Biomechanics and Orthotics

Department
Biomechanics
TYPE
Biomechanics
Duration
55 Minutes
Overview

Biomechanics is the study of how the body moves, and in podiatry, it focuses on how the feet, ankles, knees and hips interact during standing, walking and running. At FOOTMED, we offer dedicated biomechanical assessments to investigate the causes of pain, instability, or poor function in the lower limbs.

Many patients come to us with persistent or recurring problems that may be related to foot posture, alignment or movement. Even subtle imbalances can affect the way pressure is distributed through the feet and legs, leading to overuse, strain or discomfort over time.

Our biomechanical service combines clinical expertise with modern digital technology. Assessments are carried out in a quiet, well-equipped MSK room and include clinical testing, functional movement analysis, and 3D scanning for precise orthotic design where required.

Orthotics (custom insoles) are often prescribed as part of the management plan. These are tailored to the individual using advanced CAD/CAM software and manufactured to match the needs of your feet, activity level and footwear. Our aim is to reduce pain, improve function and support long-term mobility.

Foot Problems

Many painful conditions of the feet and lower limbs are caused or worsened by mechanical stress. This can result from inherited foot shape, age-related changes, muscle imbalances, or repetitive strain from sport or work.

Biomechanical assessment is recommended for people experiencing:

  • Heel pain, including plantar fasciitis and heel spur syndrome
  • Arch pain, flat feet or collapsed arches
  • Forefoot pain, including metatarsalgia, Morton’s neuroma, or sesamoiditis
  • Ankle instability, recurring sprains or tendon strain
  • Shin splints, calf fatigue or Achilles tendon pain
  • Knee pain linked to foot mechanics (e.g. patellofemoral pain)
  • Lower back or hip discomfort that may be influenced by poor alignment or gait

It’s also useful for:

  • Athletes recovering from injury or looking to prevent recurrence
  • Individuals whose existing insoles are no longer working well
  • Children with concerns about flat feet, in-toeing, tripping or abnormal walking patterns

Identifying the root cause of a problem allows us to treat it more effectively, rather than simply addressing symptoms.

Our Approach & Treatment Options

Every patient receives a comprehensive assessment tailored to their symptoms, lifestyle and goals.

A typical appointment includes:

  • Medical and activity history to understand the problem and its impact
  • Static assessment of posture, joint range and foot shape
  • Functional testing, including muscle strength, flexibility and balance
  • Gait analysis, observing walking or running patterns
  • Footwear evaluation, identifying issues with support, fit or wear patterns

Based on your results, we will recommend a management plan. This may include:

  • Custom orthotics: Designed using 3D digital foot scanning and CAD/CAM technology, these insoles are made to your exact needs. They can help reduce pressure, improve alignment, and support normal movement.
  • Footwear advice: Recommending shoes that support your treatment goals and suit your daily activities.
  • Exercise plans: Strengthening, stretching and neuromuscular retraining to improve foot and leg function.
  • Load management: Helping athletes or active patients manage return to sport safely.
  • Follow-up and review: Where appropriate, we’ll review your progress and make adjustments to your orthotics or plan.

All assessments and treatments are delivered by HCPC-registered podiatrists with advanced training in musculoskeletal care. Whether you're managing a long-term issue or recovering from a recent injury, our goal is to help you move with comfort and confidence.

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