows a more in-depth assessment of a foot related problem, including:


An assessment of the feet and any other related muscles and joints which are contributing to the problem.  

 

This often involves checking whether there is a leg length discrepancy, 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 misalignment of the feet.

A 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.

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Treatment

The resulting information gleaned from a musculoskeletal consultation and Video Gait Analysis will lead to implementing a care plan which may include

  • a rehabilitation programme e.g. stretching exercises.

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

  • a functional orthotic (insole) prescription if the problem is mechanical. 

  • an accomodative orthotic (insole).

  • a combination of the above therapies.

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

Orthotics (Insoles)

Orthotics (if required), correct foot posture and the way you walk or run, aiming to resolve the pain experienced.  We use the most up to date theories in prefabricated devices to ensure the best quality and value for money in our treatment plans.

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